20060387 Ver 1_Certification of Completion_20061120

NOV-07-2006 09:52 From:DFR FORESTRYI~PS LIMIT 919 715 6317 To:919 515 6772 P.2~2
Certif cate of Comalenon
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K/ ~ ~~ 8 t Coun w ~ ~..~ ~
DWQ 1Projcct No.: ty~ -
Applicant:
]~~ C.~ 17i ViSi otn ~ ,~v~s~- ~¢.so~rc.e-S
project Name: ~~ rUr ~~.4~-~ l.rCtG~ ~~ZVOJS ~J~.~'Df
Hate at Issuance of 401 Water Quality Certification: ,_ ~Ar ~ ~ 2 ~ '~~~
Upon completion of all work approved within the 401 Water Quality Certification acid 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. Tt is not
necessary to send certifticates from al! of these.
Applicant's Certificatiofi
1, ~ ~ hereby state that, to the best of my abilities, due care and
diligence was se ~ n of the construction such that the conswction was observed to be built
within substan ' i ce " tent of the 401 Water Quality Certification and Buffer Rules, the
approved plans n i ~ ens and other supporting materials.
~. ._.~. ~,..~ .. , , . .... . _ _ ... _ ae .___________
a mates ~ 1
Agent's Certification
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1, ~ 1not~t 7'r _ ~e~ot~/~~ ,hereby state that, to the Est of my abilities, due eRre 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: / 7 D
If this project ~-vas designed by a Certified Prafecsional
I, -~~ ~ z. l n- C'i l ,w ~ ~ , as a duly rcQistcred Professional ~ ^' 9; " e e ~ ~i.e,,
Engincec, T.andseapc Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, wttkly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due cart and diligextcc was used in the observation of the constnietiort such th,~t
the construcdon was observed to be built within substantial compliance and intent of the 441 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other suppoiti.tig materials.
(~ t,~~ ~~,
Signature: ,Y.~~ti~~~..., RegistrationNo.: ~a943 t Date. !/~ 1~0_~.•.-
~~'~~~ D
~IiJV 2 0 2006
uE~~ - wAr~rc c~upurv
WETLANDS AfdD STDRMyti!ATE,R BRANCH

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