20071712 Ver 1_Duplin B-4105_404 Completion Form_20200421

Action ID Number: 2003-00651-031 County: Duplin
Permittee: NCDOT Division 3
Project Name: B-4105 Duplin Br. 46 on NC 403 over Whiteoak Branch
Date Verification Issued:
Project Manager: 10/22/07
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.
Signature of Permittee
Digitally signed by Mason Herndon 4/21 /20
Date: 2020.04.21 15:58:31-04'00'
Date