HomeMy WebLinkAbout20110037 Ver 1_Certification of Completion_20111021Beveriy Eaves Pertlue
Governor
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H Sullins
Director
DWQ Pro�ect No � ( -
Applicant � � ('
Pro� ect Name S
Date of Issuance of 401
403% County 1 �lc �c�we � �
Water Quality Certification �b_ {� 2U N
Dee Freeman
Secretary
Certificate of Completion
Upon completion of all work approved wrthm the 401 Water Qualrty Certification or applicable Buffer
Rules and any subsequent modifications the applicant is required to return this certificate to the
401/Wetlands Unrt North Carolma Dtvision of Water Quality 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 engmeer It is not necessary to send certificates from all of these
Appl�cant s Cert�ficat�on
I � �'►. �' l c�.n hereby state that to the best of my abilrties due care
and diligence wa sed m the observation of the construction such that the construction was observed to
be built wrthm substantial compl�ance and mtent of the 401 Water Qualrty Certification and Buffer
Rules the approved plans and specifications and other supportmg materials
Signature .�c.w► 1'� Date �c,`� �$ 2CrF !
Agent s Cert�ficat�on
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 mtent of the 401 Water Quality Certification and Buffer
Rules the approved plans and specifications and other supportmg materials
Signature Date
If th�s pro�ect was des�gned by a Certified Professional
I as a duly registered Professional (i e
Engmeer Landscape Archrtect Surveyor etc ) m the State of North Carohna havmg been authorized
to observe (periodically weekly full time) the construction of the pro�ect for the Permttee 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 mtent of the 401
Water Quality Certification and Buffer Rules the approved plans and specifications and other
supportmg materials
Signature
Date
401 OversighUExpress Review Permitting Unrt
1650 Mail Service Center Ralegh North Carolina 27699 1650
Locat�on 2321 Crabtree Bivd Raleigh North Carolina 27604
Phone 919 733 1786 1 FAX 919 733-6893
Intemet http lih2o enr state nc usincwetlandsl
An Equal Opportunity 1 Affirmatwe Action Employer
Registration No
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NorthCarolina
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