20120550 Ver 1_Certification of Completion_20150122

RECEIVED
,IAN 22 2m
Certificate of Completion DENR -LAND QUALITY
^STOI RMWATER PERMITTING
DWQ Project No. ,� rCi d '$—C� County: l G y rr y��
Applicant:I4ry Hr ti)�
Project Name:__
d�
Date of Issuance of 401 Water Quality Certification:
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 /Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh,
NC, 27699 -1621. 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
1, 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
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:
Agent's Certification
Date:
1, 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
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:
If this project ,vas designed by a Certified Professional
Date:
I, JePwmy y- M000y , as a duly registered Professional Ssw,,1EER
(i.e., Engineer, beedseepe.Arehiteet, Sacvayee, etc.) in the State of North Carolina, having been
authorized to observe (periodically, wee1,4y faH tim ) 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 built withiq,6obwaritiai
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the'tip
and specifications, and other suppo g materials. *' '.. . °"
Signature Registration No.: 133t 1 Dad: Tana I$; 3b15
' W l
: rl
DWQ — 4 '1a•u.taeat:

aW alle
cK
williams, carmen & kin
TO:
4
Gentlemen:
Enclosed find the following data:
COPIES DESCRIPTION
onsuiling Engineers
inc.
DATE
PROJECT �tf F �� )Vr!
V, A"NApoc,is NC
Remarks: NNW AND CALM 11Y
STORMWATER PER W iTirtG
Yours very truly,
alley, williams, carmen & king, inc.
By
120 South Main Street • P.O Box 1248 • Kannapolis, North Carolina 28082
Tel. - [phone] • Fax - (704) 938 -6810 • awck.com
ESTABLISHED • 1960