20140277 Ver 2_09_Rogers Road Signed Agent Authorization_20170807

AGEN7 AUTHDRIZATI�N FflFtM
PR�PEF�TY L�GAL t]ESCRIPTIQiV:
LC}T N(7. nja PLAN Nd. nla PAi2CEL iD: n a
STREET AaDRESSS: I�:o�ers Road (SR I729} in the Tawn of Carrbora frorn
Hacnestead Rnad iSR ] 777} to Meadow Run Cvurt
Pfease print.
Property t7wner: NC D�aision af Transportation
Property Officer {if difFerent): Nate Broman-Fulks Assistant ta the Ttrwn Mana er
Tawn af Garrbora
The und�rsigned representatives af the T�awn of Carrboro, do herehy authorize
Scol# Da�is, Sartdy Smith , of Ax'rbm Environmen#al, Inc.
(Contractor J Agent} (Name af can�ulting flrm or agency)
.Iosh Dalton o# Sungate Design Grot�,p
{Gantractar / Agent} [Name of consuiting firm c�r agency}
to aet on my �ehaff and take all actions necessary fnr the processing, issuance and accepta�rce af
this perm�t or cer�i�catior� and any and alf standard and special condiaons attached.
In addition, �rmission is granted for the abo�e ca�tractor/agerrt and for agents c�f the U.S. Army
Corps of Engineers and N.�. Division of Water Resources fcar reasanable access Lhe properly far ifie
pur�o�s of juris�ciic6ional area verifications, riparian buffer verifica�ons, permitting caordinatior�� etc.
�roperty awner's Addr�s (if difFerent than property aho�re):
301 West Marn Street, Carrharo. NC 27510
Telephone: [phone] � 4
We hereby oertify #he akx�ve inforr�oation submitted in this applicatian is true and accurate ta the
best of our knowledge.
�
uthvriz Signature
Date; /I �l f 1 (