Ver _soil& environmental consultants ppw_20240626

Soil & Environmental Consultants, Inc.
9412 F&M& of Nmw Roved, Smite 104, RWeigh, NC 2765 • Phan (919) 816-59M • Fri [phone]
aapdec _
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: Mt
Date: 4 / 2 3 / 24
Pisgah Assemblage
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn:
Field Office:
S&EC Project #
I, 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 Soil &
Environmental Consultants, Inc. (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions.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 S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 19992
Site Address: 974 Ferrell Road W
City, County, State: Cx Ca-r_y, Chatham, NC
PROPERTY OWNER INFORMATION:
Name: Pattie M Sturdivant
Address: < Il o1 -Np- {
Phone No.: ( ) Fax No.: { } Mobile No.: (q lq } , _4
Email: n c,+-1A_ YA IV-(V b•edl5OtA +h . n e+
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Property Owner Signature
41471.4 lzt
Date
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.