56631D - Sheppard

01/11/2011 06:02 252-�68-61'0 ShEPPARD ELLIPtIENT PAGE 04
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01/11/2011 06:02 252-568-5170 SI-EPPARD EQUPNENT PAS 02
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C Division of Coastal N19t, Habitat Impact Computer Sheet
i
'plicant: �l� �� i e - Permit #
ite: '
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
11
(/v
Dredge ❑ Fill ❑ Both ❑ OtheA
-339
3i�
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 ❑
7 xr 1 �

a.. D

LIGHTHOUSE MARINE CONSTRUCTION INC
PC BOX 2532
SURF CITY NC 28445-0028
PAY , (� D
TO THE Ov
ORDER OF
Bank ofAmerica ��j
ACH R!T 053000196 f
FOR ��I��-�n1� •V�,�
1100040 10u' 1:0 5 3000 1961:
DATE f /
2 3 700 5 4 1 588 ?IIo