2023009 Ver 1_AgentAuthForm_VHB_Rob Taylor_20230720

AGENT AUTHORIZATION FORM
Project Name: Wallace Wastewater Treatment Plant
Project Location: Old Wilmington Rd., Wallace, Duplin County, NC
Date: May 2023
The undersigned does hereby authorize:
The Professional Engineers and Scientists VHB
of
(Contractor/ Agent)
(Name of consulting firm)
to act on the behalf of the Town of Wallace, NC and take all actions necessary for the identification,
verification, and permitting of impacts to potential aquatic resources. I understand that representatives
of the N.C. Division of Water Resources and/or U.S. Army Corps of Engineers may perform on -site
verification of these resources and grant permission for access for this purpose.
Rob Taylor, Town Manager
Town of Wallace, NC
851 Old Wilmington Rd.
Wallace, NC 28466
[phone]
[e-mail]
I hereby certify the above information submitted in this application is true and accurate to the
best of my knowledge.
Date