HomeMy WebLinkAbout20110587 Ver 1_Certification of Completion_20111130— *
DWQ Pro�ect No
Apphcant
Pro�ect Name
Certificate of Completion
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Date of Issuance of 401 Water Quahty Certification �t�-�y �� � �/�
Upon completion of all work approved withm the 401 Water Quality Certification and Buffer Rules
and any subsequent modifications the applicant is required to return this certificate to the
401/Wetlands Umt North Carolina Division of Water Qualrty 1621 Mail Service Center Raleigh
NC 27699 1621 This form may be returned to DWQ by the applicant the applicant s authorized
agent or the pro�ect engineer It is not necessary to send certificates from all of these
Appl�cant's Certcfccat�on
I � L/-{�'���i hereby state that to the best of my abilities due care and
diligence was used in the observation of the construction such that the construction was observed to
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules the approved ans and s ecifications and other supporting materials
Signature � Date ��—�/� '� �
Agent's Cert�ficai�on
I hereby state that, to the best of my abilities due care and
diligence was used in the observation of the construction such that the construction was observed to
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules the approved plans and specifications and other supporting materials
Signature
If this pro�ect was desagned by a Certtfied Professconal
Date
I as a duly registered Professional
(i e Engineer Landscape Architect Surveyor etc ) in the State of North Carolina having been
authorized to observe (periodically weekly full time) the construction of the pro�ect for the
Permittee hereby state that to the best of my abilities, due care and dil�gence was used in the
observation of the construction such that the construction was observed to built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules the approved plans
and specifications and other supporting materials
Signature Registration No Date
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Lee Cline Road, SR 1486
Catawba County
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Lee Cline Road, SR 1486
Catawba Cou nty
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