20241013 Ver 1_LCJ Agent Authorization Form_20240725

D
BOLTON Mosley Creek Channel Bank Repairs
& MENK Southeastern Drainage Office
Real People,Real Solutions.
AGENT AUTHORIZATION FORM
The purpose of this form is to authorize our firm to act on our behalf in matters related to the aquatic
resource (i.e. stream/wetlands) identification/mapping and regulatory permitting. The Owner: Lenoir-
Craven-Jones Drainage District (c/o Southeastern Drainage Office and District Manager Kendall
Paramore) does hereby authorize: Jonathan Hinkle, PE of Bolton & Menk Inc., to act on its behalf and
take all actions necessary for processing, issuance, and acceptance of this permit or certification and any
and all standard and special conditions attached. This authorization is for the project entitled Mosley
Creek Channel Bank Repairs.
Project Site Information:
Project/Site Name: Mosley Creek Channel Bank Repairs
Property Address: NC HWY 55
Project/Site Coordinates: 35.295, -77.446
Owner Contact Information:
Name: Kendall Paramore
Title: District Manager
Company: Lenoir-Craven-Jones Drainage District
c/o Southeastern Drainage Office
Address: PO Box 699
Grifton NC 28530
Phone Number: 252.542.4000
Email: [e-mail]
Bolton & Menk Inc. Contact Information:
Contact: Jonathan Hinkle, PE
Address: 1308 HWY 258 N
Kinston NC 28504
Phone Number: 252.549.4398
Email: [e-mail]
Kendall Paramore District Manager
Project Owner(Print) Project Owner Title
Project Owner(Signature) Date
Project Number:24X.134783.000