20041206 Ver 1_Certification of Completion_20060216

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D i S Certification of Completion ~o ~ ~[~~~~
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DWQ Project No.: ~~- ~Z~~O County: 2/1A'~ LiTY
~~ • I ~ ~ ~C7Y'D Ltd ~/1 '~IETi.A~(~ ANR S bRM~NAjE.R BRANCH
Applicant: ~ , y0 ,
Project Name:
Date of Issuance of Isolated Wetland Permit: AGIQKSf 19, ZOD~
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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
t}~e 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, ~ili~0 7. ~/'OLJN ,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: ,_ r/~`s- /. ~ Date:
Agent's Certification
I,
used in the observation of the
compliance and intent of the 401
and other supporting materials.
Signature:
Date:
If this project was designed by a Certified Professional
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.
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,
Signature: Registration No. Date

Philip T. Brown
2732 Kanuga Road
Hendersonville, NC 28739
[phone] ~.~~ ~Cn`~
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February 9, 2006 ~~~ ~. ~
401/Wetlands Unit ~rvP~~~~a~~Re~~~
t7E~ ~~ gZOR
North Carolina Division of Water Quality ,~~~
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: DWQ Project No.: 04-1206
Dear Sir or Madam:
The pond project at our home has been completed and as required under the permit,
please find enclosed the "Certification of Completion." Also, the Deed Notification,
downloaded from the 401/Wetlands Unit website, has been executed and recorded in the
Henderson County Registry in Deed Book 1262, Page 495.
Thank you very much for your assistance and guidance with this project.
Sincerely,
~a~~~~
Philip T. Brown
Enclosure