20071121 Ver 1_Certification of Completion_20080305

FE8-19-2002 19:08 FROM:STOHRER 6336746 70:6336453 P:3~6
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N~chael F. Easley. Governor
Wigiam G, t~OSSJr., Secretary
North Carolina Department of Environmer-t and Natural Resounoss
coleen H. SuNM-s, Director
Division of Water Quality
DWQ Project Mo.: ~ ~1'r~~-~ County: ~I~~~
~1,pplicant• ? k`~
Project Name:
Date of Issuance of 401 Water Quality Certificatiop: ~
Upon complctiort of all work approved within the 401 Water Quality Certi~tcation or applicable Bti~tTer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
441/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This ornm may be returned to DWQ by the applicant, the applicant's authorized"agent, or
the project enginee~. It is not necessary to send certiSlcates from all of theses
Appl/cant's Ce-'tifi~atwn
Z, '~~MI(5 ;'~(~{~'~e'~ ,hereby state that, to the best of:oo~y abilities, due care
and diligence was deed in the observation of the construction snob that the construction was observed to
be buih withiut substantial compliance and intx;ot of the 401 Water Quality Certification and Buffer
Rules, the app~r ved plans and spec>ficatioas, and other supporting materials.
Agent's Certification
T, L-i,(GI~ ~/~ t!/{/ ,hereby state that, to the best of my abilities, due care
and diligence was used is the observation of the construction such that the construction was observed to
be built within substantial compl' ce and intent of the 401 Water Quality ~Cetti.~cation and Buffer
Rules, the ap vec~ plans a d ifi "one, and other supA~ng~?aterials.
Signature: ~ Date• 3 / ~a/ ~8
`~ ' U
fi Lrils pl'+ojeat was designed by a Cert/fled Professional
1,
Engineer, Lattdsca
to observe (periodi
that, to the best of
such that the coast
Water Quay er
supporting
Date
S~~ , as a duly registered 1'rofessiona) `i~~l~i.e.,
Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
lly, weekly, fall time) the construeraozr of the project, for the 1'etxt~itee hereby state
abilities, due care and diligence was used in the observation of the construction
Lion wa,~ observed to be built within substantial compliance and intent of the 401
~atjpn j~td B}~er Mules, the approved plans and specifications, and otkter
No. L5~3"7~~

North Carolina Division of Waeae Quality, 401 vVetlsnds Certification Unit,
i 1660 Mail Service Center, Ralat9h, NC 2'699-1660 (Mailing Address)
2321 Cratxnss BMd., Raleigh, NC 27604-2260 (Location)
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