20210768 Ver 1_More Info Received_20210817

Firefox
about:blanlc
S
AGE
i
AGENTAUTHORIZATION FORM
All Blaujil to Be Filled in By the Current Lao4owner or Legal _Rtyresentative
Narrie: -44 Rpad, L&C 4xvi'd-6w-0111, ra
ke
Address:
V
e
Phone:
Email: Cie, 0 11 F :5 g4raL"inetrior home6. corn
Project Name I Description:__ WestraSubdivision
Sage Project:! 202 1. 103
Date: (12 2 2 1-
/�O
The Department of the Army
U.S. Army Corps, of Engineers. NVilmington District
P,OBox 1890
Wilmington, NC 28402
Attn:
Field 6ihce"-:-'
Re: Wetlands and Streams Related Consulting and Permitting
To Whom It May Concern:
1. the undersigned, the owner or a duly authorized rewesentative of record of the property , -properties identified
herein, do authorize representatives of the U.S. Army Corps of Engineers I 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. Section 10 of the Rivers
and Harbors Act of 1899. 1 also hereby designate and authorize Sage Ecological Services to act on niv behalf as triy
agent in the processin request _g of permit application, to furnish upon information in support of
applications, etc. from this day forward.
This notification supersedes any previous correspondence concerning the agent for this prq,,ect.
7
Notice: This authorization, for liability and professional courtesy reasons, Is valid only for governuietit
Officials to enter the property when accompanied by Sage staff. Please contact Sa,eto arrange a meeting
prior to visiting the site.
Pr, it ;Name of.Ldcr3 ne or Signature of Land
Legal Representative Legal Reprosontative
1 Of 1 6/22/2021, 3:59 PM