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11 <br />~a45T TRgrr;[~ F~G(NEElathtf~, C~~T[I~r~ATtoRt - <br />'Perrni$h[o WQaoz96s3 ' ' ~• ' <br />Gift of it€I[ebaite . <br />Buclfhorn Area set~rer ~ensFon ' <br />/~pril 'i0, ztui7 ' <br />' Campt~a atld submit )s forme to ate permit i5si-jgg reglQnal oi~e w~l the Talbvving; ' <br />• . ~!9 Qapy o#ttie projectrecorti draw's~gs (Plan & pJnfite views ofsewer nas ofthe wa <br />'system ~nsipp _ ~ } sfewatsreotie~Gon . <br />•, supA°~ d~n calcLf~,tons (seiec~ pum • . . <br />senerafof(sj or storage greater' Phan tom, systarrr cave, operattrS~ po)r$ a+r~tltable sbotac,~a ;~ Pa+~e - <br />slat+atta patrpr`(~ ~ pad of tFus pt:oj~t ~ Past fhrse yew oc~,g@ ~,~;~y option setec~ t~:e1~' P~ <br />` ChanAas tia fife project shcutd be of • _ . <br />. rr-ndifratlons an3 ,., ~.e Men6~ed on fhe record drawing's or 1n vin <br />._~~ ~, n ~ d i'orariy +Charsae_____ii€~ in non-cerrpiianoe wi(fi this r~erin' n~u~ans~c,. Pe~~ <br />• 'Phis project shad not ba cansidBrettd campiete n+~r mowed ~ operate acrid fhie login . <br />- required suppbrtigg'dvc~trrtea'Cation helve beerf rere[+red tfia eei's Ger6ficatian and•ad' <br />that fibs cs by ptvisldr~ T~Cererora, R fe higTiiy recamtrtendQd <br />.. ~a •~e.set~ in a tnannerthaE•prvvldes ~t of r+xeipt by i7ie.D'nc . <br />~u~tt's CaartrtcA~ot~ ' <br />as a registered Profiesslona( ~Ytginesr• m ~e 6tate of North <br />Cacvlirca, having been aui`horfzed'ta obsetita ([~ i~~+~. ~ inueakFy,'[~.~ the <br />of tFfe subjecf ~'ojec# ~ the P ~ tame) constcuc#~on <br />emv'itee hereby sta#e thai;, to the best of my abcli'it~, d~ ~ and <br />• '~ltgertC~ was used itt tha3 observation of tt18 canstr~JC~orl s(da~ that the aAR~rue~ <br />.bulEt very sttEzstani~ - was observed to 68 <br />~mrNiance of tiffs permit; 15A hICAC 2T, fha Dfursion of Wafer Gtualrijr-a3 <br />~i~et~j.Gravify.Sewerlfllftfirnum Des~n Lriterfa adopteed Fs~ry 1.2, 4995 as aPPhcahie; frle . <br />• Division's Mfn~ngm Desic,~ CrifeFfa fer tfie Fast-Tra~cl~ PetmiEti of.Fa <br />n9., urt~p Statfans anal Fet;~ MairYs <br />- adopted Jrina ~, 200Q as appfrcabls;'and Other set . <br />P~r~9 maaterfa[s. _ . <br />• ~ .. <br />• Noartit ~arotfna•Praafesstoftaf Er[gir-eec's ~ • <br />. seal, srgna~baita ;acid date: ~ • <br />•. ~ ~• ~ i . <br />•= <br />• SEND THIS FORM ~ SUPPGRTrNG t30CUMEM'A"E~ON <br />. YVRTft RE4UtRl=D ATFA~C~[M~fi~ TG'Fl~ ~'01~,r„QWWG ARDRE53 <br />• , ' ~ 6~B IItiAIL SERVICE CEN'FFR <br />• • . ' IRAI.`HCaH iriC 27698-'rs~s - - <br />' ~ • <br />- . <br />• - "-7ie F'eit-~Rtaa ~ rpsporfsibira fartracldng ail parbai c~~resfiorts.up:un~ a final a:edt~cn is mod. Atry• , ~ ~ ' <br />w_asfiewa€er tfau-+ made ir~tlracy m th®v~a~ttr eaolfec~ion sysYertl nslorr prtot: to ~rspta3ttaarr of tf,ts <br />~uteec`s Gian shalt 6B ~risidered Bvuiitatiart of the pemta~ar~d slralr subject fiat Paam=s~ ~ <br />• • ' etti~n~ntcrt ect€ot)s_ _ aPprop~ate - <br />s <br />