20221585 Ver 1_Agent Authorization_20220916

Agent Authorization Form
Parcel ID: 022298
County: Nash
Street Address: 10724 Gaskill Farm Rd Whitakers, NC 27891
Property Owner(s): Leonard Wayne Edwards
The undersigned, registered property owners of the above noted property, do hereby
authorize employees of Eco Terra, LLC (Contractor / Agent) to act as an agent on our behalf in
the identification and delineation of jurisdictional wetlands and streams located on the above
property.
We hereby authorize entry upon the property by authorized agents of the United States Army
Corps of Engineers, North Carolina Division of Water Resources, and North Carolina Division
of Mitigation Services to perform duties in conjunction with the establishment of a mitigation
or buffer bank.
The above information submitted in this form is true and accurate to the best of our
knowledge.
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Owner/ thorized Signature Date
470 Melton Bridge Rd Whitakers, NC 27891
Property Owner's Address (if different than property above)
[phone]
Telephone