HomeMy WebLinkAbout20220223 Ver 1_Signed Agent Auth Meadows Easement - Kinsley For S&EC 11.2.2021_20220207Environmental Consultants,
8412 balls of Neuse Road, Suite 104, Raleigb, NC 27615 • Phone: (919) 846-5900
sandec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: Richland Creek Outfall Extension (Offsite Sewer)
S&EC Project #13461
Date: 2021
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: April Norton USACE Regulatory Field Office:<Raleig
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) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) 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. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 1841792839
Site Address: 0 Burdock Lane, Wake Forest, NC 27587
PROPERTY OWNER INFORMATION:
Name: The Meadows Homeowners Association c/o PPM
Address: 11010 Raven Ridge Road, Raleigh, NC 27614
Phone No.: (00 IA{g 49// Fax No.: ( ) Mobile No.: ( )
Email: d resee e i-a t . GOm
Property Owner (please print) Date
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We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge,