HomeMy WebLinkAbout20190096 Ver 1_Agent Auth_20190121Environmental Consultants,
8113 Malts of Nvuse Road, Cxuir 119, Raleigh, NC 37615 • Phone-. (919) W-5900 • Fax: (919) WW-9JG7
sandec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: Colby Crossing S&EC Project # 13290
Date:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: James Lastinger Field Office: Raleigh Regulatory Field Office
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Amey Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&EC) staff, as my agent, to enter upon the property herein described
for the purpose of conducting on-site investigations and issuing a determination associated with Waters of
the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the
Rivers and Harbors Act of 1899. This document also authorizes S&EC, as my agent, to act on my behalf
and take all actions necessary for the processing, issuance and acceptance of a permit or certification and
any and all associated standard and special conditions. 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 S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 0750264926
Site Address: 0 E. Williams Street
City, County, State: Apex, Wake County, North Carolina 27539
PROPERTY OWNER INFORMATION:
Name: MFW Investments. LLC
Mailing Address: 114 Birklands Dr., Cary NC 27518
Telephone Number:
Email:
CC CJ k � I �� 201 r,
Property Ow as prir)t) . Date
Property Owner Signature
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.