20061756 Ver 1_Certification of Completion_20080813

__ _
~~F W A ~FRQ I ~r ~-9 ~y~ `c~..~ _ ~ Michael F. Easley, Governor
{ ~ William G. Ross Jr., Secretary
~ G i~1L North Carolina Department of Environment and Natural Resources
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DWQ Project No.
Applicant: J,J~~r~.
c~l~ ~- l75 (o
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Project Name: S t rru

Date of Issuance of 401 Water Quality Certification: Q~ ~ ~;,,,~,~,- Zf~ Zw~
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable 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.
Applic~pt's Certification
I, ,hereby state that, to the best of my abilities, due care
and diligence as use ~ e observation of the construction such that the construction was observed to
be built within stantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, t pprove lans and specifications, and other supporting materials.
S~ ture: Date:
Aarent's Certification
I, ,hereby state that, to the best of my abilities, due care
and dilig ce w used in the observation of the construction such that the construction was observed to
be built wit ~ substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, app ved plans and specifications, and other supporting materials.
Si ature: Date:
/f this project was designed by a Certified Professional
I, ~ 1/7~Q L ; /"C~-S S , as a duly registered Professional ~n ~nPPr(i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having b en authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee 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 ertification and Buffer Rules, the approved plans and specifications, and other
supporting rt31 .
Signature Registration No. ~ 2~ SDO
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Aid (; 1. ~ 2008
I ~E.tiR >,'VA.i tR OUALlT~
V'dkTfJ~`1DS ANO STORh1`NA?tR a~A'V~ii
Coleen H. Sullins, Director
Division of Water Quality
County: liar S y ;
,.s~ ~, ~d .. /,/ fi / ~.°r

North Carolina 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)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/