63243D - Hughes

!AMA / ❑ DREDGE & FILL
yMERAL PERMIT
New —Modification ❑Complete Reissue
❑ Partial Reissue
Previous permit # "/C�Z 5
Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
f�
oastal Resources
Commission in an area of environmental concern pursuant
to 15A NCAC
Name
r /' /
.1 �-(�e{ *� Ae;
El Rules attac d.
Project Location: County Zs
4r4aHhl r'/h
Street Address/ State Road/ Lot #(s)
_
/ Yht
7J!', State /Ne ZIP 2 Y �l
3/'G1 N• rl*"r2e
Ak vet-,
( )
Max # ( )
Subdivision C /Vq#-7".e
.d Agent
City ��i/ / r
zip
❑ CW
Q'fW ETA ❑ ES ❑ PTS
Phone # (Y—/P) River Basin
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body 1`Ynat
ElPWS:
ElFC:
fes / ioj
PNA Z!� Crit.Hab. yes / no
Closest Maj. Wtr. Body
length
s) x�3
ar(s)
is yards r
Boatli
ttached:
yes
!L.` -
yes
no
ig permit may be required by: C,- A&n*� e2U. See note on back regarding River Basin rt

SNOW MARINE CONSTRUCTION
& DREDGING, INC.
108 SUMMER SALT LANE
CAROLINA BEACH, NC 28428
PAY C � l� U
TO THE Aj .J
ORDER OF—.J'
BRANCH BANKING AND TRUST COMPANY 2780
1-800-BANK SOT BBT.com 66-112/531
DATE
O �
DOLLARS oa.n. o0
e.ox.
I110000 2 ?80u' ':0 S 3 l0 L L 2 L':000 S LO L 3 746 39n'

C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: �� c�oO ��y�e<5 Permit #: (0J32 113
te: y� Z�G�
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fins
disturbance.
Excludes any
restoration and)
temp impact
amount
/�
(/
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

M �1 . -73
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a

■ Complete items 1, 2, and 3. Also complete
item 4. if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
1 L- /Y\, NIt, ),- s
A. $L'np
XAgent
❑ Addressee
B. Received by (Printed Name) C, Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 013 logo 0001 3547 4 618
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
it S
\'S
A. Signature
�J' , , ', ,'_Q ❑Agent
—eJ
Receved by (Pd-Wed Na C. Date of Del
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Certified Mail ❑ Express Mail