HomeMy WebLinkAboutSite Plan - Conservation (181) TOWN OF SOUTH WINDSOR
INLAND WETLANDS AND WATER COURSES
APPLICATION
INLAND WETLANDS AGENCY ACTION THIS APPLICATION, ONCE INFORMATION IS COMPLETE,_
(SEE BACK OF THIS FORM), SHALL BE RECEIVED AT A
APPLICATION NO. REGULARLY SCHEDULED MEETING OF THE AGENCY AT THE
TOWN HALL.
RECEIVED DATE IAR g' THIS APPLICATION MUST BE FILED IN TRIPLICATE AT
THE OFFICE OF THE TOWN CLERK OF SOUTH WINDSOR BY
PUBLIC HEARING DATE 12 NOON AT LEAST 14 DAYS PRIOR TO THE FIRST .
(if necessary) REGULAR MONTHLY MEETING DATE. THREE SETS OF MAPS
COMPLETED APPLICATION
OR PLANS MUST BE SUBMITTED TO THE TOWN ENGINEER
PERMIT GRANTED DATE AT LEAST 14 DAYS PRIOR TO THE FIRST REGULAR
PERMIT DENIED DATE MONTHLY MEETING DATE.
PLEASE PRINT OR TYPE.
1. APPLICANT 14arolrl C`ol l ins TEL. NO. 6aa—w21
ADDRESS 1105 Strong Rd. CITY & STATE South Windsor. Ct.
2. OWNER —1 d TEL. NO. Same
ADDRESS CITY & STATE
3. LOCATION OF PROPERTY North side of Strong Rd. Across from P.R.S.-Garage
NAMES OF ADJACENT PROPERTY OWNERS Harold Collins
i
b -
t
STATE CLEARLY AND BRIEFLY
5. PURPOSES AND DESCRIPTION OF THE PROPOSED ACTIVITY,AND THE TIME ELEMENT INVOLVED:
To fill a low area, per attached map- Tn hri ng lama hark to nrlgi4;nl
use-;-which was. agriculture. Als.o to elemi mate mosqui to breerli ng ar a.
There is no water flowing in or out of this are
ATTENTION: THE APPLICANT UNDERSTANDS THAT THIS APPLICATION IS TO BE CONSIDERED
COMPLETE ONLY WHEN ALL INFORMATION—& DOCUMENTS REQUIRED BY THE
AGENCY.HAVE BEEN SUBMITTED.
' APPROVAL MAY ALSO BE NECESSARY FROM THE PLANNING AND ZONING COM-
MISSION.
AN APPLICATION FEE IS REQUIRED. --CMSULT THE2EGULATIONS
M (SECTIONS 6.9, 6.9a and 6.9b) .
A SIGN IS REQUIRED. CONSULT THE REGULATIONS (SECTION 6.3a).
SIGNED:
ppiicant)
(Owner)
Revised 8/12/85
OVER
CHECKLIST FOR REQUIRED INFORMATION
6. APPLICANT HAS HAD MAPS AND PLANS CERTIFIED BY SOIL
CONSERVATION SERVICE, TO VERIFY COMPLETE COMPLIANCE
WITH CONNECTICUT GUIDELINES FOR SOIL EROSION AND
SEDIMENT CONTROL ( AS PER 14-ASiDB00K, AS AMENDEDED,
AND PUBLIC ACT 83-388, AS AMENDED.
DATE OF CERTIFICATION
7. APPLICATION INFORMATION COMPLIES WITH AGENCY'S
REGULATIONS ( SECTIONS 7.1, a through j.
8. REQUIRED FEE HAS BEEN PAID.
DATE RECEIVED
I
9. APPLICANT ( OR DESIGNATED REPRESENTATIVE)HEREBY
ATTESTS THAT A SIGN WILL BE POSTED AT THE FOLLOWING
LOCATION(S)
BY ( NAME )
ON OR BEFORE ThE FOLLOWING DATE
SIGNATURE
THIS APPLICATION IS FOUND TO BE COMPLETE AND NOW
(QUALIFIES FOR PLACEMENT ON. THE AGENCY'S AGENDA;
DATE SIGNATURE
Town Engineer
Agency Sec'y
Agency Chairman
THIS APPLICATION IS INCOMPLETE BECAUSE OF THE FOLLOWING
--NUMBERED ITEMS ( FROM ABOVE ) AS CHECKED BELOW;
12 3 4 5
6 7 8 9
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