20131314 Ver 1_Certification of Completion_20150311

%� :#,' i/..
�%
%";,
�„ *,`i
i� �
f��hJR Prcrject �lo: 2�1313�.4
Ap�lica�nt.
��c�ject Nar�re
Jay lahansoo� Qf��CC�C7�")
��n�fd �. var�� ���'����ri
a�������y
Cc�unty: �ea�ufc�rr°t
Br�d�e ##5 BLL47�1� �herrv Rur� Rd
4�1 Water �uality Ce�tifica�iac� I�s�ued C►ate: February 1�, �014
. , , ,� . ,
ll'p�rn �cc�mpletian �af aIN v+rark apprtaved' with�r� the 4C�1 Vt/ater Q,uality Cer-ti�icatflo� c�r ap�IAC�bI� �ufif�er
RuVes, and ar�y su�bsequent mod�ficatfons, the a�plicant is required ta ret�r� this certi�ieate t�r g�e f�WR
4�1 &�u�fer �e�'rrai�tCr�� Uni�, 16�� Mail Servi�e Cenfier, Ratleighr N�, 27699-16��7. �his �arm �ay b�
returned ta a1N� by ttae �pplacant, �h� appli�a�t°� au�h�rized age�t, �ar tM�e �arca��c� enginee�. It is nm�
r��ccs��ry tcr �end c�ertAfi�cates frarn all �f thes�.
,�p�rlic�ani's Cert%fica�icrr�
1, � here�y state that, to the best a� r�y �b�lities, due care ar�d
dili,�er�ce was used in �he abse�vati�n o� tt�� eonstruction su�h tl�at tk�� cc�nstc�uctian was o�aserv�� ta be
built withis� subst�ntial ��rnpliance and ir�tent af the 4d�1 "�'VVater �ual6ty Ce�tificatvt�n and Ba�ffer Rules, the
appr�v�d �6ans �nd specdficatdcar�s, arrd oth��r supp�rting mate�ials.
Sw�naCa�re;
,�g�nt's +Cer�'i�c�t�mr�
i�ate:
I, . hereby state tha�, t�i the kaest �# my a�ilities, due care ar�d
dA�i�;enee vkras us�d �n th� abservatit�n of the eons��uction such t�uat the construe�i�r� was a�ase�rv��l ta b�
ka�i�t wit�in s�bst�ntial cc�mpliar�ce and int�nt Q�the 4(3�'1V�later Cluality Cer�ificatGOra a�+� B�fi�Fer R�rles, th�
appr�ved pl�ns a�r�d specu�icati�r�s, and atl�er s�appocting r��ter�afs.
5ignatu�e: bate:
Pf this,�r�rj�c� ►�as de� igr�ed by mr Ce��j`re� F�rrrfess�ona!
V, L�Ci�L+�r.�a�tt ,�Ctn� +�..ti+��`" 0•+�'' , as a duly registered �"ra�essionaV ��+�' �(�... (i.�.,
�ngiraeer, Candsc�pe Architect, S�airv�y��, etc.� i� the S��te �f �ar�h Carolina, hava�g been auth�arized fia
observe (����it�dic�lly, uveek�y, fc�l9 timeJ� t4�e constr�acti�r� of the �raject, f€�r the Wermitee he�e�y st�te t�at,
�c� the besfi af my abil'��i�s, du�e care and c��liger�ce was tnsed in the �bservat��n c�f the cans�ruc�i�rn ��ch
�ha�G tl�e c�anstructi�n �ras c�bserve�l ta be b�ailt withun s�abs��ntian �camplfanc� anc� in��nfi c�� t�e �Ci� V�iater
�uality Certificat%�r� �antl Bu�'f�r Rul�s, th�e appraved pP��ns and specifACaticrras, a�d tither supp�rtir�g
rr��t�rials. •
S�grrature: d '"^�... �" �. � . I�ate: � ,� rr � d �
C�Gvis�an a� "�'�ker F�es�a�rr�� -- ��t � �u�f��r V��rr�o�td�� �Jnit
1C��i ��i! S�rvic� Cent�r, RaVeugh, Norcil� �arr�0ir�� 27fa��-'V�617
Lc���tic�n: 512 N Salisbury Sk, Raie�tl�, No�h �a�Awi€�� 1�6Q�4
��au�e: �1�-8(77-F;�i�JG➢ � FAX: 919-8fi7-fi491
Int�r��k?k: �r�nr.n�+�tl�r�uali�+.a�r�
lkr� �yu�l �Yp�a�kuu�it� 1�,Gfrrir�ai�d� a4c�ar� �r�7µ�da��trott._. �1ad� Yur part 6�y� Pecy�cdad �r�'per