86367A - Gentry, Ryan

t4o' V0310 (k) - -
4 Previous permit _— 3_i 1-i __ - _
iGENERAL PERMIT Date previous permit issued _ � ? I
-li-}New []Modification tbComplete Reissue ; Partial Reissue
As authorised by the State of North Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
r7 J
I SA NCAC t t Z 1 5 _ _ . _. _ i Rules attached. Genet:tl Permit Rules available at the following link www.de
ApplKant rs—!4--
.e.,. 1 _L--- __-- _- - - . _ Authorized AgentAddress a _-I� _� Z% .Tt0. �ZavA^c�- Project Location (County):
City n�yn 'f4-s'- State ZIP 2'% StreetAddresslState Road/Lot #(s) y_+..s-"i
Phone # (75--9) � ' �� 2-2 25 Z- q 91. 2 s o 3 iu c _r 2 H-J
Email. r S1�_�t` A /tVfFi �r �o__�---- Subdivision `J
KYA9 /I�ri O I'- /IOt CaVi+�- City e.n- x ---- ZIP 2 �cC ri
Affected F]CW NEW OgPTA LJES
AEC(s): 11 OEA IHA UW L-J SPIMA
ORW: yes PNA: yes to
�PTS Adj. wtr. Body V►i`_tL -------,-
C- J PWS Closest Mai. Wtr. Body . _ / Q M /% CO S_ o
- (n man/unk
Type of Project/ Activity S 4l /-35 - z
I r n
I/ 1 n ; /S 3 s Q
_
D �C S �Q•�-�— G2�2 (c�-i'�-4c.1+ ..ci �.
f1 0 �c:.tnMin �[ t s-�e,nce
Z� �� s it ETA
(Scale:/V TS- I
Shoreline length
Access length -
'0
Pier (dock) length
Fixed Platform(s)
r ✓
Floating Platformis) __ �!
--- — `V
fit/ L V
_`
Finger pierls) —_--.
Total Platform area
Groin length/tt _---_-----
`. / -Z.t
Bulkhead/ Riptap length = —
b i-4
Avg distance offshore
Bieakwat Sig 5 • - ---
I
l `�� 7 Y
_-1
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _ _ --_
, W
Y �V W W �� s✓�
Beach Bulldozing~ _
Other _ I
SAV observed- G no /
Motatoru,m: n/a yes no
Site Photos: no
Riparian Waiver Attached:X no
A building permit/zoning permit may be required by _ _-- 1 J�� ►.�
TAR/PAM/NEUSE/BUFFER (cMcle one)
PerinitCondrhont '/U
�pt - _�'}_Q t' ! a t/t �� ww See note on back regarding River Basin rules
See additional notes/conditions on back
!AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) C(_ Q44
[Agent ort tit PRINT( D m Perri +; Othcer's PRINTED Name
Si Halo •Please read tom nce statement on back of permit" S+gr ur!
Application Feels) Check IS/Money Order Issuing !fate Expiration Date
IVA

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VCAMA / DREDGE &FILL
( l B C D
GENERAL PERMIT Previous permit #
'Modification _Complete Reissue -_Partial Reissue Date previous permit issued
As audwized by he State of North Carolina. Department of Environmental Quality n 14, Z/ 0 �
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC'
saached.
Applicant Nameg n G G ll_ '_ y Project Location: County � 6.(�=__ _-_ -
Address �• o • Q� 2 /_(�_ ____ Street Address/ State Road/ Lot #(s)_ -01\ d / Z s 71 o y q
City—,O& e, State WC-- ZIP z� 9 r _ /� c / 2 fi
Phone # -y 7 0 _ G 2 ? t -Mail —1' Y_^�'F��_� _w_ III �- Subdivision r --- --
`� Z7
Authorized Agent T6 n �; Lt� c - -- City /ed d �+-�x- __-- ZIP % c.S'L
C CW �6W 04:11% C. ES C PTS Phone # (_) _ River Basin
Affected OEA ` HHF 7 IH :]USA `WA
AEC(s): Adj. Wtr. Body_ - -- - nat Yman III
PWSc
/� Closest Mal. Wtr. Body
ORW: yes Q!�) PNA yes
Type of Project/ Activity —
o .- C.— A-+o-�,,A I /h't1i: i - Lk ^- d i I 1--wn « aqJkLr--J,6" (Scale: N %S
Pier (dock) length
FbW Piatorrn(s)
FbAWS Pladorm(s) --
Finger pier(s)
Groin length
rumba
Bulkhe" Riprap length
—
avg distance offshore
max distance offshore
Basin. channel
cubic yards_ _.
Boat ramp ------------------- - -
Boathouse/ Boat ift
Beach Bulldozng _ _-- C*
Other = r� \ ( ✓19
y ✓ ,V w vl
,p
Shorewhe Lam, _ ISO'
SAV: not sure (y-D no
Moratorium: Na yes no I I
Photos:
Waiver Attached: no
A building permit may be required by: 0. u n See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions (� o. // r ' I
/f i{i � o-�¢S' S r �� .S 3h f.. � ( /t o T Q x C a KtL(o tip 1J l ✓•a_. -Y�Q _
r a a C IIII t/�% 0.'�"i 1- ✓,. 4 ., J S A 4. ( ( A--x ✓— �9J M`N n •�M// v. /'r`, J- 1 / Lr 6 4/ i 4E.V C'1
/rA.lAr- T Ae� �� S • /� ! A � '1 t l � i s O�A� � rf �.eCA_ !J y � A.� f i%4�/h'� 1 CT•
Agent Nr"
� Z
Skna tre = Please read compliance statement on back of permit e`
prppli-I'm Fae(s) Check #
PermltOfficer's Printed Name — - / -
issuing Date Expiration Date

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_._ e•. 1.wR PIES L SHf E• PSI FS
PILES: e'. M 12 ST (21 CG AWPA• CIS) S'.If NAILNS ,0' 0C QS SERIES
MALEM: M! ST SEP (2! CCA ANM C2/CE)
DECKING: 214 ST SW (2A CG AMA Cl/Cl)
ANCHM: 3/4'0 ALL THREAD NOG ON 6iCIMCOM.A1E0
90LTS: 3/4•0 NOG
2. PILES ME M BE ORN" TO I TOM IpW414M MTTH A YKNNIUY TIP
PENETRATION of S' ..TD SCUD BOTTOM.
3. ALL W WATERNI TO BE NO 2 GR.DE MTERIK (Y STURE CONTENT <I Px)
AND SECURED M/ 3' HOG SCREMS IN PRE -DRILLED HOLE.
a. CONTRACION IS ADAM TINT SDYE UNOOMTER OEM I— EE PRESENT IN
THE PROJECT SITE THAT MY NEED TO SE REYQ4D PRIOR TO VILE PLACEMENT
S'.S" TOP HALER 3/4'0 HOG
AT EACH PILE
e'. TTMBER PILES VINYL SHEET PILES
♦2S SERIES
22' AVERAGE t2'
OFPOI p
e' m.um -n
.TRATV
PENETRATIONfl
MTS
A". -BEP "Its
'M 0 P'us - --_, \- 3/.'. HOG
1• HIDE CUR IN AT EACH PILE
24- YKIL SHEET PILES
Iffy
S•.S• Top wNi]! EY N1SOR PIES _ ~L SHEET PILES
IC O.C. I 425 SERIES
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OPAPtIC SCALE
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NOH _ 30 R.
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2' HIDE CUTS IN
24' VIYL SHEET PILES
LOIN AOT 12• FROM Top
FINAL DRAWING
_ FOR PERMITTING
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1 1" = 30' 1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: c%� iLLn it c,�'
Mailing Address: Z?Z -Se,
Phone Number:
Email Address: %tIn (I C-7e Lien/ni 0- !7ilot L.
� r
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6—
s 12s
at my property located at
in ]2County.
l furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Typd Name
Title
l .i -, l -k' 1 rZ— `> Z
Date
This certification is valid through l�l

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: Ryan Gilbert Gentry
Address of Property:
0 Nc 12 Hwy, Rodanthe, NC 27968
Mailing Address of Owner:
Owner's email:
P O Box 216, Rodanthe, NC 27968
Owner's Phone#: [phone]
Agent's Name: John M. DeLucia, Agent Agent Phone#: [phone]
Agent's Email: [e-mail]
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.
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 revetmen (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback /C
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Dare County
Mailing Address of ARPO: PO Box 1000 Manteo, NC 27954
ARPO's email: Robed L OUtten <outten@darenc com> ARPO's Phone#: [phone]
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: &(w Lr q46' L1 _
Project Address: 0 /)t 12-- 14 t6Ht, )A0, Imo- i0 000`FFY` 0
(Lot or Street #, Street or Roa , City & County)
Agent's Name
Mailing t?"0
Agent's phone #: 07 2 -1Y1-2-//
�
/Address:
K� �2N 14,
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. _ - - I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252)
264-3901. No response is considered the same as no objection if you have been notified by Certified
Mail.
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must sign the appropriate blank below.)
rzit,r I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(7p y Owner Information)
4��, >
T
_ ar\ �k-6
Print 4 Type Name
.�? q227
Mailing Address
1--el"'tk(
City/State/Zip
Telephone Number / Email Address
Date
`Valid for one calendar year after signature*
(Adjacent Property Owner Information)
ignatu e*
Print or type Name
P0, ijy -y
Mailing Address
IRo1)AA,,71ttf- Av(f_ 2 7��8
City/StatelZip
25Z-cfk)-2-,e,—.S6 _ I
Telephone Number / Email Address
30, zcLl
Date * --- -- - - - -
Revised 2017

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Owners: Gentry, Frank David )r
Secondary Owner
Building Value: $0
Land value: $53500
Mix Value: $0
Total Value: $53,500
k'
7 Ik A G.
Tax District Rodanthe
Subdivision Subdivision None
Lot BLK Sec: Lot: Blk: Sec.
Property Use: Vacant Land (Private)
Building Type:
Year Built:
Qadq^.{I,,-I Nc. 7,'77(ok

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