20201897 Ver 2_01-21005 -Athens-Agent Auth - State of NC_20220216

�ZNatural Resource
onsultants
AGENT AUTHORIZATION FORM
All Blanks To Be Filled in By The Current Property Owner
FIELDS WITH * ARE REQUIRED
Project Area PIN(s):
0784132319
Name:
State of North Carolina — N. David Smith, Chief Deputy Commissioner
Address:
State Property Office, c/o NC Dept. of Agr. & Consumer Services, 1001 Mail Service
Center, Raleigh, NC 27699
Phone:
919-707-3033
Email:
[e-mail]
Project Name:
Project Athens Area 4
Project Number:
21005
Project Manager:
Andy Padiak — McAdams/Jennifer Burdette - NRC
US Army Corps of Engineers NC Division of Water Resources
Raleigh Regulatory Field Office 401 & Buffer Permitting Branch
3331 Heritage Trade Drive, Suite 105 512 N. Salisbury Street
Wake Forest, NC 27587 Raleigh, NC 27604
Re: Clean Water Act & Riparian Buffer Related Consulting and Permitting
To Whom It May Concern:
I hereby designate and authorize Natural Resource Consultants to act on my behalf as my agent in obtaining
verification of wetland delineations and processing of permit applications for the project listed above.
1, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and NC Division of Water Resources
to enter upon the property herein described for the purpose of conducting on -site investigation and issuing a
determination associated with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean
Water Act/Section 10 of the Rivers and Harbors Act of 1899 and/or Waters of State and/or Riparian Buffer Rules.
This notification supersedes any previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government officials to
nter the property when accompanied by Natural Resource Consultants' staff.
m Walton for the State of North Carolina��,z ) A �� 11
Print Property Owner Name *Signature
Director — State Property Office
Title
* Date
10212 Creedmoor Road, Raleigh, NC 1919. 422. 3605