20231183 Ver 1_Buffer and/or Stream Determination_20230825

Authorized Sign �5 nahue
Date: ✓ Da 71 � 1
e
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
TAX PARCEL ID NO 2585600059
PARCEL ID: TAX PARCEL ID NO.. 22§5602594 Deed Bkf Pg: DB 3OW528
LOT NO. PLAN NO.
STREET ADDRESS: N. Center St. - Wayne County, NC _
Owner(s) Please print: Frank L. Baumgartner
Owner(s) Please print: Faye A_ Baumer�
Property Owner (signature):__,
Property Owner (signature):
The undersigned, registered property owners of the above noted property, do hereby authorize
Jonathan Raeder , of Water & Land Solutions LLC
(Employee Name) (MIH Company Name)
to act on my behalf and take all actions necessary for the processing, Issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Address (if differentAddress(if different than property above):
41154115 Massey -Holt Rd., Princeton NC 27569
Tnl..nh,.r.... 040 I'M A777