20031555 Ver 1_Certification of Completion_20051215

12-16-2005 08:53am From-CREEDl~OOR PARTNERS LLC 9195711521 T-552 P. 003/003 F-283
.~. A-~C F
~~-~- Certificate of Completion
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DWQ Project No.: ~~ ° ~ ~~ County• ~aK£
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
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Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlarids Unit, North
Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. [t is not
necessary to send certificates from all of these.
Applicant's Certification
1' ,hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rciles, the
approved plans and specifications, and other supporting materials. _.
1_...
Signature:
Agent's Certi,~cation
,s
Date: ~~:
I' ,hereby state that, to the best of my abilities, due careaid
diligence was used in the observation of the construction such that the construction was obsen-ed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rues, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
If this project was designed by a Certified Professional
I, - I ~AE..E .~F~ENk.ce
as a duly registered Professional ~n~
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having bee--na~o~ d toi.e.,
observe erio c weekly, full time) the construction of the project, for the Permittee hereb y state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and uffer Rules, the approved plans and specifications, and other supporting mat~:rials.
i,
Sign
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Date: I'Z 3v G?~

~' WITHERS ~' RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
iii MacKenan Drive
CARY, NORTH CAROLINA, 27511
X919) 469-3340
FAX [phone]
To: qo1/Wetlands Unit
North Carolina Division of Water Quality
1621 Mail Service Center
Raleigh, NC 27699-1621
~~~~~ 0~ ~~Q~~~D~Q~
UAL 12/ O/O loeNO. 201062. 0
nrrENnoN Alan Klimek, PE
PHONE # _1 86
RE: Gallowa Subdivision -Phase &

WE ARE SENDING YOU ^ Attached ^ Under separate cover via the following items:
^ Shop Drawings ^ Prints ^ Plans ^ Samples ^ Specifications
^ Copy of Letter ^ Change order ^ Diskette ® certificate
COPIES DATE NO. DESCRIPTION
1 12/ 0/05 Certificate of Completion
THESE ARE TRANSMITTED as checked below:
^ For approval ^ Approved as submitted
^ Foryour use ^ Approved as noted
®As requested ^ Returned for corrections
^ For review and comment ^
^ FOR BIDS DUE 20 ^ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
WE DE~NR,q~~WATER QUALITY
^ Resubmit copies fion~~PProvdTATF.RBRANCH
^ Submit copies for distribution
^ Return corrected prints
coPYTO: Terry Stephens, PE, Creedmoor Part. SIGN~e~:-bale Werenko
/f enclosures are not as noted, kindly notify us at once.