20171172 Ver 1_Certification of Completion_20180619

Action ID Number: SAW-2016-01256 County: Rowan Countv
Permittee: Amv Euliss. NC DOT Div 9
Project Name: NC DOT Br 186 SR 2568 Rimertown Rd Div 9 Rowan Co.
Date Verification Issued: September 25. 2017
Project Manager: James Lastinser
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign tlus certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Raleigh Regulatory Field Office
Attn: James Lastinger, Regulatory PM
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 tlus authorization may
result in the Corps suspending, modifying or revoking the suthorization 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.
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Date