20211174 Ver 1_Agent Authorization Letter_20210728

AGENT AUTHORIZATION FORM

Name: ___________________________________________________________

Address: _________________________________________________________

Phone: __________________________________________________________

Project Name/Description: NW Cary Parkway Sidewalk Project

Date: ____________________________________________________________

The Department of the Army
U.S. Army Corps of Engineers, Wilmington District

Attention: Mr. James Lastinger
Field Office: Raleigh Regulatory Field Office

Re: Wetland Related Consulting and Permitting

To Whom It May Concern:

The Town of Cary hereby designates and authorizes Kimley-Horn and Associates, Inc. to act in my/our
behalf as my/our agent solely for the purpose of processing Jurisdictional Determinations, Section 404
permits/Section 401 Water Quality Certifications applications, and Neuse River Basin Riparian Buffer
Determinations, 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, a duly authorized owner of record of the property/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 the _____ day of ____________, _________.

______________________________ ________________________________
Print Property Owner’s Name Property Owner’s Signature

Cc: Rick Trone
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
[phone]
202128th
7/28/2021
316 N. Academy Street Cary, NC 27513
Kyle Hubert
Kyle Hubert
July