20081585 Ver 1_Onslow B-4214 404 Completion Form_20190619

Action ID Number: SAW-2001-1174 County: Onslow
Permittee: NCDOT PDEA
Project Name: B-4214 (Bridge 24 on NC 24)
Date Verification Issued: 2/3/2009
Project Manager: Brad Shaver
Upon completion of the activity authorized by this permit and any mitigation required by
the permit, sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn:
-
FIELD -OFFICE -
Please note that your permitted activity is subject to a compliance inspection by a U. S.
Army Corps of Engineers representative. Failure to comply with any terms or conditions
of this authorization may result in the Corps suspending, modifying or revoking the
authorization and/or issuing a Class I administrative penalty, or initiating other
appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been
completed in accordance with the terms and condition of the said permit, and required
mitigation was completed in accordance with the permit conditions.
Digitally signed 1, Mason H-1-
DN: cn=Ma, Herndon, 3Department of 6/ 19/ 19
Transportationm, ou=Division 3,
�y mail=[mherndon@ncdoLgov, c=US
Date: 2019,06,19 15:15:05-04'00'
Signature of Permittee
Date