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HomeMy WebLinkAbout20151251 Ver 1_404_Completion Form_146_20171017Action ID Number: SAW-2015-02553 County: Alamance Permittee: NCDOT (attn: Jerrv Parker) Project Name: NCDOT / SR 2363 / Beal Road / Bridae146 / Rock Creek / Alamance Countv / Division 7 Date Verification Issued: 12/21/2015 Project Manager: David Bailev Upon completion af the activity authorized by this permit and any miHgation required by the permit, sign this certi£caHon and return it to the following address: US ARMY CORPS OF ENGINEERS WILMINGTON DI5TffiCT attn: David Bailey Raleigh Regulatory Field OfTice 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 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 Carps suspending, modifying or revoking the authorization and/or issuing a Class I administrative penalty, or initiating other appropriate legal acHon. I hereby certify that the work authorized by the above referenced permit has been completed in accordance with the terms and condiNon of the said permit, and required mitigadon was completed in accordance with the permit conditions. / ' /-(��`-� �'d �O /3 -%iJi % Signa �re of ermittee Date