20180794 Ver 1_Agent Authorization_20180607

AGENT AUTHORIZATION AND RIGHT OF ENTRY FORM

Date: December 15, 2017

Project Information
S&ME Project Name: St. Marks Church Road Senior Living Site
Type of Project: Commercial Development
Location: Burlington, NC

Property Owner/Representative Information
Business Name: Calamar
Mailing Address: 43 Technology Drive
City, State, Zip Code: Bedford, NH 03110
Telephone No. [phone]
Contact: Mr. Brent Narkawicz

Agent Information
Business Name: S&ME, Inc.
Street Address: 9751 Southern Pine Blvd.
City, State, Zip Code: Charlotte, NC 28273
Telephone No. [phone]
Contact: Darrin Peine

Authorization: I, , on behalf of
Worth Rhyne Whitesell Irrevocable Trust,
(Name of Landowner or Duly Authorized Agent)

a duly authorized owner of record of the property/ properties identified herein, hereby authorize S&ME to
act as agent with the USCAE in connection with the above-mentioned project. By signing above, I also
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon
the property herein described for the purposes of conducting on-site investigations, if necessary, and
issuing a jurisdictional determination pursuant to Section 404 of the Clean Water Act and/or Section 10 of
the River and Harbors Act of 1889. I, the above signed, am either a duly authorized owner of record of
the property identified herein, or acting as the duly authorized agent of the owner of record of the
property.