20140097 Ver 2_Agent Authorization Letter_20150717

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date JULY 17, 2015
Name of Property Owner Applying for Permit:
BRIDGETON MARINE, LLC CHARLES E. DOUTHIT, MEMBER / MANAGER
Mailing Address:
BRIDGETON MARINE, LLC
103 D STREET 1200 TRILLIUM CIRCLE
BRIDGETON, NC 28519 RALEIGH, NC 27606
252 - 633 -1090
I certify that I have authorized (agent) ROBERT M. CHILES, P.E. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) THE BRIDGETON BOATWORKS PROJECT
at (my property located at) 103 D STREET, BRIDGETON, NC 28519
This certification is valid thru (date) /OR
THRU COMPLETION OF PROJECT
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Property Owner Signature Date