HomeMy WebLinkAbout20070261 Ver 1_Certification of Completion_20111212�
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Michael F Easley Governor
William G Ross Jr Secretary
, North Carolina Department of Environment and Natural Resources
�,�� Alan W Klimek P E Director
Division of Water Qualit
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DWQ Pro�ect No 070261 � � yCounty Jackson
Applicant NCDOT
Pro�ect Name SR 1260 — Wildcat and Doqwood Drives
Date of Issuance of 401 Water Quality Certification April 25, 2007
Certificate of Completion
Upon completion of all work approved with�n the 401 Water Qual�ty Certification or applicable Buffer
Rules and any subsequent modificat�ons the applicant �s requtred to return th�s certificate to the
401/Wetlands Unrt North Carol�na Division of Water Qual�ty 1650 Mail Service Center Raleigh NC
27699 1650 This form may be returned to DWQ by the applicant the applicant s author�zed agent or the
pro�ect eng�neer It is not necessary to send certificates from all of these
Appl�cant s Cert�ficat�on
I Joel B Setzer, P E, hereby state that to the best of my abilrt�es due care and diligence was used m the
observatton of the construction such that the construct�on was observed to be built with�n substantial
compliance and intent ofthe 401 Water Quality Certification and Buffer Rules the approved plans and
specifications and other supporting mater�als
Signature Date �� � %'��
Agent s Ce �ficat►on
I hereby state that to the best of my abil�t�es due care and
dil�gence was used �n the observat�on of the constructton such that the construct�on was observed to be
butlt wrthin substantial compliance and mtent of the 401 Water Quality Certificat�on and Buffer Rules the
approved plans and spectfications and other supporting materials
S ignature Date
If this pro�ect was des�gned by a Cert�fied Profess�onal
I as a duly registered Profess�onal (i e
Engmeer Landscape Architect Surveyor etc ) in the State of North Carolma having been authorized to
observe (periodically weekly full t�me) the constr�iction of the pro�ect for the Permitee hereby state that
to the best of my ab�lrttes due care and dil�gence was used in the observation of the construction such that
the construction was observed to be built withm substantial compltance and mtent of the 401 Water
Quality Cert�fication and Buffer Rules the approved plans and specificat�ons and other supporting
mater�als
Signature Reg�stration No Date
No�th Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mad Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http //h2o enr state nc us/ncwetlands/
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Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Enwronment and Natural Resources
Alan W Klimek P E Director
Division of Water Quality
DWQ Pro�ect No 070261 V 2 County Jackson
Applicant NCDOT
Pro�ect Name SR 1260 — Wildcat and Doqwood Drives
Date of Issuance of 401 Water Quality Certification Mav 12, 2011
Certificate of Completion
Upon complet�on of all work approved wrthm the 401 Water Qual�ty Certification or appltcable Buffer
Rules and any subsequent modifications the applicant �s required to return th�s certificate to the
401/Wetlands Unrt North Carolina D�v�s�on of Water Quality 1650 Mail Service Center Raletgh NC
27699 1650 Th�s form may be returned to DWQ by the applicant the appl�cant s authorized agent or the
pro�ect engmeer lt �s not necessary to send certificates from all of these
Appl�cant s Cert�ficat►on
I Joel B Setzer, P E, hereby state that to the best of my abil►ties due care and diligence was used in the
observation of the construct�on such that the construct�on was observed to be built wtthm substantial
compliance and intent of the 401 Water Qual�ty Certificatton and Buffer Rules the approved plans and
specifications and other supporting matertals
Stgnature `� Date /�'' ��/�
Agent s C �ficat�on
I hereby state that to the best of my abilities due care and
diligence was used in the observat�on of the construction such that the construction was observed to be
bwlt wrthm substanttal compltance and intent of the 401 Water Qual�ty Cert�fication and Buffer Rules the
approved plans and specifications and other supporting mater�als
Signature Date
If th�s pro�ect was des�gned by a Cert�fied Profess�ona/
I as a duly registered Professional (t e
Engineer Landscape Architect Surveyor etc ) in the State of North Carolma havtng been authorized to
observe (per�odically weekly full time) the construction of the pro�ect for the Perm�tee hereby state that
to the best of my abilities due care and diligence was used �n the observat�on of the construchon such that
the constructton was observed to be built within substantial compl�ance and mtent of the 401 Water
Qualrty Certification and Buffer Rules the approved plans and specificat�ons and other supportmg
mater�als
Stgnature Reg�strahon No Date
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North Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mail Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http //h2o enr state nc us/ncwetlands/