20070850 Ver 1_Certification of Completion_20070730

PS&C Pr~GE 01
07!3012007 13:47 7047482566
Cextif~care of Completion +F}'TTi,~ ~~,r/~,° ~~~~ ~ t~!
r ~`l-oBSo / Ins
+~•~-C~ Project No. ~~0~~ Cou~tf: T~-tv~-~ Q.~-T- F
~-
Project Name: ~~~ ~ ~~ V,'~ TC.~ V- ~"~ ~f~~C~'.. ~~t~'+~~
Date of Tssuan.ce of ~U1 Water QuaIiGy Certification.: ~ ~~ Y ~ f ~l~t~"~
Upon cornpl.etion of of l work approved within tae X01 W atex Quality Certification and Buffer pules,
artd any subsequent rnodifirations, the applicant is z-ccluired to return this certiftcaie :o the
401IWetlands Unit, North Carolina Division of Water Quality, 1621 iviail Se vice Ceziter, I? aleigh,
?VC, 27699-1621, This form znay be xeturned to bWQ by ~e applicant, the applicant's authorized
agent, pr the project engineer.. Xt is ndt necessary to send certificates f om all of tl}ese-
~p~licarzt's C'ertifc~ation ~v`,/~ ~ ~~`" t 1 ~ ~~'~ ~'"~ t~,~r~-3 -
r~' ~,~Cc~„c'~/ ,hereby state that, to the best ofrny abilities, due care and
diligence eras ~:sed in th.e obsArvation, of die construction such that the eonstzuctiori was observed to'
built within substantial compliance and intent of'the 401 ~tatez Quality Certification. and Buffer
Rules, the appraved plans anal speci~catians, and other supporting i~xaterials.
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Sign.atuze:,__ - _ ~ Date.: ` -'~,r.~ --
~~etz~'s ~er~i~Catidn
~~ , i~ercby state t1~at, tc~ the best of zziy abilities, due cane anal
~.iligenCe W35 used iA the observation O~ the construction? such that the construction was observed to
built within substantial compliance and izitert of the 401 Water Quality Ce.c~iFica.tian and Buffer
Rules, the approved plans arad specifications, anal other supporting rzzateri,als.
Signature:
Date:
If this~roject wa$ designed by a GertiftedFrofessfonal
z> , as a duly registezed Professional
{i.e., Engineer, Landscape ,Architect, Sut~reycr, etc.) in the State of North Carolinna, having beexi
authorized to observe {p~eriadically, weekly, fu1i~-time} the construction of the pxajeci, for the
Pezrriittee hereby state that, to the best of my abilities, due care and di?igence was used iri. the
obsersratiari of the construction such that the constnict~.~n was observed to built within substantial
~corxipliance and intent of the 4G1 'Water Quality Certiflcatioil and Buffer ~,~xles, the approved plans
and speci~cati~ris, and ather supporting materials. .
Signature: Registrativii No-: ~ date:
.~
JUL-30-2007 MON 13:48 TEL: [phone] NAME:DWQ-WETLANDS
P. 1