20040464 Ver 1_Certification of Completion_20080401

City of Greensboro
North Carolina
January 18, 2007
1 /1 ~j
401/Wetlands Unit ~ ~ (~ ~ %
NC Division of Water ualit ~`"
Q Y
1621 Mail Service Center
Raleigh, NC 27699-1621
Enclosed is the Certificate of Completion and accompanying photos of the culvert
installation for South Elm Eugene Street in Greensboro, NC. This project is located on
an unnamed tributary of South Buffalo Creek.
Please let me know if you have any questions concerning this information.
W
Donald H. Arant, PE
City Engineer
Enclosures
~;J
0
W~
sao P•O. Box 3136 • Greensboro, NC-27402-3136 • www.greensboro-nc.gov • (336) 373-CITY (2489) • TTY# 333-6930

1 .-
Certificate of Completion
DWQ Project No.:
Applicant- City of Greensboro
04-0464
County: Gui 1 ford
ProjectName• South Elm-Eugene St.
Date of Issuance of 401 Water Quality Certification: Sept. 7, 2004
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, Dona 1 d H . Ar a n t , P . E . ,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. D ~ ~ ~ ~~~
Signature: Date: ~a~~ 2.00
JAN ~ ~ ~~~1
Agent's Certification
UE' ~`dr~1'~.f, ~~~,~' I
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 project was designed by a Certified Professional
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 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: Registration No.: Date: