20110671 Ver 1_Certification of Completion_20111010

DWQ Pro�ect No
Applicant
Cert�ficate of Comaletion
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Pro,ect Name _ �j^G� f Lp �` �
Date of Issuance of 401 Water Quality Certificatton � r�_____
Upon completaon of all work approved wittun the 401 Water Quahty Certificat�on and Buffer Ru1es,
and any subsequent modifications, the applicant is reqwxed to retum tlus certificate to the
401/Wetlands Umt, Nor�h Garolina Drv�ston of Water �uality 1650 Mail Service Center Raleigh
NC, 27699 1650 T'his form may be returned to DWQ by the applicant the applicant s authonzed�
agent or the prolect engineer It is not necessary to send certificates from all of these
Appl�cant's Cerhfication
I� , hereby state that, to the best of my abiliues, due care and
diIlgence was used m the observation of the construct�on such that the constructaon was observed to
built withm substanhal compliance and mtent of the 401 Water Quality Certificat�on and Buffer
Rules the approved plans and specificat�ons, and other supportmg matenals
Signature
Agent's Certificahon
Date
I�Jra,�du� fYl Cl�. �% hereby state that, to the best of my abilit�es, due caze and
diligence was used in the observat�on of the construct�on such that the construchon was observed to
built wrthin substanbal comphance and intent of the 401 Water Qualrty Cerhfication and Buffer
Rules, the approved plans and specificatrons, and other supporhng matenals
Signature _�F„�Rc.-, I^rl (�a�,i2
If thrs pro�ect was descgned by a Cert fied Professional
Da�e _ '�11 �Oi ao � t
I as a duly registered Professional
(i e, Engineer, Landscape Arctutect, Surveyor etc ) m the State of North Carolina, havmg been
authonzed to observe (per�odically weekly, full bme) the construchon of the pro�ect, for the
Permittee hereby state that to the best of my abilit�es due care and diligence was used in the
ohservahon of the constructron such that the construct�on was observed to built v�nthm substant�al
comphance and intent of the 401 Water Quality Cerhficat�on and Buffer Rules, the approved plans
and specifications, and other supporhng matenals
Signature Registrat�on No Date