20221197 Ver 1_3027 Tryon Agent Authorization Form_20220923

3027 N Tryon Stream Restoration Project Marry Talents, One Firm
AGENT AUTHORIZATION FORM
The purpose of this form is to authorize our firm to act on our behalf in matters related to the aquatic
resource (i.e. stream/wetlands) identification/mapping and regulatory permitting. The Owner: Gallimore,
Gallimore & Eller, LLC, does hereby authorize: Jonathan Hinkle, PE of Greenman -Pedersen Inc., to act on
its behalf and take all actions necessary for processing, issuance, and acceptance of this permit or
certification and any and all standard and special conditions attached. This authorization is for the project
entitled 3027 N Tryon Stream Restoration Project.
Project Site Information:
Project/Site Name: 3027 North Tryon Stream Restoration
Property Address: 3027 North Tryon Street
Charlotte, NC 28206
Parcel Identification Number (PIN): 08502101 and 08502102
Owner Contact Information:
Name:
Title:
Company:
Address:
Phone Number:
Email:
Greenman -Pederson, Inc.
Contact:
Address:
Phone Number:
Email:
Project Owner
Mark R. Gallimore
Gallimore, Gallimore & Eller, LLC
3027 N. Tryon Street
Charlotte, NC 28206
704.372.3611
[e-mail]
Jonathan Hinkle, PE
1308 HWY 258 N Kinston NC 28504
910.250.5290
[e-mail]
Date
os- -
2-z