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HomeMy WebLinkAbout22SUB3 App H:\APPLICATION FORMS\APPs & Guidelines (Each) rev 11-16-2018\Subdivision Resubdivision APP rev 11-15-2018.doc Permit # ____________ Fees $ ______________ Subdivision/Resubdivision Application Assessors Map _______ Lot _______ Acres_________ Zoning District________ # Of lots________ Project address: ____________________________ Subdivision Name ____________________________ Resubdivision only: Name of original Subdivision ________________________________________________________ Date of Commission Approval _______________________________________________________ Property owner name: ____________________________________________________________________ Property owner address: __________________________________________________________________ Applicant name: ________________________________________________________________________ Applicant address: _______________________________________________________________________ Tel # _____________________________________Cell # _______________________________________ Fax # ________________________Email ____________________________________________________ Engineer name: _________________________________________________________________________ Tel # _____________________________________Cell # _______________________________________ Fax # ________________________Email ____________________________________________________ Attorney name: __________________________________________________________________________ Tel # _____________________________________Cell # ________________________________________ Fax # _______________________Email_____________________________________________________ Regulated wetlands ˆ yes ˆ no Public water supply watershed ˆ yes ˆ no Community well system ˆ yes ˆ no Flood Hazard Area ˆ yes ˆ no Flood zone _______________ Municipal water ˆ yes ˆ no Individual well ˆ yes ˆ no Subsurface sewage disposal ˆ yes ˆ no Municipal sewer ˆ yes ˆ no Coastal Management Area ˆ yes ˆ no Ct General Stormwater Quality Permit ˆ yes ˆ no Army Corps of Engineers ˆ yes ˆ no Water diversion permit ˆ yes ˆ no Dam permit ˆ yes ˆ no Subject to a conservation restriction and/or a preservation restriction ˆ yes ˆ no Office of State Traffic Commission (OSTA )Permit ˆ yes ˆ no DOT encroachment permit ˆ yes ˆ no Waiver(s) requested ˆ yes ˆ no Regulation section(s) _____________ Erosion & sediment control bond $_________________ Performance/Road bond $_________________ Subdivision/Resubdivision Application Page 1 of 2 8WRP160 Walter N. Wainwright, Jr. 149 Great Neck Road, Waterford, CT 06385 Sunmar/RAF Builders, LLC 285 Old Colchester Road, Uncasville, CT 06382 N/AEast Lake Road & Fire St. 7 35 47.65 Boundaries, LLC (860)376-2006 dsorrentino@boundariesllc.net (860)608-0995 sundae.franklin@gmail.com N/A X X X X X X X X X X X X X X X X X N/A 11,234.55 H:\APPLICATION FORMS\APPs & Guidelines (Each) rev 11-16-2018\Subdivision Resubdivision APP rev 11-15-2018.doc The subdivision application must be submitted with the following approvals and or documents if applicable: ˆPermit from the Inland Wetlands & Watercourses Commission or subdivision sign off. ˆApproval letter from the Water Pollution Control Authority. ˆApproval letter from the appropriate Water Authority. ˆApproval letter from the Uncas Health District. ˆBond estimate. ˆErosion & sediment control narrative. ˆDrainage calculations. ˆState of Ct. Real Estate Conveyance Tax Return –OP236. ˆTransfer of Title Deed. ˆState of Ct. DOT District II approval. ˆCopy of Ct. Department of Health notification if project is within a public water supply watershed. Applicant signature ________________________________________________ Date ____________ Owner signature ________________________________________________ Date ____________ Subdivision/Resubdivision Application Page 2 of 2 X X X X X , Agent__________________________6/9/22re __ ___________________________________ __________________________________ for Boundaries, LLC , Agent for Boundaries, LLC 6/9/22 Parcel Number: CAMA Number: Property Address: 006-018-000 006-018-000 RIDGE HILL RD Mailing Address:CONNECTICUT AUDUBON SOCIETY INC THE C/O FAIRFIELD NATURE CENTER 2325 BURR ST FAIRFIELD, CT 06824 Parcel Number: CAMA Number: Property Address: 007-032-000 007-032-000 1108 EAST LAKE RD Mailing Address:SENECAL GARY DAVID JR & LORI B 1108 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-032-005 007-032-005 1084 EAST LAKE RD Mailing Address:SUNMAR/RAF BUILDERS LLC 285 OLD COLCHESTER RD UNCASVILLE, CT 06382 Parcel Number: CAMA Number: Property Address: 007-032-006 007-032-006 1090 EAST LAKE RD Mailing Address:SUNMAR/RAF BUILDERS LLC 285 OLD COLCHESTER RD UNCASVILLE, CT 06382 Parcel Number: CAMA Number: Property Address: 007-032-007 007-032-007 1096 EAST LAKE RD Mailing Address:BURCHWELL JOEL & BRITTNEY 1096 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-032-008 007-032-008 1102 EAST LAKE RD Mailing Address:DURAN JUAN M JR & COLON YIRA A 1102 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-032-009 007-032-009 1114 EAST LAKE RD Mailing Address:OBRIEN PATRICK DAVID & JESSICA 1114 EAST LAKE DR OAKDALE, CT 063701866 Parcel Number: CAMA Number: Property Address: 007-033-000 007-033-000 221 FIRE ST Mailing Address:NEW LONDON CITY OF WATER DEPT 15 MASONIC ST NEW LONDON, CT 06320 Parcel Number: CAMA Number: Property Address: 007-034-000 007-034-000 220 FIRE ST Mailing Address:SWEEZY JERRY G EST FIRE ST OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-034-001 007-034-001 FIRE ST Mailing Address:CONCASCIA DONALD G & SHELLY C 1043 EAST LAKE RD OAKDALE, CT 06370 Abutters: Parcel Number: CAMA Number: Property Address: 007-035-000 007-035-000 EAST LAKE RD Mailing Address:WAINWRIGHT WALTER N JR 149 GREAT NECK RD WATERFORD, CT 06385 Subject Property: Abutters List Report - Montville, CT 6/3/2022 www.cai-tech.com Data shown on this report is provided for planning and informational purposes only. The municipality and CAI Technologies are not responsible for any use for other purposes or misuse or misrepresentation of this report.Page 1 of 2 100 foot Abutters List Report Montville, CT June 03, 2022 Parcel Number: CAMA Number: Property Address: 007-036-000 007-036-000 1087 EAST LAKE RD Mailing Address:THORNTON MARK C & JOANNA 1087 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-037-000 007-037-000 1081 EAST LAKE RD Mailing Address:LEVY GORDON M 1081 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 007-041-001 007-041-001 1043 EAST LAKE RD Mailing Address:CONCASCIA DONALD G & SHELLY C 1043 EAST LAKE RD OAKDALE, CT 06370 Parcel Number: CAMA Number: Property Address: 014-008-000 014-008-000 411 FIRE ST Mailing Address:NEW LONDON CITY OF WATER DEPT 15 MASONIC ST NEW LONDON, CT 06320 Abutters List Report - Montville, CT 6/3/2022 www.cai-tech.com Data shown on this report is provided for planning and informational purposes only. The municipality and CAI Technologies are not responsible for any use for other purposes or misuse or misrepresentation of this report.Page 2 of 2 100 foot Abutters List Report Montville, CT June 03, 2022