20190223 Ver 1_SRTE OFFICE19021921180_20190219

AGENT AUTHORIZATION
I/We North Carolina Department ofTransqortation (Owner Name), the owner(s) of the
property commonly identified as Bridge No. 178 on SR 1145 (Martin Luther King Drive) over Browns
Creek,
(street)
Elizabethtown Bladen State of NC
(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, subcontradors and
any applicable regulatory agency personnel, forthe 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 J. Clodeo 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 P,greement as evidenced by my dated signature
below.
Signed this 18 day of February 2019.
Print Name: J qm " ✓ZKa
Signature: