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HomeMy WebLinkAbout20221638 Ver 1_4d Long Ferry Agent Authorization 112 113_20221115IIIllliy11111111Y® ECS SOUTHEAST, L L P "Setting the Standard for Service" Geotechnical • Construction Materials • Environmental - Facilities NCR�gisteraEngineeistsFirm. C-40t NC Registered Geologists Firm C-4GCr 5C Registered Engineering Firm 3239 Agent Authorization Property/Site: ! 0 wqs f~i-6,y 0 • 1GA-8Lb-)1 ppo Address of Site: Parcel Identification Number (PIN): map G 03 PY%fzt2QS 113 er I I 4s Owner Information: Name: ff4nA Y/, u Address: I IV. FvNw► .jF.. Telephone Number: 'Z©y - 6-3 C313 Fax Number: 70 33 - '7-3 9 6 E-mail Address: //9 w r�� C4fi iv6 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 supplemental information in support of this re coordination with the USACE and the NCD fi Property Owner Signature: Date: processing of this request and to furnish including stream/wetland matters in and permit application: ECS Capitol Services, PLLC ECS Florida, LLC • ECS Mid -Atlantic, LLC - ECS Midwest, LLC • ECS Southeast, LLP • ECSTexas, LLP www_ecstimited.com ECS SOUTHEAST, LLP "Setting the Standard for Service° Geotechnical - Construction Materials - Environmental • Facilities Agent Authorization Property/Site: Address of Site: NC Regisiared Engineering Finn F. 107e. NC Regisered Geologists+ Fare r; 40P SC Registered EngmeennU Firm 32:'• i Parcel Identification Number (PIN): _ MPIC 6-0-? pi4fice/S ,113 d Owner Information: Name: (,QrcG- �bd foll% (Brooky-1 Address: (b ��fl qo3 GOJ sica) UQ;r)�t Telephone Number: Fax Number: �&-_"6!Vw E-mail Address: CiGU([JbnoCpoelfl 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: Property Owner Signature: G ( , aa�bQ�rOO�i2SL__� Date: l ! - 0- C-,)GQ� I ECS Capitol Services, PH C - ECS Florida, LLC • ECS tvMd-Atlantic, LLC • ECS Midwest, LLC - ECS Southeast, LLP - ECS Texas, LLP www.ecslimited.com Agent Authorization Property/Site: Address of Site: Parcel Identification Number (PIN): Co,3 /2CP_4 Oct ) ( a Owner Information: sl l Name: At) �U t2 t) Address: 5,5f 95' AA, 16 ie , NL 9-6 7-10 Telephone Number 20 `t " 61a I " 1617 Fax Number. E-mail Address: c4 t1YY1 Property Owner Certification: 1, 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 (USAGE) 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 NAWR fieiclverification and permit application: Date:Property Owner Signature: PTIM -'