Charter Communications 84657C

#��New
LICAMA DREDGE & FILL NY 84657 A BiobGENERAL PERMIT Dateptap�'ftDate previous permit issued
❑Modification n Complete Reissue ❑ Partial Reissue
As amhortteddbby tlscySratg of North Capristtim Departmem of Environmental Qwdley and the Coastal Resources Comiression In an area of environmental caxern pursuant W.
15A NCAC o / jC,t f .. �;Q �ti Q Rules attached. Cenerat Permit pules ava4b4e at the fdbvring lMk: rig .�g1C,J [v_41es
Applicant Na _UPI f Cj AuthoNad Agent( _ J V,g_
l L
Project latn (tntyti
aAddreennf.
City _ state y_ ZIP S Street AddreskuState PnaNLm #(s)
Phone#
Emaa Suhdi ' o I
City • f ew P4� ZIP-
APfect«f CW sn-s^" PTA S UPTS -..... Adl-Y'hr.Body •• • ihvJtmk)
AEC(s}: OEA �IHA ,��`❑`,ts 11W �SPIMA �PWS Closest MaJ, Win Body
ORW:ye PNA;rtresyto
Type of ProJect/ Activity v._
(Sca1G j
shoreline terigth _...
Au i5 tength_
PierL(dock)gth Flie(s) __
Flaahng Platfur 3( fAe-irA
r♦^vttrr[,,���yy(....��TFinger Pierfil �j'k,,. ��� Cm f to oo
Total Platform ar
Gran langth/P
gnikhoadJfl aPMng AOL
Avg distance Of
Max
Cubic yards „
goat amp
Boathouse/ Boatlift
Other sGeiZ�,
SAV olster ed: yr`s no
Motatodwn: rill yes nn
Site Photos: Yes
n0
fills n Waiver Attechc& yes no
A building permit/toning rmltm required trtr
Permit Conditions TARRAMiNEUSE/6UFFER (circle me)
❑ See note on back regarding flirty Basin rules
See additional notes/mndittens on back

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❑CAMA DREDGE & FILL '�1N° 84657 A B VD
s 3 GENERAL PERMIT Previous permit
1XI
__ / Date previous permit issued
New ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the Stat of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ®� H I I to 00 ❑ Rules attached. XGeneral Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant
inwti]12 S Authorized
Address
Project Location (County): _
City izfd Sttatjey(J(jNG
qq
ZIP '/1
Street Address/State Road/Lot#(s)
Phone #)
Email
Subdivisio
�7
city ZIP •�/
Affected CW krEW
PTA
S ❑ PTS
Adj. Wtr. Body l n an/unk)
AEC(s): OEA ❑ IHA
❑ UW
❑ SPINA, ❑ PWS
Closest Mal. Wtr. Body
ORW: ye(
e o- PNA�o
n
Type of Project/ Activity
�Y (�
G,
Shoreline Length
Access Length _
Pier (dock) lengtl
Fixed Platform(s)
Floating Platfol
Finger pier(s) _
Total Platform e
Groin length/#�
Bulkhead/ Ryfr.
Avg distance of
Breakwater/Sill
Max distance/ I
Basin, channel.
Boat ramp
Boathouse/ Boatlift
Beach B fifozing
Other
SAV observed:
yes n
Moratorium: n/a
yes n
Site Photos:
yes r
Riparian Waiver Attached:
yes n
A building permit/zoning p rmit ma
Permit Conditions .7.
` L
required by:
See,
I'I�VI C�CoCvt`� i arl
TO THIS PROJECT AND
Permit
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Si gp ql**Please yJ compliance statement on back of permit" /y •) ) (L
rL7Ys'/T((fi4 �a • 87/� 7y��t/�iL/ YX!'
Aplpfica6on Fee(s) Check #/M ney Order

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Applicant phone #:
Charles Pitts
481 Hwy 70, Williston NC 28589 Carteret County
(Lot or Street #, Street or Road, City & County)
[phone]
Mailing Address: PO Box 4027
Wilmington NC 28406
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.neticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Charter Communications
Print or Type Name
500 Time Warner Dr
Mailing Address
Newport, NC 28570
City/State/Zip
252-222-6414
Telephone Number
1-19-2022
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date

DCM MP-1
APPLICATION for
Major Development Permit
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Charter Communications
Project Name (if applicable)
250 Donnie Davis Rd
Applicant 1: First Name
Jeremiah
MI
Last Name
Wickersham
Applicant 2: First Name
MI
Last Name
if additional applicants, please attach an additional page(s) with names listed.
Mailing Address
500 Time Warner Dr.
PO Box
City
Newport
State
NC
ZIP
28570
Country
Phone No.
252-269-2118 ext.
FAX No.
- -
Street Address (if different from above)
City
State
ZIP
Email
Jeremiah. W ckersham@charter. corn
2. Agent(ContractorInformation
Business Name
Pintech Corporation
Agent/ Contractor 1: First Name
MI
Last Name
Larry
Puckett
Agentl Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
4027
Wilmington
NC
ZIP
Phone No. 1
Phone No. 2
28406
910-409-9216
ext.
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
510 Macon Ct.
Wilmington
NC
28412-
Email
[e-mail]
<Form continues on back>
252-808.2808 :. 1.888-4RCOAST :: www.necoastaimanagement.net

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
250 Donnie Davis Rd
Subdivision Name
City
Stale
Zip
Williston
NC
28589 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Williston Creek
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural [-]Manmade []Unknown
Clubfoot Creek and Neuse River
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes NNo
work falls within.
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If man; tot sizes, please attach additional page with a list)
8=MSL ❑NHW or ❑NWL
e. Vegetation on tract
Woods, Wetlands, Stream
f. Man-made features and uses now on tract
Old bridge crossing
g. Identify and describe the existing land uses adlacent to the proposed project site.
Home sites and woods
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
NA
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes NNo
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes ❑No NNA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a []Yes []No NNA
National Register listed or eligible property?
<Form continues on next page>
252-808.2808 :: v.N•., :. oa s t a l ear a n a g e n9 e in t. a et

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes ❑No
(ii) Are there coastal wetlands on the site? ®Yes ❑No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ®No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
NA
o. Describe existing drinking water supply source.
NA
p. Describe existing storm water management or treatment systems.
NA
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ®Commercial ❑Public/Government
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
Across branch of Williston creek a total of 200 ft Directional Bore of coax cable. Purpose is to provide service property
owners. Once the cable is is the ground no access is required unless there has been damage by others
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Directional Bore of coax cable. The equipment is a boring machine. No storage is needed, equipment will be trucked in and
out the same day.
d. List all development activities you propose.
Add new coax line across private property.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. What is the approximate total disturbed land area resulting from the proposed project? 50 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No [_-]NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
None
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA
j. Is there any mitigation proposed? ❑Yes []No ®NA
If yes, attach a mitigation proposal.
<Form continues on back>
252-808-2808 :: .s vew1w. n ecakaa tat ma naa"Umou€.dull

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (y are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Charles Pitts Phone No.
Address 481 Hwy 70, Williston NC 28589
Name Phone No.
Address
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed byproperty owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
on Land
I understand that any permit issued in response to this application will allow only the development described In the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date _01-19-2022 Print Name _Larry
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252-808.2808 :: 1.888.41 :: www.nccoastalmanagement.nat

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Charter Communications
Mailing Address:
Phone Number:
Email Address:
500 Time Warner Dr.
Newport, NC 28570
[phone]
[e-mail]
I certify that I have authorized Larry Puckett / Pintech Corporation
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
250 Donnie Davis Rd and Williston Creek in Smyrna
at my property located at 250 Donnie Davis Rd
in Carteret County.
Y
/ 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.
Property Owner Information:
/�/ram �7l4lrirJG��
Signature
Mark Swindell
Print or Type Name
Construction Manager
Title
1 / 19 / 2022
Date
This certification is valid through 12 / 31 / 2022

Ic
�• A WIRED WORLD COMPANY
CAMA Morehead City Office
Ryan Davenport
400 Commerce Ave.
Morehead City, NC 28557
January 19, 2022
Charter Communications CAMA general permit to bury coax cable across tributary to Williston Creek
located at 250 Donnie Davis Rd, off US Hwy 70 in Carteret County, North Carolina. There is only one
neighbor to this property.
property owners list:
Charles Pitts, 481 Hwy 70, Williston, NC 28589
Charter Communications 500 Time Warner Dr., Newport, NC 28570 Tel [phone]

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■ Print your name and address on the rovemo
so that wo can return the card to you.
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or on the Iront If apac_o permits_ .,__,_.
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