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