20080543 Ver 1_Certification of Completion_20120305

Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
Alan W Klimek P E Director
Division of Water Quality
\t
DWQ Project No 2W It 195V,3 County 1ti
Applicant AODo ✓S q
Project Name 15'o Va AAn 640 IdWdfj - d=C r0AWr
Date of Issuance of 401 Water Q allty Certification or Buffer Authorization �� O
0 5��oZ/°S
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Cert/cificate plicable Buffer
Rules and any subsequent modifications the applicant is required to retu to the
401 /Wetlands Unit North Carolina Division of Water Quality 1650 Mail er Raleigh NC
27699 1650 This form may be returned to DWQ by the applicant the aporized agent or
the project engineer It is not necessary to send certificates from all of the
Applicant s Certification
hereby state that
and diligence was used in the observation of the construction s
be built within substantial compliance and intent of the 401 W
Rules the approved plans and specifications and other supp
Signature Date
Agent s Certification
and diligence was used in the observation of the
be built within substantial compliance and rote
Rules the approved plans and specifications
Signature
/the best of my abilities due care
that the construction was observed to
Quality Certification and Buffer
materials
he by state that to the best of my abilities due care
nstruction such that the construction was observed to
of the 401 Water Quality Certification and Buffer
other supporting materials
Date
If this project was designed by a Ceyfified Professional
I as a duly registered Professional (i e
Engineer Landscape Architect S eyor etc ) in the State of North Carolina having been authorized
to observe (periodically weekl full time) the construction of the project for the Permitee hereby state
that to the best of my ab/na due care and diligence was used in the observation of the construction
such that the constructiobserved to be b uilt within substantial compliance and intent of the 401
Water Quality Certificat Buffer Rules the approved plans and specifications and other
supporting materials
Signature Registration No
Date
IWAN 52012
'ET41 i1FAIk�St T ,Alf1Y TER ftw-.H
INCOENR
North Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mail Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http / /h2o enr state nc us /ncwetlands/