20090060 Ver 2_authorized agent form_20240409

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jerry Pounds
Mailing Address: P.O. Box 250
Clayton, NC 27528
Phone Number: 919-422-1175
Email Address: [e-mail]
I certify that I have authorized Robert M. Chiles, Jr. / Robert Chiles Engineering
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Sand Ridge Harbor Marina
at my property located at Sand Ridge Road, Bridgeton, NC
in Craven
County.
1 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 connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Jerry Pounds
Print or Type Name
Owner
Title
Date
This certification is valid through April/ 30 / 2025