20170723 Ver 1_FWS_AgentAuthPCNexec_20170607

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Property Address: pea Isfand National Wildlife Refuge at Lifeboat Station Road, Rodanthe, NC 27968
Par �� pIN: �are County: 074200340875
Plea�se print: ,
Property Owner: US Govemment a01- Pea lsland National Wildlife Refuge (Fish and Wildlife Service)
Property Owner: George Price - Cape Hatteras Electric Cooperative (Project & Easement Owner)
The undersigned, registered property owners of the above nated property, do hereby authorize
Booth & Associates, !EC — 5811 Glenwaod_A�e., Ra[ei�h, NC 27612 (Agent / Consttltin� Firm]
to act on my behaff and ta[ce all actions necessary for the processing, issuance and acceptance of tf�is
or certificatian and any anci all standard and special conditions attached.
Property Owner's Address (if d9fferent than property above):
Art Beyer Assistant Refuge Manager P.O. Box 1969, Manteo, IVC 27954
Telephone• 252�73-9132 x235
We�hereby certify the abo�e information submitted in this applicat9on is true and accurate to the best of
our knowledge.
Autho�ized Signature �'� Date: �i. � 7
Authorized Signature George Price ""'°`w°�°°� °° Date: 4/4/ 017
Booth & Associates, LLC
Consulting Engineers
581I Glenwoad Avenue
Raleigh, North Carol�na 27612
�rm License No.: F-0221