20180957 Ver 3_02_Signed_AAForm_DTGW_20220901

AGENT AUTHORIZATION FORM
Name: A 5°0 6 05A O-1
4 r C�7rtF.: n 5341�a
.... _ .............. _..................................... __...........................
Address: 300 4J WAg0,46r oS4-. A?F-J5g53a,1a NG T'71 2
Phone: - 3 (/
Project Name/Description: Greensboro Downtown Greenway and CB Stream Restoration
Date: 12 - 11- Zv? 1
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: James Lastin er
Field Office: Raleigh Reg
ulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:.
The City of Greensboro hereby designates and authorizes Kimley-Horn and Associates, Inc. to act in
my/our behalf as my/our agent solely for the purpose of processing Section 404 permit
modifications/Section 401 Water Quality Certifications modifications, and Jordan Lake Watershed
Riparian Buffer Authorization modifications, and to furnish upon request supplemental information in
support of applications, etc. from this day forward until successful completion of the permitting process
or revocation by the owner.
In addition, 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)
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.
Authorized this the I q day of ;- Zo2 r
AsorJ ��q�J AIVIv,
Print Property Owner's Name r pe�rty Own s Si at�ure
Cc: Paul Wojoski
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650