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HomeMy WebLinkAbout20111021 Ver 1_Certification of Completion_20120229�� NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H Sullins Dee Freeman Governor Director Secretary DWQ Project No Ili, 1 D), \ County Efjr -p Applicant G Project Name Name ' -%rtC0AJ A, b, Ke S1,,& CO�n)\ Li0 ,p- Date of Issuance of 401 Water Quality Certification �o M me(` 1 - I m Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules and any subsequent modifications the applicant is required to return this certificate to the 401 /Wetlands Unit North Carolina Division of Water Quality 1650 Mail Service Center Raleigh NC 27699 1650 This form may be returned to DWQ by the applicant the applicant s authorized agent or the project engineer It is not necessary to send certificates from all of these Applicant s Certification 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 be 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 Date 0�9- 1� Agent's Certification 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 be 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 Date If this project was designed by a Certified Professional I as a duly registered Professional (i a Engineer Landscape Architect Surveyor etc ) in the State of North Carolina having been authorized to observe (periodically weekly full time) the construction of the project for the Permitee 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 be 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 Date 1650 Mail Service Center Raleigh North Carolina 276991650 Location 512 N Salisbury St Floor 9 Raleigh North Carolina 276041170 Phone 919 -607 -63011 FAX 919 - 807 -6494 Internet www ncwaterquality org An Equal Opportunity 1 Affirmative Acton Employer Registration No 219@120ygm FEB 2 9 2012 ANDSMD STORM& EAR BRANCH NorthCarohna Natural!,#