20090924 Ver 1_Certification of Completion_20111109

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PHONE NUMBER F R FOLLOW UP (25 473-1899 `
COMMENTS
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�� WATER QUALITY
WE�WDSAND STORMWqTER BF�iNCH
2 os S�R wA�1�ER RACEr�H sr surTP 205 ESSIX S�UARE BUILDING Mq1�7'EO NC 27954

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� Pro�ect No D q— D 9 Z� County (� Q,. S�� /,/ C??o /•(
Applicant �iC�R � I V 1� I�+r.l o� PA�-fLk S���f� 1 1 o r�
ProJect Name _ P�?TI C-� Y�b•� '�I'�'�' �A�R-K —� A. � h T�v��ncc `�A�=A �J�o cos�r� S�%'
Date of Issusnce of Wetiand Permit
�'r�T ZI . Zoo 9
Ce�hficate of Comniehou
Upan completion of all work approved w�thin the 401 Water Quairiy Cerhficabon, and any subsequent mod�ficahons
the app�cant �s requued m return th�s certificate to the 401 Oversight/Express Perm�thng Unrt, North Cacolina Drv�sion of
Water Qualtry 1650 Ma�l Serv�ce Center Raleigh NC 27699 1b50 This form may be returned to DWQ by the
appl�cant the applicant's authorized agent or the pra�ect engineer It is not necessary to send certificates from all af
these
Applacant's Cewtificartron
t hereby state that to the best of my abtljttes due caze and diligence was
used m the observat�on of the constrnchon such that the construct�on was observed to be built w�th�n substant�al
compl�ance and intent of the 401 Water Qnal�ty Cerhticat�on the appraved plans and s �p�q�
supportiag mater�als v D
5�gnature Date —,�� – 9 20�1
�gent's Certaficat�on
DENR W,�IER QUALITY
�'�EnANDS AMD STORMWqTER BRANCH
1 , hereby state that, to the best of my ab�lmes, due care and d�l�gence wes
used in the observahon of the constcuchon such that the construcriort was obsarved to be bwlt withm substant�al
compl�ance and mtent of the 401 Water Qoality Cec�t�catwa, the appmved plans and spec�ficat�ons and other
supporttng mater�ats
S�gnature
Date
If th�s pro�ect was destgned by a �Certified 1'rofessronal
I, % C�(,��N Zc�t� , as a duly registered Profess�onal E� E (i e Eng�neer
Landscapa Architect, Surveyor etc ) m the State of North Carol�na hav�ng been authonzed to observe (penod�cally
weekly futl rime) the constructton of the pro�ec� far the Pertntttee hereby state that, to the best of my abil�ties due care
and diltgence was used m the observatran of tfie construchon such thet the construction was observed to be budt w�thm
substanhal compliance and tntent of the 401 Water Quabty Cerdficahon, the approved plans and spec�fications and
other supporting r�t��l�l �l1��
S�gnatvre ����\O��NESS�������% RegutratianNo 032]24 Date /D�24—Zoll
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