20221638 Ver 1_4b Long Ferry Agent Authorization 114 116_20221115

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11 ECS SOUTHEAST, LLP '°Setting the Standard for Service"
Geotechnical • Construction Materials • Environmental • Facilities NC Registered Eng�nee stFF_,g,8
NC Registered Geo[og�5ts Firir m C-408
SC Registered Engineering Firm 3239
Agent Authorization
Property/Site: 6 0
Address of Site: 14 0n Lc ar, el
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Parcel Identification Number (PIN): �-
Owner Information: i f
Name: �i_ �`-J 62 �h Z A0.1-0 ' �..'uyYl_ S fy
Address: �/ O Z /�' lid Z` v-t1 4c�c i'7i SO
Telephone Number: �/ G /V J�O �` /�- �%� ��, 62- 5/ s 4
Fax Number:
E-mail Address: d
Property Owner Certification:
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 (USACE)
and/ or the North Carolina Division of Water Resources (NCDWR) 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/State jurisdiction under
Section 404 and 401 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899. 1 also authorize ECS to act in my behalf in the processing of this request and to furnish
supplemental information in support of this request, including stream/wetland matters in
coordination with the USACE and the NCDWR field verification and permit application: �7
Property Owner Signature-
Date:
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