20210100 Ver 1_CofC attachments_20240607

Action ID Number: SAW-2021-00102 County: Tyrrell County
Permittee: Paul Williams
NCDOT Division 1
Project Name: NCDOT / B 4648 Replace Brid1le 17 / SR 1105 over Riders Creek / Tyrrell County /
Div 1
Date Verification Issued: March 10.2021
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.
Signature of Permittee
Date