20170723 Ver 1_NPS ACOE Agent Authorization_20170607

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AGENT AUTHORIZATION
Property Address: Cape Hatteras National Seashore at Oregon Inlet Rd., Nags Head, NC 27959
Parcel PIN: Dare County: 071700685112
Please print:
Property Owner: US Government DOI - Cape Hatteras National Seashore (National Park Service)
Property Owner: George Price - Cape Hatteras Electric Cooperative (Project & Easement Owner)
The undersigned, registered property owners of the above noted property, do hereby authorize
Booth & Associates, LLC — 5811 Glenwood Ave., Ralei�h, NC 27612 (A�ent / Consultin� Firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
C/O Steve Thompson - Bonner Bridge Permit Monitor 1401 National Park Drive, Manteo, NC 27954
C/O George Price - Manager of Engineering & Operations, 47109 Light Plant Road, Buxton, NC 27920
252-216-6455 (Steve T.) & 252-995-5616 x236 (George P.)
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
Authorized Signature George Price
Authorized Signature
15-6803-9005
�O March 2017
�.. o„a, ,,,.o�� E.��oo��.� Date: 4/4/2017
Date:
Booth & Associates, LLC
Consulting Engineers
5811 Glenwood Avenue
Raleigh, North Carolina 27612
Firm License No.: F-0221