20221599 Ver 1_4a ECS Agent Auth__20221109

EFE I S SOUTHEAST, L L P "Setting the Standard for Se rvice
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Propertylite'
Address of Site:
Agent Authorization
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Parcel Identification Number (PEN): w ' i ' - - z
Owner Information' Cov-'4 � X 1 k i-: kc, + r k A
Name; 4 "
Address: ` + ►
Telephone Number � � -Z !
Fax Number:
E-mail Address;
Property Owner Certification'
1, the undersigned, a duly authorized owner of record of the propertyiproperties identified herein,
do authorize representatives of the Wilmington District, U-. Army Corps of Engineers (USAGE)
and/ or the North Carolina Division of Water Resources (NDDVVR) to enter upon the property
herein described for the purpose of conducting on -site investigations and issuing a
determination associated with VVate rs of the U, S. subject to Federa ll tate jurisdiction under
ection 404 and 401 of the Clean VVate r Act and/or Section 10 of the Rivers and Harbors Act of
1899. 1 also authorize EGS to apt in my behalf in the processing of this request and to furnish
supplemental information in support of this request, including stream/wetland matters in
coordination with the USA E and the N DWR field verifica -on and errnit application'
Property owner Signature:
Date: t `
EGS CapAd Services, PLLC • ECS Floria, LLC • E('S Mi _Mantic. LLC • FCS Nj dv%.est, LLC • FCS Sou3ileast, L LP • ECS Texas. LLP
www.ec�sGrnited.