20240360 Ver 1_Norris LOA executed_20240126

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book:_?_ Page: _?_ County: Nash
Parcel ID Number: 155900-71-5522
Street Address: 7791 Stricklands Crossroads Road, Four Oaks, NC 27524
Deed Book: 923 Page: 663 County: Nash
Parcel ID Number: 155900-71-8956
Street Address: 7763 Stricklands Crossroads Road, Four Oaks, NC 27524
Property Owner (please print): Rickie W. Norris
The undersigned, registered property owner(s) of the above property, do hereby authorize
Wildlands Engineering, Inc. to take all actions necessary for the evaluation of the property as a
potential stream, wetland and/or riparian buffer mitigation project, including conducting stream
and/or wetland determinations and delineations, as well as issuance and acceptance of any required
permit(s) or certification(s). We agree to allow regulatory agencies, including the US Army Corps
of Engineers, to visit the property as part of these environmental reviews.
Property Owners(s) Address: 7763 Stricklands Crossroads Road, Four Oaks, NC 27524
Property Owner Telephone Number: 919-524-7886
We hereby certify the above information to be true and accurate to the best of our knowledge.
3
(Property Owner Authorized Signatur (Date)