20030348 Ver 1_Certification of Completion_20040909

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DWQ Project No.: ~ ~4 ~ County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
p.4
~y, Governor
r., Secretary
I Resources
.E., Director
'afar Quality
Certificate of Comnletlon
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules and any
subsequent modfications, the applicant is required to return this certificate to the 401/Wetlands U it, North
~~>olina. Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This fo may be
returned to DWQ by the applicant, the applicants authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
a, ~t-Lc~ /-~I ~~IS ,hereby state that, to the best of my abilities, due re and
diligence was used in the observation of the construction such that the construction was observed t be built
wi#hin substantial compliance. and intent of the 401 Water Quality Certifcation and Buffer R les, the
approved plans and specifications, and other supporting materials.
Signature: Date: U ~~ (~ ~O ~~
v
Agent's Gerti>fication
l~ ,hereby state that, to the best of my abilities, due are and
diligence was used in the observation of the construction such that the construction was observed t be built
~r!ithirt substantial compliance and intent of the 40i Water Quality Certification and Buffer R lee, the
approved plans and specifications, and other supporting materials. WETLANDS ~ 401
Signature:
Date:
"` tf?es project was designed by a Certified Professional
WATER QrJAj.ITY
1, ~~~- ~ - e~CTU1 - nJ~i i~ -P ~.
as a duly registered professional E i.e.,
Engineer, - ~Iji#eet, r, etc.) in the State of North Carolina, having been autho 'zed to
observe periodically 'tY, ~' •"} the construction of the project, f (,thy dt>~tee hereby state that, to
the best o les, due care and diligence was used in the obse o ~ ~ ruction such hat the
construction was observed to be built within substantial corn tie
p ~!~r+~1~t~ .401 Water Quality
Certification and B ffer Rule the proved plans and specifics#iof~s, d other suppctrtin~ materials
Signature: Registration No. ~~'~ 6Z90Z ': ~ d~
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Mills Construction Co Inc 9197552245
Michael F
William G.
North Carolina Department of Environment and
Alan W. Kiimi
Division
N. C. Division of Water Quality, 401 Wetlands Certification Unft, ~r~'~N~~it~iJ tl
1650 Mail Service Censer, Raleigh, NC 27699-1650 (Mailing Address}
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (t.ocation)
[phone] (phone}, 919-733893 (fax), (httpl/h2o.enr,state,nc.u5lncwetlands

~.
Crowley & Associates, Inc.
Professional Engineers
1906 South Main Street, Suite 122
Wake Forest, NC 27587
919-562-8860•Fax:[phone]
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GATE ~ / j / , J09 NO. ~ ~. U
ATTERTgR (/ V
RE:
WE ARE SENDING YOU fa?~Attached ^ Under separate cover via the following items:
^ Shop drawings ^ Prints ^ Plans ^ Samples ^ Specifications
^ Copy of letter ^ Change order ^
COPIES DATE NO. DESi RIPTION
THESE ARE TRANSMITTED as checked below:
^ For approval ^ Approval as submitted
^ For your use ^ Approved as noted
~ requested ^ Returned for corrections
O For review and comment ^
^ FOR BIDS DUE 19 ________
REMARKS
^ PRINTS RETURNED AFTER LOAN TO US
COPY TO
^ Resubmit corrected prints
^ Submit copies for distribution
^ Return corrected prints
l
H.nclo.unu ~n not u noUd, kindly notHy u~ ~t ono. / `"' 1503.003 - 10/27/92