69382D - MIddle

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(MAGI1'YL(L
MIDDLE ISLAND
EXTENTION
i l
\ / / PROPOSED CHARTER ROUTE
a PROPOSED CHARTER PEDESTAL
CApf
CRfER ' \

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to M r Ar,& Z$L #4 P1AKr4001V poA 's
(Name of Property Owner)
property located at Mlevtt TWWO 1'kAurAnoN - kAsr AMAW DIZ^5, CfCk6K R046, 1)6'V&V6 All:
0 (Address, Lot, Block, Road, etc.) FA01n AhWE crgcLE. AWD 44NOS AWD
on &0 NEAo CRC =CAPE CR6I�k , in DA[D 14E1,0 191 AA/O , N.C.
(Waterbody) (Cityrrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
+ Cw, t have no objection to this proposal
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
l do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Sirt
not or Type Name
Mailing Ad&ss �% 1
Gity/tRtate/Z . e l'
_ce ►fir /� P.>
Print or Type Norge /
�4
iont4 Address.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT awe-,
I h b certify that I own property adjacent to
P41DAL& SSLQND po./ 's
ere y
(Name of Property Owner)
properly located at /►l/dptL` 1514N6 PL}NtAmON - FAST$aAGHOR)V,6.'W,'6W6K RMb, �DGwapp RIaGx�
(Address, Lot, Block, Road, etc.) R1aGk N.C.0 /,4ntps 1`nvAf
on BA1AHEAD CRC fCAPEeRaw in 13AIDD 1-ti;►4p X'-'"YD N.C.
(Waterbody) (City/Town and/or County)i
The applicant has described to me, as shown below, the development proposed at the above
location. ('-L'�f TIFIC4Tfill
ii I have no objection to this proposal. 54d A-ink� ,
have objections to this proposal.
DESCRIPTION AND10R DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attacka site drawing)
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idea ktwm- t9=• Wes,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr erty wner In
7t fo�ation) (At
nt Property O ner Information)
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Si&Lature TOP.irIDDl4r'IslSi lure*
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Print or Tyvpe Name ASS 3 . Print or Type Name
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Mailing Address Mailing AddreAlAfi ►�)T 7W PM4Y okul p.a
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City/statelzip City/5tate2ip 1.
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Teleplon� Number/email address—r Telepphq �e(V�ber/email address

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: M►DDLt JSW0 QV?4 Vthwms Awem
Mailing Address: C10 C.tIARtx% i?AIRDee
yog7 Sti?IN6 1%C.AN'b
12KATLL ., SC Z1909 - 41
Phone Number: ZOt St: 3»Z— CZrx eoL%ryl�
Email Address: ►x�� @ etlt�o�r .h Q,T' rkiP�����0.PoaQ q� a,l, C
I certify that I have authorized C1aA"iZ'iCFZ- CpMMuNICk7tUNt ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
tw, ►'� r.. New
necessary for the following proposed development. CD/lL%IhL C ZLE UPWU
Away + g rX%ST 1 a` TUAU ma M OW- C
at my property located at t#'PCCrWv.►ZD� 1JbG�ooD��i�� I`Z3�, t- 1�'4K-�'C'�� ,f►*'a
4; �;3AC-b Neap )SU
in '7jibANsaa1_tk_County. OTC.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Propectv Owner Information:
Signature
uDLC isLAM-?fuPenW D�aN s As�G�mo
Print or Type Name
���ce.-coa M 1'Pp/tr �3a1►Ra . �u?Hodt����-r� Re.T Po�tc-►�c� �ssec,�ca�w�
Title ,ay 8P- 7W A ROA Z6*d b.
Date

:Pherson, Tara
n: Jacobs, Thomas N <Thomas. Jacobs@charter. com>
Monday, July 31, 2017 4:22 PM
MacPherson, Tara
Stephen Boyett; Chris McCall; Lewis, David M; Courey, George R
ect: RE: Middle Island Project - CAMA General Permit
project will be built using missile boring equipment and hand digging. Our plans are to stay as close to the edge
oad as possible.
:onduit we will be using is 1.25" outside diameter. The conduit comes on a large reel so we can cut it to the spe
:h of each underground span.
ild we mail to $400 check to your attention at:
livision of Coastal Management
irtment of Environmental Quality
:ardinal Drive Ext Wilmington, NC 28405
an we deliver it to you when we do the site inspection?
ks,
Jacobs
it Manager of Construction
:al Area
Scientific Park Drive
ington, NC 28405
'72-5804 office
carter
M J N! C A 7 1 0 N S
is MacPherson, Tara [mailto:[e-mail]]
Tuesday, July 25, 2017 3:17 PM
3cobs, Thomas N <[e-mail]>
tephen Boyett <[e-mail]>; Chris McCall <[e-mail]>; Lewis, David M
[e-mail]>; Courey, George R <[e-mail]>
!ct: RE: Middle Island Project - CAMA General Permit

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 14 i 0ALrK SsLq*o PL4rTAft)V p0A 's
(Name of Property Owner)
property located at M4,014 I'S.44YA PAAJVr41701V - FAsr eukA61f 1W)VE, C L'CJW6c IQ4M Aq;waOo R/M
(Address, Lot, Block, Road, etc.) Qrb" ChT; aNO ,c,ln"s Ph
on BAO kr-A0 CITAK i cApf :R&W in 13A'.0 LENTO 1++NO --- — _ , N.C.
(Waterbody) (CityrTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
�/ IyER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me, (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner information)
si�-__-�_._
W-',YQL.1R2.A 6 A
Print Qr Type Name
�h2 4 "
Meil/ng ACV-1
(Adjacent Property Owner Information)
signatures' -
J61-
Print or TTD N �—
G c e
In Address
v �}

;Pherson, Tara
n: Chris McCall <[e-mail]>
t: Thursday, July 27, 2017 7:10 AM
MacPherson, Tara
ject: RE: Middle Island Project - CAMA General Permit
- I talked w/ Rex in regards to the adjacent property owner notifications and he put together the statement belt
would be added to the actual form in which he would execute..., before he does I wanted to run it by you to se
would be acceptable along with his execution of the form..., Thanks!
FIFICATION BY MIDDLE ISLAND PROPERTY OWNERS ASSOCIATION on behalf of ADJACENT RIPARIAN PROPERTY
VERS:
x W. Cowdry, hereby certify that:
D I am a Director of the Middle Island Property Owners Association (MIPOA).
• I have been authorized by a resolution of the Board of the MIPOA to act on behalf of the Association in all
matters relating to the CAMA application submitted by Charter Communications.
• The Association has provided a general description of Charter Communications' project to extend cable aloe
the Middle Island road rights of way to all owners of lots on Middle Island and invited comments. Commen
received have been strongly supportive of the project.
• The Association has specifically notified all owners of lots adjacent to the three sections of the project that
within the AEC. These sections and the adjacent property owners within each section are:
o A cable extension to reach 17 Cape Creek Road, beginning in the more easterly intersection of Doggy
Ridge Road and Cape Creek Road and extending approximately 150' northwestward along Cape Cre
Road to the first lot line, adjacent to lots 304 (Anderson), 305 (Alpert), and 307 (Melchionni);
o The section of the main cable line passing lots 1061 (Massey), 1063 (Murdoch), and 1065 (Middle Is
Plantation, Inc.), and Reserve Area #1 (Smith Island Land Trust) and lot 1074 (Cowdry/Patterson) or
north side of Cape Creek Road;
o The westernmost section of the main cable line from 80 Cape Creek Road to the gate at the Sanctus
(including a branch line along Land's End), involving lots 1183 (Sayre/Wilmot), 1185 (Kelly), 1187, 1:
1191, 1193, 1195, 1197, 1199, 1201, 1203 (1187-1203 Coy), and Reserve Area #5 (MIPOA) on the sc
side of Cape Creek Road; and lot 1080 (Cowdry/Patterson), Reserved Area #2 and #3 (Smith Island L
Trust), lot 1200 (Middle Island Plantation, Inc.), and the Conservancy's Sanctuary land on the north
of Cape Creek Road (Bald Head Island Conservancy).
The owners of lots adjacent to the three sections of the project that lie within the AEC were asked to respoi
directly to the Association with any questions, concerns, or objections to the project, and were provided wi
information about how to send any concerns or objections directly to the Wilmington office of the NC Divisi
Coastal Management.
The Association has received no concerns or objections from any of the adjacent property owners -- only
---;+I.,- _CaL_ _-_.__.— _..- __'_.___.__-__

CERTIFICATION BY MIDDLE ISLAND PROPERTY OWNERS ASSOCIATION on behalf of ADJACENT RIPARIAN
PROPERTY OWNERS:
I, Rex W. Cowdry, hereby certify that:
• 1 am a Director of the Middle Island Property Owners Association (MIPOA).
• I have been authorized by a resolution of the Board of the MIPOA to act on behalf of the
Association in all matters relating to the CAMA application submitted by Charter Communications.
The Association has provided a general description of Charter Communications' project to extend
cable along the Middle Island road rights of way to all owners of lots on Middle Island and invited
comments. Comments received have been strongly supportive of the project.
The Association has specifically notified all owners of lots adjacent to the three sections of the
project that lie within the AEC. These sections and the adjacent property owners within each
section are:
o A cable extension to reach 17 Cape Creek Road, beginning in the more easterly
intersection of Dogwood Ridge Road and Cape Creek Road and extending approximately
150' northwestward along Cape Creek Road to the first lot line, adjacent to lots 304
(Anderson), 305 (Alpert), and 307 (Melchionni);
o The section of the main cable line passing lots 1061(Massey), 1063 (Murdoch), and 1065
(Middle Island Plantation, Inc.), and Reserve Area #1(Smith Island Land Trust) and lot
1074 (Cowdry/Patterson) on the north side of Cape Creek Road;
o The westernmost section of the main cable line from 80 Cape Creek Road to the gate at
the Sanctuary (including a branch line along Land's End), involving lots 1183
(Sayre/Wilmot), 1185 (Kelly), 1187, 1189, 1191, 1193, 1195, 1197, 1199, 1201, 1203
(1187-1203 Coy), and Reserve Area #5 (MIPOA) on the south side of Cape Creek Road; and
lot 1080 (Cowdry/Patterson), Reserved Area #2 and #3 (Smith Island Land Trust), lot 1200
(Middle Island Plantation, Inc.), and the Conservancy's Sanctuary land on the north side of
Cape Creek Road (Bald Head Island Conservancy).
• The owners of lots adjacent to the three sections of the project that lie within the AEC were asked
to respond directly to the Association with any questions, concerns, or objections to the project,
and were provided with information about how to send any concerns or objections directly to the
Wilmington office of the NC Division of Coastal Management.
• The Association has received no concerns or objections from any of the adjacent property owners
-- only positive comments about the value of the project to our community.
Rex W. Cowdry
Director
Middle Island Property Owners Association
___ L- _,...,.k-A k--k.,.,o �t,)r»')sf; qSS? nr by email at [e-mail]

SECTION .1600 -GENERAL PERMIT FOR THE INSTALLATION OF AERIAL, AND SUBAQUEOUS
UTILITY LINES WITH ATTENDANT STRUCTURES IN COASTAL WETLANDS: ESTUARINE WATERS:
PUBLIC TRUST WATERS AND ESTUARINE SHORELINES
15A NCAC 07H .1601 PURPOSE
A permit under this Section shall allow for the installation of utility lines both aerially and subaqueously in the coastal
wetland, estuarine water, public trust areas and estuarine and public trust shoreline AECs according to the authority
provided in Subchapter W A 100 and according rules in this Section. This general permit shall not apply to the ocean
hazard AECs.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
E,f' March 1, 1985;
Amended Eff. August 1, 2000; August 1, 1998.
15A NCAC 07H .1602 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting
approval for development. The applicant shall provide information on site location, dimensions of the project area, and
his name and address.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property
owners indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the
proposed work. Such notice should instruct adjacent property owners to provide any comments on the
proposed development in writing for consideration by permitting officials to the Division of Coastal
Management within ton days of receipt of the notice, and, indicate that no response will be interpreted
as no objection. DCM staff will review all comments and determine, based on their relevance to the
potential impacts of the proposed project, if the. proposed project can be approved by a General Permit.
If DCM staff funds that the comments are worthy of more in-depth review, the applicant will be
notified that he must submit an application for a major development permit,
(c) No work shall begin until an on -site meeting is held with the applicant and appropriate Division of Coastal
Management representative so that the utility line alignment can be appropriately marked. Written authorization to
proceed with the proposed development will be issued during this visit. Construction on the utility line must begin
within twelve months of this visit or the general authorization expires.
History Note: Authority G.S. 113A-107(a)(b); 113A-113(b); 113A-118.1; 113A-229(cl);
Eff. March 1, 1985,
Amended Ef January], 1990.
15A NCAC 07H .1603 PERMIT FEE
The applicant shall pay a permit fee of four hundred dollars ($400.00) by check or money order payable to the
Department.
History Note: Authority G.S 113-229(cl); 1134-107; 113A-113(b); 113A-118.1; 113A-119; 113A-119.1;
Eff.' March 1, 1985;
Amended Ef. .,September 1, 2006; August 1, 2000; March 1,1991.
15A NCAC 07H .1604 GENERAL CONDITIONS
(a) Utility lines for the purpose of this general permit or any pipes or pipelines for the transportation of potable water,
domestic sanitary sewage, natural gas, and any cable, line, or wire for the transmission, for any purpose, of electrical
energy, telephone and telegraph messages, and radio and television communication.
(b) There must be no resultant change in preeonstruction bottom contours. Authorized fill includes only that necessary
__ L__t aL_ T..._ A —.. _..____ .—a__:,.1 ._....a 1-..—..--.,-A #— __ ....1__A .7:..«......1 ----

8/10/2017
Overbeck Marine Construction Inc
Chris Strickland
SunTrust
4884
$200.00 GP 69380D
8/10/2017
Island Contracting Inc
G.C. Huddle
_ _
BB&T
28051
$200.00 GP 69384D
8/10/2017
Coastal Dredging LLC
Raymond and Linda Casey
_
BB&T
5682
$400.00 GP 69103D
8/10/2017
Graycliff Enterprises Inc
Middle Island POA/Charles Hardee Bank of North Carolina
87076
$400.00 GP 69382D
8/10/2017
Coastal Marine Piers Bulkheads LLC
Preston E. DavenDort Jr.
Wells Farao Bank
21591
$200 00 GP 69386D