20110781 Ver 1_Certification of Completion_20150311

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C�WR Pra��c'� No: 2�t11C�7�1
Cc�a�n�y: �e�ufo�-�.
C������d I�� �r�n ��i� �`��rt
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Appl�e�r��: ��y J�hr�s�� (N�CLi+�I")
P��aj��t I��rr��: Br�dge �#141 �r� Culver�t _._
�C��. 'W'ater Quality Ce�tifica�i�� Iss�aed I�ate: C7ctab�r 20, 2��1
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k�para c�arnpMetion �f all work apprcaved vaithin the ��}1 U'�'ater C�ual'sty Certificati��n c�r app4i�able Buff�r
�iules, ac�d any swbs�qu�nt mn�di�icati�ns, the a��li�ant is required ��a a�eturn �hfs certifi��te tc� the DWd�
4�1 & B�off�r Perr�aittnng U�dt, 165t� M'ail Serv��e Centery Ralei�fa, NC, 2769�-1650. Th%s �c�rm may b�
ret�arned ta D1NR by the applicarut, the applicar�t"s �uthc��°iz��l agen�t, +�r �he pra�ect eu�gineer. It is n�t
necessary te� sen� cert�fieates frorr� alk ca� ��rese,
.�pp��ican�°s Cer°i�ifie�rtiora
I, , here�y s�a�te thai, tc� �he be�� �f rrry abilities, due care �nd
dili�ence was �sed in the r�bservatic�n c�� �the ccans�ructiran s�ch that �he corastructuc�m� was �rbseo-ved ta be
kau�Pt w��f�i�n su�stamti�l c�mpliance an,� %u�te�� ��t�ae 4C�1 W�ter Q�a�l�ty Certaficatiam and Buf�er �ules, the
appr�ve+� p�ans and specifica#i�ns, a�d �at�►�r suppa�rta�g �a���ials.
5igd�at�re:
Age�rt's Certific�rfiv»
I�at�:
I, ,�er��y stat� that, ta the best of rny ab%�ito�s, due ca�r� au�d
diligence was used in tN�e ab�e�watic�n �afi th� c�nstr�actian suck� that tk�e ccrnstc�c�i�n w�s observed �ca b�
la�ilt within subst�ntflal cc�rnpf�a�ee and irrtent �af the 4D1 U1a`ater q.uality Certif�ea�ion a�d Buffer R�Ies, the
apprcrved plans and specific�tians, and �atha�r s��pc�rting m�tie�o�ls.
Sign�tur�: D�t�;
If tP�rs pr�,�ee# w�ra� d+es�gne�f a�gr a C�rt�fied' Prerfess����ar�
1, c+..�.. �wrva.✓� r�.� as a dualy ��gistered Pro�essianal L,�� d��+��(�.e.,
i�ngimeer, Lands��pe Architect, Sum�r�yor, etc,) �n the 5tate of North C�rolin�, hav^irag be�n a�atht�ri��d io
ai���ru� (p�riodically, weekly, full tirr�e) the canstr�reti�ar� af t�u� �arr�j�ctr foc the �"errnitee hereby state th�t,
to t�►e bes� �sf my ab�lities, du� c�re and diligenc� was �ase� 'sn th�e obse�v�4i¢an c�f th� c�r�str�ction s�ch
tha� the cc�ns#ruct�crn was �bserved tc� be bu�l't wvit�Oic� su,�stantial compliance ar�d 'r�te�t of the 4(}1 W'a�er
Qualdty C�rti�icat�c�n and �uffer R��es, tt�e ap�roved p��ns ao�d spe�cifu�atat��s, and �tiher supp�art6r�g
m�terials. µ
S��nafiure: �,, �c �. „�-�..,---�,..._... C►at�: ,,� I , � �,..--
Unuisncan ta� "�°at�� Ftescaumce� — 4�1 � Bu$ter P��crtihMirrq l�r�at
�617 I�ail S�rvic� Gem��k��� 4��I�i¢�9�, �Wqr3� Carndlna �d"69�-���+��7
Lo�ti�n: 512 6V S�alis�ua�cy St, �tal�dg�n, �dorkN� Carzaliri� ?�16Q4
Ph�ne: ��9-��7-�i;30i1 V FA�i4: 91�-�C17-6492
Bnk�r��et: uv�r.���drak�r�uality,�rg
An Eq���9 G1�(��sY�ux�t� 4 A�ir�n�Yl'we �.ci4'aa� Err��pYoy+er— h����'t^, im pravt by o�e�yrl�e9 p�A�ier