HomeMy WebLinkAbout20110743 Ver 1_Certification of Completion_20110921Beverly Eaves Perdue
Governor
DWQ Pro�ect No
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H Sullins
Director
� l - 071i3 county WAKE
Apphcant Ci7Y OF �ALEIC,N �BG�C CtfiGrl/�'S �F?7.
Pro�ectName ,�R� IvL�i1�i4PD t7�21v� s'i9l�c/i�7�,eY S'�iWE�P ,�?��G'�+A.E'iPi7
Date of Issuance of 401 Water Quality Certification ��v� 3/ , 2a/ /
Certificate of Completion
Dee Freeman
Secretary
Upon completion of all work approved wrthm the 401 Water Qualriy Certification or applicable Buffer Rules and any
subsequent modifications the applicant is required to return tlus certificate to the 401/Wetlands Umt North Carolma Division
of Water Qualrty 1650 Mail Service Center Raleigh NC 27699 1650 This form may be returned to DWQ by the applicant
the applicant s authonzed agent or the pro�ect engmeer It is not necessary to send certificates from all of these
Applccant s Cerhficataon
I %�,q�Qa,� �_ ��Qoiv�P p�' , hereby state that to the best of my abilrties due care and diligence was used
m the observation of the construction such that the construction was observed to be built wrthm substantial compliance and
mtent of the 401 Water Qualrty Certification and Buffer Rules the approved plans and specifications and other supportmg
materials
Signa p Date ��/9��/
Agent's Certafication
I hereby state that to the best of my abilrties due care and diligence was used
m the observation of the construction such that the construction was observed to be built withm substantial compliance and
2ntent of the 401 Water Qualrty Certification and Buffer Rules the approved plans and specifications and other supportmg
materials
Signature Date
If thrs pro�ect was desagned by a Certified Professconal
I as a duly registered Professional (i e Engmeer Landscape
Archrtect Surveyor etc ) m the State of North Carolma, havmg been authorized to observe (periodically weekly full time)
the construction of the pro�ect for the Permitee hereby state that to the best of my abilihes due care and diligence was used
m the observation of the construction such that the construction was observed to be built withm substantial compliance and
mtent of the 401 Water Qualrty Certification and Buffer Rules the approved plans and specificahons and other supportmg
materials
Signature
Date
1650 Mad Service Center Raleigh North Carolina 276991650
LocaUon 512 N Sahsbury St Floor 9 Rale�gh North Carohna 27604 1170
Phone 919-807-63011FAX 919-807-6494
Intemet www ncwaterquality org
An Equal OppoRunity 1 Afirmative AcUon Employer
Registration No
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SEP 2 1 2011
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