HomeMy WebLinkAbout20091347 Ver 1_Certification of Completion_20111128Beverly Eaves Perdue
Governor
DWQ Pro�ect No
Applicant
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North Carolina Department of Environment and Natural Resources
Division of Water Qual�ty
Coleen N Sullms
Director
p q - 13 �1-'1 County
c�u� �oc.�r ,G �a�'-f—
Dee Freeman
Secietary
S� �'u ��Q
Pro�ect Name �e,,�.Y � ��
Date of Issuance of 401 Water Qual�ty Certifcation I- a,'1 - I o �� ,� D
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�ea°isf cate oi Cornp�eteon �OST�/P� ��Y
Upon completion of all work approved wrthm the 401 Water Qualrty Certification or applicable Buffer Rules�a�id any
subsequent modifications the appl�cant �s required to return this certificate to the 401/Wetlands Unrt North Carolina
Div�sion of Water Qualrty 1650 Mail Service Center Rale�gh NC 27699 1650 This form may be returned to DWQ
by the applicant the appltcant s authorized agent or the pro�ect engmeer It is not necessary to send certificates from
all of these
flpplacant's C'ertafacatron
I hereby state that to the best of my abilrties due care and diitgence
was used in the observation of the construction such that the construction was observed to be built wrthin substantial
compliance and mtent of the 401 Water Qualrty Certification and Buffer Rules the approved plans and specifications
and other supporting materials
Signature _ Date
fflgent's Cert f catcon
I� eC C� M, A�'l � v�P� f4�" hereby state that to the best of my abilit�es due care and diligence
was used �n the observation of the construction such that the construction was observed to be built withm substantial
compliance and intent of the 401 Water Qualrty Certificatlon and Buffer Rules the approved plans and specificattons
and other s pportmg m terials
Signature �_ Date a ��
If thas pro�ect was desrgned by a C'ert fed Professional
I as a duly reg�stered Professional (i e Engineer
Landscape Architect Surveyor etc ) in the State of North Carolina havmg been author�zed to observe (periodtcally
weekly full time) the construct►on of the pro�ect foi ihe Peimitee he►eby state that to the best of iuy abilities due care
and diligence was used in the observat�on of the construction such that the constructton was observed to be built with�n
substantial compliance and intent of the 401 Water Qua(rty Certification and Buffer Rules the approved plans and
specifications and other supporting materials
Stgnature
Date
1650 Mad Seroice Genter Raleigh North Carolina 276991650
Loc�tion 2321 Crabtree Bfvd Suite 250 Ralelgh North Carolina 27604 2260
Phone 949,�33�Q8�1 FAX 919 733-68931 Customer Serof
Internet http Nh2o enr state nc uslncweUands
An Equai Opportunity i ARm�a6ve Achon Empioyer
Registration No
None Ca.rolina
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