20090337 Ver 2_Certification of Completion_20100513

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colson H. Sullins
Governor Director
DWQ Project No.: 2009-0337 County: Brunswick
Applicant: Village of Bald Head Island
Project Name: Beach Restoration
Date of Issuance of 401 Water Quality Certification: 7 May 09
09 -033-1 U.1-
Dee Freeman
Secretary
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WETLANDS ANDSTOR<"f gERgW\CH
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.
Applicant'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:
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
I, Erik J. Olsen as a duly registered Professional Engineer (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having bxn 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 inte f e 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, an er u in terials.
Signature Registration No. 15626
-Erik sen
Date e, m nt Z;1
1650 Mal Service Center, Raleigh, North Carolina 27699-1650
Location: 2321 Crabtree Blvd., Suds 250, Raleigh, North Carolina 27604-2260 , ??ne
Phone: [phone] FAX [phone] Customer Service; W-c6ftn1Caro ina
Internet: http:Ah2o.enrsteie.nc.us/nmedends J? JtF(Ku?+dI
An Equal Opportunity L Afr"Ove Ackm Enpbyer ?I ? 1
cc: C. Peck, Village of Bald Head Island