HomeMy WebLinkAbout20041423 Ver 1_Certification of Completion_201107010~
i r
Y
Michael F. Eastey, Governor
Wlpiam G. Ross Jr., Seuetary
Nonh Carolina Department of Environment end Natural Resources
Aian W. Klimek, P.E. Director
Division of Water Duality
DWQ Project No.: O'f / ~ 2 i County:
Applicant:~.S, s~a,s ;Try A, E. -NGI~G
Project Name: -1 Aa ~ )~, boa A ~E
Date of Issuance of 401 Water Quality Certification
lance.i
r
Certificate of Comoletlon
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
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.
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 CeRified Professional
I, G r. F as a duly registered Professional~;.oo,(i.e.,
Engineer, ndscape Archi ect, 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 r/(,,:, (~o_ ~ Registration No. 3 3 ~ (o S Date
~/ t ~l i f
nr'~~~r--"'ryn, ,
_.iala~~
JUl ' 1 2011
DENR-WATFROUnUTY
North Carolina Division of Water Duality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27899.7650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604.2260 (Locaticn)
979-733-1786 (phone), 979-733-6893 (fax), http:!/h2o.enr.slate.nc.uslnavetlands/