20220563 Ver 1_R-3833C_USACE_AgentAuthForm_20220408

AGENT AUTHORIZATION FORM
All Blanks to Be Filled in By the Current Landowner or Municipal Official

Name: NCDOT – Division 12, Bryan Sowell, PE, Division Project Engineer

Address: PO Box 47, Shelby, NC 28151-0047

Phone: [phone]

Project Name/Description: STIP R-3833C – Widen SR 1100 (Brawley School Rd.) from SR
1116 (Talbert Rd.) to 1000’ East of US 21 in Iredell County, NC

Date: 4/7/2022

US Army Corps of Engineers, Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587

Attn: Eric Alsmeyer

Re: Stream and Wetland Delineation and Permitting Consultation

To Whom It May Concern:

I, the current landowner or municipal official, hereby designate and authorize TGS Engineers to
act in my behalf as my agent in the processing of permit applications, to furnish upon request
supplemental information in support of applications, etc. from this day forward.

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 enter the property when accompanied by TGS staff. You should
call TGS to arrange a site meeting prior to visiting the site.

BY: BY: __________________________
Print Name of Applicant Signature of Applicant

Bryan Sowell