20180542 Ver 1_Beaufort 249_ESI_Agent Authorization Form_20180417

RIGHT OF ENTRY & AGENT AUTHORIZATION
I/We_North Carolina Department of Transportation (Owner Name), the owner(s) of the
property commonly identified as Beaufort Counry Bridge 249
(street)
Beaufort State of NC
(City/Town) (County)
hereby grant, freely and without coercion, the right of access and entry to said properiy to
Environmental Services, Inc., 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.
Environmental Services, Inc. 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 consideration and purposes set forth herein, UWe hereby acknowledge, accept and agree
to the terms of the Right of Entry & Agent Authorization Agreement as evidenced by my dated
signature below.
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Signed this 13 day of �Gbf�� 2018.
PrintName: ���'i�nar ��2
Signature: