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Application Number: 221 SITE 3
Project Name: Yard Hydrant
Date Received in Office: 8/6/2021
Date Received by Commission (must be within 35 days of application receipt): 8/24/2021
Terminal Date for Decision (65 days after receipt of application): 10/10/2021
Extension Granted: ☐Yes ☐No __________ For:
Inland Wetlands ☐Yes ☐No Date approved____________________
Agenda:
Sent to Town Clerk: 8/20/2021
Verified on Website:8/20/2021
Public Hearing Information: Public Hearing Required: ☐Yes ☒No
Terminal Date to schedule hearing (65 days after received by Commission):
Date of Public Hearing:
Public Hearing Notice Sent to Paper/Town Clerk on :
Public Hearing Advertised in Paper/TOM Website Dates:
Notice of Public Hearing Sent to Applicant:
Public Hearing Closed on:
Extensions Granted ☐Yes ☐No For:
Commission Actions: ☒ Granted ☐ Denied ☐ Modified
Commission Decision on: 8/24/2021
Conditions of Approvals ☒Yes ☐No
Conditions:
Notice of Decision
Legal Notice sent to paper/Town Clerk on: Day 8/26/2021 TC 8/27/2021
Legal Notice advertised in paper/on Website on: 8/27/2021
Notice of Decision sent to applicant: 8/25/2021
CONTROL SHEET
Notifications
Is the application within 500 ft. of an abutting Town? ☐Yes ☐No
1. If yes what Town(s) highlight all that apply.
2. Send to SCCOG when Subdivision borders town/POCD/Zone change
3. Send to Conservation Commission if 50+ acres
4. Is the property within a watershed? ☐Yes ☐No
New London ☐Yes ☐No Norwich ☐Yes ☐No
Was it sent by Applicant? ☐Yes ☐No Date Sent:
Comments received:
5. Endangered Species? ☐Yes ☐No
6. Flood Zone? ☐Yes ☐No
7. Is the application within a CAM zone? ☐Yes ☐No
If yes then applicant is required to fill out a Coastal Site Plan Review. Not Required to
send to OLIS
Add CAM review to agenda ______ ______
Norwich East
Lyme
Bozrah Preston Salem Waterford CAM Cons
Comm
SCCOG
Date
Sent
Date
Received
CONTROL SHEET
Transmittals for Comments to those highlighted with date of transmittal
Everyone gets copies of site plan & application.
Town Engineer To TE:
From TE:
To Applicant:
From Applicant:
Soil Scientist To SS:
From SS:
To Applicant:
From Applicant:
CLA Invoices Date: Invoice Number: Amount: Invoice Sent to App
Bldg Dept To Bldg:
From Bldg:
To Applicant:
From Applicant:
Fire Marshal. To FM:
From FM:
To Applicant:
From Applicant:
WPCA To WPCA:
From WPCA:
To Applicant:
From Applicant:
Uncas Health To UH:
From UH:
To Applicant:
From Applicant:
Public Works To PW:
From PW:
To Applicant:
From Applicant:
CONTROL SHEET
Prior to Signature of Chairman:
Applicant:
Certificate of NOD to Town Clerk:
Mylars to office with conditions met for review by Town Attorney:
Legal Documents:
State of CT conveyance/tax documents for roads
Deeds/Warranty
Easements/Drainage
R.O.W. Conveyance
Bond Post on:
E&S Bond $_______ Number:
Performance Bond $________ Number:
90 Days to file mylars with Town Clerk – Date:
Extension requested? ☐Yes ☐No
Mylars filed with Town Clerk:
Department:
Verified all conditions met? ☐Yes ☐No
Documents sent to Town Attorney:
Received back from Town Attorney:
Chairman/Secretary signed Mylars:
Road Acceptance (see checklist):
Town Council Date:
Accepted by Town Council on:
One year date for road to be fully accepted:
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Applicant Revisions
Name Date Revised
Holly Lombardi Lnd Holdings, LLC Lot 3 Combination & Reconfiguration
Lombardi Business Park
7/22/21