20080008 Ver 2_Agent Authorization Form - Henderson County-signed_20230509

Jennings
Environmental
7 Samuel Ashe Drive,Asheville,NC 28805 1 919-600-4790 1 [e-mail]
AGENT AUTHORIZATION FORM
Project Location: Edneyville Community Park
15 Ida Rogers Road, Hendersonville, NC 28792
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): Henderson County
Owner(s)Address: 100 N. King Street, Hendersonville, NC 28792
Owner(s) Phone: [phone]
Owner(s) Email: [e-mail]
1&hJ-r
Betsy K. Gerwig
Autho /zed Signature(s)& Printe ame(s)
10/25/2022
Date
Jennings Environmental PLLC is licensed with the North Carolina Board of Examiners for Engineers and Surveyors and is
authorized to practice engineering under the provisions of Chapter 89C and 55B of the General Statutes of North Carolina.
License Number P-1932.