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Certification of Completed Walk <br />Corps File Number: <br />Name of Permittee: <br />Date of Issuance: <br />Expiration Date: <br />Upon completion of the activity authorized by this permit and any mitigation required by <br />the permit, sign this certification and return it to the following address: <br />U. S. Army Corps of Engineers <br />Denver Regulatory Office <br />9307 South Wadsworth Blvd. <br />Littleton, Colorado 80128 -6901 <br />Phone (303) 979 -4120 <br />Fax (303) 979 -0602 <br />Please note that your permitted activity is subject to a compliance inspection by a U. S. <br />Army Corps of Engineers representative. If you fail to comply with this permit you are <br />subject to permit suspension, modification, or revocation. <br />I hereby certify that the work authorized by the above referenced permit has been <br />completed in accordance with the terms and conditions of said permit, and required <br />mitigation was completed in accordance with the permit conditions. <br />Signature of Permittee <br />1 If your permit included wetlands monitoring and annual reports, these activities will continue after <br />submittal of this form until you are notified by the Denver Regulatory Office that your mitigation is <br />successful and monitoring reports are no longer required. <br />