Planning & Zoning Commission (linked)

Town of W aterfo rd Office Use Only
Building, Conservation, Planning and Zoning Date Submitted:
Processed By:
www.waterfordct.org
App. No.:
Rev: 07/24/14
PZC Form 2:
Application for Coastal Area Management Site Plan Permit
| Property Address: 2 Forest Street
1. General
a. This form must be submitted in conjunction with PZC Form 1: Planning and Zoning Application or, in the case of
minor activities and if permitted by the Zoning Enforcement Officer, Zoning Compliance Permit.
b. This form does not supersede or take the place of any state or federal permits. The applicant shall consult with the
necessary agencies to review the possibility of additional permits, including general or individual permits that may be
required for specific activities.
Authority
Consistent with Connecticut General Statues ,Chapter 444, Secs. 22a-90 to 22a-113j, Waterford’s Planning and Zoning
Commission, acting in the capacity of the Town’s Zoning Commission, regulates certain activities upon properties which
lie completely or partially within the coastal area as defined by CGS §22a-94(b). Specifically, the Commission’s is
authorized, cited in part, by the following:
Sec. 22a-105. Coastal site plan reviews. (a) Coastal municipalities shall undertake coastal site plan reviews in
accordance with the requirements of this chapter.
(b) The following site plans, plans and applications for activities or projects to be located fully or partially within the
coastal boundary and landward of the mean high water mark shall be defined as “coastal site plans” and shall be subject to
the requirements of this chapter: (1) Site plans submitted to a zoning commission in accordance with section 22a-109; (2)
plans submitted to a planning commission for subdivision or resubdivision in accordance with section 8-25 or with any
special act; (3) applications for a special exception or special permit submitted to a planning commission, zoning
commission or zoning board of appeals in accordance with section 8-2 or with any special act; (4) applications for a
variance submitted to a zoning board of appeals in accordance with subdivision (3) of section 8-6 or with any special act,
and (5) a referral of a proposed municipal project to a planning commission in accordance with section 8-24 or with any
special act.

iS. Coastal Resources and Policies
a. By placing a check mark in the appropriate box(es), identify the coastal resources and their policies for each that is
located on and adjacent to the property or that may be influenced by the activities associated with the application.
Note: A resources may be located on site, adjacent and be off-site but influenced by the activities. Refer to CGS §22a-
92(a) for General Coastal Resource Policy, CGS§221-92(b)(2) and CGS §22a-93(7) for definitions of each
corresponding policy’s coastal resource.
Off-site but
Coastal Resource On-site Adjacent within
Influence
General Coastal Resources J /
Beaches and Dunes
Bluffs & Escarpments
Coastal Hazard Area if /
Coastal Waters, Estuarine Embayments,
Nearshore Waters, Offshore Waters
Development Shorefront
Freshwater Wetlands and Watercourses
Intertidal Flats
Islands
Rocky Shorefront
Shellfish Concentration Area
Shorelands
Coastal Hazard Area ID Type (i.e. VE, A, etc.) NA NA
Base Flood Elevation NA NA
S| <
Tidal Wetlands ri
b. Consistency with Coastal Resources and Policies.
Attached a typed and briefly statement of how the resources checked are consistent or inconsistent with coastal
resource policies.

Identification of Potential Adverse Impacts on Coastal Resources
Please complete this section for all projects. Identify the adverse impact categories below that apply to the
proposed project or activity. The applicable column must be checked if the proposed activity has the potential to
generate any adverse impacts as defined in CGS Section 22a-93(15). If an adverse impact may result from the
proposed project or activity, please use Part VIII to describe what project design features may be used to
eliminate, minimize, or mitigate the potential for adverse impacts.
Mitigation
Potential Adverse Impacts on Coastal Resources Applicable. Not Applicable Proposed
i. Degrading tidal wetlands, beaches and dunes,
rocky shorefronts, and bluffs and escarpments [ | | [ |
through significant alteration of their natural
characteristics or functions
ii. Increasing the hazard of coastal flooding through
significant alteration of shoreline configurations or [ | S| [ |
bathymetry, particularly within high velocity
flood zones - CGS Section 22a-93(15)(E)
iii. Degrading existing circulation patterns of coastal
water through the significant alteration of patterns [| []
of tidal exchange or flushing rates, freshwater input,
or existing basin characteristics and channel contours
iv. Degrading natural or existing drainage patterns
through the significant alteration of groundwater L| ix! L|
flow and recharge and volume of runoff
vy. Degrading natural erosion patterns through the C SZ C
significant alteration of littoral transport of sediments
in terms of deposition or source reduction
vi. Degrading visual quality through significant alteration C1 xX C
of the natural features of vistas and view points
vii. Degrading water quality through the significant
introduction into either coastal waters or groundwater
supplies of suspended solids, nutrients, toxics, heavy [| Kl [|
metals or pathogens, or through the significant alteration
of temperature, pH, dissolved oxygen or salinity
viii. Degrading or destroying essential wildlife, finfish, or
shellfish habitat through significant alteration of the C > on
composition, migration patterns, distribution, breeding
or other population characteristics of the natural species
or significant alterations of the natural components of
the habitat

4. Coastal Use and Activities Policies and Standards
a. Identify all coastal policies and standards in or referenced by CGS Section 22a-92 applicable to the proposed
project or activity:
L] General Development Sewer and Water Lines
[| Water-Dependent Uses Energy Facilities
[| Ports and Harbors Fuel, Chemicals and Hazardous Materials
[| Coastal Structures and Filling Transportation
[| Dredging and Navigation Solid Waste
[ | Boating
[] Fisheries
[| Coastal Recreation and Access
Dams, Dikes and Reservoirs
Cultural Resources
OOOUUOUOUOUO
Open Space and Agricultural Lands
b. Consistency With Applicable Coastal Use Policies And Standards
Attach an explanation of how the proposed activity or use is consistent with all of the applicable coastal use and
activity policies and standards identified in Part V. For projects proposed at waterfront sites (including those with
tidal wetlands frontage), particular emphasis should be placed on the evaluation of the project’s consistency with
the water-dependent use policies and standards contained in CGS Sections 22a-92(a)(3) and 22a-92(b)(1)(A) --
also see adverse impacts assessment in Part VII.B below:
2: Mitigation of Adverse Impacts and Overall Consistency (all applications)
Attach a summary addressing each of the following:
a. Describe the methods proposed to mitigate any adverse impacts.
b. Explain why adverse impacts are not being mitigated, if applicable.
C: Summarize why the project as proposed is consistent with the Connecticut Coastal Management Act

| 6. Potential Adverse Impacts on Water-dependent Uses (for project or activity is proposed at a waterfront site)
a. Identification of existing and/or proposed Water-dependent Uses: Attach a description of the features or
characteristics of the proposed activity or project that qualify as water-dependent uses as defined in CGS Section
22a-93(16). If general public access to coastal waters is provided, please identify the legal mechanisms used to
ensure public access in perpetuity, and describe any provisions for parking or other access to the site and proposed
amenities associated with the access (e.g., boardwalk, benches, trash receptacles, interpretative signage, etc.)*:
b. Identify the adverse impact categories below that apply to the proposed project or activity. The applicable column
must be checked if the proposed activity has the potential to generate any adverse impacts as defined in CGS
Section 22a-93(17). If an adverse impact may result from the proposed project or activity, use Part VIII to
describe what project design features may be used to eliminate, minimize, or mitigate the potential for adverse
impacts.
Potential Adverse Impacts on Future Water-dependent Mitigation
Development Opportunities and Activities Applicable Not Applicable Proposed
i. Locating a non-water-dependent use at a
eae ) CO x! L |
site physically suited for or planned for location of a
water-dependent use
ii. Replacing an existing water-dependent use [| XI [
with a non-water dependent use
iii, Siting a non-water-dependent use which ] [x] [|
would substantially reduce or inhibit existing public
access to marine or tidal waters
| Te Acknowledgements; All applications
Application Content
The undersigned herby acknowledges that this application and statements submitted herewith are true to the best of my
knowledge and approval of the application is contingent upon compliance with all requirements of said regulations.
Signature Printed Name Date
Mikhail Yevsyuk 10/14/2025
Applicant
Gregg Fedus 10/14/2025
Agent
Esther F. Poe 10/14/2025
Land Owner
Land Owner