20231142 Ver 1_Hawkins_LOA_20230808

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Boole: 1960 Page: 553 County: Orange
Parcel 1D Number: 9879592873
Street address: 8405 Walnut Grove Church Road in Hurdle Mills, NC 27541
Property Owner (please print). Lathan F. Hawkins
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 r 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 certifcation(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: 8400 Walnut Grove Church Road in Hurdle Mills, NC 27541
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
(Pr p . Uwner Authorized Signature)
1g
(Date)