20141312 Ver 1_Certification of Completion_20151102

Homewood, Sue
From: Derek Goddard <[e-mail]>
Sent: Monday, November 02, 2015 2:30 PM
To: Homewood, Sue
Subject: Soulmate LLC
Attachments: 20151102152316820.pdf
Sue,
Please see completion Certificate. I did not modify the document, but of course plantings have not been
established yet and the issue with the berm between the pond is an area that should be monitored as it differs
from the plan. I am told by the contractor there is a mid riser discharge on the outfall.
Thanks
Derek
"Please note our change of address as of 2/1/2015.
Derek Goddard, PLS, GISP
BREC, P.A.
126 Executive Drive, Suite 220
Wilkesboro, NC 28697
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336.844.4088
828.964.9349 Cell
www.brec.biz
derek o,brec.biz
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1

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North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
DWR Project No: Z County:
Applicant: Sa�Lµwk GGG
Project Name: Sc�,Lr>z�G LGG �irc S�PyerEa Q�^� V1�f l+n
401 Water Quality Certification Issued Date:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the DWR
401 & Buffer Permitting Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be
returned to DWR 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
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 be
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, Dierelc C PA.! .d , 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 c mpliance and intent of the 401 Water Quality Certification and Buffer Rules,the
approved plans a spec Ific 'e other supporting materials.
Signature: Date: C � S
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 Permitee 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 and intent of the 401 Water
Quality Certification and Buffer Rules,the approved plans and specifications, and other supporting
materials.
Signature: Date:
Division of Water Resources-401&Buffer Permitting Unit
;1617 Mail Service Center,Raleigh,North Carolina 27699-1617
'Location:512 N Salisbury St,Raleigh,North Carolina 27604
Phone:[phone]\FAX:[phone]
Internet:www.ncwaterquality.org
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