20220041 Ver 1_3b - Agent Authorization form for ECS SIGNED BY JOE WRIGHT JR_20220104

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Agent Authorization
Property/Site:
Address of Site: Cj
�vnd�rsor �oyn�, �C Za?S9
Parcel Identification Number (PIN):` —
Owner information:
Name: To5C0L% W • �rc.��.°� J ex.,A Jo_ne. 14. V)Q.�c
Address: P-0� PSoX q 0 S -
gent Ag�cSor%V k: ke. KC Z
Telephone Number: ��-�sf a s7
Fax Number:
E-mail Address:
Property Owner Certification:
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 (USACE)
and/ or the North Carolina Division of Water Resources (NCDWR) 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/State jurisdiction under
Section 404 and 401 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899. i also authorize ECS to act in my behalf in the processing of this request and to furnish
supplemental information in support of his reques#, including stream/wetland matters in
coordination with the USACE anc� e N dWR field yer�ication mit application:
Property Owner Signature: � ' Cam/ (�/��/J/ ��
Date:
ECS C,1001 Fes€ sic' fi, PLLC * ECS Florida, LLC * ECS Mid-Atantc- LIC • ZE-CS Mtdwebt. L!_C: • ECS Southeast. LLP * ECS IOXes, LLP
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