20090535 Ver 1_Certification of Completion_20110726

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
DWQ Project No.: 09-0535 County:
Brunswick
Applicant: City of Southport
Dee Freeman
Secretary
Project Name: Wastewater Transmission Facilities
Date of Issuance of 401 Water Quality Certification: June 1, 2009
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, Regina Alexander, Interim Town Manager, 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: 114 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.
Signature:
Date:
If this project was designed by a Certified Professional
I, T. Carter Hubard , as a duly registered Professional Engineer (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:
Date gl?l
Registration No. l
JUL 2 6 2011 i
1650 Mail Service Center. Raleigh, North Carolina 27699-1650
Location: 512 N Salisbury St Floor 9 Raleigh North Carolina 27603
Phone: [phone] FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity Affirmative Achon''_mp?oycr
TYATIER QUAt t'IY One . .
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LETTER OF TRANSMITTAL WDICKSON
community infrastructure consultants
909 Market Street Wilmington, North Carolina 28401 910.762.4200 tel. [phone] fax
TO: 401/Wetlands Unit
NC Division of Water Quality
1650 Mail Service Center
Raleip-h, North Carolina 27699-1650
DATE: July 25, 2011
RE: Wastewater Transmission Facilities
DWQ Project No. 09-0535
City of Southport, NC
PROJECT NO: 60120.00.WL
We are sending via: ? Overnight ® Regular Mail ? Pick-up ? Hand Delivered
The following items: ? Correspondence ? Plans ? Specifications ® Other as listed below:
COPIES I DATE NO. I DESCRIPTION
1 Certificate of Completion for 401 Water Quality Certification
THESE ARE TRANSMITTED as checked below:
? For Approval ? As Requested ? Approved as Submitted ? Returned for Corrections
® For Your Use ? For Review and Comment ? Approved as Noted ? Forward to Subcontractor
REMARKS:
COPY TO: SIGNED:
T. rter Hubard, P