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HomeMy WebLinkAbout20081384 Ver 1_Certification of Completion_20081121?01 ? W A FF9 p Michael F. Easley, Governor William G. Ross Jr., Secretary \Q (? North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director -? Division of Water Quality DWQ Project No.: Applicant: Project Name: LoA Date of Issuance of 401 County: I 1 1 Gfl ??I`(l!I _ (?C1nr r 5 Water Quality Certification: 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. Applic4gt's Certification 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 su tantial co pliance and intent of the 401 Water Quality Certification and Buffer Rules, the appr s specifications, and other supporting materials. Signature: ' ?e Date: '?? $? Agent's Certification 1, , 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 1, , 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 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 Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Registration No. Date ... Nov ? 21 2008 WETLANDS ?`5 ORMWiii y 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/ LG"A N ER