20221625 Ver 1_03b_USACE-AA Form- Cherry Lane - WG-5.31.2022_20221115

AGENT AUTHORIZATION FORM
Name:
Address:
Phone: 7:� /
Project Name/Description: Cherry Lane Site
Date: !A/ �� t---
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: Mr. Chris Hopper
Field Office: Raleigh Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
Welcome Real Estates Services, LLC hereby designates and authorizes Kimley-Horn and Associates,
Inc. to act in my/our behalf as my/our agent solely for the purpose of processing Jurisdictional
Determinations, Section 404 permits/Section 401 Water Quality Certifications applications, and Jordan
Lake Watershed Riparian Buffer Authorizations, and to furnish upon request supplemental information
in support of applications, etc. from this day forward until successful completion of the permitting
process or revocation by the owner.
In addition, I, the undersigned, a duly authorized optionee of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) 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.
Authorized this the � day of
_r,__a�ccmta tr
Responsible Party's Name
Cc: Paul Wcjoski
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Responsible Party's Signature