20120732 Ver 2_Agent Authorization_20150212

AGENT AUTHORIZATION FORM
PARCEL ID: 7344 0639 0758 000
STREET ADDRESS: 131 Charles Street, Harkers Island, NC 28531
Please print:
Property Owner: United States of America (managed by the Department of Interior,
National Park Service, Superintendent Patrick M. Kenney
The undersigned, registered property owners of the above noted property, do hereby
authorize
Steven M. Rice, P.E. of Rice & Associates, PLLC
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and
acceptance of the Stormwater Permit, 404 Wetland Impact Permit and 401 Water
Quality Certification Permit or certification and any and all standard and special
conditions attached.
Telephone: 252 - 728 -2250 x3014
We hereby certify the above information submitted in this application is true and
accurate to the best of our knowledge.
Date: 7 "eo -/