HomeMy WebLinkAbout20061237 Ver 2_Certification of Completion_20100518
NCDEIR
Norte Carolina Department of Environment and Natural Resources
Division of Water Oualittt
Beverly Eaves Perdue Coleen H Sullins
Governor Director
DWQ Project No.: pL,9 - 13,3 '1 U a, County:
Applicant:
G
Project Name: 1706 ,?/0?7/N6tL4.?r /V It
Date of Issuance of 401 Water Quality Certification: I - a, t - 1 p
DW-W4ER0 0,U'1Y
Certificate of Completion VOW= ANDVORWAATERBRANObi
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.
Applica.#t's Certification
e , hereby state that, to the best of my abilities, due care and diligence
was use 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: 0C Date:
Agent's Certification
1, , 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
1, , 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 tine) the construction of the project, for the Permitee hereby state that, to the best of my abilities, clue 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
1650 Mad Seance Center, Raleigh, North Carolina 27699-1650
Location 2321 Crabtree Blvd : Suite 250, Raleigh, North Carolina 27604 2260
Phone 919-733-17861 FAX 919-733-68931 Customer Service 1 877-623-6748
Internet http /1h2o ear state nc.uslncwetlands
An Equal Opp,-Wuuty i Affirmative Action Employer
NorthCarolina
Naturally
Dee Freeman
Secretary
Dial 9
MAY 13 2010