20171544 Ver 1_Agent/Consultant Authorization Letter_20171201

Name:
Addres
Phone:
AGENT AUTHORIZATION FORM
Z52- `t3� - 28 { �
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Project Name/Descriprion: Reulacement of Brid¢e 49 Over Bear Creek — Lenoir Countv
Date: � � I �I � �
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attenrion: Tom Steffens
Field Office: Washinaton Reeulatorv Field Office
Re: Wedand Related Consulting and Permitting
To Whom It May Concern:
NCDOT — Division 2 hereby designates and authorizes Kimley-Horn and Associates, Inc. to act in
my/our behalf as my/our agent solelv 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 addirion, 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 invesrigations and
issuing a determinarion 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 Hazbors Act of 1899.
Authorized the � �
day of m�r , � ��.
�- c. � ���� �-----_
Print Property Owner's Name Properiy Owner's Signature
Cc: Garcy Ward
NC Division of Water Resources
Transportation Permitring Unit
943 Washington Squaze Mall
Washington, NC 27889