HomeMy WebLinkAbout20080214 Ver 1_Certification of Completion_20080813JAMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
DWQ Project No.: D g - 0-G 1 County: 0AM
Applicant: t-J 1G J O&LIC vo v1 J
Project Name: E = L-l Q:!J 2L2A Y tC.EN? E ?TI?L? =& n,,) L -
Date of Issuance of 401 Water Quality Certification: ?f3,Qy,?12`>? ZJ?6
Dee Freeman
Secretary
i5c.6/,-), scat crx,
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, i"r L 6tZi -1 )4 , as a duly registered Professional C?y(a4e.,
nginee Landsca e Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to o serve eriodicall 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other
supporting materials.
Signature ' egistratigct ??
ti ? o•.. e.aoes ? //
Date °e ~1 Z-! t7 ?`•?OFESS/p??9
SEAL
2.3953 •
-6 F
erH A
81
401 Oversight/Express Review Permitting Unit /111 r r r 1,,,
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone: 919-733-1786 \ FAX: 919-733-6893
Internet: http://h2o.enr.state.nc.us/ncwetiands/
? u??U V L5
*AUG 1 3 20;0
DENR . WATER QUALITY
WETLAWDS AND STORVWATER BRANCH
North Carohna
AV&rally
An Equal Opportunity \ Affirmative Action Employer
CLH design, p.a.
400 Regency Forest Drive, Suite 120
Cary, North Carolina 27518
Phone: (919) 319-6716 Fax.-(919)319-7916
Email- c1hdesigiigc1hdesi,-npa.cotn
AUG 1 3 ZC'o
DENR . WATER QUALITY
V1ETlA4M AND STOR WATER BRANCH
VVETLANDENR LETTER OF TRANSMITTAL 12-Aug-10
To: 401/Wetlands Unit
Company: NC-DWQ
Address: 1650 Mail Service Center
City, State Zip: Raleigh, NC 27699-1650
Phone: 919-733-1786
Fax: 919-733-6893
Method: UPS Ground
Subject: E-27 Elementary School- Fuquay Varina Elementary School CLH Project Number: 07-129-prmt
® Prints ? Originals ? Specifications ? Applications
? Reports ? Copy of Letter ? Submittals ? Other:
We are sending you the following items:
No. of Copies Date Description
• 1 12-Aug-10 401 Water Quality Certification
Additional Remarks:
To whom it may concern,
Attached is the Certification for the above mentioned project. Please send approval letter as soon as
possible. Please let me know if you should have any question.
Thank you,
Renee
Signed
cc:
File
07-129-Prmt