Box, Jerry 84726C

pO�F COW41 &FICAMA ❑ DREDGE & FILL N9 84726 A B � C D
Pipermit
y = p
Date previous permit issued
GENERAL PERMIT Previous
New [:]Modification ❑ Complete Reissue [-]Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ ,General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
TA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
Affected ❑ CW ❑ EW ❑ P
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA:`yes/no
Type of Project/ Activity
(Scale: h
Shoreline Length
Access Length
Pier (dock) length,,
Fixed Platform(s)
Floating Platform(s) S
Finger pier(s) t'
I
Total Platform area
Groin length/#
Bulkhead/ Riprap length ( —
Avg distance offshore
Breakwater/Sill
Max distance/ length
.. < ..
Basin, channel
Cubic yards [
Boat ramp T
Boathouse/ Boatlift
Beach Bulldozing j
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no .,
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date
(Please Initial)
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-q46-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ti aoiCOILSrg1&❑LAMA ❑ DREDGE & FILL N9 84726 A B jC D
Previous permit
y = GENERAL PERMIT Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq_nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
I•
Access Length
Pier (dock) length t
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length - —
Avg distance offshore
Breakwater/Sill i s
Max distance/ length
Basin, channel
Cubic yards i
Boat ramp
Boathouse/ Boatlift� .
Beach Bulldozing
—.......... .
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by.
Permit Conditions
I AM AWARE OF
STATUTES, CRC
AND CONDITIONS THAT APPLY TO THIS PROJECT
Agent or Applicant PRINTED Name ! ��
`�.-.•--.tee e!.�..�. �.r
Signature "Please read co pliance statement on back of permit"
Application Fee(s) Check #/Money Order
(Scaler _ )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
IED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature
on Date
Issuing Date Expirati

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Styron, Heather M.
From: [e-mail]
Sent: Monday, November 1, 2021 1:50 PM
To: Styron, Heather M.
Cc: [e-mail]; 'Joy Box'; [e-mail]
Subject: [External] RE: Send data from MFP12230246 10/15/2021 11:23
Attachments: Approved CAMA Permit.pdf, CAMA Request for 2 Additional tie off Pilings Per Phone
Con.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
Good afternoon Heather,
Attached are #1) the previously approved CAMA permit from 2020, and #2) the new paperwork requesting 2 additional
pilings per the drawing. Please let me know if there is any additional paperwork you may need? What do I do next?
I'm sure I need to pay somebody somewhere for the permit? Just let me know and I'll be glad to get it taken care of......
Thanks for all your help!
Rev. Jerry Box
-----Original Message -----
From: [e-mail] <[e-mail]>
Sent: Friday, October 29, 2021 2:43 PM
To:'[e-mail]' <[e-mail]>
Cc: '[e-mail]' <[e-mail]>; 'Joy Box'
<[e-mail]>; '[e-mail]' <[e-mail]>; '[e-mail]'
<[e-mail]>
Subject: RE: Send data from MFP12230246 10/15/2021 11:23
Good afternoon Heather,
Here's the first email I sent. Thank you for your call today. Andre just gave me the wrong email. Sorry for the confusion.
I'll get the paperwork filled out, signed, and back to you as soon as I can! Thanks!
Rev. Jerry Box

-----Original Message -----
From: [e-mail] <[e-mail]>
Sent: Monday, October 25, 2021 1:37 PM
To:'[e-mail]' <[e-mail]>
Cc:'[e-mail]' <[e-mail]>;'Joy Box'
<[e-mail]>; '[e-mail]'<[e-mail]>;'[e-mail]'
<[e-mail]>
Subject: FW: Send data from MFP12230246 10/15/2021 11:23
Good afternoon Ms. Styron,
Attached is a copy of my CAMA permit from 4/27/2020 that I just received today. In the request that was submitted,
also in the attachment, two additional tie off pilings were requested. In the permit under "other" it states that they were
denied due to less than 2 feet of water at dead low tide. This is incorrect. At the lowest of tides ever I still have 4 feet of
water at the end of the dock. Someone recently purchased the piece of property next door to mine and was approved
for the same dock WITH pilings??
The water in front of my property is considerably deeper than theirs and has no needle grass. How do I get this re-
evaluated and corrected so I can have
2 additional tie off pilings installed? Any wisdom and guidance you can provide regarding this would be GREATLY
appreciated.
Thank you for your time and attention!
Rev. Jerry Box
2228 Hwy 24
Newport, NC 28570
Ph # 252 269-7382
-----Original Message -----
From: Cannon, Amanda J <[e-mail]>
Sent: Monday, October 25, 2021 11:12 AM
To: [e-mail]
Cc: [e-mail]
Subject: FW: Send data from MFP12230246 10/15/2021 11:23
I found it right after you left!
Thanks,
Amanda

Date:10/15/2021 11:23
Pages:3
Resolution:400x400 DPI

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ?,,, - -/ A0V f',
Address of Property: oZR-2-0. 4, y ;' /i A%+'✓.®tom%` _ ovc 02 gl 7O
Mailing Address of Owner:.01
Owners email: Owner's Phone#: -.-.,rx�x f�2 — lap -5
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
)_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection If you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: le 71i' /'Av.i /S7 e z /
Address of Property: uz'/1, �S Q 7' -r OF' Aj, -,2�1
Mailing Address of Owner: Z, � /f jl _ 7L C3
Owner's email:y/,4 Owner's Phone#:
Agent's Name:/rr-•� 'fan
Agent's Email:
Agent Phone#: 1SL elf -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J EIZIZ/ /?b)(
Mailing Address: Z2 Z8 N✓r 2�
/VPi'�oci fvc Z$S70
Phone Number: ZSZ- 20-7197-
Email Address:
I certify that I have authorized X/tp/'O�- mw
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
/0 x /o„ -7��� j)9 or-F 11e-1145-
at my property located at Z2 2 8 �W v Zy Nc-�✓,00el' /c% ,
in (AlZrAeO' County.
I furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and theirr agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signaturelee
/
�� f✓N R'x

I hereby ow* that I own property adjacent to tTEKILY ;OX .s
properly located at
2ZZ8 ppy Zy (Name of ProPerh► owner)
(Address, Lot, Block, Road, etc.) N.C.
on In NENPoR i —
�) (CilylTown andlor County)
The.applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANOM DRAWING OF PROPOSED DEVELOPMENT
A OWN
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Fr `►r L►NE WAVER �ECTIoN
1 understand that a pier, dock, mooring Pilings, boat ramp, breakwater' boathouse' lift, or groin
must be set bads a minimum distance of 16 from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
�r _J 1 � — I do wish to waive the 15 setback requirement
I do riot wish to waive the 16 setback requirement.
( �erty owner Information) (Adjacent Property Owner information)

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