HomeMy WebLinkAbout20071506 Ver 1_Certification of Completion_20090309 Certification of Completion
DWQ Project No.: C)rl_ }tjQ(p County: A e,
` 1
Applicant: . � I A t. kARii t_k Cs MAR
i
Project Name: P U e. ^ Lb)+4
Date of Issuance of Wetland Permit: -
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 �AR �1.. ff,, �,et�--
�.�e `1f, �, hereby state that, to the best of my abilities, due care and diligence was
used in-He observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the O1 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other orting materi
Signature: Date: Z-a'09
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 Permittee 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
J.L,
_!Osys rem .
FRGGRAM
RECEIPT
January 28,'2008
Bw r Y ind Diane Harker
PO Box 277
Rose;)nd, VA -12967
"roject:
The Pt-estrvt 11 Lot 4
(:aunty: Hyde Co.
DWQ#-, 07-1506
C08M 2007-03V9
Ec.p#: ILF407-5534
Amount Pahl: $3,669.00
Check Number: 1001
1'h:'forth Carolina HcoiysLr.r Enfai:ccrr_ent Program(WEEP)has re,-tived a check is indicated above as pAywili for
coinDen A(ory untligation mqu;r.,xier.ts of!he 401 Water Quality Cerifficarton!Section 434iCAONIA Permit(s)issued fLi-the:
vefei-em:ea-)rojev. Thii receipt seves as io-,ifiiation that your ccinxpen&fitory rningauon requirements associated with
You niast also co-MV with ail other rOnditiong of this
:rrtiii: and any other state, federal car l,)ial pvcinment-efMAS Or'MLEhurization associated Vi'll this activity.
Vic-NCEEP,by acceptance of thiii Fayllitnt a:-kmowlcdltres that the NCEEP is responsible!'cr[tie compenziatoly fnitjf1,!11r,
fequirerricnis asiuiated with the project,permit arid agrees to ptuvide tlax compensatory miap,iou as specified in the mrrnit
Fh,-mitigation will be performed toaxordarck-.with the Memorandum of UndersLand:ng ba:ween the NC D pvirnent'J
T,nvnonriient and Natural Resources and the US Army Corps J Engineej•s dalel 11c.v&mb,-r 4, 1998 as indicated bele,-,,
F
Rivtr 8"Ji Stream Credits B tAffer I!
(Iineir feet) (arresi (Sy Ft.)
_Rjlparian Non-Riparian 1 CoasulMarsn
Tar-pamli" 0 0 0 0 0,24 - 0 r'__---
1)3020!04
Picast note that a payment (iado to the r.cos..,stefli Enhancement Program is not reimbursable unless a request fo:
iein-bijrsenient is received ,v;thnj. 12 Mriths of the date of the receipt, Any such request muse also be accornpanied oy lotter-,
froif, the ptrniming agencies stating chat the permit aiidlor authorization have been rescinded. if ,,Ou have any 4.Ae Uons i,r
need.iijdtnonafll information, please CO-tact Kelly WiVivfis at(919)1 16-1921.
Sincerely,
.4
willia I Gilmore,P;;
IV' Director
cc. Cyndi Karol;,14CMQ)W�-..Aands/401 Unit
Toni_SteffYns,USAC&Wasl.ington,Thelma USACE,Wihniag,on
Kyie Barran,NCDWQ-.Washington
S hi &A
R& ng a
I... Pro
Ecos,,,slem Enhancement Program, 16521mail Service Center,Raleigh,t4G 27699-1e52 i I u'-71,6 3475!wvviv.j-caep_r.et
AJ
�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
DWQ Project No.: 0-7— 1 -06 County: HLt
Applicant: F_)PCe_"
Project Name: L off- E. G!-k�R.C/1- cwelC
Date of Issuance of 401 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.
Applicant's Certifi ion
hereby state that,to the best of my abilities, due care and diligence
was used in t servation 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 others { orting materials.
Signature: Date: �_Z4(�
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:
If this project was designed by a Certified Professional
I, , 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
North Carolina Division of Water Quality , �`��C�Lt r 0 W A
943 Washington Square Mall !.
Washington,NC 27889 1,AAY y 6 2009
One
Phone:252-946-6481 1 FAX:252-946-9215 NorthCarolina
Internet:www.ncwaterquality.orq DENR-WATER QUALfTY //
An Equal Opportunity 1 Affirmative Action Employer WETLANDS AND STORMWATER BRANCH ;V tut lly