20110994 Ver 1_More Info Received_20111117

Strickland, Bev
From Witherspoon Lauren
Sent Thursday November 17 2011 1 51 PM
To Denrnson Laurie Strickland Bev
Sub�ect FW Bolin Creek
Attachments Signed Agent Auth Form for NCDOT pdf
For file 2011 0994
Thanks
Lauren
From Ferm Debra jmailto Debra FermCa�wspsells com]
Sent Thursday November 17, 2011 1 27 PM
To Witherspoon Lauren
Sub�ect FW Bolin Creek
Lauren
Attached is the agent authorization form that was left out of the submittal Let me know if you have any questions
Thanks
Debbi Ferm PE CPESC
WSP SELLS
15401 Weston Parkway Suite 100
Cary NC 27513
[phone]
[phone] (fax)
[phone] (m)
debra ferm@wspsells com
www wsqselis com
1

�
G�IT AUTHORRATION FORM
PROPERTY l.EGAL D�IP`TtON
�or No au��n�o P�c�..ro� �7�y S23Y�
,
STRfET ADDRESS _1S�(iJ �/-�S'� �t�rv,�-L Zv ��+.-`�% .
G�l�PE� ��c ���, 2�� � - C�,.�.�.G�,�y ���tir
�p o��I� ��� G�/��"/_ �TGG
�.v
Pr�'ty Oumer'
'The undersi9ned,�ered PmpertY oNVn�^s t�the a�nre noted�+,do he�y autl�orize
�C �- A�� ,.��_S�LL,S ,
tC�+�'I A�t) (Plame of aonsul�rx�firtn)
to ad ori my beha�and take aq acdor�s nece�sary f�r it�e proo�slr�g,I�ne and�c��f
thls perm�t or c�cadon and arry and alE standard ar�d speda!cond3tior�s at�ached
Propexry Owner's�ddress(if diffa�ent�an property above) �
/D� ,�l N'TS�/ LiV��/�,� �/�iJ[7 . `� � L��l�J
T��� �r9� ��� -� ?X�
iNe heretr�►aertify tfie above Information subrnitted In fh�s applic�tlen Es h�ue 8rid aaarate tio the
best ofi our�ge.
(!� �
Authorl�ed SfgnaNme Aut9�oHzed Signature
� __�__�L���/f� Debe