20141292 Ver 2_Agent Authorization_signed_20190201

Environmental Consultants,
8412 Falls of Neuse Road, Suite 10.4, Raleigh, NC 27615 • Phone: [phone]
sandec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: CLEATS Properties LLC S&EC Project # 12060
Date: 11/ 14/14
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Dave Shaeffer 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. Army 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): 0789-50-0359
Site Address:
City, County, State:
PROPERTY OWNER INFORMATION:
Name: CLEATS Properties LLC
Mailing Address: PO Box 446, Camden NC 27921
Telephone Number: 757-435-0632
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.