HomeMy WebLinkAbout20190175 Ver 1_Agent Authorization_B-4427 signed_20190207AGENT AUTHORIZATION
I/We North Carolina De�artment of Transoortation (Owner Name), the owner(s) of the
property commonly identified as _Bridge No. 6 on SR 1422 (Market Street Extension) over Big Swamp,
(street)
_Washington _Beaufort State of
(City/Town) (County)
hereby grant, freely and without coercion, the right of access and entry to said property to
_CDM Smith , including but not limited to its employees, contractors, subcontrectors and
any applicable regulatory agency personnel, for the purpose of environmental, ecological, or
archaeological assessments.
This access agreement is effective upon signature and shall remain in effect until such time as
assessment activities are completed, including any ancillary activities associated with said activities.
_David Z. Keiser is also granted the right to act as my authorized agent for the purposes
of conducting a site review, submitting any permit applications, and any future consultation with
regulatory agencies.
For the consideration and purposes set forth herein, I/We hereby acknowledge, accept and agree to the
terms of the Right of Entry & Agent Authorization Agreement as evidenced by my dated signature
below. k�
Signed this X��day of _April 2018.
Print Name: r`�'�`��`O-� �f�'�
Signature.