20151165 Ver 1_Agent Authorization Letter_20151106

Emr/ronmental Services
PEl Pmposa11710
October 8, 2015
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.
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Fax Number: G?6Z' 2// —zd /%I
E -mail Address: [4e V ("' q �e eln V i Ile Vic • CO V1
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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 forthe 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.
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Property Owner (please print) Date