20190872 Ver 2_Carter Ridge-Agent Authorization_20200318

NORTH CAi OLINA
azr&so"MrA?*t C2aoftty
ROY COOPER
Governer
MICHAEL S. REGAN
SecretatT
LINDA CULPEPPER AGENT AUTHORIZATION FORM
Director
OPERTY LEGAL DESCRIPTION: Harrington Tract — Tract 1— MB 46, Page 57
LOT NO. 1 PLAN NO. PARCEL ID: 10084
STREET ADDRESS: 1190 B's Barbeaue Road
Greenville. NC
=lease print:
Proverty Owner: LeoTerra Greenville,LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Scott T. Anderson, PE of Arlo Consulting Group. PLLC.
(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):
3608 W. Friendiv Ave.. Suite 202 Greensboro. NC 27410
"elephone: 336.279.7282
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge_
Authorized Prini Name Aut ize ignature
Date: 3/18/2020 Date: 3 1 S a0a0
North Carolina Department of Environmental Quality )Division of Water Resources - Washin4on Remonaf Office
943 Washington Square Mall. Washington, North Carolina 27889
252-446-648I