20180755 Ver 2_CofC attachments_20221016

Action ID Number: SAW-2018-01476 County: Perquimans County
Permittee: Paul Williams
NCDOT Division 1
Project Name: NCDOT Perquimants Bridte 11 Wynne Fork Road
Date Verification Issued: July 24, 2018
Project Manager: Kyle Barnes
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: Kyle Barnes
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.
EA
Docu/Signed by:
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7C79BOD2941 F47E...
Signature of Permittee
10/16/2022
Date