HomeMy WebLinkAbout20060684 Ver 1_Certification of Completion_20120305DWQ Project No
Applicant
Certification of CoMple on
06 -0684
CITY OF GREENSBORO
County
GUILFORD
Project Name NEW GARDEN ROAD WIDENING PHASE II
Date of Issuance of Wetland Permit
Cerftflcate of Completion
JUNE 1, 2007
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications the applicant is required to return this certificate to the 401 Oversight/Express Permitting 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 rrom all of these
Applicant's Certykahon
I GUY INGLE ' 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 D �l
Agent's Certafacation
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 protect was designed by a Certified Professional
I as a duly registered Professional — (i a Engineer
Landscape Architect, Surveyor, etc) m the State of North Carolina, having been authorized to observe (periodically,
weekly full tune) the construction of the protect, for the Permittee 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 Watei Quality Certification and Buffer Rules, the approved plans and
specifications and other supporting materials
Signature
Registration No
Date
112@20YRO
MAR s 2012
DENR WATER QUALITY
qUL OS AND STORMWATER BRANCH