20220984 Ver 1_S&EC Agent Authorization Form (Stanley Martin Homes LLC).docx_20220817

PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION

Project Name/Description: WAKE FOREST VILLAGE S&EC Project #14765

Date: 2022

The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403

Attn: April Norton USACE Regulatory Field Office: Raleigh

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) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) 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. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.

NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when ac companied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.

PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 1841524174 Deed: 018992/01894 Lat/Long: 35.980932/-78.508114
Site Address: 150 North White Street, Wake Forest, Wake County, NC
Watershed: Spring Branch, 27-23-4-1, C;NSW, Nesuse 030202010702

PROPERTY OWNER INFORMATION:
Name: Stanley Martin Homes, LLC
Address: 4020 Westchase Blvd., Ste. 470, Raleigh, NC 27607-3942
Phone No.: ( ) Fax No.: ( ) Mobile No.: ( )
Email:

_________________________________________ ________________________
Property Owner (please print) Date

Property Owner Signature

We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
DocuSign Envelope ID: 6CC1E081-9C31-483A-BF5A-A7B90709D592
7/18/2022 | 8:16 AM PDT
7/18/2022 | 8:16 AM PDTBrian Ketchem
DocuSign Envelope ID: 468D61CC-437C-4BAA-9198-AEB462FBBB19