HomeMy WebLinkAbout20110766 Ver 1_Certification of Completion_20120514Certificate of Completion
DWQ Project No County �
Applicant
Project Name
Date of Issuance of 401 Water Quality Certification 60 2- 4
Upon completion of all work approved %%ithm the 401 Water Quality Certification and Buffer Rules
and any subsequent modircations the applicant is required to re urn this certificate to the
401 /Wetlands Unit North Carolina Dn ision of Water Quality 1650 Mail Service Center Raleigh
NC 27699 1650 This form mad be returned to DWQ by the applicant the applicant s authorized
agent or the project engineer It is not necessary to send certificates from all of these
Applicant's Certification
I I'MON ClQtiClj�, 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
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules the approN u,d plans and specifications and other supporting materials
Signature Date 1 01 /Afl Z.,
Agent s Certification
I hereby state that to the best of my ibilities due care and
diligence was used in the observation of the construction such that the construction was observed to
built H ithm substantial compliance and intent of the 401 Water Qualitti Certification and Buffer
Rules the approved plans and specifications and other supporting materrils
Signature Date
If tit is project ►vas designed by a Certified Professional
I as a duly registered Professional
(i a Engineer Landscape Architect Surveyor etc ) in the State of North Carolina having been
authorized to observe (periodically weekly full time) the construction of the project for the
Permittee 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 % %as observed to built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules the approved plans
and specifications -ind other supporting materials
Signature
Registrition No
Dat(