20080960 Ver 1_Certification of Completion_20100806

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North Carolina Department of E nvi;onment and Natural Resources
Divisio, cJ Vv ter Qualify
Beverly Eaves Perdue Coleeii R Sullins
Governor Director
DWQ Project No.: rp C- 0°l County:
Applicant: 2

. "UU.A- US
D8" UR(00
Dee Freeman;
S:creti,ry
Project Name: U-AV\C,
Date of Issuance of 401 Water Quality Certification: ?D ?- O
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
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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.
Appllicant's Certification
I, ??- -- I. -V-.:n. d, , 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 substantia compliance and intent of the 401 Water Quality Certification and Buffer
Rules, t pla sand specifications, and other supporting materials.
Signatu . Date:
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
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 (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.
Signature
Date
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: http://h2o.enr.state,nc.us/ncwetiands/
Registration No.
RINIININ@
AUG 1 2009
t-;al?wrn
lii?i?1MIOSJWD ?f?I1Mpb'161R ?911E1111
011"
Nc.7rthCarolina
?1lltlCl'll?j?
An Equal Opportunity 1 Affirmative Action Employer
Action ID Number: 200800336 County:Wake
Permittee: Town of Apex
Date Permit Issued: 1/5/2009
Project Manager: Crystal Amschler
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:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
RALEIGH REGULATORY FIELD OFFICE
3331 HERITAGE TRADE DRIVE, SUITE 105
WAKE FOREST, NC 27587
Please note that your permitted activity is subject to a compliance inspection by a 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 condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signs ure of Permittee
- 'S o ff
Date