20220223 Ver 1_signed Harvey SEC Authorization 9.17.2021_20220207

Soil & Environmental Consultants, PA
8412 %ills of \euse Road, Suite 104, Raleigh, ?\,(:27613 • Phone [phone] • I�xv [phone]
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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: Raleigh
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): 1842607154, 1842607274
Site Address: 1132 and 0 Coram Fields Road, Wake Forest, NC 27587
PROPERTY OWNER_ INFORMATION
Name: Kevin & Renee L. Harvey
Address: 1132 Coram Fields Road, Wake Forest, NC 27587
Phone No.: ( 919) 780-9980 Fax No.: ( ) Mobile No.: ( )
Email:
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Property OwrVer (please p nt) / 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.