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Home My WebLink About20231421 Ver 1_Agent Authorization Form Signed July 2023 JH_20231018_______________________________________________________________________________________________________________________________________________________ 7 Samuel Ashe Drive, Asheville, NC 28805 | 919-600-4790 | greg@jenningsenv.com Jennings Environmental PLLC is licensed with the North Carolina Board of Examiners for Engineers and Surveyors and is authorized to practice engineering under the provisions of Chapter 89C and 55B of the General Statutes of North Carolina. License Number P-1932. AGENT AUTHORIZATION FORM Project Name: ____________________________________________________________ Project Address/Location: ______________________________________________________ ______________________________________________________ The undersigned is the Property Owner Assigned Representative Easement Holder Right-Of- Way Holder Lease Holder and will be the applicant on the request for permit(s) and/or jurisdictional determination. I hereby authorize Jennings Environmental PLLC to act on my behalf and take all actions necessary for the processing, issuance, and acceptance of the permit or certification and any and all standard and special conditions attached. Additionally, I authorize the representative(s) of the permitting agency(s) to enter the property for the purpose of conducting activities associated with verification of the request for permit(s) and/or jurisdictional determination. I hereby certify that the information submitted in this document is true and accurate to the best of our knowledge. Name: ____________________________________________________________ Company Name (if applicable): ____________________________________________________________ Mailing Address: ____________________________________________________________ ____________________________________________________________ Phone Number: ____________________________________________________________ Email Address: ____________________________________________________________ Signature: ____________________________________________________________ Date: ____________________________________ Check if applicable The property owner has executed a binding agreement with the Natural Resources Conservation Service (NRCS) for this stream/wetland restoration project. The above is the assigned representative for the NRCS and is authorized to act on behalf of the NRCS and the property owner through a signed mutual agreement for the stream sabilization/restoration project. 1 Buncombe County Storm Fred NRCS-EWP/StRAP Bank Stabilization Sites 401 and 404 Permitting - Agent Authorization July 5, 2023 Site Name Lat./Long. Stream PIN(s) John Lee 35.63553 -82.39995 Bee Tree Creek 9780-93-9430 9790-14-5905 Robertson and Dumont 35.63167 -82.41036 Bee Tree Creek 9780-62-8206 Samantha Howard 35.63705 -82.39934 Bee Tree Creek 9790-04-1027 Steve Harris 35.63128 -82.40588 Bee Tree Creek 9780-81-0827 Peter Smith 35.63243 -82.40294 Bee Tree Creek 9780-82-8238 Curtis Wright 35.52064 -82.40358 Cane Creek 9686-71-4595 Roscoe Lyle 35.47614 -82.47623 Merrill Cove Creek 9664-56-5257 Susan Chatoney 35.54251 -82.76145 UT Hominy Creek 8687-13-2660 Webb Bridge 35.53447 -82.73677 Hominy Creek 8686-89-4630 8687-80-7590 8687-80-3577 Cynthia Waddell 35.53591 -82.74278 Hominy Creek 8687-70-0689 Beverly- Greens-Reeves 35.53299 -82.7311 Hominy Creek 8697-21-1727 8696-09-3669 8697-20-8984 8697-31-3090 Center for Spiritual Living 35.56290 -82.60926 Hominy Creek 9627-69-9577 Lloyd-Ball 35.5265 -82.6654 UT Bill Moore Creek 9606-96-6612 9606-96-7660 Dwayne Roberson 35.54859 -82.65160 Moore Creek 9617-44-1765 Big Ivy Community Center 35.76092 -82.43113 Dillingham Creek 9784-29-5148 Billie Redmon 35.64489 -82.51538 UT Beaverdam Creek 9750-58-7200 9750-58-8002 Tim Banks 35.75582 -82.38672 Dillingham Creek 9794-57-4192 Meg Cooper 35.70157 -82.64809 Whitter Branch 9713-70-1073 Christine Golkwski 35.614 -82.722 UT Newfound Creek 8699-39-6526 Nelson-Shook 35.62620 -82.65980 Dix Creek 9710-23-8225 9710-23-8225 Gavin McCully 35.69136 -82.76664 Sandymush Creek 8782-26-3198 2 Neil Woody 35.67900 -82.71188 South Turkey Creek 8792-72-5038 Sharon Dubuc 35.63687 -82.83274 Willow Creek 8760-18-2728 Wells- Worden- Mallard 35.68570 -82.71781 North Turkey Creek 8792-65-2442 8792-54-9452 8792-65-4672 Vickie Rogers 35.64217 -82.75209 South Turkey Creek 8780-69-1980 Goddard- Costner 35.51848 -82.68729 Beaverdam Creek 9606-33-0730 9606-23-9556 Valerie Allen 35.50496 -82.71364 South Hominy Creek 8695-49-7519 Brad Martin 35.48983 -82.74151 South Hominy Creek & Warren Creek 8586-64-5168 8685-54-9341 8685-54-5410 Israel-Haley 35.50017 -82.7302 South Hominy Creek 8685-97-9832 8695-07-0636 Clyde Fox 35.63286 -82.31549 Flat Creek 0710-41-9697 Betty Doll 35.58823 -82.46635 Swannanoa River 9668-95-6701