20230980 Ver 1_Signed Agent Authorization_20230710

Agent Authorization Form
The City of Greenville is negotiating a right of access agreement for the following properties required for the Cedar Lane
Streambank Stabilization Project:
Phase
Bank
Street
Address
NCPIN
Demo
Plan
Excerpt
Page No.
Book/Page
Owner
2
Right
Fletcher Place
121
04697140746
1
004129/00296
MCALLEM LLC
2
Right
Fletcher Place
134
4697140812
1
003060/00759
GREAT PLACE PROPERTIES LLC
2
Right
Fletcher Place
132
04697140920
1
003683/00357
HOOTON RICHARD J;
HOOTON FAITH L
2
1 Right
I Fletcher Place
130
04697140957
2
003653/00076
GARNETT LLC
2
Right
Fletcher Place
128
04697150094
2
Not Available
GREAT PLACE PROPERTIES LLC
2
Right
Fletcher Place
126
04697151130
2
000989/00362
JENNETTE ROBERT;
JENNETTE HOLLIE F
2
Left
E. Wright Road
1417
04697048891
1
003563/00057
GORDON DAVID 10SEPH;
GORDON DANIELLE RHODES
2
Left
E. Wright Road
1609
04697049914
1
002237/00318
SCHLIENZ DAVID C
2
Left
E. Wright Road
1607
04697059033
2
003874/00734
REHM ALLYSON;
REHM CHARLES R
2
Left
E. Wright Road
1605
04697059180
2
003075/00088
MCLAWHORN RALPH E 1R
2
1 Left
E. Wright Road
1603
04697150127
2
004170/00832
SULLIVAN CHADWICK J
1
Right
Fletcher Place
124
04697151186
3
003526/00102
ISLER RODERICK P
1
Right
Fletcher Place
122
04697152232
3
1 004009/00168
MCLAREN JENIFER
1
Right
Fletcher Place
120
04697152288
3
Not Available
GREAT PLACE PROPERTIES LLC
1
Right
Fletcher Place
118
04697153344
4
004077/00264
HADDOCK CONNIE N
1
Right
Fletcher Place
116
04697154324
4
001785/00857
BILAN SVITLANA
1
Left
Fourteenth Street
1601
04697150263
3
02015E/00254
COCO WILLIAM J
COCO MATTHEW WILLIAM
ETAL
1
Left
I E. Wright Road
1507
04697151209
3
003952/00025
ACE INVESTMENTS LLC
1
Left
E. Wright Road
1505
04697151336
3 1
003053/00401
GREEN MILL RUN LLC THE
1
Left
E. Wright Road
1503
04697152401
3
004173/00181
WALKER MCKAYLA KYLIE; COOLEY
BRYAN HARTSFIELDJR
1
Left
E. Wright Road
1501
04697152456
4
003747/00526
MCGLOON SEAN W
1
Left
E. Wright Road
1415
04697153522
4
003239/00799
BOGENN FRANKIE G
1
Left
E. Wright Road
1413
04697153597
5
004241/00033
KROMENHOEK MARY L
1
Left
E. Wright Road 1
1411
04697154681
5
004215/00325
BROAD AND BAY LLC
1
Left I
E. Wright Road 1
1409
04697155647
5
Not Available
SMITH DOUGLAS EUGENE
The City of Greenville, NC, holder of drainage easements and right -of -entry agreements on the above properties and sponsor of
the Cedar Lane Streambank Stabilization Project, hereby authorizes Todd Tripp, PE and Michelle Clements, PE of The East Group
to act on its behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and
any and all standard and special conditions attached.
Lisa Kirby, PE
Director of Engineering
City of Greenville, North Carolina
[phone]' 4-6 &-1
LKIRBYPGREENVILLENC.GOV
�-
Aaorized Signature
y I(
Date
2 L2-4 Zoz3

APPLICATION IDENTIFICATION
N.C. DEPARTMENT OF TRANSPORTATION
STREET AND DRIVEWAY ACCESS
Driveway
ate of
Permit No.�pplication
PERMIT APPLICATION
County: Pitt
Development Name: Cedar Lane Streambank Stabilization
LOCATION OF PROPERTY:
Route/Road: SR 1703 E 14th Street
Exact Distance ❑ Miles N S E W
M Feet ❑ ❑ ❑x ❑
From the Intersection of Route No. Osceola Drive and Route No. E Fourteenth St. Toward SE Greenville Blvd.
Property Will Be Used For: ❑ Residential /Subdivision ❑ Commercial ❑ Educational Facilities ❑ TND ❑ Emergency Services ® Other
,Property: ® is ❑ is not within Greenville, NC City Zoning Area.
AGREEMENT
• I, the undersigned property owner, request access and permission to construct driveway(s) or street(s) on public right-
of-way at the above location.
• I agree to construct and maintain driveway(s) or street entrance(s) in absolute conformance with the current "Policy on
Street and Driveway Access to North Carolina Highways" as adopted by the North Carolina Department of
Transportation.
• I agree that no signs or objects will be placed on or over the public right-of-way other than those approved by NCDOT.
• I agree that the driveway(s) or street(s) will be constructed as shown on the attached plans.
• I agree that that driveway(s) or street(s) as used in this agreement include any approach tapers, storage lanes or
speed change lanes as deemed necessary.
• I agree that if any future improvements to the roadway become necessary, the portion of driveway(s) or street(s)
located on public right-of-way will be considered the property of the North Carolina Department of Transportation, and I
will not be entitled to reimbursement or have any claim for present expenditures for driveway or street construction.
• I agree that this permit becomes void if construction of driveway(s) or street(s) is not completed within the time
specified by the "Policy on Street and Driveway Access to North Carolina Highways".
• I agree to pay a $50 construction inspection fee. Make checks payable to NCDOT. This fee will be reimbursed if
application is denied.
• I agree to construct and maintain the driveway(s) or street(s) in a safe manner so as not to interfere with or endanger
the public travel.
• I agree to provide during and following construction proper signs, signal lights, flaggers and other warning devices for
the protection of traffic in conformance with the current "Manual on Uniform Traffic Control Devices for Streets and
Highways" and Amendments or Supplements thereto. Information as to the above rules and regulations may be
obtained from the District Engineer.
• I agree to indemnify and save harmless the North Carolina Department of Transportation from all damages and claims
for damage that may arise by reason of this construction.
• I agree that the North Carolina Department of Transportation will assume no responsibility for any damages that may
be caused to such facilities, within the highway right-of-way limits, in carrying out its construction.
• I agree to provide a Performance and Indemnity Bond in the amount specified by the Division of Highways for any
construction proposed on the State Highway system.
• The granting of this permit is subject to the regulatory powers of the NC Department of Transportation as provided by
law and as set forth in the N.C. Policy on Driveways and shall not be construed as a contract access point.
• I agree that the entire cost of constructing and maintaining an approved private street or driveway access connection
and conditions of this permit will be borne by the property owner, the applicant, and their grantees, successors, and
assignees.
• I AGREE TO NOTIFY THE DISTRICT ENGINEER WHEN THE PROPOSED WORK BEGINS AND WHEN IT IS
COMPLETED.
2004-07 NOTE: Submit Four Copies of Application to Local District Engineer, N.C. Department of Transportation TEB 65-04rev.
61-03419

SIGNATURES OF APPLICANT
PROPERTY OWNER (APPLICANT)
COMPANY City o Greenvill NAME
SIGNATURE SIGNATURE
ADDRESS L a irby, PE; bireetcTlof Engineering; 1500 Beatty Dr -ADDRESS
Greenville, NC 27834 Phone No. (252) 329A.522 484,1
WITNESS
AUTHORIZED AGENT
COMPANY Todd Tripp, The East Group NAME
SIGNATURE SIGNATURE
ADDRESS 324 Evans Street; Greenville, NC 27858 ADDRESS
Phone No. [phone]
WITNESS
APPROVALS
APPLICATION RECEIVED BY DISTRICT ENGINEER
SIGNATURE DATE
APPLICATION APPROVED BY LOCAL GOVERNMENTAL AUTHORITY (when required)
SIGNATURE TITLE
DATE
APPLICATION APPROVED BY NCDOT
SIGNATURE TITLE
DATE
INSPECTION BY NCDOT
SIGNATURE TITLE
DATE
COMMENTS: