SAW-2020-01998 project completion form.pdf

Action ID Number: SAW-2020-01998 County: Stokes County
Permittee: Amy Euliss
NCDOT - Division 9
Project Name: NCDOT 17BP.9.R.72 NC 704 BR8 Dan River Stokes Div9
Date Verification Issued: November 24, 2020
Project Manager: Eric Alsmever
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: Eric Alsmeyer
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
919.554.4884, Ext. 23
Please note that you• 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 Cops suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, o• 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.
Signat11re ot P-ermittee ate