WQ0001492_Engineering Certification_20240111 (2)

DocuSign Envelope ID: B7FFBA31-6091-472E-A63F-9F464BFEBCBE
PERMITTEE:
Town of Lillington
PERMIT #:
WQ0042876
PROJECT:
Falls of the Cape Ph.3
ISSUE DATE:
October 6, 2021
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Pridted Na e, Title Signature Date
ENGINEER'S CERTIFICATION
1, 6C/y(A.-C L. 57E-W44L . as a dul registered Professional En Ineer in the State of North Carolina,
having been authorized to observe ( periodically, [] weekly, ] full time) the construction of the
project name and location as referenced above for the above 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 be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,1996
as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
91FInal [] Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
,*0 C`
�0�,�oFicsso,�
g• SEAL
22M4 i
ar
Page 9 of 9