14 Ver 1_Agent_Authorization_20230121

Phone: [phone]
3805 Wrightsville Ave., Suite 15, Wilmington, NC 28403
daveyresourcegroup.com/carolinas
AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN:
I/we, the undersigned, hereby authorize Davey Resource Group to act as our agent in the
determination of jurisdictional wetland boundaries on the subject property, Hawthorne at the
Pointe. By way of this form, I/we additionally authorize access to the site by representatives of
the US Army Corps of Engineers, NC Division of Water Resources, and/or the NC Division of
Coastal Management for the purpose of reviewing the flagged wetland boundary and providing a
final jurisdictional determination. Any questions regarding the jurisdictional wetland
determination should be directed to Davey Resource Group.
Please provide the following information:
Property Address and Parcel ID Number: 4114 Echo Farms Blvd; Wilmington, NC
Parcel ID: R07006-002-052-000
Current Property Owner Name: HM WOODLANDS PHASE II LLC
Owner Address, Phone Number, & Email Address:
Address:
Email:
Phone:
I would like to request an Approved Jurisdictional Determination (AJD).
I would like to request a Preliminary Jurisdictional Determination (PJD).
Notice: This authorization, for liability & professional courtesy reasons, is valid only for government officials
to enter the property when accompanied by Davey Resource Group staff. Please call DRG to arrange a site
meeting prior to visiting the site.
____________________________________
Print Owner or Applicant Name*
____________________________________
Owner or Applicant Signature*
____________________________________
Date
*If signed by the Applicant, Applicant attests that
he/she has authorization to grant DRG and
agency personnel property access for the purpose
of obtaining a Jurisdictional Determination.
x
806 Green Valley Rd, Suite 311, Greensboro, NC 27408
[e-mail]
336-553-1700
Philip M. Payonk
DocuSign Envelope ID: 3B3260C8-F660-4627-BE05-38AEDCFCF83F
1/20/2023