20140901 Ver 1_Agent Authorization Letter_20140825

AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream /wetland matters including U.S. Army Corps
of Engineers and North Carolina Division of Water Resources field verification and permitting.
Property Address: British Road
PINs45442207200 & 454421869400
Owner Information:
Address:
Telephone Number:
Fax Number:
E -mail Address:
1759 Dallas Turner Road
Kinston NC--222$4 1,9V f
252.560.9468
JURISDICTIONAL DETERMINATION REQUEST
SECTION D- PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records 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.
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Property Owner (please print)
Property Owner Signature
Date