20050399 Ver 1_Certification of Completion_20070415

JOHN LEGGETT & COMPANY Fax ~ 919-469-4778 Feb 15 ' 07 18 09 P. 07
Certification of Completion
DWQ Project No.: ~~ "03 g ~ County: ~~G -
Applicant: ~~. ~• SLt/.~?~/ ~ 0 /~OG~G-.~vLLI v~/!/ L L
Project Name: ,~/ZOa,(GS' v~~~/~S/oar/
Date of Issuance of Wetland Permit: ~~~ , ~ ~~ ~~
v.~,c Zoe Zoo ~~i~-+Go
Certificate of Completion
Upon completion of all work approved within the 401 .Water Quality CerNtieatiota and Buffer Rulea, and any
subsequent~m~odifications, the applicant is required to return this certificate to the 401 Oversigl~t/E~cpress Permitting Unit,
North Carplina Division of Water Quality, 1650 Mail Service Center, Raleigh, ~NC, Z7699-1650. 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 Certif::cation
I, ,hereby state that, to the best of my abilities, due care and diligence was
used izt 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:
Agent's Certification
I,
used in the observation of the
compliance and intent of tine 401
and other supporting materials.
Signature:
Dace:
If this project was designed by a Certified Professional
I, ~1(/yL~~ V . Gi~~GG/a/1•~Q as a duly registered Professional ~~~~•e• ngineer,
• in the State of North Carolina, having been authorized to observe (pen ,
weekly, full time) the construction of the project, for the Pemnittee 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 (:ertifcation a~ad Buller Rules, the approved plans and
specifications, a er s pporti aterials. ,(
Si ature: Registration No. ~Z232 Date `~ ? ~
!~
s
Date:
hereby state that, to the best of my abilities, due care and diligence was
construction such that the construction was observed to be built within substantial
Water Quality Certification and Buffer Rules, the approved plans and specifications,