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Home My WebLink About20171558 Ver 1_Agent/Consultant Authorization Letter_20171206CAROLINA ECOSYSTEMS, INC. AUTHORIZATION FORM Propertv Information Property Address and/or Description Parcel Identification Number(s) (PIN) NG56, US-15, Creedmoor, NC 27522 3040 NC Hwy 42 West; Clayton, NC 27520 P:919-359-1102 — F:919-585-5570 Multiple - Easements to be acquired by City of Creedmoor City: Creedmoor State: NC Type of Project: Pedestrain Corridor Pronertv Owner Information County:Granville Property Size (Acres): 22 L,egal Owner Na1ne City of Creedmoor Authorizing Owner's/AgenYs Name & Title Thomas H. Mercer, City Manager, City of Creedmoor (Ti[le mus[ be tisted as Ownea, PaRna�, Ofi'icer, or Autl�orized Agent. Authorized Agent mus[ attach proof of sucL s[atus) Owner's/AgenYs Street Address City: Creedmoor P.O. BOX 765 StateNC Zip Code:27522 Please sign the appropriate line(s) below for t6e access being authorized to Carolina Ecosystems, Inc. Propertv Access Authorization I hereby grant Cazolina Ecosystems, Ina (CEI) staff, their designated contractors and representatives, as well as Federal, State or local authorities access to the above referenced property for the purposes of conducting environmental consulting services. These services may include regulatory determinations of environmental features on my property. I certify that I am the legal owner or authorized agent of the legal owner of the above property and have authority to grant such access. Owner/Agent (signature)��/%��/ Date �—/ `��ae Aeent Authorization I authorize CEI to act as authorized agent on behalf of the owner of the above listed property for the communicarion, submission, and/or application to relevant govenunent entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of environmental information, documents, and/or pemut requests concerning the above listed property. I have made CEI aware of, and supplied all available records related to, previous environmental investigations on the subject property of which I have lrnowledge. Owner/Agent (signature)� �i'//,P�L� Date — . �.