20041015 Ver 1_Certification of Completion_20080401

C H C 7046605969 p.2
Certif cafe of Completion
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DWQ Project No.: D~ - 1ty~~ Conaty: (.-v~Cc~~>rl ~!
Apglicwtt: ~,~~ Vv~cl~e.t ~oneS 0(, r ~ ~ ?004
'~# ~~ SAN SA RMWATER BRANCH
Project Nsuone: _~i~Sh__ ~.x~~ ~ ~' c~+, ~5+~ ~ ~" «`~?
Date of Isstrancc o[ 40X Water Qtmlitp CerliCcatioa:
Upon completion of alt work approved within the 401 Water Quality Certifcation attd Bttffer Ruks, and any
- subsegacnt modillcatIons: the appIiraot-t~is t?egairrdto return this certificate to the 44x/Wetlands Unit, North
Carolina Division of water Quality. I650 Mail Service Center, Raleigh, NC, 27699-1650_ This form may be
returned to DWQ by the applicant, tb~e applicant's authorized agent, or tht project engineer. his not
necessary to send certificates from all of these.
Applicant's Certifuation
I, hereby start that, to the brat of my abilities, due care and
diligence was rued in the observation of the construction such that the construction was observed to be btult
within substantial compliance and intent of the 401 Water Quality Certification and Huffer Rules, the
approved glans and specifications. and other supporting rnateninls::
Signature:
Date:
~Aglnt'S Cerliftcittian CuSkon. ~~~'~`~-~ 7~~ .
I, hereby start 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 compliatxe and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans d specifications, andsupporting nuteriils.
Si~ature: ~ /------ Date: ~~~~ ~ -
~'tfiis project was deslgnul by a Cerlrjied Projess~inal
1, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Stuveyor, arc.) in the State of North Carolina. having been authoriuti co
observe (periodically, wcckty, full time) the oonstructioa of the project, fat the Permittee hereby state that,
to the best of my abititiies, due care and diligence was used in the observatitm of the construction such that
the construction was observed to be built within substantial compliance and intent of the 40l Water Quality
Certification and Huffer Rules, the approved plans and specifications, and other supporting materials.
Signature: ~_. Registration No.: Date: