11824_THULEN, AMY_19930427

CAMA AND DREDGE AND FILL
GENERAL
PERMIT (el
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commissior
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address i
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity 1 i
Phone Number
Zip
118`4
PROJECT DESCRIPTION SKETCH L k 1"a j,t) 1 (SCALE: , )
Pier (dock) length
Groin length Y n�
number`
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
1;
applicant's signature
— permit officer's signature
issuing date
attachments t 4 l
i/ /i,
application fee' �� tr, el 7 P--- z! -3 P /
expiration date

DR. JAMES D. THULLEN LIC. 4741780
AMY CARR THULLEN LIC. 156573
2311 LAKE DR. 782-2483
RALEIGH, NC 27609 /,
OPayrd r the D5/�-{-/�
Order of ` ' � �{'
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CCBCentral Carolina
and TrustCumCompany427 427
lUcigh, North Carolina 27609
. For
1:0531004651: 4 2 20795 190 4 1
4381
19 05 427
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ADJACENT &IpARIAN PROPERTY () ;NER STATE =
I hereby certify that I own prope}t:y adjacent to
v(m 4i!� Al, H v c.LEti/ ' s property located at
(Name dt Property owner)
l � Z �� G i ELc.� �Ly,ii ► _
(Lot, Block, Road, etc.)
� . L , N.C.
on A�'<'�SS' C�/��{ �J�I In [-�(�e /� '�-(
(Waterbody) (T-,.wan and/or County)
He has described to me, as shown below, the development he is
proposing at that lo(;3tion, and, I have no objections to his
proposal.
DESCRIPTION
(To be fille
ND/OR DRAWING OF PROPOSED DEVELOPMENT:
in by individual proposing development)
3 /7L-�
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Tel(:ohone Number

-*$ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own proper-.y adjacent to
v/ A� { U AlLLE' s property located at
(Name f Property owner)
(Lot, Block, Road, etc.)
.0V
on Ae4?6S� L6 , in—�/-ls! %7 `I�E=/�L �-{ N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t kf: T.ALL,gT (© &( OF 108 0AbLI<'e-- F-d�7e 1
rA � , WOOD
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Nose%1� 1�. I�DS'7��►�.
Prins. or Type Name
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Tele-Dhone Number