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HomeMy WebLinkAbout20131178 Ver 1_Certification of Completion_20140521NCDENR North Carolina Department of Environment and Natural Division of Water Quality Pat McCrory Thomas A. Reeder Governor Acting Director DWQ Project No: J County: Applicant: R cc VT cj . G s' Project Name: 401 Water Quality Certification Issued Date: Certificate of Completion EtLVE;I John E. Skvarla, III Secretary (5 r-_ pt- 0-V-o rz-- arfflk_� 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 Webscap'e Unit, NC DWQ, 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. Applic 's Ce tification ' 1, " ��' � V'T � • �"'' - Thereby 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 a ecifkations, nd of pporti materials. Signature: , Date: V N r © 1 Lf Agent'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. Signature: Date: If this project was designed by a Certified Professional I, . as a duly registered Professional (i.e., Engineer, 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 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: Wetlands, Buffers,`Stormwater— Compliance and Permitting (Webscape) Unit One 1650 Mail Service Center, Raleigh, North Carolina 27699 -1650 NorthCarolina Location- 512 N Salisbury St. Raleigh, North Carolina 27604 ` n // Phone: 919 -807 -63001 FAX: 919-807 -64941 Customer Service: 1-877-623-6748 l `�i� �ut+ri�`` �/ Internet, www ncwaterquality.org f� f