20080411 Ver 1_Certification of Completion_20081027

tae
Certificate of Completion p?T 2 ?5 D
7 D
20p8
p DE
DWQ Protect No. Court",: C 1?{. ?St RQUgCt)y
Applicant: -'ty
Project Name: 17y?
Date of Issuance of 401 Water Quality Certification: CK-rCK
Upon completion of all work approved "ithin 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 Dix ision of Water Quality. 1621 Mail Serx ice 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 necessar} to send certificates from all of these
Applicant's Certification
M .C. Hold,,-( , hereby state that to the best of m) abilities. due care and
diligence xNas used in the observation of the construction such that the construction "as obserx ed to
built %Nithm substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules the appro? plans an spec?ficatit? s and other'Lipporting materials
Signature Date '22 -O
Agent's Certification
1, hereb) state that to the best of m) abilities due care and
diligence .Nas used in the observation of the construction such that the construction «as obserN ed to
built "ithin substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules the approxed plans and specifications and other supporting materials
SiLmature
If this project was designed by a Certified Professional
Date
1. . as a duly registered Professional
(i e . Engineer, Landscape Architect. Surxe}or etc ) in the State of North Carolina, ha\ ing been
authorized to observe (periodically, N\,eekly full time) the construction of the project for the
Permittee hereby state that to the best of my abilities, due care and diligence xNas used in the
obserxation of the construction such that the construction \.\as observed to built "ithin substantial
compliance and intent of the 401 Neater Quality Certification and Buffer Rules the appro\ed plans
and specifications and other supporting materials
Signature Registration No Date