20140164 Ver 1_Certification of Completion_20141216

DWR #: 14 -0164
Certificate of Completion
DEC 1 6 2014
DWR Project No. 14 -0164 County: Catawlia County
Applicant: Walmart Real Estate Trust
Project Name: Walmart Store, #7315 -00, Hickory
Date of Issuance of 401 Water Quality Certification: February. 25, 2014
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
Resources, 1650 Mail Service Center, Raleigh,_NC, 27699 -1650 This form maybe returned to DWR by-the applicant, the
ct
applicant's authorized agent, or the proje engineer It is not necessary to send 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 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
Agent's Certification
I, _Chris Tinklenberg _ , hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the donstruction 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 CGL Date 12/12/2014
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 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 within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved
plans and specifications, and other supporting materials
Signature Registration No. _ _ Date