20130048 Ver 1_Certification of Completion_20130313

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE Dee Freeman
Governor Director secretary
DWQ Project No.: 12 - o o W g County: W a ke
Applicant: To w n a Ap e x
Project Name: -_tazx Barbeo a Read Wn r L,K e,
Date of Issuance of 401 Water Quality Certification: Fa b r u a � v g t Z o l 2.
Certi>Ilcaate of Completion
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.
Applka Ws Cerr#Lvd an
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 bulk within substantial compliance and
intent of the 4Q1 Water Quality Certification and Huffer Rules, the approved plans and specifications, and other supporting
Materials.
- Signature:
Agent's Gzr*lca don
L . 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 th Is project was designed by a CerdfledProfessional
I, 5+cM t tY I Fe r 1.1 it as a duly registered Professional _ Cn q �ee(i.e., Engineer, Landscape
Architect, Surveyor, etc.) in the State of North Carolina, having been authorized - 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 I I Z – 13
1880 Nd sanrloe Caft RalelAh, NOM COOM 27M1650
Lacdon. 512 N Salbbury St Fbor 9 Re fth North CamIne 27604.1170
Phwa 91W43011 FAX [phone]
An Equd OPP"%AftMdMAdm Em ftw
Registration No. Z 17 i 6
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h�AR 1 3 2013