20161108 Ver 1_Certification of Completion_20180501 (2)

Action ID Number: SAW-2016-02286 County: Ro�van
Permi�tee: NC DOT Div 9
Amy Euliss
Project Name: NC DOT Br 18$ SR 2564 Div 9 Rowan Co.
Date Verificafion Issued: November 17, 201b
Project Manager: John Thomas
U�on completion af the activity authorized by this permit and any mitigation required by the permit,
sign this cerfification anc� return it to the following address:
US ARMY CORPS QF ENGINEERS
WILMINGTON DI,STRICT
Attn: John Thomas
Raleigh Regulatory Fie�c� Of�ce
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Please note that your permitted activity is subject to a compliance inspectian by a U. S. Army Cor�s of
Engineers representative. Failure to comply with any terms ar condifions of this authorization may
result in the Corps sus�ending, modifying or revoking the authorization and/or issaing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certiiy 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 Permi�tee Date