Loading...
HomeMy WebLinkAbout20190426 Ver 1_B-4433 USACE Agent Auth - Executed_20190405�s ENGiNEERS - fr� rn m � a� �� � m � a m a> M � � �: 6 ` `: �� i� � � o �u o u � L m o S � ' C7 � � v � . ;; `r � � y c �a> c w � C9 � 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 � • 1976-2018 � TGS ENGINEERS ?HOMPSUN•GOROON•SHOOK