20081394 Ver 1_Certification of Completion_20101117

?MCIQM&CREED
TO: NCDWQ 401 Oversight Unit
2321 Crabtree Blvd., Suite 250
Raleigh, NC 27604
ATTENTION:
LETTER OF TRANSMITTAL
V
DATE: November 15, 2010
PROJECT' NO: 1517-0178 TASK NO:
RE: SECU-Madison
401 Certificate of Completion
TRANSMITTAL NO: PAGE 1 OF 1
WE ARE SENDING: ® Originals ? Prints ? Shop Drawings ? Samples
? Specifications ? Calculations ? Other
Quantity Drawing No. Rev Description Status
1 401 Certificate of Completion

SOS r ?Gf

REMARKS: Please find the enclosed the 401 Stormwater Certificate of Completion for the State
Employees' Credit Union in Madison. Please let me know if you need anything else.
Thanks,
1730 Varsity Dr., Suite 500, Raleigh, NC 27606 919/233-8091 Fax [phone]
Cc: McKIM & CREED, PA
r" VX
Signed /;, . (,
Ja n C. Allen, PE, LEED AP
Madison SECU
January 14, 2009
DWQ # 08-1394
Page 3
DWQ Project No.: d 8 _ i 3`4
County: rack h6 1, Corn
Applicant: A1,9,- A 6oif-d,.,
Project Name: 5 EG L)
Date of Issuance of 401 Water Quality Certification: /ten v?ti? I ?', 200
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, 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
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:
Agent's Certification
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:
Engineer's Certi cation
Partial_ Final
I, Tck-So (- - Al , 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 ?)? C C . Registration No. D 337+13
Date /l65by