Cape Fear Trading Group

❑ MODIFICATION / EXEMPTION
Town of Oak Island
CAMA Minor Permit Office
As authorized by the State of North Carolina
per the Coastal Area Management Act of 1974
Applicant Name
Address 1 a.0 C. i'nooce 9t;7e
City !E��iS. a to I
Phone # (mot Id �fS`1 (1 O a
Authorized Agent
I E: ?IIT 131: 30 3r: — ?I
AINTENANCE AND REPCEIVED
Permit #
DCM WILMINGTON, NC
Date previous JUN 1 5 2005
permit issued
Project Location Information
Street Address qo5; cye a ] we
Adj. Water Body -A-rl-A-A17-1e-
AEC ❑ CS WOE ❑ HH ❑ IH
Type of Project
Description of Activity: W"WV=1rAPV0A'0MMMMMMMMMMMMM
MMMMMMMMMMUMMMMMMMMMM
MMMMMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMMMMM
Notes or special
lnl /u,&s /2-,?1,05
Signature k4x4ner or agent) Issuance date exp. Date
Oak Island Development Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024