20191273 Ver 1_SignedAgentAuthorizationForm6-7-19_20190923

AECOM
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned Client, City of Raleigh, does hereby appoint AECOM Technical Services of North
Carolina, Inc., hereinafter referred to as AECOM, as his, her, or it's agent for the purpose of petitioning
the appropriate local, state, and federal environmental regulatory agencies (US Army Corps of Engineers,
NC Division of Water Quality, local municipalities, etc.) for: a) review and approval of the jurisdictional
boundaries of onsite jurisdictional areas (wetlands, streams, riparian buffers, etc.) and/or; b) preparation
and submittal of appropriate environmental permit applications/requests for the City of Raleigh Walnut
PR-W alnutC reekGreenway-080119).
The Client does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
1) To submit appropriate requests/applications and the required supplemental materials;
2) To attend meetings to give representation on behalf of the Client.
3) To authorize access to subject property for the purpose of environmental review by
appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or termination
by the Client.
Agent's Name, Address, &Telephone: Date:
AECOM Technical Services of North
Carolina, Inc.
701 Corporate Center Drive, Suite 475
Ralei>?h, NC 27607
Tele. [phone]
Signature of Client:
6-7-19_
(Entity)
Kris Nikfar CIP Project Manager
(NamSe—Print) (Title)
IlSi
gnature)
222 W Hargett St
(Mailing Address)
Raleigh, NC 27601
(City, Siate, Zip)
Phone: [phone]
Email: [e-mail]