20170732 Ver 3_U-2827B USACE closeout_20200925

Action ID Number: SAW-2009-01193 County: Forsyth
Permittee: North Carolina Department of Transportation
Philip Harris III
Project Name: NCDOT I-40Bus/US 421 /US 158 upgrade TIP U-2827B
Date Verification Issued: July 11, 2017
Project Manager: James Lastinger
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
Raleigh Regulatory Field Office
Attn: James Lastinger, Regulatory Project Manager
3331 Heritage Trade Dr., suite 105
Wake Forest,NC 27587
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.
September 25, 2020
Signatt a of Permittee Date