20091355 Ver 1_Certification of Completion_20120303

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Certificate of Completion App r
VF4"R RR w. ct? 20J?
DWQ Project No Q 9 — ! 35,.5 C ounty /e
4414'`�irr
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Appimant N Cl-D o T -'6 l v -,;z_
/ J Rte,
Project Name /0,/�
s Give CrjwLL Ad
Date of Issuance of 401 W Iter YU tht) Certific Ition ���QT s-� .4-'b /--Do
Upon completion of all %%oik approved %tiithin the 401 W It,.r Quality CUtlflcati011 ind Butf,-r Rules
and any subsequent modifications the, applicam is iequlied to leturn this certificate to the
401 /Wetlands Unit North Carolln I Dig islon of Water Quallty 1621 M Ill '�c,lvlce Ccntel Ralel,h
NC 27699 1621 Tlus toim play be returned to D%4Q by the applicant the applicant s authorized
agent or the proleet cngincer It Is not necessary 'o send ec,rtrfreatcs 110111 all of tl,L,,e
Applicant s Ctinfrcation
I /" L / � hereby state that to the best of my abilities due care Ind
diligence «as used in the obsen ation of the construction such that the construction wis obsen ed to
bl.ult «rthnl substantial compliance and Intent of the. 401 Water Quallty Certifleatloll and Buffer
Rules the app plan a11d Sp-CI , atlon, qp(l otl ,r slip )ort I)LT lint, 1,1s
Signature d Date _ 02(0 --/2
e
Agent's Certification
I hereby state that to tile, best of my abilities d le care and
diligence Sias used rn the, obserxatlon of the construction such that the construction nas obserNed to
built mthin substantial compliance and inttnt of the 401 Water Quality CLItiflcation and Buffer
Rules the approNed plans and specifications and other Supporting m -tern Its
Sumature
If this pro /tct nas dtsigni-d b} a Ctrtrfitd Proftssional
Date
I as a duly rLi rstelLd Professional
(r e Engineer Landscape, Architect Surveyor etc ) in the State of North Ca1ollna ha'. rng been
authorized to observe (pellodically «eekly full tlrllc,) the consuuc.tlon of the proled 101 the
Pcrmittce hereby state that to tl,L best of my abilities due care and diligence \k is uScd rn the,
obser\ ation of the eonstl action such that the, construction vas obsel x ed to built «011111 substantral
compliance, and Intent of the ?01 Water Quality CLItlfuatron ind Buffer Ruleq the appio�ed plans
arid cpeciflc -itions and other Supportlnya iwitcrials
S1grlutt re Rcgrstrat.on No tJatc

Structure Stabilization/Rock Ladder
SR 1113, Reeps Grove Church Rd
Lincoln County
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