20150908 Ver 1_Agent Authorization Letter_20150901

ECS CAROLINAS, LLP
AGENT AUTHORIZATION
This form authorizes ECS to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and permit
application.
Property Address: (J L �911�cy 12S wJ i I ;ur,l�oti M, .4y,,
Owner Information:
Name: J, l� eCI PmJ. vwr
Address: 3 26 `} G L I4c 1 Ro,d
(�o6e✓s<gi„i lie. 1-40kk. co -mot., 4L
Telephone Number: Z SZ� 2 i i - S� O 3
Fax Number:
E -mail Address: !�
Signature: -_I vl ,Date: