20160065 Ver 1_Brunswick B-4440_404 CF_20190617

Action ID Number: SAW-2009-0184 County: Brunswick
Permittee: NCDOT PDEA
Project Name: B-4440 (Replacement of Bridge 163 on SR 1349)
Date Verification Issued: 2/1 /16
Project Manager: Brad Shaver
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:
-
FIELD -OFFICE -
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.
Signature of Permittee
Digitally signed by Mason Herndon
Dra: cn=Mason Herndon, o=NC Department of
Transportation, m@nc ot.g 3, 6/13/19
mail=[e-mail], -US
Date: 2019.06.13 13:41:00-04'00'
Date