20240530 Ver 1_03_EastDurham_SIGNED_2020-12-17_Agent Authorization_20240407

AGENT AUTHORIZATION FORM
Name:
Address:
Phone:
Project Name/Description: East Durham Water and Server Rehabilitation Project
Date:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: April Norton
Field Office: Raleigh Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
The City of Durham hereby designates and authorizes Kimley-Horn and Associates, Inc. to act in
my/our behalf as my/our agent solely for the purpose of processing Jurisdictional Determinations,
Section 404 permits/Section 401 Water Quality Certifications applications, and Jordan Lake Riparian
Buffer Determinations, and to furnish upon request supplemental information in support of applications,
etc. from this day forward until successful completion of the permitting process or revocation by the
owner.
In addition, I, the undersigned, a duly authorized owner of record 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.
Authorized this the /7 day of
Print Property Owner's Name
Cc: Paul Wojoski
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Proper natu e