HomeMy WebLinkAbout20240533 Ver 1_03_SIGNED_Dunn Creek Culvert Replacement - USACE_KHA_Agent Authorization Form_20240410AGENT AUTHORIZATION FORM
Name: Dunn Creek Culvert (Juniper Culvert)
Address: E Juniper Ave, Wake Forest, NC 27587
Phone: 919-987-6650
Project Name/Description: Dunn Creek Culvert Replacement
Date: 9/28/23
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: Dicky Harmon
Field Office: Raleigh Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
The Town of Wake Forest 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 Neuse River Basin
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 (via easement) 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 28 day of September
Chris Glass
Print Property Owner's Name
Cc: Stephanie Goss
NC Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1650
2023
Chris GIU7
1-
a9 Ch-lass
Property Owner's Signature