HomeMy WebLinkAboutAppVI. Wetlands and Watercourse Information
Total Acreage of Wetlands on the site 5 7, O& acres
Wetland Disturbance Area ______ ..--_______ sqft
Upland Review Disturbance Area So, oO sqft
Have the Wetlands Been Flagged □Yes !:?No Year ____ _
Name of Soil Scientist _______________ _
Linear Feet of Watercourse Disturbance 2 S �,f foot
Creation of New Wetlands sqft
VII. Project Description
D Subdivision D Review No Regulated Activity □ Permit Modification
D Regulated Activity !!!'Permitted Use as of Right D Permit Renewal
Activity will involve (Check all that apply)
ffAlteration D Construction D Pollution D Stormwater Discharge
D Deposition of Material ______ cubic yards
D Removal of Material ______ cubic yards
See attached checklist of items that are to be included on Plan and supplemental data.
A)Attach a Detailed Plan of the Proposal and indicate Plan Title and Date.C C01..Jlt-:q +�n-i bes ho.c,ru+
B)Provide Brief Description of the Proposed Project on separate piece of paper. Instructions attached.
C) List Titles and dates of all documentation which will be included and submitted with this application and
attach to application. Documents should include, but are not limited to; Project Proposal, Soil Scientist Reports,
and Drainage Calculations.
VIII. Other Information
I.Does the application involve an activity in a regulated area that is within 500 feet of another
municipalitp □Yes G'No -If YES, then a copy of the application and all material is to be submitted to said Town
and a copy of the transmittal form is to be provided to the Commission.
2.ls the property located within a Flood Hazard Area? □Yes 0'&o
-If YES, then please provide additional material showing the location of the area.
3.Is the regulated activity within a Public Water Supply Aquifer or Watershed? □Yes rn<lo
-If YES, then a copy of the application and all material is to be submitted to the State Department of
Health as well as the appropriate Water Company. See attached instructions for the Notification Process
for the State Health Deparhnent. A copy of the transmittal forms shall be provided to the Commission.
4.Does the application require approval from Uncas Health District? □Yes �
-IfYES, then a copy of the approval is to be provided to the Commission.
Inland Wetlands Application
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