20230242 Ver 1_Muscadine LOA_20230214

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 3756 Page:155 County: Wayne
Parcel ID Number: 2564636833
Street Address: Bowden Road, Wayne County, NC 28365
Property Owner (please print:0lYL�
Property Owner (please print: 0 1zake-t4-. > G i- 4e"v
The undersigned, registered property owner(s) of the above property, do hereby authorize
Resource Environmental Solutions, the NC Department of Environmental Quality, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: (U3 n rw Tay, K J
(if different from above)
541auw t��n)� ussu
Property Owner Telephone Number:
I/We hereby certify the above information to be true and accurate to the best of my/our knowledge.
(Propert3VOwner Authorized Signature) (Date)
Le e.2
Authorized Signature)
(Date)