HomeMy WebLinkAbout22SUB6- App Rev 121222H:\APPLICATION FORMS\APPs & Guidelines (Each) rev 11-16-2018\Subdivision Resubdivision APP rev 11-15-2018.doc
Permit # 22SUB6 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 yes no
Public water supply watershed yes no
Community well system yes no
Flood Hazard Area yes no Flood zone _______________
Municipal water yes no
Individual well yes no
Subsurface sewage disposal yes no
Municipal sewer yes no
Coastal Management Area yes no
Ct General Stormwater
Quality Permit yes no
Army Corps of Engineers yes no
Water diversion permit yes no
Dam permit yes no
Subject to a conservation restriction and/or a preservation restriction
yes no
Office of State Traffic Commission (OSTA )Permit
yes no
DOT encroachment permit yes no
Waiver(s) requested yes no Regulation section(s) _____________
Erosion & sediment control bond $_________________
Performance/Road bond $_________________
Subdivision/Resubdivision Application Page 1 of 2
26-00A 2R40
Crowley Subdivision137 Gay Hill Road
John M. & Lynette S. Crowley
137 Gay Hill Road, Uncasville, CT 06382
137 Gay Hill Road, Uncasville, CT 06382
John M. & Lynette S. Crowley
David L. Cooley, P.E. - DLC Engineering Services, LLC
860-966-5528
dlcengineeringservicesllc@gmail.com
5.46
860-885-4763
jcrowley27@sbcglobal.net
23
December 6, 2022
Ms. Liz Burdick
Director ‐ Department of Land Use & Development
Town of Montville
310 Norwich‐New London Turnpike
Uncasville, CT 06382
SUBJECT: CROWLEY SUBDIVISION, 137 GAY HILL ROAD, UNCASVILLE, CT
Ms. Burdick,
Let this correspondence serve as my authorization, as property owner of 137 Gay Hill Road and the
applicant of the Crowley Subdivision, to allow Brian Florek, L.S. of Florek Surveying, LLC and/or David
Cooley, P.E. of DLC Engineering Services, LLC to act in my stead as my representatives for the subject
subdivision application and all other associated administrative or regulatory proceedings. Unless
otherwise required by the Town of Montville.
Thank you. Let me know if there are any further questions or concerns.
Sincerely,
John Crowley
John Crowley
Property Owner – 137 Gay Hill Road/Applicant