20231376 Ver 1_Agent Authorization_20230920

Proposal for Natural Resource Services
e ; County Farm Property
® Rougemont, Person County, North Carolina
S&ME Proposal No. 23050355, Rev 1
gNj
AGENT AUTHORIZATION AND RIGHT OF ENTRY FORM
Date: v, I 0 a3
Project Information
S&ME Project Name: Person County farm Property
Type of Project: Parks and Recreation
Location: Moores Kill Road, Rougemont, Person County, North Carolina
Property Owner/Representative Information
Business Name: Tt-vs 0n Co
Mailing Address: 3p1.� S. MDf c, pp oom �ja
City, State, Zip Code:
Telephone No.
Contact:
Agent Information
Business Name:
Street Address:
City, State, Zip Code:
Telephone No.
Contact:
S&ME, Inc.
3201 Spring Forest Road
Raleigh, NC 27616
919472-2660 -----
Mr. Walter Cole
Authorization: ��-�-P_� , on behalf of
(Conta t Signature)
(Name of Landowner or Repr ntative)
a duly authorized owner of record of the property/ properties identified herein, hereby authorize S&ME to
act as agent with the USCAE in connection with the above -mentioned project. By signing above, 1 also
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon
the property herein described fatthe ptu'Poses of conducting on -site investigations, if necessary, and
issuing a jurisdictional determination pursuant to Section 404 of the Clean Water Act and/or Section 10 of
the River and harbors Act of 1889. I, the above signed, am either a duly authorized owner of record of the
property identified herein, or acting as the duly authorized agent of the owner of record of the property.