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HomeMy WebLinkAbout20120581 Ver 2_Certification of Completion_20121011Am�-A NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor DWQ Project N�o J'2 ��U� y� Applicant 101W i 0 AJ, 8n Charles Waklld, PE Director County Project Name b 7 i J dl ffrloLt MOCIT Date of Issuance of 401 Water Quality Certification 1 z5fJ 09 ao 1 oz 1_/ nl Certificate of Completion L1.11 Dee Freeman Secretary L R @14 0__ W_ _R 1 1 2012 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 1, I, 0ftV t U Af • A 12�5 "'J , 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 c, Signature Date 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 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 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 Registration No 1650 Mad Servioe Center Raleigh North Carolina 27699 1650 Location 512 N Salisbury St Floor 9 Raleigh North Carolina 27604 1170 Phone 919 -807-63011 FAX 919-807.6494 NorthCarohna Internet wow ncwaterqualdy org Naturallff An Equal Opportunity 1 Affrmabve Acton Employer