HomeMy WebLinkAbout20190426 Ver 1_B-4433 USACE Agent Auth - Executed_20190405�s
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AGENT AUTHORIZATION FORM
All Blanks to Be Filled in Bv the Current Landowner or Municipal Official
Name: NCDOT — Division 2, Michael Aman, PE, Division Brid�Qram Mana�er
Address: 1037 W.H. Smith Blvd.. Greenville, NC 27853
Phone: �252)439-2812
Project Name/Description: STIP B-4433 — Replace Brid�e # 40 on SR 1932 over Durham Creek
Tributary, Beaufort Countv
Date: 4/2/2019
US Army Corps of Engineers, Washington Regulatory Field Office
2407 West Fifth St.
Washington, NC 27889
Attn: Tom Steffens
Re: Stream and Wetland Delineation and Permitting Consultation
To Whom It May Concern:
I, the current landowner or municipal official, hereby designate and authorize TGS Engineers to
acf 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.
This notiflcation supersedes any previous correspondence concerning the agent for this project.
Notice: This authorization, for IiabiliTy and professional courtesy reasons, is valid only for
government officials to enter the property when accompanied by TGS staff. You should
call TGS to arrange a site meeting prior to visiting the si .
BY: MIN'1QG I �MdY� BY: / �
Print Name of Applicant Sig tur p licant
YEARS
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1976-2018 �
TGS ENGINEERS
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