20110695 Ver 1_Certification of Completion_20120906

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RDENP*
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
DWQ Project No 1 \ — D In q _cj
Applicant F9'?-9'? S CZWAVVS
Division of Water Quality
Coleen H Sullins
Director
County
Project Name wiaTl Ai W 1N IC S"( ?5?g -\OZ —r
Date of Issuance of 401 Water Quality Certification it -
Certificate of Completion
Dee Freeman
Secretary
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
I, F�r2. NNJ EDWAV-DS 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 40 ter Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials
Signature//---,-?
ignature ate 8 " ' 212
Agent's Certfcat n
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 Cert fed Professional
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 p %lect, 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 Cc filer Raleigh North Caroline 27699 1650
Location 512 N Saftsuury St 1 loor 9 Raleigh Non'i Caro, is 27604 1170
Pnone 919 -807 63011 FAX [phone]
Internet v w rimaterquahty org
I Faual Or urtunity \ Atfirmatr Awon Erw)loyer
Registration No
�U V
SEP -62012
DENR - WATER OUALrrY
NorthC'arohna