HomeMy WebLinkAbout20230610 Ver 1_Shoreline Stabilization_20230428Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email* gruchaczroofing@gmail.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 4/25/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Todd & Dineen Gruchacz
gruchaczroofing@gmail.com
(908)500-1314
(xxx)xxx-xxxx
Street Address
56 Ferry Road
Address Line 2
City
Stockton
Postal / Zip Code
08559-1003
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Gruchacz Shoreline Stabilization (Seawall & Boathouse)
State / Province / Region
NJ
Country
US
If your project has a formal name please use this. If your project does not have a formal name, please identify your project
by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses
any other names that have been used to identify the project in the past.
1. Provide a vicinity map (i.e. street map) clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads.
Upload File
Look up address
Property Address Lookup:* Street Address
115 Cedar Rock Lane
Address Line 2
City
Mt Gilead
Postal / Zip Code
27306
Latitude: * 35.289607
State / Province / Region
NC
Country
Us
Longitude: *-80.089598
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below
Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under
section 12.normal pool lake level/normal water level *
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/O/edoc/616616/Shoreline%20Layout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard
stick, shovel handle, etc.)
5 ft
s...
r...
4. Location of the property (where work is to be conducted)
Nearest Town: * Mt. Gilead
County: * Montgomery
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address: * Tillery Traditions (115 Cedar Rock Lane)
Include phase/lot number
Directions to site: *
Lilly's bridge Road to Tillery Traditions entrance. Drive to the end of Tradition Drive and make a right on Cedar Rock Lane. First
house on left.
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application..
Residential lot in Tillery Traditions Golf Course. New home construction in progress. We wish to clear some vegetation to stabilize
shoreline / build rip rap seawall and a boat house.
Residential, undeveloped, etc.
6. Property Size 1.19
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
New home construction in progress. We wish to clear some vegetation to stabilize shoreline / build rip rap seawall and a boat
house. There are some tall trees and some scrub trees/bushes at the shoreline. Hardening of portions of the shoreline is needed to
accomplish this work.
8. How will the work be done?* From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
0
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-
ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
2,300
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to
be impacted: *
(number of trees, for instance)
Approximately 8 trees and some scrub trees/bushes line the shoreline. Some trees are dead or small diameter trunks.
Sketch: Vegetation Sketch.pdf 199.52KB
Vegetation Photo.pdf 2.66MB
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
d $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
d I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
d I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
d I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Todd Gruchacz Dineen Gruchacz
Signature:
70o 6t.crnc. A.saw 6jlac.�nca
Submittal Date: 4/25/2023
Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230610 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Chad Turlington:chad.turlington@ncdenr.gov
Fayetteville Regional Office - (910) 433-3300
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00