HomeMy WebLinkAbout20211645 Ver 1_LOA Executed_20211027LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1622, 1323 Page: 187, 1 County: Harnett
Parcel ID Number: 1306010074, 1306010092
Street Address: Off Holly Springs Church Road, Broadway, NC 27505
3085 Holly Springs Church Road, Broadway, NC 27505
Property Owner (please print): Patterson and Sons, Inc.
The undersigned, registered property owner(s) of the above property, do hereby authorize
Wildlands Engineering, Inc. to take all actions necessary for the evaluation of the property as a
potential stream, wetland and/or riparian buffer mitigation project, including conducting stream
and/or wetland determinations and delineations, as well as issuance and acceptance of any required
permit(s) or certification(s). I agree to allow regulatory agencies, including the US Army Corps of
Engineers, to visit the property as part of these environmental reviews.
Property Owners(s) Address: 78 Tim Patterson Lane, Broadway, NC 27505
(if different from above)
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
perty O*nei Authorized Signature) (Date)