20021372 Ver 1_Certification of Completion_20031023

'~
WETLANDS ! 401 GROUP
OCT 2 ~ 2003
V1IATER QUALITY SECTION
October 3 ~ 2003
nit -North Car°lina
401 W etlands U uality
Division of W ater Q
1621 Mall Service Center
Raleigh NC 27699-1621
Concern: on my property at Lakeview
To Whom It May
e of Completion for theNumbeTe19820p030.
Certificat General Permit eat weather
Enclose Lot #1 Magnolia Dnve.
Shores, ed so late. Due to the inclem
nt being return d summer the erection osshble fort mys
ze for this docume ring an es made it m-P
to apolOgl level of Lake Jam able to travel to the Lake
I wish inter, and the excessiv d raThe lwa ~ sp I v,,as finally
during thew delaye anent, and a short time ag°~
unavoidably ith his equ1P
constantly and and inspect the finished wall on y
access the lakefront w lations
contrary home in Chicago visit the site,
m I believe it is in accord3 239 24 2 re
fro ra ed. eat 77
fully installed and riP- pp me, please phone m
The wall is no c ure if you wish to contact
for such a stns
Thank You,
1 J ~galich
~_~ erty owner
P

OF W ATF~ ~ ~ ~ Michael F. Easley, Governor
William G. Ross Jr., Secretary Q rj,(v
©~ p~ /~ Z` ~ North Carolina Department of Environment and Natural Resources
l/ Alan W. Klimek, P.E., Director
~, ,:q Division of Water Quality
4 ..
DWQ Project No.:
Applicant:
Project Name:
9~~'a-o a ~ 3c~ County:
~Il cDovt/~~~e-
%~s ~ PN . ~, ,~~ ~-i C/~
/.A-~r~ ,Ti~-ivi ~S~" ~ T~ ~ ~1'1~~~/~ rr ~ D~~ lf~ ~l~'~/~iG~ S~/2~ ,~
Date of Issuance of 401 Water Quality Certification: /~ - D 3 ' o Z
Certificate of Completion
Upon completion of all work approved within the 40'1 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, 1621. Mail Service Center, Raleigh, NC, 27699-1621. 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
I, ,~ pS ~.Q~L ~~ ~A~~ ~~~ ,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.
~ Date: l~ ' i3 ''y~3
Signature:
Agent's Certification
I, hereby state that, to the best of my abilities, due care and diligence
was used ' the observation of the construction such that the construction was observed to be built within substantial
compli ce and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and er supporting materials.
Date:
ignature: %"
If this project was signed by a Certified Professional
. ,.%
I, -'~ as a duly registered Professional (i.e., Engineer,
Landsc e Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically,
wee y, 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

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands