20061020 Ver 1_Staff Comments_20080429

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DWQ Project No.: 240(f%02-0
Applicant: Me_Dc>-r -C>lV S ? ? 41. 3oW?1,LA,1
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
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County:
Project Name: C NC S SA j u SA S. o? Dld 4-An M unii Rd) - e -two sa n cyJ" fep %'l e
Date of Issuance of 401 Water Quality Certification: Di? 1 u) o
Certificate of Completion
Upon completion of all work approved within the 401 Water QualiYent, r applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return thhe 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service , NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorizproject engineer. It is not
necessary to send certi ficates from all of these.
Applicant's Certification
I, TGc% hereby
was used in the observation of the construction such that
compliance and intent of the 401 Water Quality Certif
specifications, and other supporting materials.
Signature: _
Agent's Certification
1.
was used in the observation of the
compliance and intent of the 4011
specifications, and other supporo
Signature:
Engineer's Cer
Partial
that, to the best of my abilities, due care and diligence
construction was observed to be built within substantial
and Buffer Rules, the approved plans and
Date:
hereby state that, to the best of my abilities, due care and diligence
sstruction such that the construction was observed to be built within substantial
tter Quality Certification and Buffer Rules, the approved plans and
materials.
Final
Date:
1, , as a duly registered Professional Engineer in the State of North
Carolina, havin een authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee her y state that, to the best of my abilities, due care and diligence was used in the observation of the
constructio such that the construction was observed to be built within substantial compliance and intent of the 401
Water Q ity Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Registration No.
n C as cT `f IZ? (0
>r w d n e
?? - S I?e,,,t d w , r ?,ti l,., n o % D O t?re,r Ic ?, 6 k a?ti
-One
Ca,ro??
Transportation Permitting Unit !lCllfll,/
1650 Mail Service Center, Raleigh, North Carolina 27699.1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone] / Internet: htto://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper