HomeMy WebLinkAbout20061741 Ver 1_Certification of Completion_20070307U1/1~~"~~3U7 16:19 9198459~i67 5&EC PAGE 02
Certification o~ Completion
DWQ Project No.: 06-1741
county:
Hoke
Applicant: Brownstone Farms. LLC.
Project Name: Brownstone Farms .~W_
Date of Issuance of Wetland Permit: November 3,~,(zQ.,6
Certificate of Comuietioz~
Upon completion of all work approved within the 401 Water Quality Certification, and any subsequent modifications,
the applicant is required to return this certificate to the 401 OversightiExpress Pe~rttittir~g TJnit, Forth 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 authorised agent, or the project engineer. It is not necessary to send certificates from all of
these.
Applicant's Certification
1, Watson G. Caviness _,_,, hereby state that, to the best of my abilities, due care and diligence was
used in the absc-rvation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certificat-on, the approved plans and specifications, and other
supporting materials.
Signature: ~~
Agrent's Certification
Date: ~ - ~ ~~J..7
I, µ, 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 Certificatioo, the approved plans and specifications, and other
supporting materials.
Signature: _ Date:
If this project fuss designed by a Certified Professional
I, ~ _, as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorised to observe (periodically,
weekly, fall 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, the approved plans and specifications, and
other supporting materials.
Signature:
Registration No.
~i
Y~~
MAR '~ 20Q7
Date
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