69005D - Darst

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rizad by the State of North Cuno|ina. Department of Environment and '
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
E] Rules attached.
tName a Project Location: County
Street Address/ State Road/ Lot #(s)
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NC Division of Coastal Mgt. Habitat Impact Com
Applicant: b—
Date: C)3, q /7 o �
Describe b low the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di:
Habitat Name
Choose One
includes any
Excludes any
total includes
E)
anticipated
restoration
any anticipated
re'.
restoration or
and/or temp
restoration or
tei
ternimpacts)
impact amount
ternimpacts)
ar
V J
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 ❑

Robert Darst
6233 McKibbin Circle
Summerfield, NC 27358
[phone]
March 6, 2017
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
RE: 28 Fairmont Street, Ocean Isle
Dear Fairmont Street Neighbor,
As you may or may not have noticed, the dock and walkway at our property on
28 Fairmont Street was severely damaged. Therefore, we must replace it. In
order to do so, we are required by the Division of Coastal Management to let
our neighbors on either side of our cottage know of our plans and to get your
approval.
I am enclosing a Division of Coastal Management form ("Adjacent Riparian
Property Owner Notification/Waiver Form") and drawing for your inspection and
approval.
If you should have any questions, please feel free to contact me at the above
number.
Sincerely,
Robert Darst

;el z
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: Kew-fi Dort"
l t'uI'ISvV'1CK.
Address of Property: 20 FCC t (-m Gn fi �C'�
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
C �.+-i,Lli PVC Z��a
Agent's phone #
I hereby certify that 1 own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A descri tion or drawirt with dimensions must be rovided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if vou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
`/1 b 1Z ,� Mc�'I , n L� rC l ,
l Mailing Address
(Adjacent Property Owner information)
Signature
Print or Type Name
Mailing Address

130
Robert Darst
6233 McKibbin Circle
Summerfield, NC 27358
[phone]
March 6, 2017
CERTIFIED MAIL- RETURN RECEIPT REQUESTED
RE: 28 Fairmont Street, Ocean Isle
Dear Fairmont Street Neighbor,
As you may or may not have noticed, the dock and walkway at our property on
28 Fairmont Street was severely damaged. Therefore, we must replace it. In
order to do so, we are required by the Division of Coastal Management to let
our neighbors on either side of our cottage know of our plans and to get your
approval.
I am enclosing a Division of Coastal Management form ("Adjacent Riparian
Property Owner Notification/Waiver Form") and drawing for your inspection and
approval.
if you should have any questions, please feel free to contact me at the above
number.
Sincerely,
Robert Darst

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
70; A/
Name of Property Owner: I& bor t 1�rt r
Address of Property: Z � 1 rl-Y) nT 5L•.,Oc(tin BrLII15t ,'Vi CK
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #: C33t02 ? 9 -2Ci Ual olCr f1t. 24 3 �51Gt
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if ypu have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
KL1xr t- Txi►' �t�"
Print or Type Name
(� Cr23� �'1� KI labs 1'1 Ci ►��: I ,t
Mailing Address
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address

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Q' MONRgE it NC 28118
■ Print your name and address on the reverse
so that we can return the card to you.
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PS Form 3811, July 2015 PSN 7530-02-000-9053
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The new dock will be the exact same dimensions as the previous version
The only difference is that we will not have railings around the dock platform nor any benches
Here are the dimensions for the new dock - again, same as the old:
n
1 <-------4------> 1
BULKHEAD