20050314 Ver 1_Complete File_20050218

variances '.
Subject: variances
From: Tom Steffens <Tom. S teffens@ncmail. net>
Date: Mon, 28 Mar 2005 14:08:02 -0500
To: Cyndi Karoly <[e-mail]>
CC: Debbie Edwards <[e-mail]>
the following have been reviewed and issued from waro. some have been issued for a
while, but failed to make it into fp5 due to technical reasons ( I forgot..duh!)
sorry.
more to come
note: # - g written directly 10- toms
pro num date rec reviewer writer type rev waro county
name comments
05-0259 2-Feb tas tas gen maj 12-Feb
Pamlico John Harper
Issue n/c
05- it 7-Feb tan gen maj 12-Feb
Craven illiam auth des
Issuew/mit for Z -
OS-0117 . 4-Feb tas 18-Mar
Beaufort erry L'
Iss
en maj 18-Mar
05-0404 -Mar tas ?t? g
Pamlic seph CiccIssue n/c
05-0412 2-Mar tas tas min var 18-Mar A
Pamlico Gray Macy
HOLD- incomplete app, garage impacts not accounted
0 - tas tas min var 18-Mar
Crave George Manthe
Issue w - one 1 impact for house construction or vege
diffuse flow or toree?t
05-496 4-Ma t t? min var 18-Mar
Pamlico Jo er
Issue w/cond
-0314
b tas gen ma'
Beaufor a ton P Oneal II
al,
1 of 2 3/28/2005 2:43 PN
variances -,
70 8-Mar kb as gen maj 28-Mar
Bea ort Marshall Taylor
Issue-w/cond-i?it,.'tga--i-arr"for estoration)
04-02 2-Mar tas tas gen maj 28-Mar
Pamlico ert Mendell
Issue-MOD for error on ginal app
2 of 2 3/28/2005 2:43 PM
?0 WAr?9P
> y
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 1, 2005
( i DWQ Project # 05-0314
Beaufort County
Mr. Walter P. ONeal III
116 Dowry Creek East
Belhaven, NC 27810
Subject Property:
116 Dowry Creek East
Belhaven , NC
Beaufort County
APR 4 X005
=i ..... L : !I
APPROVAL for the use of the "General" MAJOR VARIANCE; From the Neuse and Tar-Pamlico Riparian
Buffer Rules for the Construction of Residential Structures on Existing Lots within the Coastal Counties as
defined by the Coastal Area Management Act with Additional Conditions
Dear Mr. ONeal:
You have our approval, in accordance with the conditions listed below, to impact approximately 0.01 acres or 435
square feet (ft) of Zone I of the protected riparian buffers for the purpose of constructing a swimming Pool on the
subject property as described within your application dated 10 February 2005. This letter shall act as your approval
for the use of the "General" Major Variance; From the Neuse and Tar-Pamlico Riparian Buffer Rules for the
Construction of Residential Structures on Existing Lots within the Coastal Counties as defined by the Coastal Area
Management Act with ADDITIONAL CONDITIONS as approved by the Water Quality Committee (WQC) of the
Environmental Management Commission (EMC) on May 10, 2001. In addition, you should get any other required
federal, state or local permits before you proceed with your project including (but not limited to) Sediment and
Erosion Control and CAMA permits. This approval shall expire when the variance expires on April 11, 2006
unless the variance is renewed before that time by the EMC.
This approval is for the purpose and design that you described in your variance request. If you change your
project, you must notify us and you may be required to send us a new request for approval. If the property is sold,
the new owner must be given a copy of this approval and is thereby responsible for complying with all conditions.
This approval requires you to follow the conditions listed below.
The Additional Conditions of the Certification are:
1. 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 the attached certificate of
completion to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center,
Raleigh, NC, 27699-1650.
2. Diffuse Flow
All new stormwater drainage shall be directed to vegetated areas as diffuse flow at non-erosive velocities
prior to entering the protected riparian buffers as identified within 15A NCAC 2B .0233(5). No new
ditching or piping of stormwater through the protected buffers is allowed. All sediment and erosion
401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: http i'h2o enr state.nc.us'ncwetlands
NhCarolina
or`
,Naturally
control devices must be vigorously maintained to prevent water quality standard violations until all
denuded slopes have been stabilized by vegetation.
3. Buffer Mitigation (EEP/Restoration)
You are required to mitigate for impacts to the protected riparian buffers. The required area of mitigation
to compensate for impacts to the protected riparian buffers is 435 square.feet as required under this
variance approval and 15A NCAC 2B .0259. You have the option to make a payment into the Riparian
Buffer Restoration Fund administered by the NC Ecological Enhancement Program (EEP) to meet this
mitigation requirement. This has been determined by the DWQ to be a suitable method to meet the
mitigation requirement. In accordance with 15A NCAC 2B .0259, this contribution will satisfy our
compensatory mitigation requirements under 15A NCAC 2B .0259(9)(C). Until the EEP receives and
clears your check (made payable to: DENR -Ecological Enhancement Program Office), no impacts
specified in this variance approval shall occur. The EEP should be contacted at [phone] if you have
any questions concerning payment into the EEP. For accounting purposes, this variance approval
authorizes payment into the Riparian Buffer Restoration Fund to compensate for 435 fe of required
riparian buffer mitigation for impacts to 435 fe of protected riparian buffers; 03-04-02, 27-43-(1)
river and subbasin."
The DWQ will also accept an alternative method of mitigation (including but not limited to Buffer
Restoration or Enhancement) pursuant to the Buffer Mitigation Rule (15A NCAC 02B.0259) to satisfy this
mitigation requirement. If you choose to pursue this option, then you are required to submit in writing a
mitigation plan to the DWQ Wetlands/401 Unit for review and approval. No impacts shall occur to the
protected buffers until the mitigation plan is approved. In this plan, you should propose to 4 plant trees of
two native species within the affected riparian buffer. Please call the Washington Regional Office for
assistance in developing this plan.
If you do not accept any of the conditions of this approval, you may ask for and adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. This approval and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under the Tar-Pamlico River Riparian Buffer
Protection Rules (15A NCAC 2B .0259 (9)(b)). Please call Mr. Kyle Barnes at 252-948-3917 if you have any
questions or require copies of our rules or procedural materials.
Sincerely,
---Al Hod e
Division of Water Quality
Surface Water Protection
Washington Regional Office
Enclosures: Coastal General Variance
Certificate of Completion
cc: DWQ WaRO Regional Office
,,15WQ Central Office, Cyndi Karoly
Central Files
Beaufort Co; Dept. of Building Inspections
_
OFFICE USE ONLY: Date Received Request #
State of North Carolina FEB 1 8 2005
Department of Environment and Natural Resources
Division of Water Quality DENR-
VMTER rUXSAt"STOR1, TER©RRVXH
"General" Major Variance Application Form -
From the Neuse and Tar-Pandico Riparian Buffer Protection Rules for residential structures
on existing lots within the coastal counties as defined by the Coastal Area Management Act
(As approved by the Water Quality Committee of the Environmental Management Commission on 5/9/2001)
Please identify which Riparian Area Protection Rule applies.
? Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
14 Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
NOTE.
To constitute a complete application, all of the information requested in this form
must be provided. Incomplete applications will be returned to the applicant. The
original and two copies of the completed "General" Variance Application Form and
any attachments must be sent to the DWQ 4011Wetlands Certification Unit, 1650 Mail
Service Center, Raleigh, NC 27699-1650, 919-733-1786 to constitute a complete
submittal. This form may be photocopied for use as an original.
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant's name (the corporation, ind_fi ual, etc. who owns the property):
----lwc?l v ---f) -- lh -rCt 1 -------------------------------------------
2. Print Owner/Signing Official (person?egally responsible for the property and its compliance)
Name: _V_v_c?l_ty ------------------------------
------ --
Title: ---------------------
Street -
address: _ i _7L t, c'_K---L a------------------------------
City, State, Zip: ---------------------------------
Telephone: ?i_Y_?__0 ! -3 -------------------
----------------
Fax: j5 1- )_ `t `!_`?_ ?? v y ---------------------------------------
3. Contact person who can answer questions about the proposed project:
Name: -vt, t I iU l? 0'/,( co ( i
Telephone: ---- ---------------------------_---- -
Fax: LL -it )_ i `/ `--o------------------------------------------------
Email: `/ ur_, 11 c --t ----------------------------
"General" Variance Application Form
Version 1: May 2001
4. Project Name (Subdivision, facility, or establishment name -consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
----------------- -----------------
5. Project Location:
Street address: LC,S----__--_
City, State, Zip: I3QLltic,?c.? -=`'-- z='! v------------------
County: --- 6_- --( j - - -----
Latitude/longitude: ----------------------------------------------
6. Directions to site from nearest major intersection (Also, attach an 8 Yx 11 copy of the portion
of the USGISII topographic map indicating the location of the site):
--f 17 ' 7C C't tj-u !t om{t'2 i) I ?-:?? z v+„' C1
--- c l l'-------------
?
i4v"1-_1 i..L??`..Sl.y r<_iL I)M
-- --- ---- L
,? tf
7u _ t-?-_- --? -1----- - - Jl
7. Stream to be impacted by the proposed activity:
Slam name for unnamed streams label as "UT" to the nearest named stream):
?,rl ??_! V ( r
---- --- -----------------------------
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
0315 (Neuse) or.0316 (Tar-Pamlico)]: _ _LQ ?JI_?t _-__
8. Which of the following permits/approvals will be required or have been received already for
this project?
Required: Received: Date received: Permit Type:
_ _ CAMA Major
? CAMA Minor
401 Certification/404 Permit
On-site Wastewater Permit
----- Active Connection to Sanitary Sewer System
----- ----- NPDES Permit (including stormwater)
----- ----- Non-discharge Permit
----- ____ ----- Water Supply Watershed Variance
_____ ____ Others (specify) --------------------
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer impact in ft2.:
--?uL le"I -10 ilz.11 ez- G J cuvLJI,'{t?------ ------ 7 ,w?a
1t'C-/ ?.15?_La`? ???'L ri u
---------------------------
-------------- - -----------------------------------------------
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
'General' Variance Application Form, page 2
Version 1: May 2001
? VL^Z ?r:??Llt? ?G?.?.11 dt,,- 4 WS -?U.Z__ 'tv,L -Iv ? kA,l Lvf (,i -fu c
--------? --t------- 1 J---- ---- ? - ---- J --------------------
---- ? ---------------------------
-------------------------------------------------------------------------
-------------------------------------------------------------------
3. Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement,gf existing vegetation, etc.):
Oc,_}-- Ttw)_--?<- _-_JLL_1_t
------------------------------------------------------------------- ----------
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule. C
W- -?tk i) -C k0.1-C d1 U 'Ns r? t ?r14 tZt L 10"L?l -------1 - -------- -----------------?- ---- -----
-----------------------------------------------------------
--------------------------------------------------------------------------
---------------------------------------------------------------------------
(2) How these difficulties or hardships result from conditions that are unique to the property
involved. r
?- -------
-----L - ,r < < -
----------------------------------------------- --------------------------
----------------------------------------------------------------------------
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardships and the proportion of the hardship to the entire value of the project.
------N 1 i}------------------ ---------- ------------------- --
----------------------------------------------------------------------- ---
--------------------------------------------------------------------------
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.
Part 4: Agent Authorization
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent (individual or firm): ----------------------------------------------
Mailing address: _- --------_ --------
-------------------------------_
City, State, Zip:
-----------------------------
Telephone:
"General" Variance Application Form, page 3
Version 1: May 2001
Fax:
Email:
Part 5: Applicant's Certification
. ? rr
I, - '?cS 1 iv O ----------------------------- (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in accord itce w h Part 5 of this form will be recorded with all required permit
conditions. ?.
Signature: ---- - -------------------
Date: ___?I 1 v1_v_S --
---------------------------------
Title: --OG4-v '='` --------------- -----
NC Division of Water Our lily (DWO)
301 `,^Jetland 3 Ccrtific.:ticn Unit
2321 Crabtree Blvd. (LOCATION)
1650 M.A Serr,icc: Center (CIAILING ADDRESS)
Raleigh, NO 27699-1650
[phone] (phone)
http:;ih2o.enrstate.nc.us/nc,:?alandsl
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6503 Fa!Is of the NeU se Road, Suite 120
Raleigh, North Caroline 27615
General Numhcr: [phone]
http:ii?'.w.saw.usace.army.mil/r: etlandsiregtour.htm
`NASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Caro!ina 278,139-1000
General Nun)ber: [phone]
httpah^..°w.saw.usace.army.milh:etlands/rcgtcur.htm
Vdashington District Office
Division of Coastal Nlanagcrnent
933 W^ -,shington Square h1a!I
`%lashington, NO 27839
phone: [phone]
M,orchead City District Office
Division of Coastal %L-,na_gcm nt
151-B Hi hway 2.1
N'lorchead City, NO 28557
phone: 252%8013-21303
"General" Variance Application Form, page 4
Version 1: May 2001
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I OFFICE USE ONLY: Date Received Request # -_------ _- I
State of North Carolina
Department of Environmont and Natural Resources
Division of Water Quality
0- @@u V
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z 005
"General" Major Variance Applicatt'Pip;4N
From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residenllal s07WT of
on existing lots within the coastal counties as defined by the Coastal Area Management Act
(As approved by the Water Quality Committee of the Environmental Management Commission on 5/9/2001)
Please identify which Riparian Area Protection Rule applies.
o Neuse River Basin: [Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of'Riparian Areas Rule (15A NCAC .0233)
Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
NOTE.
To constitute a complete application, all of the Information requested in this form
must be provided. Incomplete applications will be returned to the applicant. The
original and two copies of the completed "General" Variance Application Form and
any attachments must be sent to the DWQ 4011Wetlands Certification Unit, 1650 Mail
Service Center, Raleigh, NC 27699-1650, 919-733-1786 to constitute a complete
submittal. This form may be photocopied for use as an original.
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant's name (the corpomflon, in'di ' ual, etc. who owns the property):
2.
Print Owner/Signing Officlal (person galty r spon§lhle for the property and its compliance)
Name: _ l?Jc??vr_J Q>;c?(-Y-L_ T __
Title:
Street address: ? _7[swr?_- {ec C? ?? -_ ?----- -------------
City, State, Zip: -J?rj Zic_L-t4?!?'
---------------------
Telephone: ------------------------------
Fax: Lk -- - ---- ------- - --------------------
3. Contact person who can answer
Name: - I r _
Telephone: (2 5-z )- A
estion about the proposed project:
O'k <0
Fax: (z5 z)-? DO
Email:
vt
'General' Variance Application Form
Version 1: May 2001
4. Project Name (Subdivision, facility, or establishment name -consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:
6. Directions to site from nearest major intersection (Also, attach an 8 %2 x 11 copy of the portion
of the USGS topographic map indicating the location of the site): /
r 1 t1?wv??n?? Q Cpl ?- 9+J' 2(zq 9 Go 1",-4C-4(L IAc? ZwN)rl
J r ti?1-i????f Tct??i/? Ic-
-tt,- Is
7?rv.?rd
mow, ivwri`$tbl? s?Corc (L??
1._.- Ai? 4t,., J •f- NDrc1 c .>?. '?r?t r!'jf[?
7. Stream to be impacted by the proposed activity:
Str am name for unnamed streams label as "UT" to the nearest named stream):
Vl, YI a n V i V C r - ---------
Stream Fassifica lon [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neuse) or.0316 (Tar-Pamlico)]: ?Q-LIP
8. Which of the following permitstapprovals will be required or have been received already for
this project?
Requiredf Received: Date received: Permit Type:
CAMA Major
CAMA Minor
401 Certification/404 Permit
On-site Wastewater Permit
Active Connection to Sanitary Sewer System
_ - ?- NPDES Permit (including stormwater)
Non-discharge Permit
Water Supply Watershed Variance
-- ---- Others (specify) -------------------
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
1.
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer impact in ft2.:
IWIN f r T v....-I- Gt in Ini <..1. nL. C1t l ?? G q P I/C ? C
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
'General' Variance Application Form, page 2
Version 1: May 2001
J
wS t oti.l,, wad 4 G ?.4- 4C 7l4-
3. Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting v getation or enhancement of a isting vegetation, etc.): ?n
W r ...? ?? rt 0 (a?-? t- rtw .-- L1a 1 ?_??_yt.w ate ?? d`1
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule. //++11
W) u -NA6 VaA,1 --L- _LIC kan.C ?10
(2) How these difficulties or hardships result from conditions that are unique to the property
involved. tt L p n
?0, - -.,i C,-.t- ?,...F-S l ?L.•IIvIG ? mck, c??u n?•?C?rc,-/ lwtT?? 41t
---- , --- - - ---- - --------
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardships and the proportion of the hardship to the entire value of the project.
--------------------
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.
Part 4: Agent Authorization
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent (individual or firm):
Mailing address:
City, State, Zip:
Telephone: 'General' Variance Application Form, page 3
Version 1: May 2001
Fax:
Email:
Part 5: Applicant's Certification
ow aj _ (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in actor ith Part 5 of this form will be recorded with all required permit
conditions.
Signature:
Date:
Title:
2
-------------------------------------
NC Division of Water Quality (DWQ)
401 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1650 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27699-1650
[phone] (phone)
http://h2o.enr.state.nc.us/ncwetlands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number: [phone]
http://www.saw.usaco.army.miI/wetlands/regtour.htm
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889-1000
General Number: [phone]
littp://www.saw.usace.army.mil/wetlands/regtour.htm
Washington District Office
Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
phone: [phone]
Morehead City District Office
Division of Coastal Management
151-B Highway 24
Morehead City, NC 28557
phone: [phone]
'General' Variance Application Form, page 4
Version 1: May 2001
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Certification of Completion `l
DWQ Project
Applicant:
Project Name:
.? C1 r e i-c? 54 13 1 a.; ?? 2 ??) U
Date of Issuance of Isolated 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/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
l
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-m- erials.
Signature: Date: U?
Agent's Certification
1,
used in the observation of the
compliance and intent of the 401
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 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.
;Wcoo NO V J 2005
Count (-h--) LJ ?f ??. l lam! +2?r?n
, hereby state that, to the best of my abilities, due care and diligence was
construction such that the construction was observed to be built within substantial
Water Quality Certification and Buffer Rules, the approved plans and specifications,
Signature: Registration No. Date