HomeMy WebLinkAbout20100416 Ver 1_Certification of Completion_20110428
Certificate of Completion -/
DWQ Project No. I U - OI?p County: a%1(7
Applicant: /VC b ?i ? /'7-
Project Name: l *-? I t C/-Ove C6Jrr-/-/`A'
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Date of Issuance of 401 Water Quality Certification: fl e 1z ZOic7
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules,
and any subsequent modifications, the applicant is required to return this certificate to the
40] /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
L M • L • Hb 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
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved planes and specifications, and other supporting materials.
Signature: Date:
Agent's Certification
L , 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
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rides, the approved plans and specifications, and other supporting materials.
Signature:
Date:
If this project was designed ht• a Certified professional
I. , as a duly reeistered professional
Abe
(i.e., Engineer, Landscape Architect. Surveyor, etc.) in the State ofNorth Carolina. haauthorized to observe (periodically. weekly, full time) the construction of the project, for4jlj§
Permittee hereby state that, to the best of my abilities. due care and diligence was ed 'n tI ?' N
observation of the construction such that the construction was observed to built with kta t Ah Y
compliance and intent of the 401 Water Quality Certification and Buffer Rules. the appr ans'
and specifications. and other supporting materials. A fn
Signature: Registration No.: Date:
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Outlet/Downstream
NOW. .6
Inlet/Upstream
SR 1443
Smith Grove Road
Alexander County
Linear Wetland