HomeMy WebLinkAbout20221160 Ver 1_signed owner cert agent auth_20220825Soil & Environmental Consultants, PA
8412 Fills of reuse Road, Suite 104, Raleigh, NC 27615 • Phone: (919) 846-5900 • lax: (919) 846-9467
s anrlec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Lyle Phillips 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): 0 7 7 g c, g ( lam '+' 67. elf- 771 S `
Site Address: q, ^ rt L e.-r v : (�
City, County, State: q t v. i, } (} c
PROPERTY OWNER INFORMATION (maili address. email and hp oriel:
Name: Eu Nut L LL(
Mailing Address: Fr 7 (fc, Ay tii G 7 i 3
Email: c0„4 er y r P @y,t,�-it 'hone: O.te:4 -(p S. 8 - 2. 05
Property rner Name (p0 e pri Date
Property Owner Signa
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.