HomeMy WebLinkAboutOI_17-07_Vaw HornCAMA MINOR PERMIT PROGRAM
❑ MODIFICATION U4EXEMPTION ❑ MAINTENANCE AND REPAIR
rown of Oak Island
-"AMA Minor Permit Office
ks authorized by the State of North Carolina
ter the Coastal Area Management Act of 1974
Applicant Name td, 164rw 1,40ki %/eA
Address-- / OD � W-- 9�aA APAI �
ss/
city C_-)* D�!�-�
- � t , zi/ c.
Phone# 336-- -'r /.Tl
Authorized
Type of Project
Description of Activity:
Notes or special
conditions: Cost of project.
Permit 4
Date previous _
permit issued
Project Location Information �?
Street Address S_Va S e`'' flrxal- A4-
00 k 4!J 4-d-, 4 11 r✓ C. Z-- r u
Adj. Water Body A4Jj2 }fts_—
AEC: ❑ CS []'OE 011-11-1 ❑ IH
t �r1e
�1
v
SITE DRAWING
�• t� �(� r 'a � l Ja%a d r����.fC1! lJl KN 1
rner's Name (Print) LPO Signature
'-�ee � /� 113111 rl 511 f li
;nature (owner or agent) Issuabee Mir Exp. Date
AK ISLAND DEVELOPMENT SERVICES - 4601 E. OAK ISLAND DR. — 910-278-5024 RECEIVED
DCM WILMINGTON, NC
APR 2 4 2017
CAMA EMERGENCY GENERAL PERMIT
Town of Oak Island
CAMA Permit Office
As authorized by the State of North Carolina
per the Coastal Area Management Act of 1974
6
Applicant Name,4
Address 66l3
City (fea
Phone # %Q 3 ��(� ✓rc g3
Authorized Agent 6 (e4
Type of Project
Description of Activity:
Cost of project:
Notes or special conditions:
Owner's 1$ me (Pd t)
Sig atur� a (owner or agent)
OAKYSLANDDEVELOPIVIENT SERVICES -
Permit#-E_J---0-17,
Project Location Information Street Address .SO 3 4e✓ • f Q -el-)
Adj. Water Body
AEC: ❑ CS [�'OE []IHH ❑ IH
� IL1
�IouS-2
SITE DRAWING
Lature
IIIIr] h(A1.7
Issu nce D to Esp. Date
4601 E. OAK ISLAND DR. — 910-278-5024