20080425 Ver 2_Certification of Completion_20110808

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LF-KWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
DWQ Project No.: 2008-0425 County: Wake
Applicant: City of Raleigh
Project Name: Cemetery Branch Sanitary Sewer
Date of Issuance of 401 Water Quality Certification: April 16, 2008
Certificate of Completion
Dee Freeman
Secretary
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:
Agent's Certification
Date:
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:
If this project was designed by a Certified Professional
1, William E. Lee , 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 dB Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature: Registration No. 19 S7Z NC-
Date 8- 4- (( ,7D 1 1 G1 1-1
•0-
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
SEAT. ' I
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•• N .• •
AUG a 2011

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NorthCarofina
Naturally
An Equal Opportunity 1 Affirmative Action Employer
WITHERS RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
111 MacKenan Drive
CARY, NORTH CAROLINA, 27511
[phone]
FAX [phone]
TO: NCDENR - 401 Wetlands Unit
NC Div of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
WE ARE SENDING YOU ? Attached via
? Shop Drawings ? Prints
? Copy of Letter ? Change order
COPIES DATE NO. DESCRIPTION
1 8/4/11 Certificate of Completion
THESE ARE TRANSMITTED as checked below:
? For approval ? Approved as submitted
? For your use ? Approved as noted
? As requested ? Returned for corrections
? For review and comment ?
? FOR BIDS DUE 20 ? PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO: SIGNED: William E. Lee, P.E.
? Resubmit
? Submit
? Return
copies for approval
copies for distribution
corrected prints
DATE 8/4/11 JOB NO. 02020254.10
ATTENTION
PHONE #
RE: Proiect: Cemeterv Branch Sanitarv Sewer
the following items:
? Plans ? Samples ? Specifications
? Diskette ?
If enclosures are not as noted, kindly notify us at once.