20070621 Ver 1_Certification of Completion_20081229

pF W ATF9 Michael F. Easley, Governor
O?
QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
00
t-
Coleen H. Sullins, Director
> Division of Water Quality

DWQ Project No.: p 7 - C 4 'L ( County:
Applicant: 1 ar?,1 S,cy?a
Project Name:
Date of Issuance of 401 Water Quality Certi ication:?,_?}L7, Zit
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.
Applicant's Certification
I, 5-# er., C'; P g 4 1, Mt.?.?,,.r , hereby state that, to the best of my abilities, due care
and diligen a was use in the observation of the construction such that the construction was observed to
be built within substantial compliant and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and ;;cations, other suppo ng ma riaAs.
Signature: 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
11 ,Vla", / ,d. L[.?.????as1 -,as a duly registered Professional •,- (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe eriodicall weekly, full time) the construction of the project, for the Permitee hereby state
that, to they 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._ _ _ __ ..-z. -;?, .- --- Registration No. e2 yy 2
Date i zi f_ oo
ell% `tYnt. 'S• c.?•11-1
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North Carolina Division of Water Quality, 401 Wetlands Certification Unit, NM nN
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/
t? mall
;iates, PLLC
Date: December 23, 2008
To: Division of Water Quality
NCDENR
401 /Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Q
1@[gV21
D EC 2 9 2008
We are sending you ®attached F-1 under separate cover the following items: DEW-WATEROUAUTY
ELANDS AND STORMWATER BRANCH
? Shop Drawings ? Estimate ? Disk
? Prints ? Specifications ® Other
? Contracts ? Copy of Letter
# COPIES DRAWING NO DESCRIPTION DISPOSITION
1 Certification for the For Your Use
Chamberlain Place Apartment
Biocells
REMARKS:
cc: File
From: Michael B. Westcott, PE
Westcott, Small & Associates, PLLC
4015 Meeting Way
Suite 105
High Point, NC 27265
4015 Meeting Way, Suite 105 • High Point, North Carolina 27265 • phone: [phone] • fax: [phone]