20131030 Ver 1_Agent Authorization Letter_20131121

',E C�;'V F
NOV 1 5 0113
I
SAMPLE AGENT AUTHORIZATION FORM DWQ/9LI-face W7cerP-Ifcctro-n Section
Ashevifie regional Office
PROPERTY LEGAL DESCRIPTION:
LOT M PLAN NO, E PARCEL ID: 0799-03-21-9781
STREET ADDRESS: 12462 NC 226,Spruce Pine,NC 28777
Please print:
Property Owner: l b '
Property Owner: _ TT
�l
1
The undersigned,registered property owners of the above noted property, do hereby authorize
Michael Wood of !The Catena Group
(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):
I
Q
Telephone: K - qW,- 4 aA
-
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date:,X jfi v� Date:
i

The
Catena
410-B Millstone Drive
Group Hillsborough, NC 27278
[phone]
November 19,2013
Ms. Karen Higgins
NCDENR-WBSCP Unit
1650 Mail Service Center
Raleigh,NC 27699-1650
RE: Request for More Information
401 Water Quality Certification
Rockhouse Creek Streambank Stabilization Project
DWQ Project#2013-1030
Mitchell County
Dear Ms. Higgins:
Enclosed you will find four hard copies of the signed agent authorization form for the
subject property. A signed copy has already been received by Mr. Tim Fox at the
Asheville Regional Office. I apologize for the oversight when sending the original
application.
Please feel free to contact me with any questions or comments. As such, my mobile
phone is(919-272-0300) and my email address is [e-mail].
Siin1c_erely,
V @ tr-5,
Ivy Kimbrough
The Catena Group, Inc. NO V 2 1 2013
0 A
U

SAMPLE AGENT A R nON FORM
PROPERTY LI=M DESCRIMON:
LOT NO. PLAN NO. PARCEL ID: 0799-03-21-Ml
STREET ADDRESS: 12462 NC 226,Spruce pine.NP 29777
Please print:
Property Owner-9-6A M A dq I LS. e,
Property Owner:
The undersigned,register property owners of the above noted property,do hereby authorize
Michael Wood_ ,of The Catena Group
(Corrb=W/Agent) me of aonsurdng firm)
1
to act on my behalf and Wk a all actions for the processing,Issumm and acceptanm of
this permit or ce tificaton and any and all starKh ird and special conditions attached.
Property Owner's Address(if different than MW'nW above):
TeWwne:2s
We hereby cer ft the above information submit�d in this application is true and aacurabe t D the
best of our knowledge.
MAC
Authorlzed Signature Authaated Signature
Date:X !t�, 1/3 Dom:
' NOV D
2 X 2013