20090475 Ver 1_Certification of Completion_20100802

FW: River Chase Ridge Certificate of Completion Page 1 of 1
FW: River Chase Ridge Certificate of Completion
Homewood, Sue
Sent: Monday, August 02, 2010 12:32 PM
To: Dennison, Laurie; Strickland, Bev
Attachments: Document.pdf (177 KB) ; DENR Pictures.doc (20 MB)
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Robby Stone. [mailto:[e-mail]]
Sent: Friday, July 30, 2010 9:46 AM
To: Homewood, Sue
Subject: River Chase Ridge Certificate of Completion
Hello Ms. Homewood,
I have attached the Certificate of Completion for the River Chase Ridge Project along with several pictures.
Please let me know if you need additional information. Have a good day.
Robby Stone, PE
City of Winston-Salem
Public Works Dept./Streets Division
P.O. Box 2511
Winston-Salem, NC 27102
Phone: [phone]
Fax: [phone]
https://mail.nc. gov/owa/?ae=Item&t=IPM.Note&id=RgAAAAAAOgPoLNIPQZ06vHVRO... 8/2/2010
Keith Huff
DWQ# 09-0475
May 22, 2009
Page 3 of 3
DWQ Project No.: t:7 °t - o Li-t S
Applicant: K r-- t rr{ H u Fr-
County: Fonsv rK
Project Name: R F va (z C" As F - c c e
Date of Issuance of 401 Water Quality Certification: M A-r 'Z2 , z OO, 3
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 4011Wetlands 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. It is not necessary to send certificates from all of
these.
Applicant's Certification
tion
I, eft: , b. Ai g:p , 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: 6 Date: 7136 f 1&
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.
sl&nlature.: Date:
Engineer's Certification
Partial Final
1, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee 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 Registration No.
Date

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