20090725 Ver 1_Certification of Completion_20130422

L I T T L E J O H N E N G I N E E R I N G A S S O C I A T E S
ENGINEERING PLANNING LANDSCAPE ARCHITECTURE LAND SURVEYING
1935 TWENTY - FIRST AVENUE SOUTH • NASHVILLE, TENNESSEE 37212
P H O N E 61 5 - 3 8 5 - 4 1 44 • FAX 6 1 5 - 3 8 5 - 4 0 2 0 • W W W L E A I N C. C O M
TRANSMITTAL
To: 401 Oversight / Express Permitting Unit Date: 17- Apr -13
North Carolina Division of Water Quality Job No.: 26012
1650 Mail Service Center Project: Camp Lejeune
Raleigh, NC 27699 -1650
Regarding: New River Officer Housing - Certificate of Completion
We are sending:
Ox Attached
Under Separate Cover
Copy of Letter
Via:
Pick Up
Drawings
Originals /Reproducibles
E] Change Order
0 Courier
Computer Disk
EJSpecifications
F] Other
i
APR 2 2 2013
"R ^ U/1L N
[X ] Express /Overnight Mail
We are sending:
0 For Approval 0 For Your Use Q For Your Record
For Review & Comment As Requested E-1 For Bids Due
Remarks: DWQ Project No.: 09 - 0725
Copies to: File
Signed: Derek Baalbergen
n

Certification of Completion
DWQ Project No.: OQ D'7' County:
Applicant: M o. D *Ge Com
Project Name: Now RIVER ©F F l "t, Nw e/n/G _ -At Ax O/YV /"O'
Date of Issuance of Wetland Permit: _ Ave. vs T 9 _ 'Zoo Q
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401 Oversight/Express Permitting 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, ' 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.
Agnature: Date:
Agent's Cert ykation
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.constructioti . wP . observed.to be bpiit..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
1, "Me5pJA6 .T.-MArlS , as a duly registered Professional (i.e., Engineer,
in the State of North Carolina, having been authorized to observe (periodically,
-weeld l -tie) the construction of the project, for the Permittee 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: Registration No. Date
ARR222013
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