20180314 Ver 3_Agent Authorization Form_20190103

fM MCADAMS AGENT AUTHORIZATION FORM
All Blanks To Be Filled In By The Current Property Owner
Attn: Tasha Alexander Attn: Karen Higgins
US Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Re: Wetlands Related Consulting and Permitting
To Whom It May Concern:
NC Division of Water Resources
401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
I hereby designate and authorize The John R. McAdams Company, Inc. to act in my behalf as my agent in the
processing of permit applications, to furnish upon request supplemental information in support of applications, etc.
from this day forward.
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) and NC Division of Water Resources
to enter upon the property herein described for the purpose of conducting on-site investigation and issuing a
determination associated with Water of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water
Act/Section 10 of the Rivers and Harbors Act of 1899 and/or Waters of State and/or Riparian Buffer Rules.
This notification supersedes any previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government officials to
enter the property when accompanied by The John R. McAdams Company, Inc. staff.
PrItht Property Owner Signature 0 i)(, N� _�� A eAM6C�
Date
creating experiences through experience 2905 Meridian Parkway, Durham, NC 1919. 361. 5000