89756A - Rivas

t®)VCAMA El DREDGE & FILL fj
3 GENERAL PERMIT
NY 89756 B C
Previous permit V
Date previous permit issued
New ❑Modification El Complete Reissue El Partial Reissue
As authorized by ntheSj,�re of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC / fT• ��� a n ❑ Rules attached. mrCygneral Permit Rules available at the following link: wwwdea nc,gov/LCAMArules
Applicant Name [J 0.� I /G i VC, ,f Authorized Agent .�� w S_ ( 0.! ik' C"p ST✓'�?iti�n
Address //S Laka ri A',-) `D rT Vim- Project Location (County): T-)
City CZ t^a.-�'A 0. State y VA zip Z. C/ SS % Street Address/State Road/Lot #(s) .s R �7 0 40
Phone #(�) % (p 2 ( _!2 Fc--e..5+ Ave_ )�
Email :eL ri✓Q3 @ A Al o_i'z Wn.. Subdivision V1p 1�4 tni a V0.i� Pw,rlC
.City M-, In T+rA zip Z7 !?Si
Affected ❑m nW MPTA DES OPTS Adj. Wtr. Body Wca<- M/CcSoc."'L an/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PINS ClosestMaj.Wtr.Body RZ Q Amkt_ scs". Q
ORW: yes no PNA: yes, no
Type of Project/
A• ctivitCys✓e�c- n ( f
J
rd
cLw?dba .a %tan a( u r
,afi�tt � r 1 ��—yt 1 �� (Scale N7<5)
Shoreline Length ; 7 g / 1 Th. _S a. 1 C-'S o_ C,<,4,SS c4 4.-''
Access Length — V
Pier (dock) length
Fixed Platform(s)
174 7 JA130/%NcgW < f ►1
-14" ngPlatforva)
Finger pler(s) � 06
i
Total Platform area
Groin length/#
Bulkhead/ Riprap length (a o tc V J�/ p 0
Avg distance offshore
Breakwater/Sill
Max distance/length — M. F
Basin, channel
Cubic yards EX, 51N/"o �1-�
Boat ramp Q' 0'A F`` 1 Lta J �"
Boathouse/Boatlik �'�F,T N� tp'' y. if?
Beach Bulldozing
Other 0 r• N 2fa &ad as a y
(5 -I Kka 6,6/�^�''
SAV observed: yes `pob
Moratorium e no Z
Site Photos: 4S no
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: Q, o' A./r
Permit ConditionsEjC.IST/AIG STrt 1Qt 7-4- /34F /!&'/0�� tr,J
TAR/PAM/NEUSE/BVFFER (circle one)
16-? LA a 9 J rw EX I S'r/ AIG R Lk 404 k"D A fJ y L iLPI-AND ❑ See note on back regarding River Basin rules
?1CVtLDPYYtEN`!`I.6. /Jc+s O :r X) "31C. At,ct T-
r See additional notes/conditions on back
a r/onl t Ik/GsL-';-I Loc1475 PEltmzT
0 t Ca 1JT cy— aWOER ffit Yi3-s$Y9
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial) K IJ/7
Jillian Kalis VDAAV- CZar-✓� �D�
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Sig ature --Please read compliance statement on back of permit** Signa re
goo, e� { % / � (.It'5A3 � � � .5-1.6
Application Feels) Check #/Money Order Issuing Date Expi ation Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David Rives
Mailing Address:
Phone Number:
Email Address:
115 Lakeridae Drive
Gretna, VA 24557
[e-mail]
I certify that I have authorized .Jill&iMWiEhane Clark Construcion LLC
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Rebuild pier, construct new gazebo,
repair bulkhead.
at my property located at 128 Forest Ave Manteo NC
in Dare County.
I furthermore certify that I 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
David Rives
Print or Type Name
Owner
Title
z Z3
ate
This certification is valid through

� h
9I�
0
�
u
X
f
MEN
Z
aq
3

1
q�
6
�
k
ft

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER F0POECE p V
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY 1 ��
(Top portion to be completed by owner or their agent) MAY 0 0 2023
Name of Property Owner: David Rives DIC .—
IVIEC
Address of Property: 128 Forest Ave Manteo NC
Mailing Address of Owner: 115 Lakeridge Dr Gretna VA 24557
Owner's email: IdrlveS6Ca)gmail.com Owner's Phone#: [phone]
Agent's Name:Jillian Kalis / Shane Clark Construction Agent Phone#: [phone]
Agent's Email: slliankalis(d)shaneclarkconstruction org
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
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 revetments). (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
Signature of Adjacent Riparian Property Owner
No
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Charles Brown
Mailing Address of ARPO: 23223 Hangino Tree Rd Courtland VA 23837
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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: David Rives
Address of Property: 128 Forest Ave. Manteo. NC
Mailing Address of owner: 115 Lakeridge Dr. Gretna, VA 24557
Owner'semail: jdrives6iGiamail.com Owner's Phone#:
Agent's Name: Jillian Kalis Agent Phone#: [phone]
Agent's Email: jilliankalisCa�shaneclarkconstruction.org
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 forthis
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.
VI 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 (Choose only one)
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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
M
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: I A. / �* a
Typed/Printed name ofARPO:Paul Williams Div sion Envi-ronmental officer
North Carolina Department ot Transportation
Mailing Address of ARPO:181 schooner Sanding Dr., Edenton, NC 27932
ARPO'semail: [e-mail] ARPO'sPhone#: [phone]
Date: 06/07/2023
*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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: David Rives
Address of Property: 128 Forest Ave Manteo NC
Mailing Address of Owner:
Owner's email: jdriyeS6Crd_gmail.com Owner's Phone#: [phone]
Agent's Name:Jillian Kalis / Shane Clark Construction Agent Phone#: [phone]
Agent's Email: elliankalis@shaneclarkconstruction org
l
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
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.G. urvisron or wubtal
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 revetments). (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
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: Alvah H Jr Ward
Mailing Address of ARPO: P O Box 266 Manteo NC 27954
ARPO's email: //0nat�C ye ARPO's Phone#: WS 2- -7�
Date: S�/3 0Z3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
sd� l3al

Jillian Kalis
Shane Clark Construction
607 Indian Dr.
Kill Devil Hills, NC 27948
Certified Mail — Return Receipt Requested
4/24/23
Alvah H Ward JR
PO BOX 266
Manteo, NC 27954
Dear Mr. Ward,
RECEIVED
MAY 0 8 2023
®CAA`E C
David Rives is applying for a CAMA General Permit for his property located at 128 Forest Ave.
in Manteo, North Carolina. The specifics of the proposed work are as followed:
- 60 ft. x 5 ft. pier with a 16 ft.x 16 ft. gazebo L zs<- 5
- Step down, drop platform on the southside of the pier
- Vanishing stairs off of bulkhead into the water
- New ground deck framed off of current bulkhead
- Repair bulkhead
As the adjacent riparian property owner to the aforementioned project, I am required to notify
you of the development in order to give you the opportunity to comment on the project. Please
review the attached permit application and drawings.
Should you have any objections to this proposal, please send your written comments to:
Yvonne Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
within 10 days of your receipt of this notice.

Such comments will be considered by the Department in reaching a final decision on the
application. No comment within 10 days of your receipt of this notice will be considered as no
objection. If you have any questions on this project, please call me at 740-359-7132, or e-mail
me at
Sincerely,
Jillian Kalis
Office Manager

q--1 / e-j
.Eeej'vys-
_ �
a�zsueE�E`mPv
E�geeE��`s eBo8 e

k�l� R

[�CAMA ❑ DREDGE & FILL N° 89756 1 AA1 B C D
Previous permit
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:
15A NCAC ❑ Rules attached. ❑'meal Permit Rules available at the following link: www.deg.nc.gov/CAMAmIes
{.
Applicant Name 'd ^� Authorized ,agent n
Address i • `! i ` Project Location (County):
City - State ZIP Street Address/State Road/Lot#(s) -).'s�_�•
Phone #
Email r %st !x. c ...-,.. Subdivision
City ZIP
Affected ❑CW .EW ©PTA ❑Es ❑PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑❑
'OEA ❑IHA UW SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yesjno�) PNA: yes/no
Type of Project/ Activity
I
0
YT
t t, f ("5 .t_4i < <eeS5 ra
(Scale: f i 1, - )
iij
Access Length
Pier (dock) length
Fixed Platform(s) S}y�`�
�_
!
I
I
_
I
I
I
I
Floating Platforms)
_It
Finger pier(s)
Total Platform area
Groin length/#
f
'
._.
r—
T•k
f
.L
Bulkhead/Riprap length
�y
-
---(--
---,
----f--,�-p—�
Avg distance offshore
--
Breakwater/Sill
--I
Max distance/ length;;-
�
_
Basin, channel
�'
1•
I
S
I
I
;
`
Cubic yards
Boat ramp
Boathouse/ Roatlift
_ O
b
Beach Bulldozing o
L.
„,
-
Other
•
_
I
-
i;�
SAV observed: yes no
V1
--
Moratorium: n/a es no
Site yes no
—r-
--7
i
-
RiparWaiver Attached: yes no�4
ianian W
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. (Please
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

❑DREDGE & FILL
t GENERAL PERMIT
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
N° 89756
Previous permit
Date previous permit issued
C D
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 91 I �1A D ❑ Rules attached. gf�qeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
Address
Authorized Agent SA A, A a_ C, I !&. l!;:� C ft A ST ftas7Slll�
Project Location (County): T) o.rlp--
City CA r' .+A 0-Statev
VA
t,
ZIP 2. 7 SS %
Street Aded�ress/Stare Road/Lot #(s)
S g470
I . P-f y .aI x S
Phone #(")7LI
-ZCn'L(
_/I a ��r-!.S� /4V
2.
'
Email : d r i t/a.s
% is a m wS
Subdivision Vp r 4 t Al a
-Pox-
P c..T-k
City M0, A i-n.o
zip Z-7 9S`I
Affected ❑ CW
NJW ® PTA
❑ ES ❑ PTS
Adj. Wtr. Body �/je.�t o
t se.
(na an/unk)
AEC(s): ❑OEA
❑IHA ❑UW
❑SPIMA ❑PWS
Closest Maj. Wtr. Body
1
ORW: yes no
PNA: yes no
of
rla
r-J0-T1-0I/t- Cs ¢.Ce.GI 0.,,{IL7,�a17o a,] tf•
Shoreline Length
Access Length T Q
Pier (dock) length �A 0 ]� 5 �L _ _ / Yam"
)CSa2Qb�
Fixem1sd Play or
%% >ZI 7'
-Fleeting.Platform(S) LCsJ'Lf` �— —
/ L x
Finger pier(s) _ A
r <
Total Platform area
Groin length/#
Bulkhead/ Riprap length b
Avg distance offshore J
Breakwater/Sill — r
Max distance/ length
Basin, channel
Cubic yards — EX,STA/1fS.
Boat ramp�6
Boathouse/ Boatlift
Beach Bulldozing
Other b
b aA,
v.
SAV observed:
yes
no ,
Moratorium
Ye
V
no
Site Photos:
Oyes)
no
Riparian Waiver Attached:
yes
�°
A building permit/zoning permit may be required by:
Permit
S
0. <�<..¢,S J
parr � {�iP�i /IGyK/may
W� n /o.4 r,r (Scale: N75)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
LA,P t_A fJV ,F2J 4— EX IS 1-/N4 S L& L,9 ht]9?},0 , pfJy upiAND ❑ See note on back regarding River Basin rules
2�cVELDPJnENT`f,6 /JEy.1 OcrGK� uJ/Lt QEAuIR�
q�n7f+of2i2A t /o�J �IkR`�Gf+ �f4 ��J• LOet p❑ See additional notes/conditions onback
o F / CE%1, Ca yJTFFc� SAvitNn)IFH- .ycw8E1( 25A-Y?S-SSY9
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)1C
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
A oo, / 9 YG
Application Feels) Check ft/Money Order
Permit Officer's PRINTED Name
Signa ure
(a ItsA23
Issuing Date Expiation Date

Carver, Yvonne
From:
Carver, Yvonne
Sent:
Thursday, June 15, 2023 10:05 AM
To:
Jillian Kalis
Subject:
Rives GP/Receipt
Attachments:
Rives GP89756 061523.pdf, Shane Clark receipt for Rives & other pending project.pdf
Jillian,
A copy of general permit (GP) number 89756 issued for Rives' pier project in Manteo is attached for
your review and signature.
Also attached is a copy of your receipt for the associated permit fees and open balance for next
project(s).
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
2. initial where indicated on the bottom right of the permit,
3. scan and send a signed copy of the GP back to me.
No work can be initiated until after we receive the signed copy. If you have any questions regarding
this correspondence, please don't hesitate to contact me.
Thank you.
*WUW
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
Please note that my email address has changed to: yvonne.carver(a6deg.nc.gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
UaOarlment of EnvbMmmtal W alYl,
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.