20060500 Ver 1_Certification of Completion_20080201

556 Highlands Road
Franklin, North Carolina 28734
Telephone [phone]
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Jan 28 2008 18:23 Buchanan and Sons Inc (8281 631-4801 P.1
Cextli~cation of Comp~e~on
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-~ DWQ Project No.: ~ ~" .- ~5 °~, County: MA-~N
Applicant: ~^n ~ t^z~ ~ +v
Project Name: ~ r"t ~~~'~^1 G~C'~SC~-`-~.
Date of Issuance of Isolated Wetland Permit. __~ ~ r.T 1 i Wi 2~~G .,_ ^`
Certificate of Completion
Upon completion of aJl work approved within tht 401 Water Quality Certification end Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 40l.NVctlands Unit, North
Carolina Division of Water Quality, 1ti50 Mail Service Center, Raleigh, NC 27699-1650. This form tray be
returned to DWQ by the applicant, the app)icant's authorized agent or the project engineer. it is not necessary to
send certificates from all of these.
Applica~nt~'s CeQrtifcation
1 cT I Yh Y~L~ hereby state that, to rho 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
compliannce end intent of the AO our Quality Certircation and Buffer Rules, the approved plans and
specifications, and of cr su rting materiels,
7 Signature: ~ Date; ~ _ ~~, ~2r~>~
Agent 's Cert f cation N/•r
1 _ hereby slate that, to the best of my abilities, due cart and diligence was
used in-the observation of the const7ruction such that the construction was observed to be built within substantial
compliance and intent of the 40l Water Quality Certification and Buffer Rules; the approved plans and
specifications, and other supporting materials.
Signature; Gate.
ff this pJroject was/de_signed by a Certified Professional
l <-~~r~' ~ G~-~y ~~ ~, as a duly registered Professional ~~~' (i.e., Engineer,
Landsc pca~Arebitect, Surveyor, etc.) in the State of Nvrtit Carolina, having been authorized to observe
(periodically, weekly, full tune) the construction of the project, fox the Permittoe hereby state that, to the best of
my abilities, due care and diligence was used in the obswation of the construction such that the construction was
observed to be boil[ tvithir~ tied,„compliance end intrnt of the 401 Water Quality Certification and Buffer
Rules, the approved plat3'" ~~ s, and others pporting materiels.
Signature; : `'~- ,'~, y< Date:
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F EB 1 2008
DENR - ~JAYERMWATE.R g~NGH
~T~Npg AND STOR