20040527 Ver 1_Certification of Completion_20080401

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DWQ Project No.:
Applicant:
Certificate of Completion
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county: `~Q vh ~ r ~ O
Project Name:
~ e ~ot'7 3 S~c.~ Q~ec'u.~.ee
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Date of Issuance of 401 Water Quality Certification: ~ ~ ~ 02 C'D '`~
Upon completion of all work approved within the 401 Water Quality Certificatio Buffer Rules and an
c„hcenuent modifications. the atinlicant is required to return this certificate to th 40 Vetlands Unit, North
~azolina Division of Water uality, 1621 Mail Service Center, Raleigh, NC, 27699-1~~ This farm may
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
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I, '~~,~~ #~ ~ `-~6v` ~ K ~ ,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 pl sand specifications d other supporting materials.;. , 0 ~ ~ ~~ ~i D
Signature: U "~ ~K /`~" Date: ~ Z Z 3 U DEC 3~ 0 2005
Agent'S CertLfiCatlon DENR -WATER QUALITY
VYETLANDS AND STORMWATER BRANCH
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:
p,~ RECEIVED
DEC 2 7 2005
If this project was designed by a Certified Professional Env~r~Onlnet~taj Sciences ,
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 Permittee 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: