HomeMy WebLinkAbout20120047 Ver 1_Certification of Completion_20121214Certification of Completion
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DWQ ProjeNo.: / — ov y � County: ' .3-6
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Applicant
ProjeatName:I�NIU2!'SI�V /V: Ss�i✓1
Date of Issuance of Wetland Permit: ��[ &
Cerli sate of Completion
Upon. completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant is mqukvd to ratma this oWd&.ate to the 401 OveraigbMpress Permitting Unit,
North Carolina Division of Water Quality, I6SO Mail- Service Center, Raleigh, NC. 27699 -1650. This form may be
rammed to DWQ by the applicant, the applicant's authorized agent, or the project mghwar. It is not newsary to send
oatifieates from all ofthese.
Applicarsnf's Cadf%adon
hereby state &4 In the but of my abilific4 dtw care and diligence was
t�n—d-E the cbmvedon of the construction such that the construction was observed to ba built within substantial
oameplianoe and intent oftite 401 Water QVIAHAY Cerdfieltion andBadfer Upta, *-*roved plans and specifications,
and other aripporting nm r ah.
Sigaat re:
Date:
X, T h A C if (as rA%U -r; i Sri, . hereby state tbA to the best of my hbilideq, due pare and diligence was
used in the observation of the oonsftucdoa such that• the evnstructlan was observed to be built within eubsftt W
outer supporting of the 401 Water Qtrnlity Certification and Buffer Rules, the .app med pleas and gmifications,
sioat,ue: , Date:
i
If ddsprojed was &rued by a Cerj#UdProfes*nd -
I+ as a d* registered Professional (i.e., Engineer.
Uadscape Architect Smve3w, -etc.) in the State of North Carolina. having been authdrized to. observe .(pariod % ally;
w*ddy,. full time) the oensb wa= of the project, for the Pwmittw -hereby state that, to fire best ofmy abilities, due care
and &Hp= was used in the observation of the coustrucdon such that the construction was observed to be built within
eirbsumtial compBmwo and intent of the 402 Water Quality Certification and Buffer Rules, the approved phuis and
RMCIfieatiamS, kOd other supporting materials.
Srgnattan: Ragiatration No. Date
Permit Number: 2012-00176
Permit Type: NWP 39 and 18
Name of County: Watauga
Name of Permittee: Markovich Properties, Inc. Greg Markovich
Date of Issuance: March 6, 2012
Project Manager. Tasha McCormick
Upon completion of the activity authorized by this permit and any mitigation required by the
permit, sign this certification and return it to the following address:
U.S. Army Corps of Engineers
Attention: CESAW -RG -A
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Please note that your permitted activity is subject to a compliance inspection by an U.S. Army
Corps of Engineers representative. If you fail to comply with this permit you are subject to
permit suspension, modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and conditions of the said permit, and required mitigation was
completed in accordance with the permit conditions.
Signature of a Date
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