Inland Wetlands/Watercourse Application Form

TOWN OF WATERFORD
Application for Inland Wetland / Watercourse Permit
Type of Application: Agency Use:
Permitted Use, Section 4.1 Date Received:
Unregulated Activities, Section 4.2 Received By:
Regulated Activities, Section 6 Fee: Application Number:
1. Applicant: Phone:
Address: State: Zip:
Fax: E-Mail:
2. Owner: Phone:
Address: State: Zip:
Fax: E-Mail:
3._ Agent: Phone:
Address: State: Zip:
Fax: E-Mail:
4. Property Address:
5. Abutting Property Owners — Complete Attached Form
6. Activity to be Reviewed and / or Licensed (attach sheet if necessary):
7. Description of Proposed Activity (attach sheet if necessary):
8. Purpose of Activity (attach sheet if necessary):
9a. Acreage of Property: 9b. Acreage of Wetlands:
10. Acreage of Wetlands Altered:
11. Wetland Mitigation Proposed:
12. Section 7 and sections 8.1 & 8.2 of the Town of Waterford “Inland Wetlands and Watercourse Regulations”
have been complied with: (Review attached check list) Yes: No:
The applicant / owner hereby gives the Commission, its agent and consultants the right of free access to any
part of the property under consideration. The undersigned warrants the truth of all statements contained
herein and in all supporting documents according to the best of his / her knowledge, information and belief.
Applicant: Date:
Owner: Date:
Agent: Date:
IWW Permit Application form
Updated 3 2011

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Residential Improvements, Additions & New Structures: $110.00
Residential Subdivision, 3 or more Lots: $160.00
Commercial/Industrial Development: $160.00
TOWN OF WATERFORD
Instruction Guide for Inland Wetland / Watercourse Permit
Application Fees: All Application fees include $60.00 for the State of Connecticut.
Permit Extension/Modification: $110.00
Permitted Use: No Fee
Unregulated Activity: No Fee
Major or Significant Impact Activity: $360.00
Public Hearing Fee: $400.00
All applications shall include a completed original application and 14 copies to be submitted to the
Conservation Commission office. The wetlands application checklist is for your convenience, it is not necessary
to submit this document with your application. Incomplete applications will not be completed by staff, they will
be returned.
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9a.
9b.
10.
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12,
Applicant
Owner
Agent
Address
List of Abutters
Activity to Be
Reviewed
Description of
Proposed Activity
Purpose of Activity
Acreage of Property
Area of Wetlands and
Watercourses
Wetlands Altered
Wetland Mitigation
Regulations
1WW Application Instructions
Include the full name, address, zip-code and telephone number of the applicant(s).
Include the name(s) of the owner(s) of record.as it appears on the land records (deed) of the
Town of Waterford. The owners’ complete address, zip code.and telephone number are
required.
Include the full name, address, zip code, and telephone number of the agent. An agent
ptepates the application for submission or will represent the owner / applicant at a meeting,
Provide street name and number of subject property.
Complete tlie attached form with the name, address, and assessot’s map and parcel numbers
for all adjacent properties.
Briefly describe the type or nature of permit requested. Attach additional sheet(s) if
necessary.
Describe in detail all proposed work. Scope of all work shall be included. Attach
additional sheet(s) if necessary.
Describe in detail the purpose of the pertnit request. Attach additional sheet(s) if necessary.
Provide the size of the subject parcel and the area of all wetlands on site.
[Note: one acre = 43,560 square feet.]
Provide the area of all wetlands on the site in acres, [Note: one acre = 43,560 square feet.]
Indicate the area of the wetlands to be altered. by proposed activity.
Describe meastites incorporated in the plan to mitigate the wetland impacts associated with
the proposed activity, including restoration, enhancement or creation of wetland area.
Indicate you have.reviewed the “Waterford Inland Wetlands and Watercourses
Regulations” and have complied with the application requirements.
Updated 06/02/11

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TOWN OF WATERFORD
Inland Wetland Permit Application Checklist
Completed original application form.
Oo Purpose and a description of the proposed activity.
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Alternatives to the proposed activity considered by the applicant.
Map of the property at 1” = 1,000’ scale, showing location of public streets.
Site plan at 1” = 40’ scale. Site plan shall contain the following information at a minimum, unless a waiver has been
approved by the Commission.
Plan prepared and certified by CT licensed Surveyor / Engineer.
Property boundaries.
Contours at no greater than 2’ intervals, both existing and proposed.
Vegetation patterns, both existing and proposed.
Wetland limits and soil type determined by soil scientist. Site plan shall be signed by the soil scientist.
Site plan shall include the surveyed wetlands line and wetland flag numbers.
Upland soil types and delineation’s based upon the Soil Survey of New London County or field identified
by a soil scientist.
Existing and proposed buildings, roads, utility lines, sanitary systems, and significant man-made or
topographic features on or adjacent to the site.
Flood Hazard Area classification and delineation.
North arrow.
Proposed clearing limits.
All watercourses shall be shown.
Detailed erosion and sediment and stormwater control plan, which meets or exceeds the minimum
requirements as set forth in the 2002 CT guidelines for erosion and sediment control. The plan shall include the
following information at a minimum.
Location of areas to be cleared of vegetation and other exposed or unprotected areas.
Location, design, timing, and method of installation of structural and non-structural sediment and
stormwater control measures.
Timing and description of all major phases of activity, installation of sediment and stormwater control
measures, and temporary and permanent stabilization methods.
Emergency provisions for failure of sediment or stormwater control devices and accidental spillage.
Application Checklist
Updated 07/11/18

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TOWN OF WATERFORD
Inland Wetland Permit Application Checklist
In the case of fill, grading, or excavation proposals within wetlands or watercourses,
the following items shall be submitted.
Area to be filled, graded, or excavated.
Volume of material to be added, moved, or removed.
Physical composition and origin of material.
Potential chemical reactions of deposited materials.
Existing and proposed contours.
Any additional requirements for stabilization to ensure adequate protection of the wetlands or watercourses.
Evaluation of the effect of fill, grading, or excavation in a wetlands or watercourse,
including but not limited to:
Storage volume.
Change in floodways and flood hazard areas.
Flow alterations.
Effect on groundwater, surface water recharge, or discharge.
Biological impacts.
Impact to adjacent or contiguous wetlands or watercourses.
Anticipated impacts on the wetlands and watercourse as a result of the proposed activity.
Submission of the appropriate filing fee.
Referrals to abutting towns.
SUBMIT 1 ORIGINAL application package and 14 copies.
Additional Staff Comments:
Application Checklist
Updated 07/11/18