20190981 Ver 1_DUR18000_Buckingham_AgentAuth_20190723

J WADAMS AGENT AUTHORIZATION FORM
All Blanks To Be Filled In By The Current Property Owner
PIN:
NA
Property Owner Name:
City of Durham; Dana Hornkohl, PE, CFM; Civil Engineer SW & GIS Division
Property Owner Address:
101 City Hall Plaza, Third Floor, Durham, NC 27701
Property Owner
Phone/Email:
919-560-4326/[e-mail]
Project Name:
Buckingham Road Culvert Replacement
Project Number:
DUR-18000
Project Manager:
Chris Stanley/Jennifer Burdette
Attn: Ross Sullivan
Attn: Amy Chapman
US Army Corps of Engineers NC Division of Water Resources
Raleigh Regulatory Field Office 401 & Buffer Transportation Permitting Branch
3331 Heritage Trade Drive, Suite 105 512 N. Salisbury Street
Wake Forest, NC 27587 Raleigh, NC 27604
Re: WOTUS & Riparian Buffer Related Consulting and Permitting
To Whom It May Concern:
I hereby designate and authorize The John R. McAdams Company, Inc. to act 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.
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 NC Division of Water Resources
to enter upon the property herein described for the purpose of conducting on -site investigation and issuing a
determination associated with Water of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water
Act/Section 10 of the Rivers and Harbors Act of 1899 and/or Waters of State and/or Riparian Buffer Rules.
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 The John R. McAdams Company, Inc. staff.
Dana P. Hornkohl, P.E., CFM
Print Property Owner
City of Durham
Public Works Department
'Dalra T 1*n1 tW
Signature
July 22, 2019
Date
creating experiences through experience 2905 Meridian Parkway, Durham, NC / 919. 361. 5000