20021690 Ver 1_Certification of Completion_20030505

11/05/2002 01:50 FAT ~ O1
OF WA7F~ u~ `7 Vlrif@amaG, moss Jar., Secret ry
„ti0~ ~~ ~~ NoRh Carolina Departrnent of Environment and Natural Resources
~~ ~ Alen W, Klimek, P.E., Dirodor
.~ Division of Water Quality
DWQ Project Na: d a~-' ~ ~(~ County: ~e~~~~ Y~
Applicant: ~ lc,,$'~-~ .
Project Name: ~Pg~„~ ~,,~
Date of Issuance of 401 Water Quality Certification: G~U
Certif cats of Comvletian
upon completion of all work approved within the 40I Water Quality Certifica$oa rand Buffer Ru1as, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlaads 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 Cerkificates from
all of these,
Applicant's Certification
~ .
1, ~~ i~`~1'-' s~ 4 ~~ C,~+- ~'~ ~'~ o ~r ~, -~ ,hereby state that, to the best of my abilities, due care and diligence
was used in the olisetvation of the construction such that the co>,istrnction was observed to be built within substantial
compliance aad intent of the 401 Water Quality Certification and $u$er Rules, the approved plans and specifications,
and other suppofing materials. ~
Signature: / ' - ~ '~~ Date: rff t ~~ ~ .
~~~ ``~'
Agent's Certifrrr~ion
>, ,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 bo built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, th~~~l~rl~cations,
and other supporting materials. ~~ ``ffUU (( C~R(JV'"`
Signature:.
>f this project wQr designed by o Cerlhified Professional
Dom; MAY 0 5 2003
WATER ~UAL,ITYSE~ON
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 _
N. C. Division of Water Quality, 401 Wetlands Certifiptton Untt,
1650 Mail Service Center, F~leigh, NC 27699-1650 (Mailing Address)
2321 Cn3btree BMi., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733.8893 (fax), (htfp:/Jh2o.enr,state.nc.us/ncwetlands