20041000 Ver 1_Certification of Completion_20080401

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DEPARTMENT OF THE ARMY
WILMINGTON 151STRICT, CORPS OF ENGINEERS
151 PATTON AVENUE
ROOM 208
ASHEVILLE, NORTH CAROLINA 28801-5006
REPLY TO
ATTENTION OF:
Permit Number: 200431112
Permit Type: GP30 ;.
Name of County: Caldwell
Name of Permittee: Fred W. Craig
Date of Issuance: July 20, 2004
Upon completion of the activity authorized by this permit and any mitigation
required by the permit, sign this certification and return it to the following
address:
U.S. Army Corps of Engineers
Attention: CESAW-RG-A
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
Please note that your permitted activity is subject to a compliance inspection
by an U.S. Army Corps of Engineers representative. If you fail to comply with
this permit you are subject to permit suspension, modification, or revocaticn.
I hereby certify that the work authorized by the above referenced permit has
been completed in accordance with the terms and conditions of the said permit,
and required mitigation was completed in accordance with the permit
conditions.
Sign ture of mittee
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Date

Certifi~~cate of Completion
DWQ Project No.: '~ ~ ~ ~ ~ ~ 6 County: G(. l .GtJ E'. l
Applicant: ~~L-' ~ ~~Jt i ~ (_~--
Project Name: (fit- f ~ ~' e-
Date of Issuance of 401 Water Quality Certification:
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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
I, ,hereby state that, to the best of my abilities, due care and
diligence was used in the o ation of the construction such that the construction was observed to be built
within substantial complian e and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials:.
Signature:~~i~do ~„ Date: ~ - g' b~
Agent's Certification
I, ,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:
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.
Signature: Registration No.: Date: