20230677 Ver 1_Copley_LOA_signed_20230417

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Reference: Estate File Number 1996-E/000135 County: Durham
Parcel ID Number: 0950-01-8432 and 0950-11-10-3503
Street Address: 5204 Isham Chambers Road,Rougemont, NC 27572
Property Owner: Steve Ray Copley and spouse, Debra R. Copley
The undersigned, registered property owner(s) of the above property,do hereby authorize
Wildlands Engineering, Inc. to take all actions necessary 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). We agree to allow regulatory agencies,including the US Army Corps
of Engineers,to visit the property as part of these environmental reviews.
Property Owners(s)Address: 6704 Bahama Road,Rougemont,NC 27572-7215
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
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(Property Owner Authorize ignature) (Date)
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(Property Owner utho i ed Signature) (Date)