20221733 Ver 1_Kiser Authorization_20221208

7 Samuel Ashe Drive, Asheville, NC 28805 1 919-600-4790 1 [e-mail]
AGENT AUTHORIZATION FORM
Project Location: Kiser Property UT French Broad River Restoration Henderson County,
(35.301442-82.607523)
The undersigned, registered property owner(s) of the above noted property, do hereby
authorize Jennings Environmental PLLC to act on the property owner's behalf and take all
actions necessary for the processing, issuance, and acceptance of the permit or certification
and any and all standard and special conditions attached.
The property owner(s) hereby certify that the information submitted in this application is true
and accurate to the best of our knowledge.
Property Owner(s): KISER RICHARD DONALD JR TRUSTEE;RICHARD DONALD KISER JRAN
D
PAMELA M KISER REVOCABLE TRUST
Site Address: 267 Eade Rd Etowah NC 28729
Owner(s) Phone:
Owner(s) Email:
Authorized Signature(s)
Date
Jennings Enonmental PLLC is licensed with the North Carolina Board of Examiners for Engineers ana surveyors dnu
vir
authorized to practice engineering under the provisions of Chapter 89C and 55B of the General Statutes of North Carolina.
License Number P-1932.