46-19 Custom Island Homes

Permit Class
NEW
Permit Number
46-19
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS I I3A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to Custom Island Homes by Ken Kiser LLC 137 NE 371 Street, Oak Island, NC 28465
Authorizing development in Brunswick County adi. to the Atlantic Ocean, at 4915 Each Beach
Drive, Oak Island, as requested in the permittee's application dated 02/08/19 and revised 07/24/19
& Ocean Hazard AEC Notice dated 05/28/19, incl. attached workman drawing (1). dated 07/23/19.
This permit, issued on September 3, 2019 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
to suo)ect to tines, imprisonment or crvu action; or may cause ute Perntct w ue uui, W,u WILL.
Ocean Hazard Development
1) Unless specifically altered herein, this permit authorizes the land disturbing activities associated with
the development of the above referenced property, including the single family residence with lot fill,
all as expressly and specifically set forth in the attached permit application and workplan drawings.
Any additional land disturbing activities and/or construction may require a modification of this
permit. Contact a Division of Coastal Management representative at [phone] for this
determination.
2) Unless specifically altered herein, no fill material shall be placed at any time in any vegetated
wetlands outside of the alignment of the wetland fill area indicated on the workplan drawing(s).
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2022
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the Char
of the Coastal Resources CommWE.IVED
SEP 18 " I
CITY
on . avis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Custom Island Homes by Ken Kiser, LLC Permit No. 46-19
Page 2 of 3
ADDITIONAL CONDITIONS
3) Prior to the initiation of construction within the Ocean Hazard AEC, a representative of the Division of
Coastal Management shall stake the first line of stable, natural vegetation and appropriate structure
setbacks. These setback determinations shall replace those done at the time the permit application was
processed and approved. Construction shall begin within sixty days of this determination or the
measurement is void and shall be re-established. In the case of a major shoreline change within that
period, a new setback determination shall be required before construction begins.
4) Prior to the initiation of construction within the Ocean Hazard AEC, the perm ittee shall stake the Town
of Oak Island Development Line. All authorized development shall be located landward of the Town of
Oak Island Development Line.
5) All construction within the Ocean Hazard AEC shall comply with all applicable requirements of the
N.C. Building Code and the local flood damage prevention ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or the flood damage prevention ordinance are
inconsistent with any of the following AEC standards, the more restrictive standard shall apply.
6) All fill material shall be clean and free of any pollutants except in trace quantities.
7) All buildings in the Ocean Hazard Area of Environmental Concern shall be on pilings not less than 8
inches in diameter if round, or 8 inches to a side if square.
8) All foundations shall be adequately designed to be stable during applicable fluctuations in ground
elevation and wave forces during a 100-year storm.
9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under
the structures.
10) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently
threatened by changes in shoreline configuration. The structure(s) shall be relocated or dismantled
within two (2) years of the time when it becomes imminently threatened, and in any case, upon its
collapse or subsidence. However, if natural shoreline recovery or beach re -nourishment takes place
within two (2) years of the time the structure becomes imminently threatened, so that the structure is no
longer imminently threatened, then it need not be relocated or dismantled at that time. This condition
shall not affect the permit holder's right to seek authorization of temporary protective measures allowed
under CRC Rules.
Sedimentation and Erosion Control
11) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses and property (e.g. silt fence,
diversion swales or berms, etc.).
12) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days o1Rw9pof
any phase of grading on cut or filled slopes.
SEP 1 S 2019
DCM-MHO

Custom Island Homes by Ken Kiser, LLC Permit No. 46-19
Page 3 of 3
ADDITIONAL CONDITIONS
General
13) The permittee shall obtain any necessary authorizations or approvals from the U.S. Army Corps of
Engineers prior to initiation of any permitted activity. Unless altered by a specific Condition of this
Permit, the permittee shall adhere to all conditions on the Federal approval.
14) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
15) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
NOTE: This permit does not convey any rights, either in real estate or material.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required, including any authorizations from the US Army
Corps of Engineers and the Town of Oak Island.
NOTE: Future development of the permittee's property may require a modification of this permit. Contact
a representative of the Division at [phone] prior to the commencement of any such activity
for this determination.
NOTE: The N.C. Division of Water Resources has assigned the proposed project DWR Project No. 2019-
0504.
NOTE: The U.S. Army Corps of Engineers has assigned the proposed project Action ID No. SAW-2018-
00815.
NOTE: An application processing fee of $400 was received by DCM for this project.
RECEIVED
SE? Is 2019
DCM-MHO CITY

Southern r nvironmental Group, Inc.
13 13 Soutl, College Road, Suite E - Wilm ngton, NC 28+12
Flwone: 9 i o."2.27 i i- F : 9 i 0.432.2a99 - E..iL A-ccowgi.ue
8 February 2019 (Revised 7/24/19)
Hand Delivery [SEGi Project #: 17-126.01]
NC Division of Coastal Management
Attn: Ms. Tara MacPherson
Regulatory Field Officer
127 Cardinal Drive Extension
Wilmington, NC 28412
Re: 4915 East Beach Drive, Town of Oak Island, Brunswick County
CAMA Major Permit Application for Upland Development and Fill
Dear Tara,
Southern Environmental Group, Inc. (SEGi) has been retained by Mr. Ken Kiser (herein referred to as the
"Applicant"), to submit the attached Division of Coastal Management (DCM) permit application and associated
appendices (see Attachment 1), in order to obtain a Coastal Area Management Act (CAMA) Major Permit, which is
necessary to perform work at his property, located at 4915 East Beach Drive, in Oak Island, Brunswick County,
North Carolina.
Site Information and History:
The lot was last platted 29 March 2018, under Map Book 4035 and Page 0965, has been assigned Parcel ID
249DF007 and is approximately 0.17 acres (7,500 square feet). Liz Haire, with the US Army Corps of Engineers
(USACE), as part of the Jurisdictional Determination (JD) process, verified SEGi's wetland boundary line, however
a JD had not been issued as of the date of this letter.
This lot is located within the CAMA Ocean Erodible Area of Environmental Concern (AEC), but it is not located on
a waterbody, which has a Coastal Shoreline AEC associated with it. The lot is undisturbed and vegetated and does
not contain any man-made structures or impervious surface area. The Applicant has signed the AEC Hazard Notice,
and the form has been attached as an appendix to the application.
Proposed Work:
It is the Applicant's intention to construct a 42' x 30', single family, residential dwelling, with 34' x 14.5' detached,
slatted, elevated porch, and a driveway, which will entail disturbing 5,500 square feet of the lot. The proposed
structure and driveway will cover approximately 2100 square feet (28%) of the site. The driveway will be constructed
of concrete. Typical residential dwelling building materials will be utilized. Heavy machinery, such as a frontend
loader and dump truck will be used to bring the site up to the desired grade and contour. Silt fence will be installed
along the limits of disturbance, to ensure that sediment does not leave the permitted area.
In order to facilitate the construction of the dwelling and access drive, approximately 496 square feet (0.01 acre) of
Section 404 wetlands will need to be filled. Due to the location of the wetland feature, avoidance is not possible. The
Applicant explored using a retaining wall to avoid impacting the feature, but the Department of Public Safety insisted
a "no rise certificate" be secured, which is not feasible. Due to the insignificant area of wetlands to be filled,
mitigation is not being proposed. SEGi and the Applicant believe the proposed plan is the least environmentally
damaging, practical alternative. t RECEIVED
RECEIVED
JUL 3 0 2019
MP SECTION WIRO
DCM-MHD CITY

;5
. _ i�}i'... 1.

+915 East E)each Drive LAMA Major Permit 5F-Gi
CAMA Major Permit Process:
As part of the CAMA Major Permit process, the Applicant has notified one of the adjacent property owners (i.e. Ms.
Sheila McParlin), by US Postal Service Certified Mail, while the other (MAS Properties, LLC) has been contacted
directly. Ms. McParlin's Certified Mail Green Card and the signed waiver form, from MAS Properties, LLC, will be
submitted to the DCM upon receipt.
Lastly, a $400.00 filing fee is required, which has been included with this correspondence as Attachment 2.
The Applicant is aware that he must sign the Ocean Hazard Waiver form, as it is required to build within the Ocean
Hazard AEC. Would you please email me a copy of the form (dlutheranaa sesi.usl? I will it have signed and returned
to your office posthaste.
At this time, SEGi is requesting the review of the permit application and associated appendices to ensure they are
adequate for processing. Should you have questions, please call me at 910.452.2711. Thank you, in advance, for
your time and assistance with this project. I look forward to hearing from you.
Sincerely,
Dana A. Lutheran
SEGi Project Manager
Enclosures: Attachment 1 — CAMA Major Application with Associated Appendices
Attachment 2 — $400 Filing Fee
RECEIVED
SEP 13 2019
DCM-MHD CITY
RECEIVED
JUL 3 0 20'9
2 (2/8/19) MP SECTION WIRO

-+i �qi .,

men ■�
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Custom Island Homes
4915 East Beach Drive
Applicant 1: First Name
MI
Last Name
Ken
Kiser
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed. '
Mailing Address
PO Box
City
State
137 NE 37th Street
Oak Island
NC
ZIP
ntry
Phone No.
FAX No.
28465
ruosu
910 - 524 - 0633 ext.
NA -
Street Address (d dlf Brent from above)
City
State
ZIP
Same
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Southern Environmental Group, Inc. (Segi)
Agent/ Contractor 1: First Name
MI
Last Name
Dana
A
Lutheran
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
5315 South College Road, Suite E
Wilmington
NC
ZIP
Pt 0 No. 1
Phone No. 2
28412
910 - 228 -1841
ext.
910 - 452 - 2711 ext.
FAX No.
Contractor •
Street Address (if different from above)
City
State
ZIP
Same
Email
[e-mail]
gFCEIVED
RECEIVED
<Form continues on bav, 13 2019 �t - JUL 3 0 2019
252-808-2808 :: 1.888-4111 :: www necoaStalmanag MP SECTION WIRO

F&m DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Brunswick
112 SE 72nd Street
Subdivision Name
city
State
Zip
NA
Oak Island
NC
18465 -
Phone No.
Lot No.(s) (d many, attach additional page with list)
NA- ext.
NA, I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Cape Fear
Atlantic Ocean
c. Is the water body identified in (b) above, natural or manmade?
Of. Name the closest major water body to the proposed project site.
($(Natural (]Manmade (]Unknown
Atlantic Ocean
e. Is proposed work within city limits or planning jurisdiction?
I. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ONO
work falls within.
Oak Island
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Sae of entire tract (sq.ft.)
50 linear feet
Approximately 7500 SF
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NA, I I
NWL (normal water level)
(ll many lot sizes, please attach additional page with a list)
10, ®NHW or ❑NWL
e.
Vegetation on tract
The site is mostly grassy with scrub shrub, waxy vegetation.
f.
Man-made features and uses now on tract
There are no man made features on the property
g.
Identify and describe the existing land uses adiacent to the proposed project site.
Land uses of the adjacent properties is residential, although the the southern property is currently not built upon.
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
residential
(Attach zoning compliance certificate, if applicable)
®Yes []No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k.
Has a professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does f involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
RECEIVED RECEIVED
<Form continues on next page>
SEP 13 2019 JUL 3 0 2019
252-808-2808 :: 1-888-4RCOAST :: w MQ'rMk"C"Y' 9 WIP'SECTION WIRO

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes []NO
(ii) Are there coastal wetlands on the site? ❑Yes ®No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Wastewater will be treated by the Town of Oak Island.
o. Describe existing drinking water supply source.
Drinking water will be supplied by the Town of Oak Island
p. Describe existing storm water management or treatment systems.
Stonnwater management is required as part of the Town's Phase II permitting requirements.
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑PubliclGovernment
®Private/Community
b. Give a brief description of purpose, use, and dairy operations of the project when complete.
The purpose of this project is to construct a 42' x 30', single family dwelling, with 34' x 14.5' detached, slatted porch, on the
ocean front side of the structure, driveway and stormwater treatment measures.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Construction will begin with hauling in clean earthen fill to bring the site up to the desired grade and contour. Once this has
taken place, pilings that will support the structure will be installed. Traditional construction techniques will be used to
construct the dwelling. Lastly, concrete will be poured to complete the driveway. Heavy equipment, such as a front end
loader and dump trucks, will be used but will not be stored on site.
d. List all development activities you propose.
Construction will conisit of one 42' x 30' dwelling, with 34' x 14.6 detached deck, 22.5' x 34' concrete driveway, stormwater
treatment measures, and parking area for jetskis and kayaks.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. What is the approximate total disturbed land area resulting from the proposed project? 0.09 ❑Sq.Ft or ®Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Discharges to waters of the state are not proposed.
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ONO ®NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ONO ®NA
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
ht:L;UVhU RECEIVED
<Form continues on back>
SEP 13 2019 JUL 3 0 2019
252.808.2808 :: 1-888-411COAST :: VVtyr` �Igi�' nag Mt" W7C&SON WIRO

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures
b. Number of lots or parcels.
proposed.
1
1 single family dwelling 42' x 30' with 34' x 14.5', detached,
elevated porch
c. Density (give the number of residential units and the units per
d. Size of area to be graded, filled, or disturbed including roads,
acre).
ditches, etc.
1 unit per 0.17 AC.
5500 SF
e. If the proposed project will disturb more than one acre of land, the
I. List the materials (such as mad, paver stone, asphalt, or concrete)
Division of Land Resources must receive an erosion and
to be used for impervious surfaces.
sedimentation control plan at least 30 days before land -disturbing
Concrete will be used for the driveway
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
[]Yes ®No []NA
(if) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
NA
Give the percentage of the entire tract to be covered by Impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
2100 SF BUA / 7500 SF = 28%
j. Describe proposed method of sewage disposal.
The site has access to municipal sewer
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, "wash down" and residential discharges).
NA
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ONo ®NA
(ii) If yes, list the date submitted: Stormwater permit issued by
the Town of Oak Island
k. Have the facilities described in Item (i) received slate or local
approval?
®Yes []No ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative slormwater
design?
[]Yes ®No []NA
If yes, attach appropriate documentation.
RECEIVED RECEIVED
SEP 13 2019 JUL 3 0 2019
252-808-28082 :: 1-8884RCOA5T :: www.nccoastalmanaaement.net revised: 12I26/06

' FOrrit DCM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
Drinking water is provided through the Town of Oak Island
o. When was the lolls) platted and recorded?
Deed Book 4035 and Page 0965, platted 3/29/18
8 February 2019 (Revised 7/24/19)
Date
4915 East Beach Dr.
Project Name
Dana A. Lutheran for Ken Kiser
Ap Nam
!�
Applicant Signature
n. (i) Will water be impounded? ❑Yes ONO ❑NA
III) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
[]Yes []NO ®NA
RECEIVED
SEP 13 2019
DCM-MHD CITY
RECENED
JUL 3 0 2019
MP SECTION WIRO
252-808-2808 :: 1-888.4RCOA5T :: www.nccoastalmanagement.net revised: 12/26/06

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, It applicable, must be submitted in order for the application
package to be complete. Items (a) — to are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A she or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
It. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Sheila McParlin Phone No.
Address 815 Shetland Place NW, Concord, NC 28027
Name MAS Properties, LLC Phone No.
Address 131 Ocean Blvd. West, Holden Beach, NC 28462
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permihee, and issuing dates.
NA
It. Signed consultant or agent authorization form, If applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by properly owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
I understand that any permit issued in response to this application will allow only th
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the infonnabon provided in this application is truthful to the best of my knowledge.
Date 8 Februay 2019 (Revised 7/24/19)
Print Name Dana A. Lu eran
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
®DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
RECEIVED
SEP 13 2019
DCM-MHD CITY
RECEIVED
JUL 3 0 2019
MP SECTION WIRD
252.808.2808 :: 1-888.4RGOAST :: www.neeoastalmanageme

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given In feet
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
l or
Breakwater
shoreline
NV&)
stabilization
Length
33'
Width
17'
Avg. Existing
Depth
NA
NA
NA
Final Project
Depth
NA
NA
NA
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL []None
III) Describe the purpose of the excavation in these areas:
d. High -ground excavation in cubic yards.
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (1) Do you claim title to disposal area?
[]Yes ❑No ❑NA
(Ii) If no, attach a letter granting permission from the owner.
d. @ Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(II) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
(i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
(it) If yes, how much water area is affected?
R
RECEIVED ECEIVED
JUL 3 0 2019
SEP 13 2019
MP SECTION wi
252-808-2808 :: 1-8084RCOAST ::
CITY
revised: 1

a �;i.� sue_-.. _,, i ".14�31.., ..
^��( �i .. � ,.
�.f �.. � � :_ . � ..

Form DCM MP-2 (Excavation and Fill, Page 2 of 3)
3. SHORELINE STABILIZATION ®This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
c. Average distance wateri✓ard of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill _ Riprap
Breakwater/Sill Other
1. Source of fill material.
Width:
d. Maximum distance waterward of NHW or NWL:
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
4. OTHER FILL ACTIVITIES 07his section not applicable
(Excluding Shoreline Stabilization)
a. (1) Will fill material be brought to the site? ®Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water Q
(iii) Dimensions of fill area 33' x 17'
(iv) Purpose of fill
To provide adequate building pad for a 42' x 30' single
family dwelling and parking area for jetskis and kayaks
5. GENERAL
a. How will excavated or fill material be kept on site and erosi
controlled?
Silt fence will be installed along the property line to ensure
sediment does not leave the limits of disturbance.
c. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
8 February 2019 (Revised 7/24/19)
Date
4915 East Beach Drvie
Project Name
submerged aquafic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feel affected.
❑CW _ ❑SAV _ ❑SB _
OWL 496 SF (0.01 AC) ❑None
(ii) Describe the purpose of the fill in these areas:
To provide adequate building pad and parking for jetskis and
kayaks.
b. What type of construction equipment will be used (e.g., dragline,
backhce, or hydraulic dredge)?
A frontend loader and dumptruck will be used to bring the site up
to the desired grade and contour.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Dana A. Lutheran for Ken Kiser RECEIVED
Applicant Name RECEIVED
JUL 3 0 2N
252.808-2808:: 1-88&4RC0AST :: www.nccoastalmanaaement.net Im 1
DCM-MHD CITY

Forg G�� P &11xqov,'1ion and Fill, Page 3 of 3)
Applicant Signature
RECEIVED
SEP 13 2019
DCM-MHD CITY
RECEIVED
JUL 3 0 2019
MP SECTION WIRO
252-808.2808 :: 1-888-4RCOAST :: vv w.nccoastalmanaaement.net revised: 12/26/06

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127 Cardinal Drive ExtensionAddmw
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NC2 5
910.796, 7425
RECEIVED
SEP 1 2019
F� CITY
ky H269 ,

End PN/Comment Deadline: 5;jjol (h
30 Day Comment Period:
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RECEIVED
SEP 13 2019
DCM-MHD-CLTY

From: Jessoo. Jordan E CIV USARMY CESAC (US)
To: dlutheranCaseaw
Subject: SAW-2018-00815 Custom Island Homes (UNCLASSIFIED)
Data: Friday, May 17, 2019 3:13:00 PM
CLASSIFICATION: UNCLASSIFIED
Hi Dares,
1 am contacting you regards to the above referenced project at 4915 E Beach Drive. I have a few quick questions and
comments for you to address.
From the submission we received, it's unclear of the work that is being proposed in the wetland itself, specifically
what the impacts are please provide an impact map clearly depicting the wetland area that will be impacted.
Do you want a JD for the project? If so, AID or PJD? Related to that, do you have any datasheets from the site?
Thanks,
Jordan Jessop
Wilmington Regulatory Field Office
U.S. Army Corps of Engineers
69 Darlington Avenue
Wilmington, NC 28403
[phone] (direct line)
[e-mail]
CLASSIFICATION: UNCLASSIFIED
RECEIVED
MAY 2 8 2019
MP SECTION WIRO
RECEIVED
SEP 1,3 2019
DCM-MHD CITY

r
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
SENT VIA EMAIL
June 25, 2019
SEGI, Inc.
c/o Dana Lutheran
[e-mail]
Dear Ms. Lutheran:
This letter is in reference to your application for a Coastal Area Management Act Major
Permit on behalf of Custom Island Homes by Ken Kiser, LLC to undertake development
activities at their property at 4915 E Beach Drive, in Oak Island, Brunswick County.
Although processing of the application is nearing completion, additional time is needed for
this office to complete the review and make a decision on your request. Therefore, it is
necessary that the standard review time be extended. An additional 75 days is provided by
G.S.113A-122(c) which would make September 8, 2019, the new deadline for reaching a
decision on your request. However, we expect to take action prior to that time and will do
so as soon as possible. In the interim, should you have any question on the status of your
application, do not hesitate to contact me by phone [phone]) or e-mail
([e-mail]).
Major Permits Coordinator
cc: WiRO file
MHC file
Liz Hair, USACE, email cc
Chad Coburn, DWR, email cc RECEIVED
SEP .13 2019
�DFQ DCM-MHD CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 29405
910.796.7215

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD.
4(-e -� '�
APPLICANT: Custom Island Homes COUNTY: Brunswick
PROJECT NAME: 4915 East Beach Drive /single family residence
LOCATION OF PROJECT: 4915 East Beach Drive, adjacent to the Atlantic Ocean, in Oak Island
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 4-11-19
FIELD RECOMMENDATION: Attached: Yes
To Be Forwarded: N/A
FIELD REPRESENTATIVE: MacPher'on DISTRICT OFFICE: WILMINGTON
DISTRICT MANAGER REVIEW: �, ��--
B) DATE RECEIVED BY MAJOR PERMITS UNIT:
APPLICATION ASSIGNED TO: Spears
PUBLIC NOTICE REC'D: 4-19-19
ADJ. RIP. PROP NOTICES REC'D:
C) 75 DAY DEADLINE: 6-25-19
HOLDS:
MAIL OUT DATE: 4-1749
PERMIT FINAL ACTION: ISSUE . LJ I DENY
FEE RECD: $400 #4932
END OF NOTICE DATE: 5-10-19
DEED RECD: Yes
150 DAYDEADLM: MI )
STATE DUE DATE: 5-10-19
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
DCM — Field Rep
Local Permit Officer DCM
T
DCM — LUP Consistency Determination
31 t �I
Rural Development Division
zq tic,
DEMLR — Stormwater & Sed/Erosion
DWR-401
G
k
DOA — State Property Office
J/� I I c
X
DMF — Shellfish Section
L
17- ll
NCDOT
DME — Habitat & Enhancement
�l Pj�
FJVED
DWR—Public Water Supply
��
SEP 1 3 2
USACE— Regulatory
DCM-MHD CITY
DNCR—Archives & History
DNCR —Natural Heritage Program
'1
�� �� W � � l ✓S
WRC — Wildlife Resources Commission
541161X

MEMORANDUM
To: Courtney Spears
From: Michael Christenbury, Wilmington District Planner
Subject: Consistency Determination - Custom Island Homes— Oak Island,
Brunswick County
Date: May 31, 2019
The applicant proposes to construct a single-family residence with associated freshwater
fill. The project is located at 4915 E. Beach Drive, adjacent to the Atlantic Ocean in Oak
Island.
I have reviewed this proposal for consistency with the Town of Oak Island CAMA Land
Use Plan and offer the following comments.
The general area of the project is classified as Residential. Waters at the project site are
classified as SB and are not open to the harvesting of shellfish. The area is not a Primary
Nursery Area. Areas of Environmental Concern (AEC's) are OH.
Oak Island allows development in Residential classified AECs, which is consistent with
the State's minimum use standards. The Oak Island Land Use Plan contains some
policies, which exceed the State's minimum use standards. However, none of these
policies appear to be applicable to this project.
This project is consistent with the Town of Oak Island Land Use Plan Update.
Cc: FILE
RECEIVED
SEP 13 2019
DCM-MHD CITY

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director, Division ofCaasm(
Management
April 17, 2019
MEMORANDUM:
FROM: Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
cou rtnev. spears(a?ncdenr.gov
SUBJECT: CAMAfDredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached**
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
PRINT NAME /' 1% lt 1 1 1 & '^
AGENCY
(-o M M 9-,P C.C.
SIGNATURE Y Y ` 1� It
DATE
RECEIVED
APR 2 9 2019
DCM WILMINfTEOCNtND
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215 S E P 13 2019

NORTH CAROLINA
Environmental Quality
April 17, 2019
MEMORANDUM:
01/
ROY COOPER
0"Tn or
MICHAEL S. REGAN
,Searerary
BRAXTON DAVIS
D vtor. Divtvinn rJ Cnartnl
Ma"ag"ment
FROM Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
courtnev. spearsAncdenr.aov
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/ fill
Please indicate below your agency's position or viewpoint on the ro osed project and
return this form to Courtney Spears at the address above by . If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: _X_This agency has no objection to the project as proposed.
"Additional comments may be attached** This project will require stormwater
approval. The town of Oak Island is a delegated community and has the ability to issue state
stormwater permits for their jurisdiction. if approval is not sought through the Town, the owner must
submit to the state stormwater program for approval.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
PRINT NAM Christine Hall RECEIVED
AGENCY DEMLR - Stormwater RECEIVED SEP 13 2019
DCM-MHD CITY
SIGNATURE e4zW IW4& JUN 0 3 2019
DCM WILM9NGTON, NC
State ofNarth Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215

.,I.., I I I

DocuSign Envelope ID: ED8855B8-936F-4FC0-9AF5-A651A252467F
ROY COOPER
G ..re,inr
MICHAEL S. REGAN
RecKlurn
NORTH CAROLINA
Emironinentai rhaliry
April 17, 2019
MEMORANDUM:
FROM: Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
cou rtn ev. spears(o) ncden r.gov
SUBJECT: CAMA /Dredge & Fill Application Review
BRAXTON DAVIS
0m%mr, Dw.....n n(C,seral
Vanagealew
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr, adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of single family residence w/fill
Please indicate below your agency's position or viewpoint on the ro osed project and
return this form to Courtney Spears at the address above by . If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: _X_This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
WRITTEN APPROVAL IS NOT REQUIRED UNDER GC4175
- Chad Coburn
DWR RECEIVED
(laeu519ned by:
(,6b 1A, JUN 0 5 2019
- �823rFL6EDFLt'dA3_.
DCM WIL RECEJ M
_ 6/5/2019
State of North Carolina I Environmental Quality I Coastal Management S E P 13 2019
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215
DCM-MHD CITY

JAW
ROY COOPER
MICHAEL S. REGAN
BRAXTON DAVIS
April 17, 2019
MEMORANDUM:
FROM: Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 26405
Fax: [phone] (Courier 04-16-33)
courtnev. s oearslalnoden r. g ov
SUBJECT: CAMA /Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island
Brunswick County
Proposed Project: construction of a single family residence w/fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
PRINT NAME W b-_vdGL " 1h CL.✓iJ
AGENCY✓-'
SIGNATURE (✓V�
DATE ��, 0 ( q
RECEIVED
MAY 31 2019
DCM WILM:INGTON, NC
RECEIVED
SEP 13 2019
Start or Noah Cad ma I Environmental Quality Coastal Maoapement
12- CardLual Drive Ext, Wilminoon, NC 28405 9197%7215 DCM-MHD CITY

Mot'
ROY COOPER
G<
MICHAEL S. REGAN
N"',.gc
BRAXTON DAVIS
n...... ,,, "I rno.wal
Lim,ag.r,re..I
April 17, 2019
MEMORANDUM:
FROM: Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
courtney.spears(ccilncden r. oov
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY:
PRINT
AGENCY
This agency has no objection to the project as proposed.
"Additional comments may be attached"
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
Shannon Jenkins
NC DMF - Shellfish Sanitation
RECEIVED
APR t 2 ?�)'.�
SIGNATURE Qg �,_ for Shannon Jenkins
IV 1�1 MP SECTION WIRO
DATE
04/18/2019
RECEIVED
State of North Carolina I Environmental Quality I Coastal Management S E P 13 2019
127 Cardinal Drive Ext_ Wilmin6hon, NC 28405 919 796 7215
DCM-MHD CITY

,attic
Spears, Courtney
From: Weychert, Curtis R
Sent: Monday, June 3, 2019 11:55 AM
To: Spears, Courtney
Subject: RE: CAMA Major: Custom Island Homes
I was prepping for the Ocracoke Hatteras trip that we just got blown off the water from ... but I have no
comments. When I get back to the office I'll send you the cover letter.
From: Spears, Courtney
Sent: Sunday, June 02, 2019 3:31 PM
To: Weychert, Curtis R <[e-mail]>
Subject: Re: CAMA Major: Custom Island Homes
Also why are we both working on a Sunday?
From: Weychert, Curtis R
Sent: Sunday, June 2, 2019 8:07:05 AM
To: Spears, Courtney; Christenbury, Mike; Coburn, Chad
Subject: RE: CAMA Major: Custom Island Homes
Courtney, I don't think I've seen this project before but it says it was due almost a month ago. When was this sent out?
From: Spears, Courtney
Sent: Friday, May 31, 2019 4:28 PM
To: Christenbury, Mike <[e-mail]>; Sams, Dan <[e-mail]>; Hall, Christine
<[e-mail]>; Coburn, Chad <chad.coburn@ncdenr.¢ov>; Hilliard, Wanda <[e-mail]>;
Moser, Mike <[e-mail]>; Weychert, Curtis R <curt.wevchertcwncdenr.gov>
Subject: FW: CAMA Major: Custom Island Homes
Hello,
Any comments on the subject property?
Thanks!
Courtney Spears
Assistant Major Permits Coordinator
Division of Coastal Management
Department of Environmental Quality
910 796 7426 office
cou rtnev. soears0ricdenr.00v
127 Cardinal Drive Ext.
Wilmington, NC 28405
RECEIVED
SEP 13 2019
DCM-MHD CITY
From: Pietila, Tanya K
Sent: Wednesday, April 17, 2019 12:21 PM
To: Weychert, Curtis R <[e-mail]>; Christenbury, Mike <[e-mail]>; DCR

Environmental —Review <[e-mail]>; Butler, Rodney A <[e-mail]>; Zeigler,
Mark D <[e-mail]>; Harris, David B <[e-mail]>; Dunn, Maria T.
<[e-mail]>; Walton, Tim <[e-mail]>; Moser, Mike <[e-mail]>;
Humphrey, Jeremy <[e-mail]>; Gupton, Sharon <[e-mail]>; Montalvo, Sheri A
<[e-mail]>; Hall, Christine <[e-mail]>; Sams, Dan <dan.samsPncdenr.gov>; Cox,
Heidi <[e-mail]>; Donna Coleman <[e-mail]>
Cc: Day, Susan <[e-mail]>; Spears, Courtney <[e-mail]>; MacPherson, Tara
<ta ra. macpherson @ ncdenr.gov>
Subject: CAMA Major: Custom Island Homes
Hello All,
*As a side note to this business email: We will be losing Shaun tomorrow to her much deserved retirement! Boy will she
be missed. So I'll ask that as I become familiar with this process, please bear with me and please let me know if there is
anythingyou think I may have missed. I've had a great teacher, but Shaun leaves some big shoes to fill. I appreciate your
patience!
Please accept this correspondence as the official distribution of CAMA application from Custom Island Homes for
development in Oak Island, Brunswick County.
Attachments include: Field Investigative Report, work plans, comment sheet, and any other documents intended for you.
O c t e cotq [ete the tto rtion the cone pn s et wi our infotmat and si afiue
Oversized work plans have been submitted by the applicant and will be forwarded to you via courier or
USPS today.
For questions or concems, please contact Courtney Spears at [e-mail] or [phone].
Big thanks to you all,
Tanya Pietila
Administrative Support
NC Department of Environmental Quality .
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone]
[e-mail]
KC
E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.

ROY COOPER
MICHAEL S. REGAN
Sccrc/a
BRAXTON DAVIS
NORTH CAROLINA rmft* h wWft*cw
April 17, 2019
MEMORANDUM
FROM Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext , Wilmington, NC
28405 Fax: [phone] (Courier 04-16-33)
courtney_spears(a.ncdenngov
SUBJECT. CAMA / Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak
Island, Brunswick County
Proposed Project: construction of a single family residence w/ fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have any
questions regarding the proposed project, contact Tara MacPherson at [phone] when
appropriate, in-depth comments with supporting data is requested
This agency has no objection to the prgect as proposed
"Additional comments may be attached"
_ This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached
This agency objects to the project for reasons described in the attached comments
1A
Can(
I
$IGNAIURE
RECENE1D
p 2 6 n19
MP SECTION WlPr)
RECEIVED
SEP 13 2019
DCM-MHD CITY

OAT?
State of North Carolina Enviromovental Quality Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215

`�� Received: 04/23/2019
State Historic Preservation Office ROY COOPER
r,
M[CNAEL S. REGAN
BRAXTON DAVIS
lHrrtwn Uru,w nlr'.uwJ
April 17, 2019 ER 19-1472
MEMORANDUM 40 f
FROM: Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 26405
Fax:[phone] (Courier04-16-33)
courtney spears ncdenroov
SUBJECT'. CAMA /Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr.. adjacent to the Atlantic Ocean, in Oak Island
Brunswick County
Proposed Project: construction of a single family residence w/fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have
any questions regarding the proposed project. contact Tara MacPherson at [phone]
when appropriate in-depth comments with supporting data is requested
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated See attached.
Due -- 5/8/ 19
A -�s�'
5✓
This agency objects to the project for reasons described in the attached comments.
PRINT NAME Renee Gledhill -Earley
AGENCY State Historic Preservation Office
SIGNATURE
RECEIVED
RECENE5_ 13 2019
MAY 1 bC'M_MHD CITY
MP SECTION WIRO
RECEIVED
MAY 13 2019
St" COF 0Cµ0hDO i StArOM udQ-hty cwaAl
127 Cw" D&a Ext, W9w&Vm NC 28405 9r;. t ECTION WIR&R 2 5 2019
AFW_4h4 2019

All
0
NORTH CAROLINA
Environmental Quahi),
April 17, 2019
MEMORANDUM
ROY COOPER
Unvenwr
MICHAEL S. REGAN
&,,aun
BRAXTON DAVIS
Dimcrnr. hlvrvinn cy ( ,wsral
:NanagwMent
FROM Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
courtnev. soearsancdenr.aov
SUBJECT'. CAMA /Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/fill
Please indicate below your agency's position or viewpoint on the proposed project and
ey return this form to CourtnSpears at the address above by W If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
_XXX_ This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
PRINT NAME: Rodney A Butler
AGENCY: NC Natural Heritage Program
SIGNATURE: R. Butler
RECEIVED
SEP 13 2019
DCM-MHD CITY
DATE: 5/24/2019 RECEIVED
MAY 2 4 2019
State of North Carolina I Environmental Quality l Coastal Ma" WILMINGTON, NC
127 Cardinal Drive Eat., Wilmington, NC 29405 919 796 7215

Roy Cooper, Governor
INC DEPARTMENT OF
NATURAL AND CULTURAL RESOURCES Susi Hamilton, Secretary
Walter Clark, Director, Land and Water Stewardship
NCNHDE-9046
May 23, 2019
Courtney Spears
NC DEQ
127 Cardinal Drive
Wilmington, NC 28405
RE: Cama: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island, Brunswick County
Dear Courtney Spears:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
A query of the NCNHP database indicates that there are records for rare species, important natural
communities, natural areas, and/or conservation/managed areas within the proposed project
boundary. These results are presented in the attached 'Documented Occurrences' tables and map.
The attached 'Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area; if any, are also included in this report.
If a Federally -listed species is documented within the project area or indicated within a one -mile
radius of the project area, the NCNHP recommends contacting the US Fish and Wildlife Service
(USFWS) for guidance. Contact information for USFWS offices in North Carolina is found here:
httos://www.fws.aov/offices/D i rectory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
Also please note that the NC Natural Heritage Program may follow this letter with additional
correspondence if a Dedicated Nature Preserve, Registered Heritage Area, Clean Water
Management Trust Fund easement, or an occurrence of a Federally -listed species is documented
near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod nev.butlerna ncdcr.aov or 919-707-8603.
Sincerely, OeCe/VleD
NC Natural Heritage Program
SEP.Y 3 2019
RECEIVE90M.14H1) City
MAY 2 4 2019
DCM WILMINGTON, NC
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
® 121 W JONES STREET. RALEIGH. NC 27603 • 1651 MAIL SERVICE CENTER, RALEIGH, NC 276W

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Intersecting the Project Area
Cama: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island, Brunswick County
May 23, 2019
NCNHDE-9046
ptile 7524 Chelonia mydas Green Seaturtle 2010-07-19
E 3-Medium Threatened
Threatened
G3 S1B,SU
N
scalar Pfant a26O'53 ' Amaranthus pumllus"`4TSeabeac ':Afi" maranth r 2O1bg5ummer
D 3Medfum +hreatened
Threat ee d
G2 51
1 Natural Areas are Documented within the Project Area
1 Managed Areas Documented within the Project Area
finitions and an explanation of status designations and codes can be found at httos*//ncnhde.natureserve.ora/content/help. Data query generated on May 23, 2019; source: NCNHP, Q2 Apr 2019.
ase resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 5

Cs
n
Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
_' " Cama: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island, Brunswick County
0 N May 23, 2019
0
a NCNHDE-9046
ament Occurrences Documented Within a One -mile Radius of the Project Area
25219
Ixobrychus exilis
agonfly or 33738 Somatochlora Coppery Emerald
ashwater Fish38937 Acipenser oxyrinchus Atlantic Sturgeon
oxyrinchus
3970 Alligator
mississippiensis
1427 is
!ptile 7:-;24 Chelonia mydas
1862 kempii
iscular Plant _26053 Amaranthus pumilus
iscular
iscular Plant
iscular Plant 54,�6
Z
iscular Plant 53182
na
carolinensi
West Indian Manatee
Alligator
Loggerhead Seaturtle
C,een Seaturtle
2004-Pre
2018-09
2018-08-13
2018-02-26
2017-08-07
2010-07-19
Kemp's Ri "`,-. 1992-08-30
Seaturtle -
Coahoarh Amaranth 7n1n-Summer
�,.
Concern
S3N
H?
3-Medium
Special
G4G5
5253E
Concern
H?
5 Very
rs iily—WGW�
4-Low
Endangered
Endangered
G3T3
S2
E
5-Very
Threatened
'T1"rr0&ened
G2:'
S _'
Low
n - Low
Threatened
Threatened
GS
S3
Similar
Appearance
B
3- .
3-Medium
Threatened
Threatened
G3
S1B,SU
N
H?
3-Medium
Threatened
Threatened
G2
S1
Peltandra sagittifolia "Spoonflower 1950-08 H
Rare caner
4-Low --- Sloh'i"'"i
Rare
Peripheral
Page 3 of 5

3ment Occurrences Documented Within a One -mile Radius of the Project Area
Concern
Vulnerable
scular Plant#2'29�SoTago villosicarpa CoasEa Gohed"n od20275 lb b2I;iA, Endangered G1SlN
atural Areas are Documented Within a One -mile Radius of the Project Area
anagecl Areas are Documented Within a One -mile Radius of the Project Area
finitions and an explanation of status designations and codes can be found at httos,//nmhde natureserve ora/content/help. Data query generated on, May 23. 2019; source: NCNHP. Q2 Apr 2019.
ase resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 4 of 5

--IDE-9046: Cama: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island, Brunswick Cl
i
e
N v.
N
May 23, 2019 1:20,579
nProject Boundary 0 o 0175 0.95 0.7 m
cn �1 0 0275 0.55 1A km
m M ❑ Buffered Project Boundary x
r �
= C" m Natural Heritage Element Occurrence (NHEO) - n m . P s,.vna.w�
^''nsNRCMricn.wnana
TM, "L W op.dwcrs
C b. r
n o o m
< z p
Pag@ of 5

ROY COOPER
MICHAEL S. REGAN
J0rn
110R'ntCAROLP"
April 17, 2019
MEMORAhQUM:
FROM Courtney Spears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Courier 04-16-33)
co urtnev. spea rs(Eb node n r. a ov
SUBJECT CAMA/Dredge & Fill Application Review
BRAXTON DAMS
7in'to. lJrts�m,� C',aadaf
!lumh+eMrm
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr, adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/ fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by May 9, 2019. If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
/ "Additional comments may be attached"
✓ This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
RECEIVED
PRINT NAME_... N c-"- , �twn r)
AGENCY
CA__J
SIGNATURE Kl —.---
DATE (a-ZJIi
State of North Carolina i Environmental Quality I CoasW Management
127 Cardinal Drive En., Wilmington, NC 2W5 919 796 7215
SEP 13 2U19
DCM-MHD CITY
RECEIVED
MAY 0 7 2019
DCM WILMINGTON, INC

6
ROY COOPER
MICHAEL S. REGAN
Aw "ZoTt wd*woor-+r'' 9-:°I ON" J -OVAW,BRAXTON DAMS
April 17, 2019 y JW •� J "' -.
Je
MEMORANDUAC
t { ; 'h P- CourtneySpears, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Fax: [phone] (Couder04-1")
courtney,spearsanedenrggv ,ap
ri
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: Custom Island Homes
Project Location: 4915 East Beach Dr., adjacent to the Atlantic Ocean, in Oak Island,
Brunswick County
Proposed Project: construction of a single family residence w/ fill
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Courtney Spears at the address above by IYlay 9, 2011 If you have
any questions regarding the proposed project, contact Tara MacPherson at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
*`Additional comments may be attached"
X This agency has no comment on the proposed project.
_7 c' This agency approves of the project only if the recommended changes
are incorporated. See attached.
m This aoencv obiects to the orniect far reasnns rieacriherl in tha aMnrhm rnmmonte
u
AGENCY mj'
SIGNATURE � lleAa
RECEIVED
SEP 13 2019
REC,)jj/Ep'e€ , e`rY
JUN 12 2019
Mp SECTION WIRO
SWte of North Cmd= : Envimn .W (mil y Cow" Mwwge t
127 CmdaW Dnw Ext., Wilmington, NC 28405 919 796 7215

-, ,,.,
>',.
�•s'r. .... '

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-00915 County: Brunswick U.S.G.S. Quad: NC -Southport -�
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFIC ION�J
Permittee: Custom Island Homes by Ken Kiser LLC and Shelly Harney
Address: 208 SE 76th St
Oak Island, NC 28465-4336 IVV'VY 1
Telephone Number:
910-524-0633
E-mail:
kenla kenkiserhomes.com
e (acres)
acres Nearest Town Oak Island
Nearest Waterway
Na
Lone Bay River Basin Lower Pee Dee
Lon
USGS HUC
03040208 Pee Dee Coordinates Latitude: 33.90950
Longitude:-78.11345
Location description:
4915 E. Beach Drive, Oak Island, North Carolina
Description of projects area and activity: This verification authorizes the fill of 0.01 of wetlands for the construction of a buildine
pad, necessary for the construction of a sinele family residential house.
Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 18. Minor Discharges
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 3/21/2019, and the enclosed plans "Wetland Impact Map for Kiser Custom
Homes, at 4915 E. Beach Drive, Oak Island, NC" dated 5/2012019. Any violation of the attached conditions or deviation from
your submitted plans may subject the permittee to a stop work order, a restoration order, a Class I administrative penalty,
and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to continence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has
been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management Morehead City, NC, at [phone].
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvaWpermits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact Jordan E. Jessoo at 910-2514810or iordan.e.iessoo(a).usace.armv.mil.
D,,OAh,,,.db,
Corps Regulatory Official' w oxoex.ess fl4rrlDate: 9/20/2019
Expiration Date of Verification: 03/18a022 RECEIVED
SEP 3 0 2019
p�MidlHg CITY
SEP 2 0 2019
DCM WILMINGTON, NC

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapti.usace.army.mil/cm_apex/Pp=l 36:4:0
Copy furnished:
Agent:
Southern Environmental Group, Inc.
Dana Lutheran
Address:
5315 S Colleee Road Suite E
Wilmington, NC 28412
Telephone Number:
910-452-2711
E-mail:
d1utheran(5),seei.us
Property Owner:
Custom Island Homes by Ken Kiser LLC and Shelly Harney
Address:
208 SE 76th St
Oak Island, NC 28465-4336
Telephone Number:
910-524-0633
E-mail:
ken(ilkenkiserhomes.com

Action ID Number: SAW-2018-00815 County: Brunswick
Permittee: Custom Island Homes by Ken Kiser LLC and Shelly Harney
Project Name: Custom Island Homes
Date Verification Issued: 9/20/2019
Project Manager: Jordan E..Jessou
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Jordan E. Jessup
Wilmington Regulatory Office
U.S Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
or
jordan.e. [e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date
RECEIVED
SEP 3 0 2019
DCM-MHD CITY
RECEIVED
SEP202019
DCM WILMINGTON, NC

Spears, Courtney
From: Steve Edwards <[e-mail]>
Sent: Wednesday, September 4, 2019 12:34 PM
To: Spears, Courtney
Subject: [External] RE: zoning question
Courtney,
Apologies for delayed response. As to your question regarding fill in side yard and CAMA 60' setbacks, the Town of Oak
Island does allow fill within these areas. However, the amount of fill is regulated.
Please do not hesitate to contact me if you have any additional questions.
Best regards,
Steven Edwards
Development Services Director
Town of Oak Island
4601 E. Oak Island
Oak Island, NC 28465
Office: [phone]
Fax: [phone]
From: Spears, Courtney [mailto:[e-mail]]
Sent: Thursday, August 29, 2019 10:30 AM
To: planner; Steve Edwards
Subject: zoning question
Hi Mr. Edwards and Mr. Vares,
I am reviewing the attached proposal as a CAMA Major Permit. The applicant has submitted a revised drawing and I was
wondering, does the Town of Oak Island allow fill in the 8' side lot setback for the purposes of driveways/parking
spaces? They are proposing to fill 404 wetlands highlighted in purle on the drawing, within the 60' CAMA setback, for
the purposes of parking/driving. I have also attached the agent's email as reference, which also provides additional
details about how the area will be used. Please let me know if I can provide additional information, and thank you for
your time.
Kind regards,
Courtney Spears
Assistant Major Permits Coordinator
Division of Coastal Management
Department of Environmental Quality,
910 796 7426 office
courtnev. soears(ancden r. aov
127 Cardinal Drive Ext.

Wilmington, NC 28405

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
APPLICANT: Custom Island Homes COUNTY: Brunswick
PROJECT NAME: 4915 East Beach Drive /single family residence
LOCATION OF PROJECT: 4915 East Beach Drive, adjacent to the Atlantic Ocean, in Oak Island
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 4-11-19
FIELD RECOMMENDATION: Attached: Yes
To Be Forwarded: N/A
FIELD REPRESENTATIVE: MacPherson STRICT OFFICE: WILMINGTON
DISTRICT MANAGER REVIEW: RECEIVED
B) DATE RECEIVED BY MAJOR PERMITS UNIT: FEE RECD: $400 #4932
APR 3 0 2019
APPLICATION ASSIGNED TO: Spears
PUBLIC NOTICE RECD: 4-19-19
ADJ. RIP. PROP NOTICES REC'D:
C) 75 DAY DEADLINE: 6-25-19
MAIL OUT DATE: 4-17-19
PERMIT FINAL ACTION: ISSUE DENY
END OF NOTICE DATE: 5-10-19
DEED RECD: Yes
150 DAY DEADLINE:
STATE DUE DATE: 5-10-19
DCM-MHD CITY I
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
DCM — Field Rep
Local Permit Officer DCM
DCM — LUP Consistency Determination
Rural Development Division
DEMLR — Stormwater & Sed/Erosion
DWR-401
DOA — State Property Office
DMF — Shellfish Section
NCDOT
DMF — Habitat & Enhancement
DWR—Public Water Supply
USACE — Regulatory
DNCR — Archives & History
DNCR — Natural Heritage Program
WRC — Wildlife Resources Commission

NC Division of Coastal Management
Major Permit Application Computer Sheet
AEC: Atlanfic Ocean
Fee: $400 #4J932 /
CDAITS _ MHC cc_/
Applicant: Custom Island Homes c% Ken Kiser
Agent/Contractor: SEGI c/o Dana Lutheran
Project Site County: Brunswick
Staff: Tara MacPherson
District: Wllmington
Project Name: 4915 East Beach Dr SFR w1404 rill
Rover File:
River Basin:
Initial date of application submittal: 1-25-19
Date application "received as complete" in the Field office spmvl I
QI
SITE DESCRIPTION/PERMIT INFORMATION
ORW: Yes o
PNA: ❑Yes No
Photos Taken: Yes No❑
—No
Setback Required (riparian): ❑Yes No
Critical Habitat: ❑Yes LJNo,1JNot Sure
15 foot waiver obtained: ❑Yes El
Hazard Notification Returned:
❑Yes []No
SAV: ❑Yes o ❑Not Sure
Shell Bottom: Yes No ❑ Not
Temporary Impacts: ❑Yes No
Sure
Sandbags: ❑Yes 7,No ❑ Not Sure
Did the land use classification come
Mitigation Required (optional):
from county LUP: ❑Yes ❑No
[]Yes ❑No
Morator;�onditions:
Environmental Assessment Done:
Length of Shoreline:
[]Yes ❑NA
❑Yes ❑No ❑NA
FT.
Shellfish Area De3i nab
Project Description: (code)
Development Area: (ie),
r l Open -oosed
3
Pt-11
SECONDAR'f��wATER CLASSIFICATION — OPTIONAL (cho(lse MAX of 4)
❑ Future Water Supply (FWS)
❑ Nutrient Sensitive Waters (NSW,
Swamp Waters (SW)
❑ High Quality Waters (HQ"
❑ Outstanding Resource Waters (O
\ VVETLANDS IMPACTED
404) Corp. of Engineers (Jurisdictional
El (LS) Sea lavender (Limonium sp.)
(SS) Glasswort (Salioomia sp.)
e ands)
❑ (CJ) Saw grass (Cladium jamaicense)
❑ (SA) Salt marsh cordgrass (Spartina
❑ (SY) Saft reed grass (Spartina
altemiflora)
cynosuroides)
❑ (DS) Salt or spike grass (Distichlis
(SC) Bullrush or three square (Scirpus
(TY) Cattail (Typha sp.)
spicata)
SR)
El (JR) Black needlerush (Juncos
❑ (SP) Salt/meadow grass (Spartina
roemerianus)
patens)
APPLICATION FEE
❑ No fee required - $0.00
❑ III(A) Private w/ D&F up to 1 acre; 3490
❑ III(D) Priv. public or oomm w/ D&F to 1
can be applied - $250
acre; 4144 can't be applied - $400
El Minor Modification to a CAMA Major
El Ma'or Modification to a CAMA Major
IV Any development involving D&F of
permit - $100
er - $250
more than 1 acre - $475
❑ Permit Transfer - $100
on
III(B) Public or commercial w/ D&F to 1
Express Permit - $2000
acr 414a can be - $400
RECEIVED
❑ Major development extension request -
II. Public or commercial/no dredge
$100
and/or fill - $400
I. Private no dredge and/or fill - $250
III(C) Priv. public or comm w /D&F to 1
acre; 4144 can be applied; DCM needs
DCM-MHD CITY
DWQagreement -$400

Custom Island Homes / Kiser
Date: 3-13-19
Describe below the ACTIVITIES that have been applied for. All values should match the dimension order, and units of
measurement found in your Activities code sheet
TYPE
REPLACE
Activity Name
Number
Choose
Choose
Dimension 1
Dimension 2
Dimension 3
Dimension 4
One
One
New Work
Maint ❑
Repla El.
Y
Ilk
1
New Work ❑
Replace
Maint ❑
❑ Y ON
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑.Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
Describe below 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
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
im actamount)
temp impacts)
amount
Dredge ❑ Fill ❑ Both ❑ Other
5 tc;l�
I
kBoth
LVA1
Dredge ❑ Fill ❑ 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 ❑
919-733-2293 :: 1-888-4RCOAST :: www.nccoastalmanaeement.net revised: 10/12/06

Major Permit Fee Schedule
Project Name:
County:
Check No & Amount:
u�� Jb pica)
Development Type
Fee
DCM %
DWQ %
(14300160143510009316256253)
(2430016024351000952341)
I. Private, non-commercial development
that does not involve the filling or
$250
100% ($250)
0% ($0)
excavation of any wetlands or
open water areas:
It. Public or commercial development that
does not involve the filling or excavation
$400
100% ($400)
0% ($0)
of any wetlands or open water areas:
III. For development that involves the
filling and/or excavation of up to 1 acre
of wetlands and/or open water areas,
determine if A,B, C, or D below applies.
III(A). Private, non-commercial
development, ff General Water Quality
$250
100% ($250)
0% ($0)
Certification No. 4175 can be applied.
III(B). Public or commercial develop n-t
if General WaterQual ty Certfi ion
$400
)10 % ($400)
0% ($0}
No. 4175 can be applie ..
III(C). If General Water Qu
Certification No. 4175 could be app i ,
but DCM staff determined that additional
$400
60% ($240)
40% ($160)
review and written DWQ concurrence is
needed because of concerns related to
water quality or aquatic life:
lll(D). If General Water Quality
$400
60% ($240)
40% ($160)
Certification No. 4175 cannot be applied:
IV. Development that involves the filling
and/or excavation of more than one acre
$475
60% ($285)
40% ($190)
of wetlands and/or open water areas:
RECEIVED
APR 3 0 'J19
DCM-MHD CITY

Date
Date
Check From
Name of
Vendor
Check
Check
Permit
Rct. #
Received
Deposited
Permit Holder
Number
amount
Number/Comments
major fee, 4915 East Beach
Ken Kiser/custom
Custom Island
CresCom
$
Rd., OI BrCo
TM rct.
3/18/2019
Island Homes
1 Homes/Ken Kiser
Bank
4932
400.00
1 NO SPLIT
0233D
a
LU
U
o
�
uJ
T
2
W
ate.
U
Q

Recommendations for State Permit —Custom Island Homes 4/12/2019
It is the staffs recommendation that the construction of the proposed structure may be CONSISTENT with the
Rules of 15 NCAC 7H.0306 (a)(5) Use Standards for Ocean Hazard Areas. The proposed wetland fill area is
outside of the footprint of the proposed structure. Attachment A contains an email chain between the consultant,
the Town and FEMA representative regarding the omission of the initial proposed retaining wall. Please note this
application does not contain a formal Jurisdictional Determination by the USACE.
This office will have no objection to the proposed work, provided it is consistent with state, federal and local
permitting. Any permit issued should include standard conditions for oceanfront development.
RECEIVED
APR 3 0 ?gig
DCM-MHD CITY

0
April 17, 2019
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Major Public Notice in Brunswick County
• Custom Island Homes
Hello Angie: Please publish the attached Notice in the Friday, April 19, 2019 issue.
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director, Division of Coastal Umrgemem
The State Office of Budget & Management requires an original Affidavit of Publication prior to payment for
newspaper advertising.
Please send the original affidavit and invoice for payment to Debbie Wilson at the NC Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7266. Paying by credit card to the
attention of Jarimy Springer, (Ref acct # 796-7215).
Please email a copy of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Support & Customer Assistance
cc: MHC file
Courtney Spears - WiRO
Liz Hair - USACE
RECEIVED
State of North Carolina I Environmental Quality J Coastal Maoagessast O ; fl
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215 APR J
DCM-MHD CITY

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The Department of Environmental Quality hereby gives public notice as required by NCGS 113A-
119(b) that the following application was submitted for a development permit in an Area of Environmental
Concern as designated under the CAMA: On February 14, 2019 Custom Island Homes proposed to
construct a single-family residence with fill at 4915 E Beach Drive, adjacent to the Atlantic Ocean, in
Oak Island, Brunswick County. A copy of the application can be examined or copied at the office of Tara
MacPherson, N.C. Dept. of Environmental Quality, Division of Coastal Management, 127 Cardinal Drive
Ext., Wilmington, NC 28405, (910-796-7425) during normal business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400 Commerce
Avenue, Morehead City, NC 28557-3421, prior to May 10, 2019 will be considered in making the permit
decision. Later comments will be accepted and considered up to the time of permit decision. Project
modification may occur based on review and comment by the public and state and federal agencies. Notice
of the permit decision in these matters will be provided upon written request.
RECEIVED
APR 3 0 'xq
DCM-MHD CITY

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Custom Island Homes c/o Dana Lutheran (SEGI)
2. LOCATION OF PROJECT SITE: 4915 E Beach Drive, adjacent to the Atlantic Ocean, in the Town
of Oak Island, Brunswick County.
Photo Index — 2006: 8-6167 M-21 Latitude: 33'51'34.03"N Longitude: 78"06'48.39"W
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 2/19/19
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received — 2/14/19 (initial), 4/11/19 (complete)
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Town of Oak Island
Land Classification From LUP — Residential
(B) AEC(s) Involved: OH
(C) Water Dependent: No
(D) Intended Use: Residential
(E) Wastewater Treatment: Existing - Municipal
Planned - Municipal
(F) Type of Structures: Existing — Undeveloped oceanfront lot
Planned — one (1) single family residence
(G) Estimated Annual Rate of Erosion: two (2) feet per year
Source — DCM-2013 Erosion Rate Maps
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
A
(A) Vegetated Wetlands (404)
496 ft2 (404)
(B) Non -Vegetated Wetlands
(Open water
(C) Other (Upland)
5,500 ftz
(D) Total Area Disturbed: 5,996 ftz (0.14 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SB Open: No
PROJECT SUMMARY: The applicant proposes to construct one (1) single family residence with
associated freshwater wetland fill.
RECEIVED
APR 3 0 om
DCM-MHD CITY

Custom Island Homes
Page 2
9. PROJECT DESCRIPTION:
The project site is located at 4915 E Beach Drive, in the Town of Oak Island, Brunswick County. To
locate the project site from Wilmington, travel west on NC-133/US-17S/US-74/76W for approximately
3 miles then take the US-17 exit toward Shallotte and continue for approximately 13 miles. Turn left
onto NC-906 and travel for approximately 10 miles. Then, turn left onto E Oak Island Drive and travel
2.4 miles. Turn right onto SE 401h St and travel 0.5 miles, then turn left onto E Beach Drive and travel
0.5 miles to the property of interest.
The project site is bordered on the west by a vacant lot, to the east by single family residences, to
the north by a vacant lot and to the south by the Atlantic Ocean. The site consists of one 0.17 acre
parcel with an elevation of an average of 10 ft. above normal high water. Vegetation on the tract
consists of native beach vegetation including Yucca (Yucca spp.), Sea Oats (Uniola paniculata),
Saltmeadow Cordgrass (Spartina patens) and Pennywort (Hydrocotyle bonariensis). According to
the application approximately 496 ft2 of 404 Wetlands exist along the western edge of the property
(see Survey Sheet 1). The site is currently undeveloped and no permit history could be located for
the property. The FLSNV was flagged post Hurricanes Florence and Michael on 2/28/19 by DCM.
The waters of the Atlantic Ocean are classified as SB by the NC Division of Water Resources (DWR).
The NC Division of Marine Fisheries (DMF) has not designated this area of the Atlantic Ocean as
Primary Nursery Area and the waters adjacent to the proposed project are closed to the harvesting
of shellfish. The project site IS located within an area of the Town of Oak Island that undergoes
beach renourishment. The erosion rate for this area is two feet (2') per year, according to the 2013
Erosion Rate Maps, creating a total Ocean Erodible Area AEC of 180'.
PROPOSED PROJECT:
The applicant proposes to construct one (1) single family residence with associated freshwater
wetland fill. The applicant proposes to construct a 45 ft. long by 34 ft. wide single-family home on
the lot, which would result in the filling of approximately 496 ft2 of 404 Wetlands, however this is
not required for house placement, and the disturbance of approximately 5,500 ft2 of high ground.
The home would be located landward of the 60' setback from the first line of stable natural
vegetation (FLSNV) and the Town of Oak Island Development Line. The proposed 408 sq. ft.
structurally detached deck on the waterward side of the house, would encroach into the 60'
setback from the FLSNV or the Town of Oak Island Development Line. The total disturbed area
would be 5,996 sq. ft. The application states that wetlands on the property were reviewed by the
USACE and the formal Jurisdictional determination is forthcoming (see Attachment B). The
proposed wetland fill is outside and waterward of the structure footprint. The original discussion
regarding installing a retaining wall around the wetland area was tabled due to a required
engineer's certification (see Attachment A).
10. ANTICIPATED IMPACTS:
The construction of the building would result in the disturbance of approximately 5,996 ft2 of high
ground and the fill of approximately 496ft2 of 404 Wetlands, for a total of 3,759 ft2 of disturbance
within the Ocean Erodible AEC. The application states that sewer and water supply services would
be provided by the local municipality. The application also states that wetlands on the property
were reviewed by the USACE.
P�i'f'i'le«r
Submitted by: Tara MacPherson Date: April 12, 2019 Office: Wilmington
OhY-li�ifi °uiT

Southern Environmental CjrouP, Inc.
g513 5outi, College Road, rjuik- E • Wilmington, NC 2e412
f%one:910.472.271 1 • Fan 910.432.2a99 • r mail: oI(i=oaegi.ua
8 February 2019
Hand Delivery
NC Division of Coastal Management
Attn: Ms. Tara MacPherson
Regulatory Field Officer
127 Cardinal Drive Extension
Wilmington, NC 28412
Re: 4915 East Beach Drive, Town of Oak Island, Brunswick County
CAMA Major Permit Application for Upland Development and Fill
Dear Tara,
[SEGi Project #: 17-126.011
Southern Environmental Group, Inc. (SEGi) has been retained by Mr. Ken Kiser (herein referred to as the
"Applicant"), to submit the attached Division of Coastal Management (DCM) permit application and associated
appendices (see Attachment 1), in order to obtain a Coastal Area Management Act (CAMA) Major Permit, which is
necessary to perform work at his property, located at 4915 East Beach Drive, in Oak Island, Brunswick County,
North Carolina.
Site Information and History:
The lot was last platted 29 March 2018, under Map Book 4035 and Page 0965, has been assigned Parcel ID
249DF007 and is approximately 0.17 acres (7,500 square feet). Liz Haire, with the US Army Corps of Engineers
(USACE), as part of the Jurisdictional Determination (JD) process, verified SEGi's wetland boundary line, however
a JD had not been issued as of the date of this letter.
This lot is located within the CAMA Ocean Erodible Area of Environmental Concern (AEC), but it is not located on
a waterbody, which has a Coastal Shoreline AEC associated with it. The lot is undisturbed and vegetated and does
not contain any man-made structures or impervious surface area. The Applicant has signed the AEC Hazard Notice,
and the form has been attached as an appendix to the application.
Proposed Work:
It is the Applicant's intention to construct a 45' x 34', single family, residential dwelling, with 12' covered porch,
and driveway which will entail disturbing 5,500 square feet of the lot. The proposed structure, covered porch, and
driveway will cover approximately 3,300 square feet (44%) of the site. The driveway will be constructed of concrete.
Typical residential dwelling building materials will be utilized. Heavy machinery, such as a frontend loader and
dump truck will be used to bring the site up to the desired grade and contour. Silt fence will be installed along the
limits of disturbance, to ensure that sediment does not leave the permitted area.
In order to facilitate the construction of the dwelling and access drive, approximately 496 square feet (0.01 acre) of
Section 404 wetlands will need to be filled. Due to the location of the wetland feature, avoidance is not possible. The
Applicant explored using a retaining wall to avoid impacting the feature, but the Department of Public Safety insisted
a "no rise certificate" be secured, which is not feasible. Due to the insignificant area of wetlands to be filled,
mitigation is not being proposed. SEGi and the Applicant believe the proposed plan is the least environmentally
damaging, practical alternative.
RECEIVED RECEIVED
1 (2/8/19) APR 3 0 , Jq FEB 14 2019
ACM-MHD CITUM WILMINGTON, NC

+915 East E)cach Drive CAMA Major Permit 5r-Gi
CAMA Major Permit Process:
As part of the CAMA Major Permit process, the Applicant has notified one of the adjacent property owners (i.e. Ms.
Sheila McParlin), by US Postal Service Certified Mail, while the other (MAS Properties, LLC) has been contacted
directly. Ms. McParlin's Certified Mail Green Card and the signed waiver form, from MAS Properties, LLC, will be
submitted to the DCM upon receipt.
Lastly, a $400.00 filing fee is required, which has been included with this correspondence as Attachment 2.
The Applicant is aware that he must sign the Ocean Hazard Waiver form, as it is required to build within the Ocean
Hazard AEC. Would you please email me a copy of the form (dlutheran(a),segimsl? I will it have signed and returned
to your office posthaste.
At this time, SEGi is requesting the review of the permit application and associated appendices to ensure they are
adequate for processing. Should you have questions, please call me at 910.452.2711. Thank you, in advance, for
your time and assistance with this project. I look forward to hearing from you.
Sincerely,
Dana A. Lutheran
SEGi Project Manager
Enclosures: Attachment 1 — CAMA Major Application with Associated Appendices
Attachment 2 — $400 Filing Fee
RECEIVED
RECEIVED FEB 14 2019
APR 3 0 2019 OCM WILMINGTC N, NC
DCM-MHD CITY --, occCll/FD
2 (2/8/19) 'A 4
DCM,)VILMIN4TON, NC

ICU UFA
APPLICATION for
Ma1or Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
Project Name (if applicable)
Homes
72:F!rst
4915 East Beach Drive
Name
MI
Last Name
Kiser
t Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
137 NE 37'r Street
7
Oak Island
NC
ZIP
Country
Phone No.
FAX No.
28465
us
910 - 524 - 0633 exl.
NA - -
Street Address (t difffferent from above)
City
State
ZIP
Same
Email
[e-mail]
Business Name
Southern Environmental Group, Inc. (Segi)
Agent/ Contractor 1: First Name
MI
Last Name
Dana
A
Lutheran
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
5315 South College Road, Suite E
Wilmington
NC
ZIP
Phone No. 1
Phone No. 2
28412
T
910-228-1841
ext.
910-452-2711 ext.
FAX No.
Contractor #
Street Address (d different from above)
City
State
ZIP
Same
Email
[e-mail]
---'w�—�/ RCV CIVCIJ
<Form continues on h APR 3 0 2019 FEB 18 2019
252-808-2808 :: 1-888.4RCOA3T :: w . o PtGI,T.Y.W.KUVLMINGTON, NC

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Brunswick
112 SE 72n° Street
Subdivision Name
City
State
Zip
NA
kIsland
INC
18465-
Phone No.
Lot No. (a) (if many, attach additional page with list)
NA- ext.
NA, I I ,
a. In which NC river bask Q the pro ed?
b. Name of body of water nearest to proposed project
Cape Fear
Atlantic Ocean
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Atlantic Ocean
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []NO
work falls within.
Oak Island
4. Site Description
a. Total length of shoreline on the trap (ft.)
b. Size of entire tract (sq.ft.)
50 linear feet
Approximately 7500 SF
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high wateh or
NA
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
10, ENHW or ❑NWL
e. Vegetation on tract
The site is mostly grassy with scrub shrub, waxy vegetation.
f. Man-made features and uses now on tract
There are no man made features on the property
g. Identify and describe the existing land uses adacen to the proposed project site.
Land uses of the adjacent properties is residential, although the the southern property is currently not built upon.
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
residential
(Attach zoning compliance certificate, if applicable)
®Yes []No []NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ENO
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ENo DNA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ENO DNA
National Register listed or eligible property?
<Form continues on next pag'eECE.IVED RECEIVED
APR 3 0 '- ig FEB 14 2019
252.808-2808 :: 1.888-4RCOAST :: ww ecoastalmanagement.net
bUM-MHD CITY DCM WILMINGTON, NC

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes ONO
(it) Are there coastal wetlands on the site? ❑Yes ONO
(III) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ONO
(Attach documentation, Navailable)
n. Describe existing wastewater treatment facilities.
Wastewater will be treated by the Town of Oak Island.
o. Describe existing drinking water supply source.
Drinking water will be supplied by the Town of Oak Island
p. Describe existing storm water management or treatment systems.
Stonnwater management is required as part of the Town's Phase II permitting requirements.
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑PublictGovemment
OPrivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of this project is to construct a 43' x 34', single family dwelling, with 12' wide porch, on the ocean front side of
the structure, driveway and stonnwater treatment measures.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Construction will begin with hauling in clean earthen fill to bang the site up to the desired grade and contour. Once this has
taken place, pilings that will support the structure will be installed. Traditional construction techniques will be used to
construct the dwelling. Lastly, concrete will be poured to complete the driveway. Heavy equipment, such as a front end
loader and dump trucks, will be used but will not be stored on site.
d. List all development activities you propose.
Construction of one 34' x 43' dwelling, 12' attached deck, 22.5' x 34' concrete driveway, stormwater treatment measures, and
minor land seeping.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. What is the approximate total disturbed land area resulting from the proposed project? 0.09 ❑Sq.Ft or ®Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ONO ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Discharges to waters of the state are not proposed.
1. Will wastewater or stonnwater be discharged into a wetland? ❑Yes ❑No ®NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ONO ®NA
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Fotrn continues on bai RECEIVED RECEIVED
252-808-2808 :: 1.888-4RCOAST :: www.necoastalmah5dement.net
DCM-MHD CIT9CM WILMINGTON, NC

Forth DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Info► nation
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with slate application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Sheila McParlin Phone No.
Address 815 Shetland Place NW, Concord, NC 28027
Name MAS Properties, LLC Phone No.
Address 131 Ocean Blvd. West, Holden Beach, NC 28462
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
NA
In. Signed consultant or agent authorization form, if applicable.
i. Welland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act,
1 7. Certiricadon and Permission to Enter on Land I
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 8 Februay 2019 Print Name Dana A. Lutheran RECEIVED
Signature
APR 3 0 2019
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts DCM-MHD CITY
®DCM MP-3 Upland Development
❑DCM MP4 Structures Information
RECEIVED
FEB 14
252-808.2808 .. 1-888-4RCOAST .. www.nccoastalmanagerlrgi�t.n at
MINGTON, NC

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
33'
Width
15'
Avg. Existing
Depth
NA
NA
NA
Final Project
Depth
NA
NA
NA
If. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
e. (1) Does the disposal area include any coastal wellandshnarsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV []SB
❑WL []None
(ii) Describe the purpose of disposal in these areas:
d. High -ground excavation in cubic yards.
®This section not applicable
b. Dimensions of disposal area.
d. (I) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(III If yes, where?
f. n Does the disposal include any area in the water?
[]Yes❑No ❑NA
(ii) If yes, how much water area is affected?
RECEIVED RECEIVED
APR L 0 -"'1 FEB 14 2019
252-808-2808 :: 1-888.4RCOAST :: www.ncconstalmanaf.ement.mit OCM MHD revised: 12126/06
CITY DCM WILMINGTON, NC

Form DCM MP-2 (Excavation and Fill, Page 2 of 3)
3. SHORELINE STABILIZATION ®This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length:
[]Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: Width: _
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead ball — Riprap —
Breakwater/Sill Other
I. Source of fill material.
f. (i) Has there been shoreline erosion during preceding 12
months?
[]Yes []No ❑NA
(I) If yes, stale amount of erosion and source of erosion amount
information.
h. Type of fill material.
�4. OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill matedal be brought to the site? ®Yes []No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes, submerged aquatic vegetation (SAV), shell bottom (se), or
(it) Amount of material to be placed in the water 0 other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(III) Dimensions of fill area 33' x 15'
(iv) Purpose of fill
To provide adequate building pad for a 43' x 34'single
family dwelling, with 12' x 34' elevated porch.
❑CW _ ❑SAV _ ❑SB
OWL 496 SF (0.01 AC) ❑None
(if) Describe the purpose of the fill in these areas:
To provide adequate building pad.
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
Silt fence will be installed along the property line to ensure A frontend loader and dumptruck will be used to bring the site up
sediment does not leave the limits of disturbance. to the desired grade and contour.
c. (i) Will na` q aational aids be required as a result of the project?
[]Yes ®No []NA
(if) If yes, explain what type and how they will be implemented.
d. Ill Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(11) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
RECEIVED
APR .10 91119
8 February 2019
Date
4915 East Beach Drvie
Project Name
Dana A. Lutheran for Ken Kiser DCM-MHD CITY
Applicant Narrrl--��
���// RECEIVED
,U
252.808.2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12;26106
DCM WILMINGTON, NC

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures b. Number of lots or parcels.
proposed. I
1 single family dwelling 34' x 43' with 12' x 34' elevated
porch
c. Density (give the number of residential units and the units per
acre).
1 unit per 0.17 AC.
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
[]Yes ONO ❑NA
(if) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
3300 SF BUA / 7500 SF = 44%
Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
44%
j. Describe proposed method of sewage disposal.
The site has access to municipal sewer
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, 'wash down" and residential discharges).
NA
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
5500 SF
I. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
Concrete will be used for the driveway
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(I) Has a she development plan been submitted to the Division of
Water Quality for review?
❑Yes ONO MINA
(III If yes, list the date submitted: Stormwater permit issued by
the Town of Oak Island
k. Have the facilities described in Item (i) received state or local
approval?
®Yes ONO ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stonnwater
design?
❑Yes ONO ❑NA
If yes, attach appropriate documentation.
RECEIVED RECEIVED
APP '' 0 ""9 FEB 14 2019
252.808.28082::1.888.4RCOAST:: www.necoastalmanaaement.net -M 01�,ITY DCM WILmN61r0*,,"C

Form DCM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
Drinking water is provided through the Town of Oak Island
o. When was the lot(s) platted and recorded?
Deed Book 4035 and Page 0965, platted 329/18
6 February 2019
Date
4915 East Beach Dr.
Project Name
Dana A. Lutheran for Ken Kiser
Ap dicant Name
Cps���C�,y�`�-o�-'�t
Applicant Signature
n. (i) Will water be impounded? []Yes ®No ❑NA
(it) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
[]Yes ❑No ®NA
RECEIVED
APR 3 0 2019
RECEIVED
FE6 14 2019
DCM-MHD CITY
nCM1revise 252-808.2808 :: 1.888.4RCOAST :: www.necoastaimanagement.net d: 12/ SI 6 C

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RECEIVED
APR 3 0 2019 RECEIVED
DCM-MHD CITY FEB 14 2019
Property Line DCM WILMINGTON, NC
0 75 160 300 460 600 N
Feet Vicinity Map
1 inch =300feet 4915 E. Beach Dr. F
Oak Island, Brunswick County, North Carolina w
7f`C
Map source: ESRI Street Maps 12/17/2018 017-126.01 s

�t&mffj PC -
MacPherson, Tara
From:
[e-mail]
Sent:
Thursday, March 21, 2019 9:30 AM
To:
MacPherson, Tara
Subject:
[External] FW: 4915 East Beach Drive
Attachments:
4915 East Beach Drive CAMA Major Permit Cover Letter.pdf
Tara,
Here is the email string, between me and the town and the town and FEMA, wherein it states we would need an
engineer's statement. I have also attached the cover letter.
Dana
`joutbern F nvironmental Group, Inc.
5315 joutb College Road, juite E
Wilmington, NC 28412
Office: 9 10.452.2J 1 I
Mobile: [phone] I (Preferred)
www.segi.us
From: Donna Coleman <[e-mail]>
Sent: Thursday, January 24, 2019 1:11 PM
To: [e-mail]
Subject: RE: 4915 East Beach Drive
Dana,
This is the input I received for the state NFIP Coordinator. Please feel free to share.
Donna
From: Brubaker, Dan [maiIto: Dan. [e-mail]
Sent: Thursday, January 24, 2019 8:59 AM
To: Donna Coleman <[e-mail]>
Subject: Re: [External] FW: 4915 East Beach Drive
Hi, Donna. You will need an engineer's certification that the wall will not cause wave
deflection or runup that could potentially damage nearby structures. Considering the
proximity of the house, I'd be concerned about the potential for damage.
What is the 12', eight -sided object on the site plan? RECEIVED
Dan
APR 2 0 ^119
1 DCM-MHD CITY

Dan Brubaker, PE,CFM, State NFIP Coordinator
Donna F. Coleman, CFM
CAMA-LPO / Building Inspector
Town of Oak Island
[phone]
[phone]fax
From: [e-mail] [mailto:[e-mail]1
Sent: Wednesday, January 16, 2019 2:58 PM
To: Donna Coleman <[e-mail]>
Cc: 'Ken' <[e-mail]>
Subject: RE: 4915 East Beach Drive
Donna,
We submitted our request for review of the project on November 81h, which was 69 days ago. Has the town received a
response from FEMA, on the proposed retaining wall?
5outkern C-rivironmental Groue, Inc.
5515 5outl College Road, `-Suite j_
Wilmington, NC 2841 2
Office: 910.452.271 1
Mobile: [phone]
W W W.Segi.US
From: Donna Coleman <[e-mail]>
Sent: Friday, January 4, 2019 2:09 PM
To: [e-mail]
Cc: Ken <[e-mail]>
Subject: Re: 4915 East Beach Drive
I'll be back in the office on Monday and get back with you.
Sent from my iPad
On Jan 4, 2019, at 1:56 PM, <[e-mail]> <dlutheran9segi.us> wrote:
<image002.gif>
Hello, Donna.
Hope you are doing well and had a nice holiday! Any updates on this project?
Southern Environmental Group, Inc.
5315 South College Koad, `Suite E
Wilmington, NC 2841 2
Office: 910.45 2.271 1
Mobile: 91 o.zz8.1 841
wwW.segi.us
RECEIVED
APR 3 0 2019
DCM-MHIU CITY
a

From: dlutheran@se¢i.us <[e-mail]>
Sent: Monday, December 3, 2018 9:38 PM
To:'Donna Coleman' <[e-mail]>
Cc: 'Ken' <[e-mail]>
Subject: RE: 4915 East Beach Drive
Donna,
I have attached the site plan that illustrates the approximate location of the retaining wall and denoted
that it will not exceed 18" in height. Please keep in mind the site plan is for demonstration purposes
only. I have also included David Scibetta's wetland sketch that shows a more accurate location of the
wetlands and the site characteristics (i.e. how far from the beach the proposed house and retaining wall
will be). To reiterate, this wall is for the purpose of avoiding wetlands and not for erosion or flood
control.
Please submit this to your contacts at FEMA.and feel free to have them call me if there are questions
(910.228.1841).
Dana
joutbern Environmental Group, Inc.
S 5 15 5outlk College Goad, Suite E
Wilmington, NC 28+12
Office: 910.45z.z71 1
Mobile: 91 o.zz8. 1841
Ww .se4i.u5
From: Donna Coleman <[e-mail]>
Sent: Monday, December 3, 2018 3:13 PM
To: [e-mail]
Subject: RE: 4915 East Beach Drive
Dana,
So sorry for the delay. I had talked to Steve about this, our concern is even though the retaining wall is
two feet
above the ground it is parelle and seaward of the structure. If you submit the wall detail I do not mind
sending it to the state for review.
Donna F. Coleman, CFM
CAMA-LPO / Building Inspector
Town of Oak Island
[phone]
[phone]fax
From: [e-mail] [mailto:[e-mail]]
Sent: Thursday, November 08, 2018 12:26 PM
To: Donna Coleman <[e-mail]>
RECEIVED
APR 3 0 "'iq
DCM-MHD CITY

Cc: 'Ken' <[e-mail]>
Subject: RE:4915 East Beach Drive
Hi, Donna.
I am sorry that it has taken me a minute to respond. I am familiar with the information your provided. It
has been my experience, working with the DCM, on projects within the VE flood zone, that retaining
walls, under 2' high, do not require FEMA approval. Within the Technical Bulletin, where it discusses
erosion control structures, I interpret the language to be in reference to retaining walls or bulkheads
that front a waterbody capable of having waves break at or over the structure, such as along the beach
or intracoastal waterway. Specific to this project, the retaining wall is less than 2', does not act like and
is not intended for use as an erosion control measure, is not within the building footprint, is not
attached to the foundation and is not likely to experience wave action that would cause deflection or
flooding concerns. Therefore, I believe the structure would not require review and/or approval from
FEMA.
I have attached a map that depicts a smaller house with the retaining wall. The wall would allow Ken to
build the structure without impacting USACE Section 404 wetlands.
Feel free to call, should you wish to discuss further (910.228.1841).
Dana
5outkern Environmental Group, Inc.
5515 South College Road, Suite E
Wilmington, NC 2841 2
Office: 9 10.452.271 1
►v►o6i le: 9 10.2 28. 18+ 1
W W W.Segi.uS
From: Donna Coleman <[e-mail]>
Sent: Thursday, November 1, 2018 10:08 AM
To: [e-mail]
Cc:'Ken' <[e-mail]>
Subject: RE: 4915 East Beach Drive
Hi Dana,
I have attached a copy of the FEMA Bulletin. If you start at the bottom of page 19 -21. A lot depends on
the placement of the retaining wall
and size. It will have to be reviewed by the states floodplain management branch in Raleigh. Also on the
AEC Hazard notice bottom left side column
there is a blip about hardened structures. Let me know your thoughts.
Donna F. Coleman, CFM
CAMA-LPO / Building Inspector
Town of Oak Island RECEIVED
[phone]
[phone]fax
APR 3 0 ?019
From: [e-mail] [mailto:[e-mail]) DCM-MHD CITY
Sent: Wednesday, October 31, 201812:55 PM

To: Donna Coleman <[e-mail]>
Cc:'Ken' <[e-mail]>
Subject: 4915 East Beach Drive
Hello, Donna.
I hope this email finds you well.
I am working for Ken, on determining the level of permitting (i.e. USACE Section 404, CAMA Minor,
CAMA Major, etc.) that will be necessary to develop this property (see attached site plan). As you will
see and may already be aware, there is a small wetland pocket on the southern side of the lot. Ken was
thinking he would install a small retaining wall (i.e. less than 2') to avoid impacting that wetland. After
speaking with you, he has conveyed that a retaining wall would not be permissible, because it would
cause ramping. Could you provide the language or rule you are relying upon to make your
determination?
Thanks a bunch.
Dana
Southern Environmental Group, Inc.
5 315 South College Road, Suite E
Wilmington, NC z841 z
Office: 91 0.45z.271 1
Mo6ile: 9 1 o.zz8.1 8+1
W W W.Segi.US
RECEIVED
API) P q')n,g
DCAA-M,I-s[) Ciry

w`
Ak
WqpW
Property Line
0CM-MI-ID CITY
Approximate Wetlands (by others)
o s to zo ao aFeet Field Sketch of Wetlands N
1 inch 20 feet E. Beach g
Map Source: NCOneMap Orthoimagery, Oak Island, Brunswick County, North Carolina W \\c
Wetlands flagged by others, pin Nags on ground. 10/26/2018 017-126.01 g

LEGEND:
SOD STATEMENT:
M: 370202
NEL• 2065
EFIX J'
)NED 'VE 17 t 1 B'
rMNE DATE.6-2-06
a(y ,..
Parinrg $pace
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Approximate wetland are
P
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Staked on 3/(12017
6
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7,500 5F +/-
'PERVIOU5 AREA: 1,713.005F
YY7.500 5F = 23%
gTIANT/C ocEgN
YU5 CALL. HOU5E
75FX 1.5/12 =
33.36 CF/3.53 = 9.45 OR 10 LF
7 5FX 1.5/12 =
33.36 CF/3.53 = 9.45 OR 10 LF
7 5FX 1.5/12 -
33.36 CF/3.53 - 9.45 OR lO LF
7 5FX 1.5/12 =
33.38 CF/3.53 = 9.45 OR 1O LF
5FX 1.5/12 =
0.50 CF/3.53 = 2.4I OR 5LF
5FX 1.5/12 =
6.50 CF/3.53 = 2.41 OR 5 LF
)U5 CONCRETE. DRIVEWAY
i X 1.5/I2 = 26. 12 CF/22.1 = 1.27 OR 2 CHAMBER5
X 1.5/12 = 26.12 C5/22.1 = 1.27 OR 2 CHAMBERS
18"
4917 t. BEACH DR
/ PARCEL# 249DF006
Col
A2�6%* l0' 057 stone
rage encased with
Rer labrrc
NAltrrG
"� plus Mgh o7•
and end
Vfkd�WrMl 3.5' 12'15751one
Lead 0e rg
CHAMBER DETAIL
22. 1 CF/ PER 4' SECTION
RECEIVED
Or - Ek75TING IRON I
R/W
- RIGHT OF WAY
GL -
CENTERLINE5T.
15F -
IRON 5TAKE FO.
IRF -
IRON ROD 5ET
5EMACK5
FRONT - 15'
REAR - 20
SIDE - 8'
PARKING 5PAGE✓
4 EW
L LIVING AREA
NEED 4 5PACE5
vegetative cover
native sal
filter lab c
15
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GRAPHIC SCALE
DCM-MHD CITY T

I�W("► S
MacPherson, Tara
From: Hair, Sarah E CIV CESAW CESAD (US) <Sarah. E. [e-mail]. mil>
Sent: Thursday, April 11, 2019 4:14 PM
To: [e-mail]
Cc: MacPherson, Tara
Subject: [External] RE: [Non-DoD Source] RE: JD for 4915 Each Beach
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to [e-mail]<mailto:[e-mail]>
Dana/Tara,
Based on the information provided and my site visits conducted in 2017, the wetland boundary appears accurate as
depicted on the map. Pending review of the application, the JD will be issued with the permit (if authorized).
Thanks,
Liz
-----Original Message ----
From: [e-mail] [mailto:[e-mail]]
Sent: Tuesday, April 9, 2019 3:50 PM
To: Hair, Sarah E CIV CESAW CESAD (US) <[e-mail]>
Cc: 'MacPherson, Tara' <[e-mail]>
Subject: [Non-DoD Source] RE: JD for 4915 Each Beach
Hi, Liz.
The DCM cannot process the CAMA Major Permit (i.e. consider it complete and start the 75 day clock), without the
USACE's verification that the wetland line, as shown on the attached, is accurately depicted. Tara said she could rely on
an email, from you, confirming this, until the JD is issued.
Dana
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, NC 28412
Office: 910.452.2711
RECEIVED
APR 3 0 2019
RECEIVED
APR 11 2019
Mobile: [phone] (preferred)
DChA-'U6 m ^]Ty DCM WILMINGTON, NC

MacPherson, Tara
From:
MacPherson, Tara
Sent:
Wednesday, March 13, 2019 8:33 AM
To:
'Dana Lutheran'
Subject:
4915 E Beach
Hi Dana, I received the drawings, but they do not scale out:/ It is off... so the measurement from the FLSNV to the 60 ft.
setback is less than 60 ft. because it is not 1"=20'. 1 have to have a drawing to scale and have to send it out to multiple
agencies. Sorry, but we are going to need a corrected version:/ I will go ahead and set everything up, but the complete
date will be when I get the new drawing.
Thanks,
Tara
Tara MacPherson
Field Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7425 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
RECEIVED
APR 3 0
DCM-MHD CITY

MacPherson, Tara
From: MacPherson, Tara
Sent: Tuesday, February 19, 2019 3:57 PM
To: '[e-mail]'
Subject: RE: [External] RE: Major Permit App Oak Island
Thanks Dana, I was down there today and staked the FLSNV. Since we have had two hurricanes we would need to re -
stake it anyway, but the line you used is from 2017. Please have them resubmit the drawing with the current line.
Thx,
Tara
Tara MacPherson
Field Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7425 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
'" othfnq Compares—..,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: [e-mail] <[e-mail]>
Sent: Monday, February 18, 2019 12:33 PM
To: MacPherson, Tara <[e-mail]>
Subject: RE: [External] RE: Major Permit App Oak Island
Here ya go.
5out6em F nvironmental Group, inc.
531 5 South College Road, Suite [_,
V\ ilmington, NC 2841 2
RECENED
APR 3 0 119
DCM-MHD CITY

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
Dana Lutheran
Southern Environmental Group, Inc
5315 South College Road, Suite E
Wilmington, NC 28412
Dear Ms. Lutheran:
NORTH CAROLINA
Environmental Quality
April 12, 2019
The Division of Coastal Management hereby acknowledges receipt of your application, as acting agent
for Custom Island Homes for State approval for development of the subject property located at 4915 E
Beach Drive, adjacent to the Atlantic Ocean, on Oak Island in Brunswick County. It was received as
complete on April 11, 2019 and appears to be adequate for processing at this time. The projected
deadline for making a decision is June 25, 2019. An additional 75-day review period is provided by law
when such time is necessary to complete the review. If you have not been notified of a final action by the
initial deadline stated above, you should consider the review period extended. Under those
circumstances, this letter will serve as your notice of an extended review. However, an additional letter
will be provided on or about the 75th day.
If this agency does not render a permit decision within 70 days from April 11, 2019 you may request a
meeting with the Director of the Division of Coastal Management and permit staff to discuss the status of
your project. Such a meeting will be held within five working days from the receipt of your written request
and shall include the property owner, developer, and project designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the
property of your proposed development. You should post this notice at a conspicuous point along your
property where it can be observed from a public road. Some examples would be: Nailing the notice card
to a telephone pole or tree along the road right-of-way fronting your property; or at a point along the road
right-of-way where a private road would lead one into your property. Failure to post this notice could result
in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted by the
appropriate State or Federal agency. Please contact me if you have any questions and notify me in
writing if you wish to receive a copy of my field report and/or comments from reviewing agencies.
Sincerely,
Tara MacPherson
Field Representative
cc: Courtney Spears, DCM Liz Hair, USAGE
Doug Huggett, MHC Ken Kiser, Applicant
Donna Coleman, LPO Chad Coburn, DWR
ig D_ W
�..
RECEIVED
APR 8 0 10,19
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215
DCM-MHD CITY

♦ ♦ _ _
was.•- ,.
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single-famil
FOR
residence
!stand, Brunswick County- - - -- -
COMMENTS ACCEPTED THROUNO-)vZOI9
APPLICANT:
Custom Island Homes
137 NE 371h Street
Oak Island, PIC 2 4465
ge . ana u eran
W
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FOR MORE DETAII1LTS CONTACT
NC Div ofCCoastal Management OW
12 ar Ana r. x ension
Wilming on,
De �e son, re epresen a ive
91 -

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1/31/2019
Name of Property Owner Applying for Permit:
Ken Kiser
Mailing Address:
137 NE 37th St.
Oak Island, NC 28465
I certify that I have authorized (agent) Southern Environmental Group, Inc. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) a 34' x 43' single family dwelling, with 12' porch, and driveway
at (my property located at) 4915 East Beach Drive, Oak Island, North Carolina
RECEIVED
This certification is valid thru (date) APR 3 0 2019
p DCM-MHD CITY
1/31/2019
Property Owner Signature Date
RECEIVED
FEB 14 2019
DCM WILMINGTON, NC

5outkern environmental Group, Inc.
551 5 South Colinge Road, Suite E,, Wilmington, NC 28412
910.452.2711 Fax: [phone] w .xgi.us
8 February 2019
Certified Mail 9590 9403 0325 5155 1806 00
Ms. Sheila McParlin
815 Shetland Place NW
Concord, NC 28027
Re: CAMA Major Permit for Upland Development
Adjacent Property Owners Notification
4915 East Beach Drive, Oak Island, Brunswick County, North Carolina
Dear Ms. McParlin,
SEGi Project #: 15-070.01
With this correspondence, Southern Environmental Group, Inc. (SEGi) is notifying you of the proposed
construction of a residential dwelling, to be located on a parcel adjacent to land own you. This was determined
by using the Brunswick County, North Carolina tax information page. SEGi has been retained by Mr. Ken Kiser,
herein referred to as the "Applicant', to notify the adjacent property owner(s) and to apply for a Coastal Area
Management Act (CAMA) Major Permit.
The Applicant intends to construct single family dwelling, along with associated parking, on his 7500 square foot
lot, which is located at 4915 East Beach Drive and within the Ocean Hazard Area of Environmental Concern
(AEC). Heavy machinery, such as a dump truck and bulldozer will be utilized to bring in clean earthen fill and a
to bring the lot up to the desired elevation and contour. To facilitate the development, 875 square feet (0.01 acre)
of §404 jurisdictional wetlands will be filled. This action is part of the permitting process and will be reviewed
by the US Army Corps of Engineers and NC Division of Water Resources, to ensure it is in compliance with the
Clean Water Act.
To assist you in the decision -making process, you will find the Project Narrative, Permit Application and Site
Plan attached. Once you have had an opportunity to review these documents and have no questions or concerns
regarding the project, please sign the enclosed form letter, and return it to our office via email to
dlutheran(a),seei.us, if possible. If not, please mail to my attention, at 5315 South College Road, Suite E, in
Wilmington, NC 28412. This will help to expedite the CAMA permit process. If you should choose not to
respond to this letter, the Division of Coastal Management will assume, within 11 days of the date the letter was
mailed, there are no objections to the proposed activity.
For questions regarding the permitting of the proposed activity within the Ocean Hazard AEC, please call the
North Carolina Division of Coastal Management (Ms. Tara MacPherson) at 910.796.7425 or visit their office at
127 Cardinal Drive Extension, Wilmington, North Carolina. Please feel free to call our office at 910.452.2711,
for information regarding the construction process.
Thank you for your time and assistance with this project.
Sincerely,
Dana A. Lutheran
SEGi Project Manager
Enclosures (3)
RECEIVED
APR 3 0 2019
DCM-MHD CITY
RECEDED
14 'n;9
DCM'V11"INGTON, NC

■ Complete items 1, 2, and 3.
■ 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:
Ms. &i)eA - m0P0-rli►1
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2. Article Number (transfer from service Isbell
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation-
7 0 9 1680 0001 8819 4772
❑Insured Mail
?insured Mail Restricted Delivery
❑ Signature Confirmation
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Domestic Return Receipt
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RECEIVED
APR 3 0 2019
DCM-MHD CITY

491 5 1= ast 5eack Drive - CAMA Manor Permit 5F.Gi
Attachment 1
4915 East Beach Drive
CAMA Major Application with Accompanying Appendices
RECEIVED
FE8 14 2019
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ Custom Island Homes (Ken Kiser) s
(Name of Property Owner)
property located at 4915 East Beach Drive _
(Address, Lot, Block, Road, etc.)
on Atlantic Ocean in the Town of Oak Island , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
;?�_ I have no objection to this proposal.
I have objections to this proposal.
Ut:bUKIF I ION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or aftach a site drawing)
Please see attached site plan.
RECEIVED
DCM WILMINGTON, NC
FEB 2 5 2019
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must beset back a minimum distance of 15' from my area of riparian access unless waived by RECEIVED
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner formation) —
lure
Da A. Lutheran for Ken Kiser
Print or Type Name
531_ 5555 Colfege Rood 5 uit
Marling Address
Wilmington, NC 28415
Grty/3tate/Zrp
910.2281841
Telephone Number / email address
8 February 201g_.
l w- --
`Vapid for one calendar year after signature'
(Adjacent Property Owner Information►
(Revised Aug. 2014)
APR 3 0 ZC19
DCM-MHD CITY

v�
PROP
Sruneulek ty, NC Register of Dead. pas. t of 2
Brenda A. Cleawia R.gister pf Daede
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NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S436.00 Parcel Identifier No. 249DF007
Prepmed by: Ryan W. Johnson, a licensed NC attorney, P.O. Box 10685, Southport, NC 28461
Delinquent taxes, if my, to be paid to the Brunswick County Revenue Office upon disbursement of the closing proceeds.
This Deed is made this _ day of March, 201E by and between
LAURA GREER VICK
and husband,
JOHN GILBERT VICK
4619 Blanchard Road
Durham, NC 27713
Lot 8 Block 8 Section 1 LB
CUSTOM ISLAND HOMES BY
KEN KISER,LLC
137 NE 37M Street
Oak Island, NC 28465
AND
SHELLY BARNEY
209 SE 76"Street
Oak Island, NC 28465
The designation Grantor and Grantee as used herein shall include said parties, thew heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine m neuter as required by context.
The Grantor represents that this property is _ / is out X their primary residence.
WITNESSETH, that, Grantor, in consideration of Ten and No/100 ($10.00) Dollars and other
good and valuable consideration paid by Grantee, the receipt of which is hereby acknowledged, by
these presents, does give, grant, bargain, sell and convey unto the said Grantee, and Grantee's heirs,
successors, and assigns, forever, in fee simple, all that certain lot or parcel of land located in the
County of Brunswick, State of North Carolina, and more particularly described as follows:
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DCM WILMINGTON, NC

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Brunswick County, NC Register of Deeds page 2 of 2
All that lot or parcel of land on Long Beach (now known as Oak Island) in Brunswick Canty,
North Carolina, (mown as Lot No. 8, Block 8, Section No. I as the same appears on a plat of
subdivision of property on Long Beach by Frank E. Lawrence, Engineer, dated March 18, 1939
and recorded in Map Book I at Pages, 96 through 99 in the office of the Register of Deeds of
Brunswick County, the said lot having the metes, bounds and location as shown on said plat
Said property having been previously conveyed to Lee J. Greer and wife, Marguerite H. Greer by
instrument(s) recorded in Book 134, Page 156 of the Brunswick County Registry. For more
information see Brunswick County Estate File No. 14 E 1031.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances,thereto belonging, to the said Grantee and said Grantee's heirs, successors, and
assigns, forever, in fee simple; and the Grantor, for itself, its successors and assigns, does
covenant with the said Grantee and said Grantee's heirs, successors and assigns, that Grantor is
seized of the premises in fee simple, and has the right to convey the same in the estate aforesaid
that title is marketable and free and clear of all encumbrances, except as herein stated, and that
Grantor hereby will warrant and defend the title against the lawful claims of all persons
whomsoever, except for the exceptions herein stated.
Title to the property hereinabove is subject to the following exceptions:
i. Ad valorem taxes for current and subsequent years.
2. Easements for utilities and rights of way in the chain of title.
3. Restrictive covenants of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and
year first above written. n
STATE OF N H CAR
OOO(UNTY OF
I IioOC A �. ,1A &-- my , a NotPublic for said state and county, do hereby certify that
Laura Greer Vlek and husband, John Greer Vick personally appeared before me this day and
,10W Wle ged the execution of the foregoing instrument.
psolv
WITNAVty hand and official seal or stamp, this iir�dey of March, 2018.
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DCM WILMINGTON, NC