20221472 Ver 1_Pleasant Grove Floodplain Restoration Agent Authorization_20221013

7 Samuel Ashe Drive, Asheville, NC 28805 1 919-600-4790 1 [e-mail]
AGENT AUTHORIZATION FORM
Project Name and Location: Pleasant Grove Floodplain — Etowah, Henderson County, NC
The undersigned, registered property owner(s) of the above noted property, do hereby
authorize Jennings Environmental PLLC to act on the property owner's behalf and take all
actions necessary for the processing, issuance, and acceptance of the permit or certification
and any and all standard and special conditions attached.
The property owner(s) hereby certify that the information submitted in this application is true
and accurate to the best of our knowledge.
Property Owner(s): Conserving Carolina
Owner(s) Address: 847 Case Street, Hendersonville, NC 28792
Owner(s) Phone: [phone]
Owner(s) Email: [e-mail]
Authorized Signature(s) / Kieran Roe
10/10/22
Date
Jennings Environmental PLLC is licensed with the North Carolina Board of Examiners for Engineers and Surveyors and is
authorized to practice engineering under the provisions of Chapter 89C and 55B of the General Statutes of North Carolina.
License Number P-1932.