20070070 Ver 5_Certification of Completion_20110516

V/
Certification of Completion
DWQ Project No.: 0 7 D y "7 0. x 5 County: A. v k L ?.
Applicant: -Ha T
Project Name:
Date of Issuance of Certification or Authorization: c, -7
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subse. ent modifications, the applicant is required to return this certificate to the 401 Oversight/Express Permitting Unit, -
North Carolina Division of Water Quality, 1650 Mail Service Center, .Raleigh, NC, 27699-1654. 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 observe to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the d plans and specifications,
and other supporting materials. A
Signature:
Agent's Certification
Date:
hl?
I, , hereby state that, to the best of my abilities, diligence was
used in the observation of the construction such that the construction was observed to be b J7in 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
Engineer-
as a duly registered Professional n lTg.;Q, (i.e.,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe eriodically,
weekly, full time) the construction of the project, for the Permittee hereby state that, to the best of my abilities, a 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 su w1gWal materials.
Signature: ` ,.CA Registration No.
04A LP Date e C
SEAL -
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GFD MANAGEMENT, INC.
SUITE 200
14600 WESTON PARKWAY
CARY, NORTH CAROLINA 27513
May 12, 2011
North Carolina Division of Water Quality
401 Oversight/Express Permitting Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Re: Louisburg Plaza
UT to Wolfpen Branch [030301, 28-27, C, NSW]
DWQ Project 7-0070, Ver 5
John P. Goodson
To Whom It May Concern:
MAYpG201i
Enclosed please find the Certification of Completion signed by the professional engineer
dated August 18, 2010. The engineer, William Henry Dixon, is the primary author of the
documentation provided with the above-referenced DWQ project.
Sincerely,
LOUISBURG PLAZA LLC
BY: GFD Management Inc.,
Managing ent
BY:
Bet F. Dark
Vice President
Enclosures
BFD/dj