20050054 Ver 1_Certification of Completion_20131029

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A Reeder John E Skvarla, III
Governor Director Secretary
DWR Project No,
Applicant.
Project Name.
2005 -0054 v 1
KB Home Raleigh- Durham, Inc
Tenn I nkpc
401 Water Quality Certification Issued Date
County. Wake
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 DWR, 1650 Mail Service Center, Raleigh, NC, 27699 -1650 This form may be returned
to DWR 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 role K '1110 t of my abilities, due care and
«-
I, �i 1hi � ,hereby state that, to the best
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� � . 0 G }, 6 {-(U 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 project was designed by a Certified Professional
, as a duly registered Professional En>;ineer
I, Timothy P Nau PE
(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 Permitee 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 �j�
Date 10/11/13
Signature*
Buffer Permitting Unit 'LV1 401 & B 91650 Mail Sernce Center, Raleigh, North Carolina 27699 -1650 Location 512 N Salisbury St Raleigh, North Carolina 27604 �'�
Phone [phone] \ FAX 919 - 807 -6494 Internet www ncwaterauahN oro An Equal opportunity 1 Affirmative Acton Employer W r fi UALITY
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