20221490 Ver 1_P22044-DOHM AGENT AUTH SIGNED_20221222

Agent Authorization Form
Date: 05/ 17/2022
Name of Property Owner(s) Applying for Permit:
Door of Hope Ministries
Types of Permits Sought:
USACE Jurisdictional Determination, Nationwide Permitting, NC DWR
Permitting/Determination
By signature below, I do hereby certify that I have the authority and duly authorize
Quible & Associates, P.C. to act on my behalf for purposes of applying for and
obtaining any and all necessary permits for my property located at:
2595 Pea Ridge Road
Mill Spring, NC 28753
Parcels P104-3; P104-36
This certification is valid until: 12/31/2022
Sincerely,
Doo f Hope inist 'es