20230514 Ver 1_Agent Authorization_20230417

NO WithersRavenel
No
Our People. Your Success.
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned OwnerTim Webster (Client) does hereby appoint WithersRavenel Inc
as his, her, or it's agent for the purpose of petitioning the appropriate local, state and federal
environmental regulatory agencies (US Army Corps of Engineers, NC Division of Water
Quality, NC Division of Coastal Management, local municipalities, etc.) for: a) review and
approval of the jurisdictional boundaries of onsite jurisdictional areas (wetlands, surface
waters, riparian buffers, etc.) and/or; b) preparation and submittal of appropriate
environmental permit applications/requests for the retaining wall replacement proiect on
the 0.57 acre parcel (PIN: 6575-11-55-1208) located at 638 Deerfield Rd in Mt. Gilead
Montgomery County, North Carolina
The Client does hereby authorize that said agent has the authority to do the following acts
on behalf of the owner:
(1) To submit appropriate requests/applications and the required
supplemental materials;
(2) To attend meetings to give representation on behalf of the Client.
(3) To authorize access to subject property for the purpose of
environmental review by appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or
termination by the Client.
Agent's Name, Address & Telephone:
WithersRavenel Inc
115 MacKenan Drive
Cary, NC 27511
Tel. [phone]
Date: /Lz�/23
Signature of Client:
-rim f'!.%Pr skr- OWAVI-
(Name - Print) (Title)
(Signature)
2986 6~ 114 A
Mailing Address
Ws44~ /V6 27317
City State Zip
Phone:
Email: rtfwGF/r���ijGsTiS+Z.aY�
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467,6008 1 www.withersravenel.corn I License No. F-1479
Asheville I Cary I Charlotte I Greensboro I Lumberton I Pittsboro I Raleigh I Southern Pines I Wilmington