20060073 Ver 1_Certification of Completion_20070119

~e~'~i~'ic~tir~n of C'~rn~letion
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Dote of I~st,tarce of isclate,i ~~, ~t':and P~t-.it:
Certit`cate of Completion
Upon completion of all wort: approved within the ~O1 ~ti~ater Quality Certi~ication and Buffer Rules, at;d any
subsequent modifications, the applicant is required to return this certif;cate to the ~1C1;'titi'etlands Unit. ;ti"orh Carolina
Division. of Hater Q~,ality. 160 tilail Szrvic~ Center. Raieih, i±iC, ? 7699-16jQ. This form n:a;; be reulrnzd to D`V~~ by
thz applicant, the applicant'; authorized a?ent, or the prefect engineer. It is not ne;;essary to send c~rtiiicu~s from iii of
these.
1-applicant's Certification
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used to the observation of the construction suchrthbatsthe constrocdo b?va~ obserbedtlto be built vnd tniliQence was
compliance and intent of the ~lO1 tiVater Quality Certification and Buffer Rules, the approved plans and spec ficati ns(
and other supportin~,materi ~
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Signature: ~
Date: f / Zeo--7
rigent's Certification
I.
used in the observation of the construction suchr thatsthe contstrouction ewaso observedtlto be bu~(t ~nd dili u nce was
comptiance and intent of the =101 «'ater 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,
Landscape Architect. Surve or. etc. ~ as a duly registered Professional
Y ) in the State of North Carolina, havin~• -- (t.e•, Engineer,
`~~"ze~ly. full time) the construction of thz project. for the Permittee hereby statbthat, to thelbesttof my ab~iitPsrtddue cline
and diligence was used in the observation of the construction such that the construction .vas observed to be built within
substantial compliance and intent of the =;<O1 `ti-ater Quality Certification and Buffer Rules, the approved fans and
spzcitications, and other supporting materials. P
Signature:
Registration No. Date