20120427 Ver 1_Certification of Completion_20131104

Strickland, Bev
To: Dennison, Laurie
Subject: FW: Bongaard Pond project completion
Attachments: NCDENR project completion form 2013- 11- 04.pdf; USACE project completion form 2013- 11- 04.pdf
"attached to laserfisch" don't know if it works though
From: Hinson, Isaac [ mai Ito: ihinson(a)ci.charlotte.nc.us]
Sent: Monday, November 04, 2013 2:44 PM
To: Amanda Fuemmeler ( Amanda. Fuemmeler(a)usace.army.mil); Johnson, Alan
Subject: Bongaard Pond project completion
Attached are the project completion forms for the Bongaard Pond Improvement Project ( USACE Action ID 2012 -00704
and DWR Project #12- 0427). I'm trying to cut back on paper waste but let me know if I need to mail you hardcopies. I
also have photos of the site if you would like them (site appeared to be in compliance with authorizations). Thanks.
Isaac Hinson
Wetland Specialist
Charlotte - Mecklenburg Storm Water Services
ihinson @charlottenc.gov
Office: 704 - 336 -4495
Fax: 704 - 353 -0473

DWQ Project No.
• ,3 =1
Project Name:
C(,v
County:
Date of Issuance of 401 Water Quality Certification: —
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 /Wetlands 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. It is not necessary to send certificates from all of these.
Applicant's Certification
I, �.S , 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 approved plans and specifications, and other supporting materials.
Signature: 4 EJ Date: `' 't't. -g
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
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:
If this project was designed by a Certified Professional
Date:
I, , as a duly registered Professional
(i.e., 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 was observed to 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: Registration No.: Date:

Permit Number: 2012 -00704
Permit Type: NW03 & 27 / Bongaard Pond Improvement
Name of County: Mecklenburg
Name of Permittee: Charlotte- Mecklenburg Storm Water Services / Attn: Isaac Hinson
Date of Issuance: June 5, 2012
Project Manager: Amanda Jones
Upon completion of the activity authorized by this permit and any mitigation required by the
permit, sign this certification and return it to the following address:
U.S. Army Corps of Engineers
Attention: CESAW -RG -A
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Please note that your permitted activity is subject to a compliance inspection by an U.S. Army
Corps of Engineers representative. If you fail to comply with this permit you are subject to
permit suspension, modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and conditions of the said permit, and required mitigation was
completed in accordance with the permit conditions.
Signature of Permittee Date