20140034 Ver 1_Certification of Completion_20140919

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C'ertiCtcate of Contpletiott
DWR Project No. _14,-mi4
Applicant:
C0unty:.0 -!.-E rla —Ate
Project N2rYie: 1 �? i�? -r 2�- 1ltV ____C,4� i-fLT_1 Rt►¢<�" rC7~ - - -- -- _ _..
Date of Issuance of 404 Water Quality Certification: - Atli_, e. zo1
D -!VR# `4-00'34
Upon complr;tian of ail ve:7,rk approved within the ,'01 Water Cloahty Certification and Buffer Rules, and any subseq,;ert
the npp',cant is requ.red to return this certifica'e to the 401r^J'Jetlands Ul n-r. North Carclira Divisicn of GZrater
Resources. 1670 Mad Service Center, Raleigh NC, 27699-1650. This foal may be retuned to DWR by trie appl carlt,
applicant's autf-r,97ek, agent, or the prDject engineer It s net necessary to send certificates from at of ttiesr;,
.Applicant'& C'crlif teat ion
1. Jt?�t..- ?---- �• hereby state that, to the best of my abilities cue cite and ding- nce was used i•-i the
observation of the construction such that the construction Leas cbserved to au.it :vithir• substantial compliance and !rater,; c`
I
he 401 Water Quality Certtfica nd Surfer Rules, tr,e approved plans and soecigcatcins. and otre- suoport;ng
male: cats
Signature Date 713
:�2cnt•s t:critlti:�tia >n
hereby state that, to the best cf my abilii'es, due caic and diligence v4•as use" n tie
observation of the coristn.; -tion such that the construction was observed to built within substantial cr mp:iar;,e and intent of
the 401 Water Quiahty Certificat;ol ana Buffer Rules the approved t' ans and specificabors, and otter s:.ppo -ting
iate:i7i5
S;cnat_ire - -... _ Uate. -7 lY - - --
I; this i>r,: iect wa, tlesi_ -nee h�• a t'crtitied Profession;::
JD
p T' E as a du: rngis:sre +d Profess EMC Ir46d-
Erigv eer, landscape Architect, Surveyor, etc) in the State of North Carolina, i-iav3rig been at•tharized to obse-ve
weeny. full bra lei the const-uction of the prefect, fe;r the Peimi:tee hereby state that. to the best of my
at: -lies, due care and cisigence yeas used it the of the corstruc'ion such tnat flit' nonstruction was observed
to ; --tAt within substar,t al cen',pl,an„e and intent of tre 401 Water Quality Certtf. atlon and Buffer Rules :he ap;,rover
pla-is and speclfrcabors, anal other supporting materials
w .— alure._ Jo e n _
Registrat or No, Z(!3904P
.Date. 7/3/►4 -
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'off 7
SEAL
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After Construction — Up Stream
Before Construction — Up Stream

After Construction — Down Stream
Before Construction — Down Stream

WEST CONSULTANTS, PLLC
Consulting Engineers and Surveyors
405 South Sterling Street
Morganton, North Carolina 28655
Phone [phone] Fax (828) 433 - 5662.:,.,,.
TO NCDENR - DWR (401 Wetlands Unit)
1650 Mail Service Center
Raleigh NC 27699 -1650
WE ARE SENDING YOU
Shop drawings
Copy of letter
Attached Under separate cover via
Prints Plans
Change order Other:
LETTER OF
TRANSMITTAL
JOB NUMBER/PHONE /17/2014
13034
'ATTENTION
RE:
Town of Grover, NC - Dogwood Drive
Culvert Replacement
the following items.
Specifications Samples
COPIES
DATE
NUMBER
DESCRIPTION
1
Certificate of Completion (401 Water Quality Certification)
THESE ARE TRANSMITTED as checked below:
For your approval Approved as submitted
For your use Approved as noted
X As requested Returned for corrections
For review and comment Other
FOR BIDS DUE /DATE.
REMARKS
Resubmit copies for approval
Submit copies for distribution
Return corrected prints
PRINTS RETURNED AFTER LOAN TO US
COPY TO SIGNED
H enclosures are not as noted, please notify us at once.
PRODUCT 13127G USE WITH 771C ENVELOPE Deluxe For Business 1- 800- 225 -6380 or www.nebs.com PRINTED IN U S A A /^\ `f"'�
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