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HomeMy WebLinkAbout20150548 Ver 1_Certification of Completion_20151228Certificate of Completion DEC 2 S Z015 DWR Project No. 15- 0 5'-i $ County: 1—' Applicant: 1>0,vib C)S5 Project Name: S+i��I Ii ZGNre-o \ Date of Issuance of 401 Water Quality Certification: a 3 — I S 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 Rraleig"`h27.992650.i This form may be returned to DWRby 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, Tj w• h bvgS , 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 sRecifications, and other supporting materials. Agent'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: If this project was designed by a Certified Professional Date: 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: