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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit v►'mamg` comet Assoclakoa (Terry Pres.)
'
Mailing Address: PO Bow 10593
Southport; NC 28461
9W-42"151
Phone Number:
Email Addren: duffassodates@gmail.00m
1 certify that I have authorized CPG, LLC and McPherson Marine
Agent 1 Contractor
to act on my behalf, for the purpose of applying_for and obtaining all CAMA permits
necessary for the following proposed development burkheadwmgwaIl
at my property located at � PARCEL m "OA 001102
in Brunswkk County.
I furthermore certify that 1 ,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 connecfion with evaluating information related to this
permit application.
Property Owner Information:
%rzy0. fi ° 11. 210ASMM
Signature
Winding Creek Comm. Asso=Uen
Print or Type Name
HOA Presidents Terry Duff
Trite
6 , 10 1 2022
Date
6 io Zoa3
This certification is valid thr' ough 1 1

(AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Karen and George Brake
6521 Walden Pond lane SE
Southport, NC 28461
910-520-3662
[e-mail]
Email Address:
I certify that I have authorized
CPG, LLC
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: CAMA Permit —rip rap
652i Walden Pond Lane (Southport)
at my property located at
in Brunswick County.
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.
Property Owner Information:
Signature
Karen Brake
Print or Type Name
Property Owner
Title
5 t 11 / 2022
Date
This certification is valid through 5 1
11 1 2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be. completed by owner or their agent)
Name of Property Owner:
Address of Property:
George and Karen Brake
6521 WALDEN POND LN SE SOUTHPORT, NC 28461
Mailing Address of Owner: 6521 WALDEN POND LN SE SOUTHPORT, NC 28461
Owner's email: [e-mail] Owner's -Phone#: [phone]
Agent's Name:
CPG, LLC (Ben Brink)
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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 op the attached drawing, the development they are proposing. A
I
Philip Philip McH,g :10 EDTj I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) PDM
Signature of Adjacent Riparian Property Owner: Philip.WH�u�� :10EDT)
Typed/Printed name of ARPO:
Mailing Address of ARPO:
Philip and Christine McHugh
3626 HATHAWAY RD DURHAM, NC 27707-5139
ARPO's email: [e-mail]
Date: J u l 5, 2022
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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6W1�CYEEC SEGTJON
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gro�h must be set back a miniiurn °disanceof f 5' from my area �f riparian_ acsss 3 ipiess war,�ietl by rile
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Revised .lulu 202.1

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McHugh APO
Final Audit Report
"McHugh APO" History
Document created by Ben Brink ([e-mail])
2022-07-05 - 3:59:46 PM GMT- IP address: 97.87.79.66
124 Document emailed to [e-mail] for signature
2022-07-05 - 4:00:19 PM GMT
Email viewed by [e-mail]
2022-07-05 - 4:06:44 PM GMT- IP address: 174.99.75.116
2022-07-05,
&0 Document e-signed by Philip McHugh ([e-mail])
Signature Date: 2022-07-05 - 4:10:40 PM GMT - Time Source: server- IP address: 174.99.75.116
Agreement completed.
2022-07-05 - 4:10:40 PM GMT
Adobe Acrobat Sign

m
*Not to Scale N
Nancy Creek Proposed Rip Rap at
i
' &lkhead crossing
into Winding Creek Parcel
Approx. 42' (-------- )
Ramp
122' Shoreline,
Pin-e(
—P/L
Parcel 206BA00102
(Winding Creek HOA)
Existing
Docking
Facility
Stairs
existing escarpment/NHW
Approx. 53 linear feet
5'
3' 1p
4'
Proposed Rip Rap Cross Section
*Avoiding coastal wetland
vegetation
*Average distance waterward of
NHW (-4')
is CW ,
1HW/Escarpment
Pine
6521 Walden Pond Lane SE
(Brake)
—P/L
6519 Walden Pond Lane SE
(Duff)

Date ReeeNed
Dafe Deposited
Check From Neme)
Name of Permit Holder
Vender
Check number
Check
.mount
Permlf Numbedcommenta
Recd fw Refund(Reell—.fed
Columnf
Column2
Cdumn]
Column,f
Ce1umn5
0o1umn6
Co1umn7
CDlumn6
column!)
7/7/2022
John McClure
Phillips
United Bank
1105
$ 600.00
GP #85714D
BB rot. 18022
7/7/2022
Sea Dog Marine Construction
Briggs
First Bank
1818
$ 400.00
GP #87791 D
BB rct. 18024
7/7/2022
North End Builders NC LLC
Farrell
SunTrust
1060
$ 200.00
GP #86049D
BH rot. 16273
_
7/7/2022
North End Builders NC LLC
Wa e
SunTrust
1061
$ 200.00
GP #86050D
BH rct. 16274 '
7/7/2022
Patriot Boat Lift & Dock Maint, LLC
McAdams
A uesta Bank
1212
$ 200.00
GP #86057D
BH rot. 18060
7/7/2022
Southern NC Marine LLC
Lecci
First Bank
1529
$ 400.00
GP #86048D
BH rct. 16272
7/7/2022
George Brake Jr
same
State Employees CU
4494
$ 400.00
GP #87743D
Tmac rot. 19336
7/7/2022
Overbeck Marine Construction, Inc.
Pullen
Suntrust
5566
$ 200.00
GP #87742D
Tmac rct. 19337
7/7/2022
Duncan Marine Contractors, Inc.
Marks
Branch Banking and Trust
8439
$ 400.00
GP #87741 D
Tmac rot. 19335
7/7/2022
Duncan Marine Contractors Inc.
Marks
Branch Banking and Trust
8440
$ 200.00
GP #87741 D
Tmac rot. 19334