Shun & Pauline Endo (2)

Athw
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter 71KA"Mr NCGS 113A-103 (5) (b) (5)
Applicant Name 5NLkrJ e!( 'NV -VHF_ r--Alva PhoneNumber
Address 7*41' Z4AC LY %iS4 LAWN ;
City W+#-s4%,VG.T0N State G Zip 2 411
Project Location (County, State Road, Water Body, etc.)
S
Type and Dimensions of Project C2 , _ _ _ 7r5 _ _ - _ ,rr _ A
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
This certification of exemption from requiring a CAMA permit
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
AEC(S): E S & P T 5 SCALE: AJ" ("S
-T----r--T--r--T--r-T T--T-----T--r-----r_
r--r--r--r--r--r--r--r--r--r--r- --
I 1 1 I 1 I I 1 I I I I I I I 1Fy �I . 1 j 1��i' I tI 71 I I I 1
I 1 f I I 1 1 -F'--+--}--+--F-�--
t--r ��--*--+-
1 I I 1 I I I I 1 1
yI I Il I 1 I I I I I I I 1 I 1 1 I I I I 1 I 1 I 1 I
�q -- iq-
S7u/ tu►JiGa- --i -- i --i -- i --i
Vi Y--r--
I
1 I 1 1 1 I 1 1 I I I I 1 1 I I 1 I I I I I I 1
r- -- k1A1*0A/
r--r--r--r--i
1 4rA ---- -- yyI/�
r- r--r--r--r--r--r--r- -T--r- T--T -�--- - !34 T--r-- fir--r--r--�
I I I 1 1 1 1 I I I I 1 I I I I 1 1 I I
r--r--r--r--T- -� -r---T--r--T--�-- --T----T--T-- ---T}-r--r''''��rr�� i
1 I I 1 I I I I 1 I I 1 I 1 1 I 1 I I I 1 I 1 I
r--r--r--r--r -r 11-r--r-T--r--r----r--�--r- -r---r--T--T--r-r--r--r--r i
-----
r--=--,---,-- r--;
1 A
I I 1 I I I I 1 1 I I 1 1__L__1 1LI 1 I�-I I I I I 1L.__L -J
I
__.� � �1_-- ---111-- 1_ __
�--L --L--1-L--L--1--L -1--L-- -1--L--1--L--1--L---i--1--1--1-- --1-�--L--
�--L-�-L--1'--'1--L--L--L--L -1--L--1�-J--L--1--1'--1--L- --- --1--'1--1--1='--1--L--L-- --�
I 1 I I I I I I 1 I 1 I 1 I I 1 I I I I
---1I1IILI ---I 4--1-
Anycon-
sent
person who proceeds with h a development without the `C- ✓ ✓
of a CAMA official under mistaken assumption that the Applicant's s' at
development is exempted, will be in violation of the CAMA if there C
is a subsequent determination that a permit was required for the
development. CAMA icial's signature
The applicant certifies by signing this exemption that the ;2- 1 /io LQ1-24 ZZO
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
E,
wwy

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 5h kvl V 4 dot fBkwt x%e -EffoLD
Mailing Address: 7rf l4 1-KF,`slil Ln Oo-1 t� fom NC, 2$0-
1!
Phone Number: (6 f y) 216 — 4 4 10
Email Address: A
I certify that I have authorized
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: , rr C a s e-
GLN l ar., n� p[Otto(�`t
at my property located at -7y 14 u 4 y ri s I. Al 1 an �J G
in N e yJ 4o x, a Ve fCounty.
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
aKl -4e- Enda
Print or Type Name
Title
a 1 /I 1 a daa
Date
This certification is valid through 1

�Noo �e5�den�e..
-7g,
t,��1►��Sko� SIC 2�911
S
AL
IL RECEIVED
FEB 21 2020
ACM WILMINGTON, NC