20120638 Ver 1_Certification of Completion_20121031

AG'A
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE
Governor Director
Natural Resources
DWQ Project No /1a -o63? Count% /Uo��it4..pfo„
Applicant 6 -m Ae / /a /.s ,; dI I1,��. -eAa't LLC
Project Name 6n l vs j0e /le f.5
Date of Issuance of 401 Water Quality Certification Sep fe -her a6 Zo(a
C.erttficdte of Comp:euun
Dee Freeman
Secretary
Upon completion of all work approved within the 401 Water Qualith Certification or applicable Buffer Rules and anv
subsequent modifications, the applicant is required to return this certificate to the 401 /Wetlands knit 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 necessarN to send certificates from all of these
Applicant's Certification
f, , hereby state that, to the best of my abilities due care and diligence %kas used
in the observation of the construction such that the construction was observed to be built w (thin substantial compliance and
intent of the 401 Water Quality Certification and Buffet Rules the approved plans and specifications and other Supporting
materials
Signature Date
Agent's Certification
hereby state that, to the best of my abilities due care and dihc'enc.e was used
in the ob ruse ation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Qualitv Certification and Buffer Rules the approved plans and specifications and other Supporting
materials
Signature Date /o�a 9ll a
If this prdject wa-.-dest,c ned-bt- a Certtfted Profe�stona! -
a, a duly registered Piote „tonal _
(I e f n,1lnrer l <tn(kcape
Architect Surveyor etc) In the State of North Carolina ha%in,, been author,7ed to ob,erve (period tcall\- \%rekk full time)
the construction of the projeet, for the Permitee hereby ,tate that to the be,t of m% abilities due care and diligence %%dS used
in the observation of the construction such that the t-0n,tructi0n was ohser� ed to be built \ti ithin suhstantial compliance and
intent of the 401 Water Quahty Certification and Buffer Rules the approved plans and ,pecttications and other supporting
materials
Signature
Date
1650 Mad Service Center Raleigh North Carolina 27699 1650
Location 512 N Salsbury St Floor 9 Raleigh North Carolina 27604 1170
Phone [phone]' FAX [phone]
Internet www rimaterquallty org
An Equal Opportumly 1 Affirmative Aclion Emoloyer
Registration No
3 k!--7 Pm9wP4
OCT 3i 2012
NorthCarollna
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