HomeMy WebLinkAbout25 SUB 2 Application
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 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
WRP160 0 new lots
1121 East Lake Road East Lake Road 8-lot subdivision
35 77
East Lake Road 8-lot subdivision
July 26, 2022
Sunmar/RAF Builders, LLC
285 Old Colchester Road, Uncasville, CT 06382
<Same as owner>
860-608-0995
sundae.franklin@gmail.com
Seamus Moran, P.E. (H+H Engineering Associates, LLC)
860-980-8008 413-579-4488
smoran@hh-engineers.com
N/A - Included in original subdivision approval
N/A
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:
Permit from the Inland Wetlands & Watercourses Commission or subdivision sign off.
Approval letter from the Water Pollution Control Authority.
Approval letter from the appropriate Water Authority.
Approval letter from the Uncas Health District.
Bond estimate.
Erosion & sediment control narrative.
Drainage calculations.
State of Ct. Real Estate Conveyance Tax Return – OP236.
Transfer of Title Deed.
State of Ct. DOT District II approval.
Copy 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
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Seamus Moran - agent for applicant
Seamus Moran - agent for applicant
3/28/2025
3/28/2025