20060387 Ver 3_Certification of Completion_20090722

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DWQ Project No.: O(o - 0381 V3 County: WILI<Fs
Applicant: (?,L` r Diyi stook OP f:io res+ Resources
Project Name: ?V (- I e-ax- creek P 1-?. - Re-A-Aeu aJ 5 RouriLou
Date of Issuance of 401 Water Quality Certification: I ft K04 I- !R- y 2-005
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, 1621 Mail Service 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 necessary to send certificates from all of
these.
Applica is Certificatio
I, L,,,?kw
her y state that, to the best of my abilities, due care and diligence was
used in the observatio th constru such hat t e construction was observed to be built within substantial
,QtVn compliance and in f he 01 W ter uality erti ication and Buffer Rules, the approved plans and specifications, and
other supporting m n 1 .
Signature: Date: awl
Agent's Certification
I, _1140 I+11? 5 ?4 . CAE Ro i?tl rS r , 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 supportin ate 'als.
Signature: V1.-C, Date: a
Engineer's Certification
Partial _X Final
1, ,, 'J e n A, 0 ,. s , as a duly registered Professional Engineer in the State of North
Carolina, av ng been authorized 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.
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Signature n Registration No. 25 $"?
Date
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DENR • WATER QUALITY
WETLANDS AND STOR,&r YiA,ER aRANCtf