20051818 Ver 1_Certification of Completion_20070314

USDA United States Forest National Forests in North Carolina 160 ZILLICOA ST STE A
Department of Service Supervisor's Office ASIIEVII,LE NC 28801-1082
Agriculture 828-257-4200
File Code: 7720-1-2
Date: March 14, 2007
401/Wetlands Unit
NCDENR-Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear Sir/Madam:
Attached is a signed Certificate of Completion for the South Toe River Road, milepost 0.20
slope repair (DWQ # OS-1818) in Yancey County, North Carolina. All work has been
completed in accordance with project plans, specifications, and permit terms and conditions.
Sincerely,
lr
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VVV
NN L. HICKS, PE
Engineering, Minerals, and
Telecommunications Staff Officer
Attachment
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MAR 2 0 2007
nENR -WATER 4UALI7Y
I~ETLgNpg AND STORMYyATER 6RANCN
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Certification of Completion
DWQ Project No.: ~ Jam' ~~~~ County: ~,.~'/wfv~
Applicant:
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Project Name: ~~*'/~-- ~ ~'~~ ,,~~ ~~ ~~~ ,~ ~
Date of Issuance of Isolated Wetland Permit: ©~iT~~ 'j, ,Zlr!>~'
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and 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 Certification
1 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 ~y~/~ ~` !/l~-,~~°; /~~ 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 o he 401 Water ~~uality Certification and Buffer Rules, the approved plans and
specifications, and o r supporxix~m~krials.
Signature:
Day.,. .3/% ~ ~a7
If this project was designed by a Certified Professional
1 , 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: Date: