20040200 Ver 1_Certification of Completion_20110615

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Waler Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
DWQ Project No.: 20 U `i ZooJ v. ~ County: J / ~a ~-~
Applicant: yt,JcOo"r
Project Name: o w' e~' F U - ---ul D
Date of Issuance of 401 Water Quality ertification: z3
Dee Freeman
Secretary
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 [o 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, 'T- u ,l7p,N--. ~~n ~ - h • ,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 appro~e~i plans a~ specifications, and other supRorti(tg materials.
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.
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, 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 [hat 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.
Date
401 OversighVExpress Review Permitting Unit
1650 Mail Service Center, Ralegh, NoAh Carolina 27699-1650
Lowtbn: 2321 CrabVee BNd., Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: httpalh2o.encstate.naus/navetznds/
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An Equal Opponuniry 1 ANrmative Action Empbyer

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Waler Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director ~ Secretary
DWQ Project No.: 20~ 1 ~ OO ~ County: ~ cl r
Applicant: oT
Project Name: - 0 I Z W~~ ,~ F U -
Date of Issuance of 401 Water Quality Ce ification:
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 [o 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, 5~ w ~ ~ o ~..~ M c,~r ~ 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, [he apprgveQ pl4us.a~t d specifications, and other suppprti>?g materials.
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.
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, 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 Registration No.
Date
401 OversightlEzpress Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-ifi50
Location: 2321 Crabtree Olvd., Raleigh, Nonh Carolina 27604
Phone:[phone] FAX: [phone]
Internet httpalh2o.encstate.nc.uslncwetlandsl
An Equal ODDonunity 1 ARumative Action Employer
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Duality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
DWQProjectNo.: LnO~ 200(7 V. ~ County: ~ur~na~'1
Applicant: Al r n oT „
Project Name: ~J- 4 0 ~ 2 i W r ~r
Date of Issuance of 401 Water Quality
Dee Freeman
Secretary
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 nCertification
I, J ~ t,J t 17 o w n c.~ r P r ,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 apprpv~dlp~d specifications, and other supportigg materials.
Agent's Certification
I, ,hereby state that, to the best of my abilities, due caze
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.
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of [he 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 Registration No.
Date
401 OversighVExpn;ss Review Permitting Unit
1650 Mail Service Center, Raleigh, NoM Carolina 27699-1650
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet httpalh2o.enrstate.nc.uslncwetlandsl
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An Equal Opportunity 1 A(frmative Action Employer