20042022 Ver 1_Certification of Completion_20080104

WITHERS RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
111 MacKenan Drive
CARY, NORTH CAROLINA, 27511
[phone]
FAX [phone]
TO: 401/Wetlands Unit
NCDWQ
1650 Mail Service Center
Raleigh NC, 27699-1650
WE ARE SENDING YOU ®Attached via
^ Shop Drawings ^ Prints/Maps
^ Copy of Letter ^ Change order
COPIES DATE NO. DESCRIPTION
1 1-3-08 Certificate of Completion
THESE ARE TRANSMITTED as checked below:
^ For approval ^ Approved as submitted ^ Resubmit copies for approval
® For your records/files ^ Approved as noted ^ Submit copies for distribution
^ As requested ^ Returned for corrections ^ Return corrected prints
^ For review and comment ^ For your use
^ FOR BIDS DUE
REMARKS:
COPY TO:
SIGNED:

DATE 1-3-08 )oB No. 02061345
ATTENTION: Cyndl Karoly
PHONE # [phone]
RE: Forestville Road Water Main & Booster
Pump Station
the following items:
^ Preliminary Plans ^ Samples ^ Specifications
^ Diskette ^
Eric Tweed
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JAN 4 2008
+.~ENR -'~1ATER QUALITY
lfenclosures are notas noted, kindlynotifyus atonce. ~MET~NDS AND ST'~2MyVATER SRANCii

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
DWQ Project No.: 04-2022 County: Wake
Applicant: Town of Knig_htdale
Project Name: -Forestville Road Water Main & Booster Pump Station
Date of Issuance of 401 Water Quality Certification: -January 12, 2005
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 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, ,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, ,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, Eric M. Tweed, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (~°r~^a~^^"~~, ~~~°°'~'•~, 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 Qu ity Certification and Buffer Rules, the approved plans and specifications,
and other supporting r~tater~als.'~
Signature ~:`y--~ ~ Registration No. 028912
Date 1-3-2008_ \\\\`1 ~.~~ ~~,,//
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JAN 4 2008
DENR -WATER G1UAii i 1
t'!lETLANDS 4ND ST~RPAWATFR 8RN4CH
~~~
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/