McKenzie

r CERTIFICATION OF EXEMPTION
-Y
FROM REQUIRING A CAMA PERMIT
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 15 NCAC Subchapter 7K.0203.
Applicant Name KtVr A bf 1 t e '/1 G XPA 1 tF Phone Number(7 '/) #1 17 ( . �T3
Address ;ii ') orc, e-(
City -q // s r- , State kl L, Zip
Project Location(County,State Road, Water Body, etc.) 1, C'im 44 r- d At✓( n- ,�+ « dt^
c. 9nN 1 r /'1 7Cc L /P 13+4 . I7r ins a/1.LK ('��,H
Type and Dimen$ions of Project Cass-r��'f' ' 16' / to f ' 161 f h r
d) .0 f<< ,,, ,, :! end . A- r�,���;"�„ � D �_ � K . 0
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The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE: •
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ib
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775 ,7 /s ' --y
50 ' >
Any person who proceeds with a development without the con- / (4 i
sent of a CAMA official under the mistaken assum tion that the A licant's si nature
development is exempted,will be in violation of the CAMA if thereP PP 9 /�
is a subsequent determination that a permit was required for the !/l
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- /
Issuing date
plicant has read and will abide by the conditions of this exemp- /
tion,and(2)a written statement has been obtained from adjacent

CWIRE
IBUWERM0L1ter, 11
, ) 24 Causeway
I Ocean Isle Beach, NC 28469
910-579-2454
August 17, 1998
L c - kit
Mr. Jerry Parker -'k(.t
i \
127 Cardinal Drive VO r-i tl ie\Cp
Wilmington, NC 28405 J S i\
Re: McKenzie Dock Request P� / r4 (.4
Lot 34, Canal 2, Section A & B
Ocean Isle Beach
Dear Jerry:
Enclosed is McClure Builder's first request for a dock permit
in a v-Zone on Ocean Isle.
I am not sure what is required so I enclose the Property Owners
notification with signature, drawing of the dock, copy of the
CAMA request and a drawing of the proposed house. If there is
anything else required that will speed this process, please
give me a call.
Our meeting of August 25, at 10:00 am is still on. Maybe we can
get a some simpler way to get a dock in a v-zone approved.
Thanks for your help.
Sincerely,
R.H. McCLURE BUILDER, INC.
D ECEIVE
Leilani Clark
Office Manager AUG 1 8 1998
COASTAL IM A AGEMENT

Locality
Permit Number
GENERAL INFO?
U Epvij AMATION �
LAND OWNER • �`yJ 1 : 98 ;'
.)
Mae Kevin & ,Denise T. McKenzie f!c7 �"' r.r.,
Name
Address 1119 Birch Street
City Salisbury State NC 28146
—�_ Tsp Phone 704-279
AUTHORIZED AGENT
Name R. H. McClure Builder, Inc.
Address 24 Causeway
City Ocean Isle Beach State NC 28469
Zip Phone9i0-579-:
LOCATION OF PROJECT Lot 34, Canal 2, Sect A & B •
8 Cumberland Avenue
(If not oceanfront,is waterbody natural or manmade?)
DESCRIPTION OF PROJECT Single family dwelling and dock
AREAS OF ENVIRONMENTAL CONCERN(AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline _ORW Shoreline Other
PROPOSED USE
•:er••••:: Coli.medailiiitiusinat Other
SIZE OF BUILDING IN SQUARE FEET 1930
Size of other impervious or built upon surfaces (such as driveways,etc)within 75 feet of the shorelin
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET 5750
OTHER PERMITS MAY BE REQUIRED . . , Zoning,Drinking Water Well,Septic Tank (c
The activity which you are planning may require ry treatment system),Burning,E
are permits other than the a minor permit you c•1'Iuaibnn waste Heating and Air Conditioning
E
are applying here. As a servicethe Ve com- sulatfan and Conservation, FA Certi�
Ceda listing of the kinds of permits whisk might don,Sand Dome, ent Control,Subdivis]
required. We suggest that you check over this Approval,Mobile Home Park Approval,Hi g;
list with r"iron1 no.•.,,:1.ri n-- Connection,Others!

STATEMENT OF OWNERSHIP
I,the undersigned,an applicant for a CAMA minor development permit,begin either the owner of propert
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a
CAMA minor development permit,certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one
an owner of record title,Title is vested in ,see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest,such as written contact or lease,explain below or use a separate sheet and attach to t
application.
under contract '
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore to tity that the following persons are owners of properties adjoining this property. I affirm tha
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply fo
a LAMA permit.
(Name) (A
Odell Williamson (both sides) C E J T] m
(1) .�
(2) '� a .t
di V . U Ravi
(3)
(4) D SON Or
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard 7Fcc,c at ve-rth th_c '•o* Tr:.c'.t+ louur, was acc.,:n zdLied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to gprant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information(this form),a site drawing as described on the back of this ap-
plication,the ownershipstatement,the AEC hazard notice where necessary,a check for$50.00 made payable to
the locality,and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil,criminal and administrative action.
This the day of ,19

L_A N A L
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant's Name: Kevin and Denise McKenzie
Address Of Property: 8 Cumberland Street, Ocean Isle Beach, NC 28469 Brunswick
Street#, Street Name, City & County
Applicant's Telephone Number 704-279-2342
I hereby certify that I own waterfront Property adjacent to the above-rs-Pre-_-od 7rcpz - The
applicant has provided me a drawing of the the proposed development. Plei+se initial the
statement below if you have no objections to the applicant's proposed devel 'pment. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
r A
Signature Date
At// � //of ) o�� �sc ids /ease, 'A 7'41 7‘C6f
Print Name and Mailing Address
YA-f79-4?,?,5 , E C EIVE
Telephone Number With Area Code D
7 'f
AUG 1 8 1998
SIVISION OF
COASTAL MANAGEMENT
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Pe Q K. la ra
3 West Thi St. 2 /,�(�` Jn
NC 28469 2 c
Telephone. 910-5 -7070 /i ce ) )26
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• DIVISION OF
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RrHr
"�. CLURE
IBWLDERMCU
� II 24 Causeway
IOcean Isle Beach, NC 28469
910-579-2454
August 17, 1998
Mr. Jerry Parker
127 Cardinal Drive
Wilmington, NC 28405
Re: McKenzie Dock Request
Lot 34, Canal 2, Section A & B
Ocean Isle Beach
Dear Jerry:
Enclosed is McClure Builder's first request for a dock permit
in a v-Zone on Ocean Isle.
I am not sure what is required so I enclose the Property Owners
notification with signature, drawing of the dock, copy of the
CAMA request and a drawing of the proposed house. If there is
anything else required that will speed this process, please
give me a call.
Our meeting of August 25, at 10:00 am is still on. Maybe we can
get a some simpler way to get a dock in a v-zone approved.
Thanks for your help.
Sincerely,
R.H. McCLURE BUILDER, INC.
aelvnAL
6671-4-04--
Leilani Clark
Office Manager

Locality
Permit Number
GENERAL INFORMATION
LAND OWNER
Name Kevin & .Denise T. McKenzie
Address 1119 Birch Street
City Salisbury NC
State Z1p 28146 Phone 704-279-
AUTHORIZED AGENT
Name R. H. McClure Builder, Inc.
Address 24 Causeway
City Ocean Isle Beach State NC
mp 28469 Phone[phone],
LOCATION OF PROJECT Lot 34, Canal 2, Sect A & B
8 Cumberland Avenue
(If not oceanfront,is waterbody natural or manmade?)
DESCRIPTION OF PROJECT Single family dwelling and dock
AREAS OF ENVIRONMENTAL CONCERN(AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application)
Ocean Hazard Estuarine Shoreline
ORW Shoreline Other
PROPOSED USE
x Residential Commercial/Industrial
Other
SIZE OF BUILDING IN SQUARE FEET 1930
Size of other impervious or built upon surfaces(such as driveways,etc) within iS feet of the shoreline
of an ORW shoreline)
SIZEOFSITEINSQUAREFEET 5750
OTHER PERMITS MAY BE REQUIRED . . . Zoning,Drinking Water Well,Septic Tank (or
The activity which you are plowing may require 'waste treatment systems Burning,IIe
Puts other than the CAMA minor permit you �,PIuzzibin ,Heating and Air Conditioning,
are applying for here As a service we have c�om- sulatfan and Conservation,FfA Certific
Cada listing of the kinds of permits which might tion•Sand Dune, ent Control,Subdivision
Zuired. We suggest that you check over this Approval,Mobile Home Park Approval,Highs
list With vavr T nral PAnnit fIfffra,.+.,,an+nr.,;;.,� Connection.Others:

•
STATEMENT OF OWNERSHIP
I,the undersigned,an applicant for a CAMA minor development permit,begin either the owner of propertj
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a
CAMA minor development permit,certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title,Title is vested in ,see Deed Book ,
page in the County Registry of Deeds.
-an owner by virtue of inheritance. Applicant is an heir to the estate of
• probate was in County.
- if other interest,such as written contact or lease,explain below or use a separate sheet and attach to tl
application.
under contract
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore cei tify that the following persons are owners of properties adjoining this property. I affirm that
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
(1) Odell Williamson (both sides)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to gaant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information(this form),a site drawing as described on the back of this ap-
plication,the ownership statement,the AEC hazard notice where necessary,a check for Sa50.00 made payable to
the locality,and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit Any person developing in an AEC without a per-
mit is subject to civil,criminal and administrative action.
This the day of ,19

L_A N A L_
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant's Name: Kevin and Denise McKenzie
Address Of Property: 8 Cumberland Street, Ocean Isle Beach, NC 28469 Brunswick
Street#, Street Name, City & County
Applicant's Telephone Number 704-279-2342
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
Signature Date
�/// (// /�d/ o�J; o,�� 6�/ Prd� •60 : '4 °'d������6�
Print Name and Mailing Address
Y/Z r119-h.eWo
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Pe K. la ra oe'24, ��-%
3 West Thi St. /71" C"‘dj
p N7 2846
Telephone. 910-5 -7070 2,6

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