20221369 Ver 1_Agent Authorization Signed_20221003

AGENT AUTHORIZATION FORM
The undersigned, registered property easement owners (see attached property documentation),
do hereby authorize
Dan Zurlo WK Dickson & Co., Inc
(Contractor / Agent) . (Name of consulting firm)
to act on behalf of the City of Eden, NC and take all actions necessary for the processing,
issuance and acceptance of this permit or certification and any and all standard and
special conditions attached for the Junction Basin and Smith River Siphon project.
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Signature
Date: '0( A I I I)-
Authorized Signature
Date: 10/3/22