- 1/12/2023 11:13 AM (5)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date: 08/26/2022
Name of Property Owner Applying for Permit:
Pirate Ventures, LLC c/o Robert Moore
Mailing Address:
1968 Cornerstone Dr, Winterville, NC 28590
I certify that I have authorized ROY BROWNLOW, TIDEWATER ASSOCIATES, INC., to act on my behalf,
for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct:
(activity) PLACEMENT OF FILL MATERIAL, LANDSCAPING FOR SINGLE FAMILY RESIDENCE
at my property located at 719 CANNONS GATE DR, NEWPORT, CARTERET CO.
This certification is valid through (date) 0 8/ 2 6/ 2 0 2 3
Property Owner Signature: Date: 8-26-22