20180877 Ver 1_Agent Authorization_20180625

AGENT AUTHORIZATION AND RIGHT -OF -ENTRY FORM
Date: ^� I
Project Information
S&ME Project Name: North Carolina National Guard Project
Type of Project: Institutional
Location: Wilkesboro, Wilkes County, North Carolina
Property Owner/Representative Information
Business Name:
Mailing Address:
City, State, Zip Code:
Telephone No.
Contact:
Agent Information
1636 Gold Star Drive
Raleigh, NC, 27607
919-345-6137
Rodney D. Newton
Business Name:
S&ME, Inc.
Street Address:
3201 Spring Forest Road
City, State, Zip Code:
Raleigh, NC 27616
Telephone No.
919-872-2660
Contact:
Mr. Walter Cole
Authorization: I • D . n , on behalf
of (Contact Signature)
Af(-'n 2 n1' ( ,
(Name of Landowner or Representative)
a duly authorized owner of record of the property/ properties identified herein, hereby authorize S&ME to act as
agent with the USCAE in connection with the above-mentioned project. By signing above, I also authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property
herein described for the purposes of conducting on-site investigations, if necessary, and issuing a jurisdictional
determination pursuant to Section 404 of the Clean Water Act and/or Section 10 of the River and Harbors Act of
1889. I, the above signed, am either a duly authorized owner of record of the property identified herein, or acting
as the duly authorized agent of the owner of record of the property.