20072251 Ver 1_Certification of Completion_20081117

N 1 E NG P
OF NORTH CAROLINA, INC.
ENGINEERS • PLANNEKS • SIJRVEYCJRS
November 13, 2008
401 Oversight/Express Permitting Unit
NC Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: Thunder Road Force Main
Encroachment Application
Town of Spindale
To Whom It May Concern:
Enclosed with this letter is the Applicant's "Certification of Completion" for the above
referenced project. Please let us know if you have any questions or need any additional information.
Sincerely,
Summit Engineering Group
of North Carolina, Inc.
Clay'M. Helms, P.E.
Project Manager
cc: Mike Brooks - Town of Spindale
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NOV 1 7 2008
DENR - WATER QUAL17Y
rLANOS AND STi')RMWAMR BRANC14
p@M0WM[9)
DWQ Project No.:
Certification of Com ip etion Nov 1 7 2008
DENR - VVA(ER DUALITY
TLANDS AND STORMWATER BRANCH
0 7 County: ! t om ?? e r .6 r
Applicant: I C?
Project Name:
S (2 M A l
01 Fv
Date of Issuance of Certification or Authorization:
t /14aiA
YctVt (4 q/. ?. d'.
Certificate of Completion
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 Oversight/Express Permitting 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
I, a f .-l Shereby state that, to the best of my abilities, due care and diligence was
used in the o rvation 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.
--?'f Date:
Sign
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:
N
If this project was designed by a Certified Professional
as a duly registered Professional (i.e., Engineer,
I,
Landscape Aiphitect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically,
weekly, full time) the construction of the project, for the Permtttee 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 witl -hi
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