20110661 Ver 1_Certification of Completion_20130812

AKII'mm Jones & Cnossen
ENGINEERING, PLLC
Civil Engineering I Construction Management I Land Planning
II V 022 N SALEM ST SUITE 200
t PO BOX 1062
APEX NC 27502
Office 919 -387 -1174
Fax 919 - 387 -3375
wwwjonescnossen com
LETTER OF TRANSMITTAL
Date Tuesday Aueu5t OG, 201 3 Job# 1 022 -R
To NCDENR
Wetlands, Buffers, 5tormwater - Compliance and Permitting Unit
North Carolina Division of Water Quality
I G5 I Mail Service Center
Raleigh, NC 27699- I G50
Job Name
5ubject
rY Pick Up
rv– Mail
F Deliver
Comments
Chastain 11, Raleigh NC (DWQ Project No 20 1 1 -OGG 1)
Certificate of Completion
F Print(s)
17 Ciriginal(5) 1-
F Contract( F—,
11– Check(5)
Peter D Cn055en
i Per Your Rectue5t
T' For Review
i- Permit(5)
W for Your Information
F For Approval
F for Signature
F for Payment
AUG 12 2013 ,

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P E John E Skvarla, III
Governor Director Secretary
DWQ Project No
Applicant:
Project Name-
/MI - D�yl County. Y/AWd--
401 Water Quality Certification Issued Date VyL 12,1 p r�
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
Webscape Unit, NC DWQ, 1650 Mail Service Center, Raleigh, NC, 27699 -1650 This form may 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, , 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 Rules, the
approved plans and specifications, and other supporting materials
Signature
Date
Agent's Certification
I, , 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 Rules, the
approved plans and specifications, and other supporting materials
Signature
Date
If this was Mde ► gned by a Certified ProfessionaY g 7 1 f�� h,y as a dui registered Professional �'{ (I e ,
Engineer, Landscape Architect, Surveyor, etc) in the State of North Carolina, having been atithorized to
observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction s�ue
that the construction was observed to be built within substantial compliance and intent of the 4
Quality Certification and Rules, the approved plans and specifications, and other supp
Af
materials i
Signature C @��� °
•
D s i
IV i0
Wetlands, Buffers, Stormwater — Compliance and Permitting (Webscape) Unit One 4vf ,
1650 Mad Service Center, Raleigh, North Carolina 27699 -1650 AUG I q NorthCarM
Location 512 N Salisbury St Raleigh, North Carolina 27604 �✓ �O f3 �atura!
Phone [phone] FAX [phone] Customer Service 1- 877 -623 -6748
Internet www ncwaterquality org yy�v, Gllgj�jl 11 A,
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