20180720 Ver 1_Agent Authorization letter_20180718

PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0721411862, 0721413614
072411467
STREET ADDRESS: 8116 Humie Olive Road, Apex, NC 27502
Please print:
Property Owner: Friendship Station Development,
The undersigned, registered property owners of the above noted property, do hereby authorize
3eff Harbour of _Environmental Services, Inc
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
_PO Box 2533, Chapel Hill, NC 27515
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date: 711:EhOlf Date: