20171540 Ver 1_Agent/Consultant Authorization Letter_20171130

AGENT AUTHORIZATION
I/We North Carolina Denartment of Transportation (Owner Name), the owner(s) of the
property commonly identified as Bridae #730113 on SR 1500 over Suass Branch
252-254 Bi¢ Oak Road
(street)
Bethel Pitt State of NC ,
(City/Town) (Cou�ty)
hereby grant, freely and without coercion, the right of access and entry to said property to
RK&K En¢ineers , including but not limited to its employees, contractors, subcontractors and any
applicable regulatory agency personnel, for the purpose of environmental, ecological, or archaeological
assessments.
This access agreement is effective upon signature and shall remain in effect until such time as
assessment activities are completed, including any ancillary activities associated with said activities.
RK&K En¢ineers is also granted the right to act as my authorized agent for the purposes of
conducting a site review, submitting any permit applications, and any future consultation with
regulatory agencies.
For the consideretion and purposes set forth herein, I/We hereby acknowledge, accept and agree to the
terms of the Right of Entry & Agent Authorization Agreement as evidenced by my dated signature
below.
Si ned this�7�? ��
g LD day of �r}JeM�Jr,� 2017.
Print Name: T�%t.�C�`� �e
Signature: