20100852 Ver 1_Certification of Completion_20110112

MUNICIPAL ENGINEERING SERVICES CO., P.A. TRANSMITTAL
Post Office Box 97 Post Office Box 349 Post Office Box 828
Garner, N.C. 27529 Boone, N.C. 28607 Morehead City, NC 28557
[phone] [phone] [phone]
FAX [phone] FAX [phone] FAX [phone]
TO NC Division of Water Quality
DATE 01/10/11 PROJ.
NO.
ATTENTION Division of Water Quality
RE: Town of Wilkesboro DWQ# 10-0852
Please find enclosed:
COPIES I DATE
DESCRIPTION
1 1 1 1/10/11 1 Town of Wilkesboro DWQ# 10-085 1
TRANSMITTED BY: Benjamin D. Clawson, P.E.
D
JAN 12 2011
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If enclosures are not as noted, kindly notify us at once.
Town of Wilkesboro
DWQ# 10-0852
December 7, 2010
Page 3 of 3
DWQ Project No.: /0-696'-
Applicant: -raz, r,C Gil, lkeSb
County: CO Ike s
Project Name: (,t.' ; I/l? ?orntl
i?r ilr4e
Date of Issuance of 401 Water Quality Certification: t_L -_ _7- Zero
?U11
ORS
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:
Aamf 's Certi ication
1, .13;c ha rah Kf Reien , 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: 2 rfi,1? 14?K 62L e Date: 11-2-1- /o
Engineer's Certification
Partial , x Final
1, 88n d' w.'i n 0 , C Icy 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 projeet,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. D 33 7/ 19
JA&

Date ) -6-11