20151098 Ver 1_Agent Authorization Letter_20151021

AGENT AUTHORIZATION
This form authorizes PEI 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 permitting.
Property Address: Robin Solar
892 Oberry Rd.
Dudley NC 28333
Owner Information:
Address: Mr. Frank Hines
524 Eagles Nest Rd.
Dudley, NC 28333
Telephone Number: 919 - 738 -1021
Fax Number:
E -mail Address. [e-mail]
JURISDICTIONAL DETERMINATION REQUEST
SECTION D- PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records of the property /properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) to enter upon the property herein described for the purpose of conducting on -site
investigations and issuing a determination associated with Waters of the U.S. subject to Federal
jurisdiction under Section 404 of the Clean Water Act and /or Section 10 of the Rivers and
Harbors Act of 1899.
Property Owner (please print) Date
Property Owner Signature