20160511 Ver 2_Agent Authorization_20180410

AGENT AUTHORIZATION FORM
Name: Publix North Carolina, LP c/o Jeffrey Chamberlain
Address: _3300 Publix Corporate Parkway, Lakeland, Florida 33811
Phone: [phone]
Project Name/Description: South Market Village
Date: .Tune 23. 2
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: David Brown
Field Office: Asheville Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
Publix North Carolina, LP hereby designates and authorizes Kimley-Horn and Associates, Inc. to act in
my/our behalf as my/our agent sow for the purpose of processing Jurisdictional Determinations,
Section 404 permits/Section 401 Water Quality Certifications applications, and to furnish upon request
supplemental information in support of applications, etc. from this day forward until successful
completion of the permitting process or revocation by the owner.
In addition, I, the undersigned, Owner of the properties identified herein, do authorize representatives of
the Wilmington District, U.S. Army Corps of Engineers (Corps) 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.
Authorized this theday of ,
Publix North Carolina, LP c/o Jeffrey Chamberlain-
Print Property Owner's Nan}e •operTyT w rer's Signature
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650