SW4131203_Consent to Apply_20131202

December 2, 2013
li•[yr7:11,113
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
To Whom It May Concern:
Glandon Forest Equity, LLC is authorized to submit a sanitary sewer septic system review, a well permit
review, a building permit review, a driveway permit review, a land disturbance permit review and a
stormwater management system review for a proposed Dollar General Development on the property
owned by Floyd C. & Elsie P. Smith. The specific property is found on NC Highway 49 in Alamance
County and has a Parcel ID#8862878533 as described in the Alamance County records.
Yours Truly,
Floyd C. Smith
1, la_,WbL , t - b-e � ( , a Notary Public for the State of
ji� County of l`1t6 LLL-0a , do hereby certify that
�C7�11 personally appeared before me this —a day of
and acknowledge the due execution of this authorization to submit as
land disturbance permit application. Witness my hand and official seal, ao- �L( -�Y�4_ t
�. Ny,OTARV
MV
CCMMISSION EXPIRES
SEAL
My commission expires