HomeMy WebLinkAbout20051742 Ver 3_Certification of Completion_20080103Jan 03 08 12:30p UTC Power
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Jan van Dokk 4..`~ i~ OS - l~ ~ ~ 9195106771
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Certification of Completion
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Project Name: ~ ~ D ~
Date of Issuance of ~~Uetland Permit: ~ t I L ~ V ~ .
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` ~ r''-'"' `' ' ~' ~ v~ t ~ Ce`r'tificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant is required to rerurn this certificate to tre 401 OversightlExpress Permitting Unit,
~Iorrh Carolina Division of Water Quality, 1650 Ivfail Service Center, Raleigh, I~'C, 27699-1650. This form m~.y be
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
l i._.; r~.-1 V ~ ~ ~ `~ yC~J'", ,hereby state that, to rite best of nay abilities, due care and diligence was
used i the observation of the construction such that the construction vvas obsen~ed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Gaffer Rules, the approved plans and specifications,
and ether supporting materials-
:~-r Date: % ~ -~ I u -r
Signature: ,~-r ~-
i,
Agent's Certification
I ,hereby state that, `o the best of my abilities, due care and diligence w`cs
used in the observation of the construction such that the construction was observed to be built within sul;s`~.antial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Date:
I•f this project was designed by a Certij•Yed Professional
'[~A~1 • G • ~• • ~~~-~ En Weer,
1 as a duly registered Professional (i.e., gr
Landscape Archi ect Surveyor, etc.} in the State of ~lort:•r Carolira, havuhg been authorized to observe (periodically,
wee{ y,. u rme) the construction of the project, for the Permtttee hereby Mate that, to the best of my abilities, due care
arhd 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, ar_d other supporting materials.
_ ~ ~ ~ r anon No. Date
Signatu -
JAN-3-2008 THU 13:11 TEL:9197336893 NAME:DWQ-WETLANDS P. 1