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• CAMA AND DREDGE AND FILL
' a GENERAL N,, 01 599 _I
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 N • /1 c)
Applicant Name ed O .Sr mpeo '6 S41,-./!I , 11 'v rr- Phone Number(9/0) ZV—)' 6.°°7
Address /// S• .c7gvie P ,,�,#,' ✓e /
City L' 0 H State ,/t C \ Zip .2 �b .Z
Project Location (County, State Road, Water Body,etc.) /// S' �s/,4 e-e 34 e1 ✓-(' /
f�ki . . eft/, 4& /i.,.. /l,w/ ✓•t l-y�'�2/C.� e0 .
Type ofProject Activity 'i J'7�K G75G� v ' ,G� /4° PR .
1.-- (Vet
/J4f;An- CG ci-;eh/ cito7 z.n i^-4 6'a6-f Ari i se f cK -Ae rn t /-'cL)Po'f1
( N t(w t( 4fR e Pe Q S (.4eah.-Y b4tFC 41/"l/9 fr 61 M.4is/c .co e vex'A/G /.Z,vC
A// 04 9i{)•,,^ i et- 7f/ . /J cau s /( /9 rY
PROJECT DESCRIPTION SKETCH w(ti (SCALE: pi )C) i )
f o f iw". iv £IX&i 4
Pier(dock) length Yr9 t=ruERAI CM. W-c4 _1.
_ - _ i_.._. _ . /o 4 _ _ j_ __f ._--
it 0► t- h
Groin length ) _
1 . ei AI . ..... K . /5 $l;y , -4---_ _
number ',c' SEX�C p ;„ -
Bulkhead length d
' l ' GFT s j- '
max.distance offshore .,_ „ ,
._•i._c 1, -1- , 1
4 2
, , ,
Basin,channel dimensions
cubic yards P 1 ,' ' 17, i I
41 I y9 PiG� i . ...
Boat ramp dimensions I
! 1 i
LiFY- /0'X/y� i
I
Other
,caul /a'X/6 ' - _ _ �-
L-ii/ )0 /0'yiV
...... ______...7
-
/// ,S..s male i 1,.
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
applicant's signatur
imprisonment or civil action; and may cause the permit to be- 4,7
come null and void. P(}7\
This permit must be on the project site and accessible to the permit officer's signatur
permit officer when the project is inspected for compliance. ��/�� /�U/9�
The applicant certifies by signing this per fait that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration dat
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 71 j ,/, oU
objections to the proposed work. attachments
613 $7

GENERAL PERMIT COMPUTER F
APPLICANT NAME: &d I S i�Y 0
ADDITIONAL NAMES: wx`'^/ Ar N., v
AEC DESIG: DEVELOP AREA: C. hh / L-3
(Will only take 6) s1_ PROJ DESC:
(Will only take 1)
WORK: e �� 0� I Y
(Will only take 4) / /
F5 (cl� ILl
MAINT:
(Will only take 4)
IMP: 0 Li (03(. .
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: y/3°/ /3 0/1
CAMA MAJOR DEVEL REQUIRED: ! 0V
A

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q- $ Nik,t-9,6 (
4r%
I also wish to receive the
To c2.......:00 following services(for an
aat ,can return this extra fee):
y ■A space does notS
1. 0 Addressee's Address
y ■Wnttp .iow the article number. 2. ❑ Restricted Delivery u
« ■The R, .+as delivered and the date
c delivers, Consult postmaster for fee. I
o u
3.Article Am_ 4a.Article Number c
Ecex vL d C , 1 9�to !S o a U aE
E 4b.Service Type
a ot3IOv�w ! d. 0 Registered 'Certified
a
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/ �NC- ❑ Express Mail 0 Insured •
c
w
❑ Return Receipt for Merchandise 0 COD a
0 7. Date of Delivery w
z ��5���- y Y��' a
m 5. Received By: (Print Name) 8.Addressee's Address(Only if requested c
w and fee is paid) i
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6.SXnaturGx^✓�r sse or{�A�/gelnt)
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PS For 3811, December 1994 102595-97-8-0179 Domestic Return Receipt

VarnaM'S
DOCKS & BULKHEADS
86 Varnamtown Road SW • Supply. NC 28462
Sammy Varnam • 910-842-6007
Dear Property Owner,
Varnam's Docks and Bulkheads is in the process of obtaining a
permit for the construction of pier a - lit nDo4-44
Mo�4_ p 1,'u .
CAMA requires adjacent property owner's signatures before
permits are issued. Please read and sign the enclosed form and return
it to me as soon as possible. If you have any questions, please feel free
to call me at 910-842-6007.
Thanking you for your time, I am iS' rely yours,
/41A410.41/
Sammy V nam
Owner

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
PIER/FLOATING DOCK
I hereby-I certify that I own property adjacent to
O Y Kpai w ' s , property located at
I 1150( -ih Shoe ()I
( lot , block, road, etc . )
on - w k) on Holden Beach
(water body)
North Carolina . He Has described to me as shown below the
development he is proposing at that location and I have no
objections to his proposal . I understand that a pier must bE
set back a minimum distance o9f 15 feet from my area of
riparian access unless waived by me . I do/.o not ish to
( circle'•ne)
waive that setback requirement .
Description and/or drawing of proposed development : (tc
be filled in by individual propsing development )
7 /(21W;/),471-1 *
Signature
Name 40r
- 7
Phone Number

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I HEREBY CERTIFY THAT THE ATTACHED PLAT OF
SURVEY IS A TRUE AND CORRECT REPRESEN
OF LAND SURVEYED AND D:I ��1/
AND IS IN ACv TH T}1 •1D
PRACTICE FOR 11L 1 . I G I •,
n+oraAs illaGFoRsR gPP'LDING OR CDNVEIANCE
DATE
NOTES: 80' OFFSET LINE FROM THE TOW Ni 1.5
* LOT 4 IS IN A FLOOD HAZARD ZONE. OF A.I.W.W. MAINTENANCE PRISM 1pNGE
,A, MEAN HIGH WATER
2.9' N.G.V.D.
{ C •' 0 --\ DECEMBER, 1988 \
�g 19
A N
rn �''• i 1 O
3 \ EDGE OF MARSH
i gib• _ \ DECEMBER, 1988
\ \ ,goo e
N. \ :
LA Co PSG F A5 o N. /
P \
N�\C �N�R�IN \ DR. R.H.
P��P wP HOLDEN o
SUBDIVISION
rn
EXISTING BLOCK ERB >e
ATLANjC L R ;,�
INTRACOASTAL -----
BEACH o
WATERWAY o
w RIGHT-OF-WAY\ / HOLDEN o
Q / y z
/ N.C.
iiVI �� o
-.Q i �..�� `n / cRd
Z.'z ALTANTIC
=o / INTRACOASTAL /
I- — WATERWAY
o / RIGHT-OF-WAY /
zQ
O I- -------
4-----eo / 5
O /
Z S
/ ..Bu
/ j ERB e
/
/
3
I S\Apo�wO
i SOv SON R\GNP
I R

•
2454
VARNAM'S DOCKS & BULKHEADS
86 VARNAM TOWN RD.
SUPPLY, NC 28462 66-112/531
q- q_ il
1' - DATE
PAY _ �J
mll TO THE 0 L i Alf I ¢' C-� Ot7� - j
ORDER OF $ .5 _
F-Vt (�If�IIO/r1'yll�U/ DOLLARS ri
011'
62101
LI
e'unon unKwo wHo u�r eour,wr
3228 HOLDEN BEACH ROAD SW
SUPPLY,NC 28482 ii___________
I FOR PQCI4 -6r (( 5(J'1"1 91 01. I --- "r
1110000 2 4 5 411° 1:053LOLL2LI: 52L76760 ?
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