20191348 Ver 1_Agent Authorization_20191108

Strickland, Bev
From:Robert Bunch <[e-mail]>
Sent:Friday, November 8, 2019 2:40 PM
To:Tyson Reilly; Johnson, Alan
Subject:\[External\] RE: Pharr Mill project
Attachments:Agent Authorization.pdf
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Alan, please see authorization form as requested.
Thanks
Robert

From: Tyson Reilly <[e-mail]>
Sent: Friday, November 1, 2019 3:10 PM
To: Johnson, Alan <[e-mail]>; Robert Bunch <[e-mail]>
Subject: RE: Pharr Mill project

Happy to handle it however you would like us to.

Tyson Reilly | Director
2100 Powers Ferry Road SE | Suite 350 | Atlanta, GA 30339
P: [phone] | M: [phone] | F: [phone]
[e-mail] | www.theardentcompanies.com

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From: Johnson, Alan <[e-mail]>
Sent: Friday, November 1, 2019 3:09 PM
1

To: Robert Bunch <[e-mail]>; Tyson Reilly <[e-mail]>
Subject: Pharr Mill project

Tyson Reilly is the applicant, Robert Bunch signed the application.

And Bunch is the agent for the owner. Might be easier to have Bunch act as the agent for
Reilly with an authorization form submitted?

Thanks

Alan D Johnson – Senior Environmental Specialist
NC Dept. of Environment & Natural Resources (NCDENR)
Division of Water Resources - Water Quality Regional Operations
610 East Center Ave., Suite 301, Mooresville, NC 28115
Phone: [phone] Fax: [phone]

E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

2

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
STREET ADDRESS:
PLAN NO. PARCEL ID: S.S 1 — 77 / / - 3 R)
20 G 1 Mat e ^r Lj 90f
Please print:
Property Owner:
A e
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
ZIal")
Telephone: go - '5-`t 8- 4! G --�- C.
We hereby certify the above Information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Date: 1 I /6 l f
rim l
Authorized Signature
Date:

ATHEA ARDENT

DWR
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