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HomeMy WebLinkAbout02_COMBINED_AgentAuthForms_SIGNED_TurtleCoveAGENT AUTHORIZATION FORM Name: Cobb Farms, LLC c/o Phyllis Hess Address: 7205 Grouper Ct, Wilmington, NC 28409 Phone: 619-840-7279 Project Name/Description: Turtle Cove Solar Site Date: 02/28/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Cobb Farms, LLC 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 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 day of Phyllis Hess Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Phyllis'C Hess (Feb 28, 2024 13:44 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-28 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAL4MeHH bMIQLZ3ALVHheBTsG78tv9Ovo "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:32:39 PM GMT Document emailed to phyllishess28409@bellsouth.net for signature 2024-02-28 - 5:32:43 PM GMT Email viewed by phyllishess28409@bellsouth.net 2024-02-28 - 6:38:45 PM GMT ,Oa Signer phyllishess28409@bellsouth.net entered name at signing as Phyllis C Hess 2024-02-28 - 6:44:43 PM GMT iJa Document e-signed by Phyllis C Hess (phyllishess28409@bellsouth.net) Signature Date: 2024-02-28 - 6:44:45 PM GMT - Time Source: server Agreement completed. 2024-02-28 - 6:44:45 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Sarah E. Edwards Address: 1205 Pine Circle, Snow Hill, NC 28580 Phone: 252-286-6796 Project Name/Description: Turtle Cove Solar Site Date: 02/29/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Sarah E. Edwards 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 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 day of Sarah E. Edwards Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 5-• ar 7rn Sarah E Edwards (Feb 29, 2024 06:07 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-29 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAX03008NkmCocliQZeQhd2xk82VdlrtEA "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:41:03 PM GMT Document emailed to momsarah@centurylink.net for signature 2024-02-28 - 5:41:08 PM GMT Email viewed by momsarah@centurylink.net 2024-02-29 - 11:01:38 AM GMT ,Oa Signer momsarah@centurylink.net entered name at signing as Sarah E Edwards 2024-02-29 - 11:07:19 AM GMT d- Document e-signed by Sarah E Edwards (momsarah@centurylink.net) Signature Date: 2024-02-29 - 11:07:21 AM GMT - Time Source: server Agreement completed. 2024-02-29 - 11:07:21 AM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Robert Exum, Jr. Address: 328 Summertime Rd, Fayetteville, NC 28303 Phone. 910-849-4234 Project Name/Description: Turtle Cove Solar Site Date: liY1-arC.C1t. The Department of the Army U_S, Amy Corps of Engineers, Wilmington District Attention: Anthony Searborouh Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Robert Exum, Jr. hereby designates and authorizes Kirnley-Horn and Associates, Tnc. 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 Neusc 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, 1, 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 '� day of rX-ecrck , 02bdt/ Robert Exum, Jr. Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Property Owner's ignature AGENT AUTHORIZATION FORM Name: Michael Bruce Gray and Weslea Jarman Gray Address: 619 Parkstown Rd, La Grange, NC 28551 Phone: 919-222-7809 Project Name/Description: Turtle Cove Solar Site Date: 02/28/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Michael Bruce Gray and Weslea Jarman Gray 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 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 day of Michael Bruce Gray Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 �l�6ar��r Michael Bruce Gray (Feb 28, 202417:51 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-28 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAtPZgxB7ggMF1RC4bnayWjEVkOmXBnsy_ "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:27:20 PM GMT Document emailed to mgray7809@gmail.com for signature 2024-02-28 - 5:27:23 PM GMT Email viewed by mgray7809@gmail.com 2024-02-28 - 10:48:47 PM GMT Ae Signer mgray7809@gmail.com entered name at signing as Michael Bruce Gray 2024-02-28 - 10:51:29 PM GMT iJa Document e-signed by Michael Bruce Gray (mgray7809@gmail.com) Signature Date: 2024-02-28 - 10:51:31 PM GMT - Time Source: server Q Agreement completed. 2024-02-28 - 10:51:31 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Carl Lancaster Address: 578 La Grange Rd, La Grange, NC 28551 Phone: 919-648-3915 Project Name/Description: Turtle Cove Solar Site Date: 02/28/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Carl Lancaster 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 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 day of Carl Lancaster Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 loe ,�.J Carl Lancaster (Feb 28, 202414:54 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-28 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAUY5-ItLy203oRmCtkzPAFs1ZChuKt_zo "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:02:03 PM GMT Document emailed to coachcl32@gmail.com for signature 2024-02-28 - 5:02:07 PM GMT Email viewed by coachcl32@gmail.com 2024-02-28 - 5:51:53 PM GMT ,Oa Signer coachcl32@gmail.com entered name at signing as Carl Lancaster 2024-02-28 - 7:54:02 PM GMT iJa Document e-signed by Carl Lancaster (coachcl32@gmail.com) Signature Date: 2024-02-28 - 7:54:04 PM GMT - Time Source: server Agreement completed. 2024-02-28 - 7:54:04 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Delores Mooring Address: 4709 San Juan Circle, Morehead City, NC 28557 Phone: 252-241-8417 Project Name/Description: Turtle Cove Solar Site Date: 02/29/2024 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarboroueh Field Office: Washineton Reeulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Delores Mooring 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 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 day of , Delores Mooring Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 �elA�eJ L MDD�In� Delores L. Mooring (Feb 29, 2024 09:5ST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-29 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAks9naj1VP_Mj01C4JIML6cDk2gjl-SPo "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 4:57:24 PM GMT Document emailed to dmooring@ec.rr.com for signature 2024-02-28 - 4:57:28 PM GMT Email viewed by dmooring@ec.rr.com 2024-02-28 - 6:40:09 PM GMT ,Oa Signer dmooring@ec.rr.com entered name at signing as Delores L. Mooring 2024-02-29 - 2:57:20 PM GMT d- Document e-signed by Delores L. Mooring (dmooring@ec.rr.com) Signature Date: 2024-02-29 - 2:57:22 PM GMT - Time Source: server Agreement completed. 2024-02-29 - 2:57:22 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Billy Gerald Smith Address: 2086 Hood Swamp Rd, La Grange, NC 2855 Phone: 919-738-8857 Project Name/Description: Turtle Cove Solar Site Date: 03/04/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarboroueh Field Office: Washineton Reeulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Billy Gerald Smith 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 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 day of Billy Gerald Smith Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 At&4*r4, 202418:24 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-03-04 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAA9sk2TIocxYbZhSxdwFJOYYUhrznre8cA "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:24:15 PM GMT Document emailed to ezlife@bellsouth.net for signature 2024-02-28 - 5:24:18 PM GMT Email viewed by ezlife@bellsouth.net 2024-03-04 - 11:20:58 PM GMT ,Oa Signer ezlife@bellsouth.net entered name at signing as Billy G Smith 2024-03-04 - 11:24:04 PM GMT d- Document e-signed by Billy G Smith (ezlife@bellsouth.net) Signature Date: 2024-03-04 - 11:24:06 PM GMT - Time Source: server Agreement completed. 2024-03-04 - 11:24:06 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Terry Parks Creech Address: 2000 Petworth Ct, Raleigh, NC 27615 Phone: 919-614-2817 Project Name/Description: Turtle Cove Solar Site Date: 02/28/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarboroueh Field Office: Washineton Reeulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Terry Parks Creech 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 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 day of Terry Parks Creech Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 4 OA c«a, Terry Parks Creech (Feb 28, 2024 15:46 EST) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-28 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAAjLjfOlyuCJndOP5V9JTAmWO-pFQRftUm "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:20:24 PM GMT Document emailed to tcreech2@gmail.com for signature 2024-02-28 - 5:20:28 PM GMT Email viewed by tcreech2@gmail.com 2024-02-28 - 8:44:24 PM GMT ,Oa Signer tcreech2@gmail.com entered name at signing as Terry Parks Creech 2024-02-28 - 8:46:15 PM GMT iJa Document e-signed by Terry Parks Creech (tcreech2@gmail.com) Signature Date: 2024-02-28 - 8:46:17 PM GMT - Time Source: server Agreement completed. 2024-02-28 - 8:46:17 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Kermit A. Thompson, II I Address: P.O. Box 1974, Goldsboro, NC, 27533 Phone: 615-987-1938 Project Name/Description: Turtle Cove Solar Site Date: 2/29/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Kermit A. Thompson, III 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 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 day of Kermit A. Thompson, III Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 AM- KermitAdrian T ompson IV (Feb 29, 2024 09:23 EST) POA Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-02-29 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAA_-n1bt5fx3dgpshQF23dxkzB_a-WiEwZ "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:09:01 PM GMT Document emailed to adrian.thompson@hcahealthcare.com for signature 2024-02-28 - 5:09:06 PM GMT Email viewed by adrian.thompson@hcahealthcare.com 2024-02-29 - 2:20:11 PM GMT ,Oa Signer adrian.thompson@hcahealthcare.com entered name at signing as Kermit Adrian Thompson IV 2024-02-29 - 2:22:59 PM GMT d- Document e-signed by Kermit Adrian Thompson IV (adrian.thompson@hcahealthcare.com) Signature Date: 2024-02-29 - 2:23:01 PM GMT - Time Source: server Agreement completed. 2024-02-29 - 2:23:01 PM GMT F Adobe Acrobat Sign AGENT AUTHORIZATION FORM Name: Wallace Ledwell Creech Address: 321 Zacks Mill Road, Benson, NC 27504 Phone: 919-880-4264 Project Name/Description: Turtle Cove Solar Site Date: 03/28/24 The Department of the Army U.S. Army Corps of Engineers, Wilmington District Attention: Anthony Scarborough Field Office: Washington Regulatory Field Office Re: Wetland Related Consulting and Permitting To Whom It May Concern: Wallace Ledwell Creech 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 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 day of Wallace Ledwell Creech Print Property Owner's Name Cc: Stephanie Goss NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Wallace (Mar 28,202417:15 EDT) Property Owner's Signature AGENT AUTHORIZATION FORM Final Audit Report 2024-03-28 Created: 2024-02-28 By: Erika Shinpaugh (eshinpaugh@r-e-services.com) Status: Signed Transaction ID: CBJCHBCAABAANxTkMyYVhlsgAk3eGncsSk-HjsG851JZ "AGENT AUTHORIZATION FORM" History Document created by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-02-28 - 5:17:12 PM GMT Document emailed to wallace@wallacecreechandco.com for signature 2024-02-28 - 5:17:16 PM GMT New document URL requested by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-03-13 - 1:34:53 PM GMT New document URL requested by Erika Shinpaugh (eshinpaugh@r-e-services.com) 2024-03-22 - 3:37:22 PM GMT Email viewed by wallace@wallacecreechandco.com 2024-03-28 - 9:14:11 PM GMT Signer wallace@wallacecreechandco.com entered name at signing as Wallace Creech 2024-03-28 - 9:15:46 PM GMT (t�q Document e-signed by Wallace Creech (wallace@wallacecreechandco.com) Signature Date: 2024-03-28 - 9:15:48 PM GMT - Time Source: server Q Agreement completed. 2024-03-28 - 9:15:48 PM GMT &I Adobe Acrobat Sign