HomeMy WebLinkAbout09-19W Application Dzen Farm Agricultural Build rn"n�S ?tle�OU�a�,
TOWN OF SOUTH WINDSOR Fee $80.00
MINIMAL► LNIPACT INLAND WETLANDS, WATERCOURSES AND CONSERVATION
APPLICATION
Application # 0 3`/q 1-J Date Received 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 VU-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: =-EQ 1-'P)Q `>2 E 1tl
: . Address: 79 elLLE/R opbT SOLEig /,O/ND5®k , eT n&p7�l
_ Phone: (home)6 -r 1?7.5- (work) -�° —' (fax)
B: Legal owner's name: -JUL A Z Al
. o
Address M IL L EW ah_P S oN S o 66
Phone (home) .(work):. _ . _
(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 owners)
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 insufficient detail to allow
identification of the property on the Inland Wetland and Watercourse Map.
Street Address #
Assessor's Map # i i q Parcel # 3 Zone
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:
p J `�
1
South Windsor Health Department
B 100a application
(for building conversion, change of use, building addition, accessory structure and lot line change)
1 /1) ROM)
Address of proposed activity street number
Owner Name - Address telephone
-TUL iO�. D i d / 1(9 -/'F 7,
Applicant name &address if different from above telephone
Describe the proposed structure or activity with dimensions (e.g. = "addition with bedrooms, bathroom, family
in ground/below ground pool, deck, winterizing porch)
a
�'� ACK1eyL-rD&AG. &2 />f/VD Al,®iTi'®�tI
Residential Number of existing bedrooms
Non-residential Please describe
Property served by on-site well? N Property served by public water? Y N
Plot plan-attach a scaled drawing showing property lines and dimensions, location and size of
existing and proposed structures, and site features such as driveways, wells and septic systems,
drains and water courses.
Building plan-attach a sketch/floor plan of the proposed structure, addition or renovation showing
existing and proposed rooms with door and window locations.
Soil test data (deep test pits and percolation test) are required for the review of this application.
If the data is not available, you will need to schedule an appointment with the health department.
As property owner or duly authorized representative of the property owner of the above referenced
property, I agree to permit the health department staff to enter the above referenced property as part
of this B 100a application review process. I further agree that this authorization to enter the subject
property may extend through a period of time ending with the final B 100a application approval and
affirm such with my signature below.
Applicant SignatureZQU-- Date d ® !J
OFFICAIL USE ONLY
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w° 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
�r�bsoR.co TELEPHONE(860)644-2511
CERTIFIED MAIL April 29,2009
Julia Dzen
279 Miller Road
South Windsor, CT 06074
RE: Appl. #09-19W,Julia Dzen Minimal Impact Application,279 Miller Road,RR-Rural Residential
Zone
Dear Mrs. Dzen:
The Inland Wetlands Agency/Conservation Commission,through staff has approved minimum impact
application#09-19W—Dzen,279 Miller Road. Inland Wetland/Conservation Commission minimal
impact application for the construction of garage addition within the upland review area(Assessor's Map
#114,parcel#33. 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 29,2014. 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. Erosion controls(silt fence)must be installed between the structure and the wetland area.
4. All additional approvals required must be obtained and submitted prior to any activity on the site.
5. 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,
depyH.
Fo er,Environmental Planner
INLAND WETLANDS AGENCY/
CONSERVATION COMMISSION
cc: Inland Wetland/Conservation Commission
Director of Planning
Chief Building Official
TO BE PUBLISHED IN THE JOURNAL INQUIRER
SOUTH WINDSOR— INLAND WETLANDS AGENCY/CONSERVATION COMMISSION
A minimal impact application was approved by the South Windsor Inland Wetland Agent
for:
Application #09-19W-Julia Dzen, 279 Miller Road Wetland/Conservation Commission
minimal impact application for the construction of a garage addition within the upland
review area associated with an adjacent wetland. Rural Residential Zone.