HomeMy WebLinkAboutMinimal Impact (28) TOWN OF SOUTH WINDSOR Fee $80.00
MINIMAL IMPACT INLAND WETLANDS, WATERCOURSES AND CONSERVATION
APPLICATION
Application # Date Received V7/0
Action and Date �
INSTRUCTIONS
1. One application (1) with map and plans (1 copy) shall be submitted together with
the fee set forth in the Inland Wetlands, Watercourses and Conservation
Regulations, Town of South Windsor. (See Regulations, Section VII -X)
2. The South Windsor Inland Wetlands, Watercourses and Conservation Regulations
should be reviewed with respect to the standards and criteria for application
Evaluation. (See Regulations, Sections VII -X)
3. The applicant understands that this application is to be considered complete only
when all information and documents required by the Agency have been submitted.
The applicant shall also complete the state filing form.
A. Applicant's Name: De2r1i c K
Address: SIC &0t14eenc¢.s W15A w4 - �C,a� (,<(d� dsa-r, ev 6 C,07�
Phone: (home) $60?1I '7337 (work) ;6D zsc> 2ai:Z (fax)
B. Legal owner's name:
Address �_..
Phone (home) (work) (fax)
(List additional owners, addresses, and phone numbers on back of application)
C. If the applicant is not the owner of the subject property; a letter by the owner(s)
authorizing the proposed regulated activity set forth in the application must
accompany this form and will be part of the application.
D. The geographical location of the property which is to be affected by the proposed
regulated activities including a description of the land in sufficient detail to allow
identification of the proper on the Inl d Wetland and Watercourse Map.
Street Address # -- �
Assessor's Map # (0) Parcel # Zone A--a 6
E. Purpose and description of all proposed regulated activity(s) including amount of
disturbance in square feet and types of fill and the time element involved:
i
F. Identify all other permits or approvals that have been issued, applied for, or
required with respect to the proposed activity set forth in this application. (These
may include but not be limited to, local Planning & Zoning, Zoning Board of
Appeals, D.E.P., F.E.M.A., D.O.T., The Army Corps of Engineers, and any other
State, Local or Federal Permits.)
The undersigned hereby applies for the regulated activities listed in paragraph F
above, for a Minor Impact Inland Wetlands, Watercourses and Conservation permit for
the property described herein and confirms that:
1. She/he is familiar with the currently effective Inland Wetlands, Watercourses and
Conservation Regulations of the Town of South Windsor.
2. She/he understands that at any time during the review period, the Agency may
require the applicant to provide more information about the wetlands and/or
watercourses in question and/or any proposed activity.
3. All information submitted in the application for review shall be considered factual,
or in the case of anticipated activity, binding. A knowing failure of the applicant or
any of her/his agents to provide correct information, or performance exceeding the
levels of activity anticipated, shall be sufficient grounds for revocation of any permit
under these regulations.
4. By making this application, the applicant gives permission to the Inland Wetlands,
Watercourses and Conservation Commission members and/or its representative to
enter the portions of the premises which are subject of the application for the
purpose of inspection and investigation and otherwise evaluating the merits of the
application both before and after a final decision has been issued.
5. Upon approval by the authorized Agent the applicant shall cause notice of the
decision to be published in a daily newspaper having a general circulation in the
Town where the activity occurs. The notice must be published within ten (10) days
of the decision.
6. Appeals of this decision may be brought to the Agency within fifteen (15) days after
the pub caxion date of the no ' e.
Signature of Owner of Property
Date �s
<---7
Signat of A licant
Date �� � /C S
2
tO
.00
10 - -- 0
22.00
LIMIT OF WETLANDS AS SHOWN
N/F KUMITIS ON OFFICIAL TOWN INLAND
40� INLAND WETLANDS SETBACK WETLANDS MAP.
S 14•�32
3
Q 4 \ � 23'03'20" E
00
20' SIDE LINE .�
G
0 W7s' FF 1 \'� ( i� INTERMITTENT
z 88.00 \ STREAM
INV.81.36
0
� SANITARY SEWER . DRIVE —'tiVVr 79.85
JV. 76.73 s4.0o'
IUILDING LINE , ( �( SUMP PUMP 80
S (� -- g— o ( i � DISCHARGE
w �
1IL$,4tK N. M.H. + 20,
SIDE LINE
N 28'32 42,. E r
_ .. -
648.
BE t 4AR EXISTING H0US�`
11
TOP `OF SAN. M.H. ` SEE DETAI L A �\
ELEV. =184.34'
82
84
86 N/F DUBIEL
v ` v
0
07
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
��OsoR.c° TELEPHONE (860) 644-2511
7004 1160 0002 1059 5511
CERTIFIED MAIL April 7, 2005
Derrick Butler
596 Governors Highway
South Windsor, CT 06074
RE: Appl. #05-26W, Butler Minimal Impact Application, 596 Governors Highway, A-20 Residential
Zone
Dear Mr. Butler:
The Inland Wetlands Agency/Conservation Commission, through staff has approved minimum impact
application#05-26W—Butler, 695 Governors Highway. Inland Wetland/Conservation Commission
minimal impact application for the placement of house addition within the upland review area(Assessor's
Map#61, parcel#20. This approval is subject to the following conditions:
1. The application shall indemnify and hold harmless the Town of South Windsor against any liability,
which might result from the proposed operation or use.
2. The permit is valid for five years and shall expire on April 7 2010. It is the
landowners)/applicant(s) responsibility to track expiration dates and notify the Commission of a
renewal request at least 65 days prior to expiration.
3. All additional approvals required must be obtained and submitted prior to any activity on the site.
4.. The applicant shall cause notice of the decision to be published in a daily newspaper having a
general circulation in the Town. The notice must be published within ten(10) days of the receipt
of the decision. The applicant must notify the Planning office of the date of publication and
fax or mail a copy of the published legal-notice. Appeal of this decision may be brought to the
Agency within fifteen(15) days after the publication date of the notice.
Very truly yours
Jeffrey H. Folger, Environmental Planner
INLAND WETLANDS AGENCY/
CONSERVATION COMMISSION
cc: Inland Wetland/Conservation Commission
Director of Planning
Chief Building Official