20071061 Ver 1_Certification of Completion_20080131

JEMSITE DEVELOPMENT, LLC
PO Box 1000
1608 US Highway 221 N
Jefferson, NC 28640
LETTER OF TRANSMITTAL
January 29, 2008
Attention: 401 Wetlands Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Phone: [phone]
From: Melvin Cline
Reference: Certificate of Completion for DWQ Permit # 07-1061
Fora royal A roved as submitted Release for Construction
For our use A roved as noted For ricin
X As re uested Returned for corrections Submit co ies for distribution
For review Other: For bud et ricin
Copies Date Description
1 1/29/07 Certificate of Com letion for DWQ Permit # 07-1061

Remarks:
cc: File
Enclosed. is the Certificate of Completion for fill of .77 acres of isolated Wetland permit # 07-1061
issued July 16, 2007. Should you have any questions please feel free to give me a call. I can be
reached at [phone] x 245.
Thank You,
Melvin Cline
Project Manager
Jemsite Development, LLC
JAN 3 Y 20pg
DENH - byAT(_'k QUALITY
1NE11ANDSAND STORMwnr~k ~,Ff
T: [phone] Ext. 245 F: [phone] [e-mail]

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DWQ ProjectNo.: D~--p(o- County: CO~u.nnbhs ~~~~/
Applicant: Sa,,,~s,~e "7,.,,e,1a,,.,,~„~} L LG
Project Name: Louis 1.6me '.,~',rwoMemen~ l:l~a~e1'buSe of 1~11:~d'.I~e , -,Jh;~e. tM.~rsl~ ~,~~[Q3o'~SS ib~`fi
Date of Issuance of 401 Water Quality Certification: ~~~~ 1 ~, Zoo1 t ~ 5~~
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
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may 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 Ce-,~ jification
I, /~~yin ~;.,e. ~i-s~~e~euc~~.~+e~ CI.C, 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 appro ed plans ~n~d s-pecifications, and other supporting materials.
Signature: ~~,.,,; t/~ Date: /~2~',Qg
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
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:
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 Registration No.
Date
Qc~~~ad~~
JAN 3 1 20U8
DiJVh - WATER QUFliJTt
WETUWDS AND STORMWATEk B~FUdyH
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
~'~
t~UENF
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/