20120898 Ver 1_Certification of Completion_20130603

a44`�
ENVIRONMENTAL PROFESSIONALS, INC.
Planning for a Better Environment
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone: [phone]
Fax: [phone]
Email: obxwoodOyahoo.com
TO: North Carolina Division of Water Quality
401 Oversight(Express Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
ZATTACHED
10:0 • r�:�.�� ►TilVI AI
DATE: May 31, 2013
JOB NO.: 0114)4 8-PT
RE: John & Barbara Hendrickson
Lot 8 -Albemarle Plantation
COPIES DATE DESCRIPTION OF DOCUMENTS
1 5 -31 -13 Certificate of Completion (Agent's Certification
THESE ARE SUBMITTED AS CHECKED BELOW:
❑ For your approval ❑ Review & Comment
❑ For your use ❑ Other:
COPY TO: Mr. & Mrs. John Hendrickson
Mr. JR Milligan
Project File
SIGNED:
D
JUN 3 2013
D NR ' My
sae , — -
Gebrge H. Wood, ,FEP, PWS
Environmental P fessionals. Inc.
J

�1�F. -i
N,.... ,.y
O
A.4A
Certificate of Comuletion a
DWQ Project No.: j.2- 08 2 t3 County: Pip r "t, �,,,_c
Applicant: 1 � 0 4 4bes C" J./ 40*4 9:11
Project Name: 1 OJ;q n t A Ll , I /S �.� Pn.,6 G r�P- j2 14,6 ..1 o 10
J
Date of Issuance of 'Wetland Permit:
tile✓ G :Xol2,
Upon completion of all work approved within the 401 Water Quality Ca0cation and/or Bulger Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401 Oversightffixpress 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 neeeaswv to NOW
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/or Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Agent's Certicadon
I, 6-6.o e,. l J • W W' , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the constriction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and /or Buffer Rules, the approved plans and
specifications, and Other supporting materials.
Signature: Date: S - - -- - -_ _ .._
If this project was designed by a Certified Professional ' 3 T
Y
•� PUIa
_ as a duly registered Professional 6, .z.;
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 Permittee hereby state drat, 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/or Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Registration No. Date