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20070631 Ver 2_Certification of Completion_20071218
(~~ F w ~/ .,~ls Ur + Certificate of Completion DWQ Projec Applicant: ~ Q~"1 07-4~~ l .. .'~ C ~ f% %,~i; ~' County: R, ~ L Project Name: ~d ~1~(}~Q~(~JU2~ Date of Issuance of 401 Water Quality Certification: X ~9~~ v-e~ ~e~ Q ~ PJo/r-~ Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, apd any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form maybe returned to DWQ 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, Q ~ Gl/ hereb state that to t y he best of my abilities, due care and diligence was used ' 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 approv d plans and specifications, and other supporting materials. .~ Signature. ~ ~ Date: L 3 ~~ Agent's Certification I, ~W-~es ~~~~~~----- ,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. ,!1 I Signature: ~~--_ .,.~ Date: ~p~ ©~ I, ~Z3a~2 S ~~c~D~~ , as a duly registered Professional Con~u~`~e~v~ 1(V~QKaSu2 (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: (~ ~(p U ? If this project was designed by a Certified Professional ~ J~