20230748 Ver 1_230425 Hohn AA_20230427

aco terra,,
Agent Authorization Form
Parcel ID: 7747448578
County: Randolph
Street Address: 1701 Hohn-Davis Rd, Archdale, NC 27263
Property Owner(s): Jay S Hohn Jr. & Linda A Hohn
The undersigned, registered property owners of the above noted property, do hereby
authorize employees of Eco Terra Partners LLC (Contractor/Agent) to act as an agent on our
beh.alf in the identification and delineation of jurisdictional wetlands and streams located on
the above property.
We hereby authorize entry upon the property by authorized agents of the United States Army
Corps of Engineers, North Carolina Division of Water Resources, and North Carolina Division
of Mitigation Services to perform duties in conjunction with the establishment of a mitigation
or buffer bank.
The above information submitted in this form is true and accurate to the best of our
knowledge.
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w er/Authorized Sign ure Date
1-70l qE %Y,- Dewis l2a , A�,,��,d�l� , NC 70V-3
Property Owner's Address (if different than property above)
3 3[o - 2 85 - 30%
Telephone
1328 DeKalb Ave NE,Atlanta,GA 30307 1 404596.8004 1 EcoTerra.com
Printed on 100=b post-consumer recycled paper