Planning & Zoning Commission (linked)

Town of Waterford Office Use Only
, i Date Submitted:
Department of Planning and Development ate Submitted:
Processed By:
: le] www.waterfordct.org
so App. No.:
Total Fee: $
PZC Form 1 Electronic Submission
Waived:
Planning and Zoning Application
| 1. Type of Application(s), Use and Property Information (check all that apply) : : oa
im Informal Staff Review im Site Plan/Design Review O Municipal Project (CGS§8-24)
im Special Permit/Design Review! _]} Subdivision /Resubdivision oO Lot line Adjustment
im Zoning Map Change im Regulation Amendment(s) im New District
im Multifamily Development im Coastal Area Management ° im Earth Excavation
im Flood Hazard Area C] Other: O Other:
Specify all uses and corresponding section for which this application applies*:
5.1.1 One Family Dwellings
Use: Section:
Use: Section: _
Use: Section:
Name of proposed development/subdivision: Ava's Meadow Resubdivision If subdivision how many lots?
If applicable, are roadways proposed to be private, public or both:
[J Private [_] Public [J Botn'
Map/Block/Lot; 139, ee a cs Map/Block/Lot: —/ f=
Street No. & Name: 97 Spithead Rd _ Street No. & Name:
SizelSRyAG: Vtee482 SF /26.06:AS ores Size SF/AC: /
Zoning District(s): R-40 Zoning District(s):
is ig
"Include a
notices ¢
hearing.
* Coastal Site Plan reviews under Coastal Area Management A must submit a completed PZC Form 2 in addition to this PZC Form 1.
* The use listed must correspond to the exact use term noted within the zoning district as a permitted use allowed through site plan or special permit.
* 4 plan must accompany the application clearly delineating the limits of public and private roads.
completed list of property owners with Parcel ID, name, address and mailing address. It is the applicant's responsibility to distribute all
fied return receipt. Evidence of mailing shall be submitted prior to the start of the hearing. Failure to do so will delay the opening of the

25 Applicant Information
Name: Glenn E. Fergione __ Applicant’s Authority to File Application®
Title: Owner _ | BB Legal owner of Record
Company: _ Power of Attorney
Address: Contract to Purchase
City/State: — Other __ a
Zip Code:
Telephone:
3. Agent Information; if applicable
Name James Bernardo,LS _ Sp ture of Agent
Managing Member
Title: ie _ Attorney
Company: James Bernardo Land Surveying, LLC Civil Engineer
Address 102A SpitheadRd Bh) Land surveyor
City/State: Waterford CT
ZipCode, 96385 Other:
Design Professional; _
Bar/l icense/Reg, No. CTLS 70121
860-447-0236 jim@jbsurvey.com _
Telephone: Fax: Email:
4, Property Owner(s) and Parcel(s) Information Is owner co-applicant? im Yes [_]No
Note: If landowner is an LLC, Corporation, Trust or other legal entity, attach the names, addresses and title of each
member or officer, including agent(s). If same as applicant list ‘Same’.
Name: Glenn E. Fergione Name: = —_
Title: Owner Title: _
Company: ee Company: _ _ _ _
ciystc: iy isiae:
Zip Code: | Zip Code: ee _
Telephone: | Telephone: — :
Fax: Fax:
Email manent Email:
> Applicant must submit evidence attesting to the authority to file application (i.e. deed. option for purchase, ete.)

tor Statement of Use
Attached a typed statement of use in conformance with the Zoning Regulations as described in Section 22.4.2. In addi
include all hours and days of operation, size of buildings and number of stories, utilities servicing the parcel, variances
received, number of employee and structures to be demolished.
‘Statement of Design Compatibility (Site Plans and Special Permits only) |]
Attach a statement describing how the building and site design is compatible with the neighborhood, character of
Waterford and Zoning Regulations.
1s Consistency with Adopted Plan of Preservation, Conservation and Development (all
applications)
Attach a statement attesting to how the proposed use. zone change, amendment or design is consistent with the most
recent adopted Plan of Preservation, Conservation and Development (the Plan). Note relevant Plan section numbers and
pages.
| 8. Natural and Cultural Resources
% of Property
/10 acres 35
a. Are inland wetlands present on site? Total SF/AC
. Are tidal wetlands present on site? Total SF/AC /
AAO 4)
c. Are their known or suspected vernal pools on the property?
d. CT DEEP NDDB: Are endangered, threatened or species of special concern suspected to be located on
the property? Applicant must attach an 8 x 11 map of the most current CT DEEP Natural Diversity
Database with site clearly identified regardless of response provided. If you answered yes to item d.,
attach a letter from CT DEEP stating the name of the specie(s) that are suspected to be on the
property. See Section 22 of the Zoning Regulations for additional information.
Oo _]} e. Are floodplains or flood hazard areas on the property?
Identify:
f. Is the property located within a local, state of national historic district?
If yes identify district name:
ss any structures or sites listed on the local, state or national register of historic
g. Does the site po:
landmarks?
If yes, identify:

na Additional Information
i
|
Ll
<
e
&
4
6
a. Is any part of the site within 500' of the Town line? Which town:
b. Will any egress or ingress for the property use streets within an adjoining municipality?
c. Is any work proposed in wetlands or watercourses? Explain in Statement of Use
d. Is any work proposed within 100 feet of a wetlands or watercourse? Explain in Statement of Use
e. Is any work proposed within a floodplain or flood hazard area? Explain in Statement of Use
f. Is public water available or proposed to the site? Identify:
g. Are public sanitary sewers available or proposed to the site? Identify:
h. Is there a utility, drainage or other easement(s) on the site? Specify:
OOOBOOOO00
i. Is open space proposed on the property?
How much open space is proposed (SF/AC)? / Percent of property(s)
Use and purpose of open space:
‘ ie ——
10. Previous Land Use Permits Associated with the Property(s) |
Have previous permits been issued for the Property: yes oO No (List singularly; attached additional pages if necessary)
Date Issued Issuing Agency Approved Use/Activity
1/29/90 P&Z Subdivision Approval
10/23/2025 Conservation Commission Wetlands perm it C-25-13

| 11. Change of Zone, Regulation Amendment or New Zoning District,
- —
applicable |
O O a. Is this application for a new zoning district and/or regulation not presently established within the
Zoning Regulations? If a new zoning district, distinguish type of zone proposed:
[_]rixed Zone
O Floating Zone
[_Jovertay Zone
Identify proposed zone name:
For new regulations, list proposed section number(s) and titles(s):
C] im b. Is this application an amendment to an existing regulation? Attach proposed amendments, clearly
noting any deletions, modifications or additions. List sections proposed to be modified:
| im c. Is this application for a change to a district already established within the regulations? Identify:
Supporting materials:
For new zoning districts or a change in zone provide a legal description of the land involved in the zone district change
including the following:
¢ Location map at 1°=1000°
¢ Accurate description and acreage of tract(s) to be changed with existing buildings and uses
e Show existing features including but not limited to contours at two-foot intervals, wetlands and watercourses,
flood plains, all improvements and structures,
¢ All lots or parts of lots contained in an area within 500 feet in all directions of the zone change tract
¢ All lots shown in this area and within the zone change tract shall contain the name and address of owners as
recorded in the Assessor's records and shall show the nature of use
¢ North point, and distance along road from nearest road intersecti
e Scale of map(s)

Based
on:
Town
of
Waterford
Zoning
Regs
Revised
Thru
8-15-2025
ZONING
DATA
Date
Updated:
12/03/25
Property
Addre:
7
Spithead
Road
Waterford,
CT
06385
Zoning
Section|
Description
I
Required
I
Provided
-
Lot
#1.
I
Provided
-
Lot
#2
iT
Provided
-
Lot
#3
iT
‘Remarks
ZR
Sect5
__
ZONING
DISTRICT:
R-40
Land
Use!
T-Fam
Residential
1-Fam
Residential
TFamResidential_
[Permited
Use
Min.
Lot
Size
(SF);|
116,109.77
SF
116,109.77
SF
784,127.42
SF
Min.
Lot
Frontage:
222.69
FT
210.71
FT
248.60
FT
Min
Lot
Width:
214.4
FT
217.3
FT
240.5
FT
‘Min
Front
Yard
Setback:
50
FT
50
FT
23
FT
Pre-existng
non-conforming
-
Lot
#3
Min
Rear
Yard
Setback:
SOFT
SOFT
APPROX
1,100
FT
Min
Side
Yard
Setback
25
FT
25
FT
41
FT
7R
5.3.4
ing
Coverage
(%)
:
20%
Max.
20%
Max.
0.3%
2R
9.3.5
jing
Height
by
Zone:
Not
to
exceed
35
FT
Not
to
exceed
35
FT
U/K
Not
determined
-
Lot
#3

13. _ Planning, Design and Engineering Team
Land Surveyor
Discipline:
Naive? James Bernardo, LS
James Bernardo Land Surveying, LLC
Company:
Pieense@) _.. CTLS'70124
Accreditations:
860-447-0236
Telephone:
Fax:
jim@jbsurvey.com
Email:
License(s)/
Accreditation No(s):
Discipline:
Name:
Company:
Licenses and/or
Accreditations:
Telephone:
Fax:
Email:
License/
Accreditation No(s):
Discipline:
Name:
Company:
Licenses and/or
Accreditations:
Telephone:
Fax:
Email:
License/
Accreditation No(s):
Discipline:
Name:
Company:
Licenses and/or
Accreditations:
Telephone:
Fax:
Email:
License/
Accreditation No(s):
Discipline:
Name:
Company:
Licenses and/or
Accreditations:
Telephone:
Fax:
Email:
License/
Accreditation No(s):

14. Supporting Documentation
Itemize, including additional attachments, all information provided in support of the application. Titles, dates and
sheet/map numbers shall correspond exactly with the corresponding information provided.
Additional pages attached, if necessary: O Yes []%
Ava's Meadow Resubdivision (3 Sheets)
LLHD Approval Letter dated 10-15-2025
15. _ For Informal Staff Review Use Only
Sec. 7-159b — Pre-application review of use of property. Notwithstanding any other provision of the general statutes,
prior to the submission of an application for use of property under chapters 124, 126, 440 and 541 or any other provision
of the general statutes authorizing an authority, commission, department or agency of a municipality to issue a permit or
approval for use of such property, such authority, commission, department or agency or authorized agent thereof may
separately, jointly, or in any combination, conduct a pre-application review of a proposed project with the applicant at
the applicant's request. Such pre-application review and any results or information obtained from it may not be appealed
under any provision of the general statutes, and shall not be binding on the applicant or any authority, commission,
department, agency or other official having jurisdiction to review the proposed project.
I have read and understand the above provision of the Connecticut General Statutes and understand and agree that
whatever discussion, comments and/or recommendations are made through this review are non-binding upon the parties.
Further, | acknowledge and agree that this pre-application review meeting is being conducted prior to and in anticipation
of a formal application to the Waterford Planning and Zoning Commission or Conservation Commission to obtain
feedback and response to the proposal or design, as it exists on this date, in the interest of preparing an application
consistent with the Subdivision, Zoning or Wetlands regulations of the Town of Waterford as the case may be.
Signature Printed Name Date
Za = Glenn E. Fergione [2-5-2025
VA
aa James Bernardo, LS U2-S -2e2v
Aue Glenn E. Fergione 1Z§ e2ues-
Applicant
Agent
Land Owner
Land Owner

16. Technical Assistance Review Fee
In accordance with the Waterford Code of Ordinance Chapter 16.08, the Commission may require third party technical
assistance review for the evaluation of applications associated with but not limited to site plans, special permits, zone
change and regulation amendments and may collect payment for costs associated with the review. This includes but is not
limited to civil engineering, architecture, legal assistance, traffic engineering and environmental protection.
17. 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.
Right of Entry and Inspection
The undersigned hereby authorizes the Waterford Planning and Zoning Commission or its agents, to enter the subject
property for the purposes of inspection and enforcement for the said Zoning Regulations until receipt of final Certificate
of Occupancy and Certificate of Zoning Compliance.
Electronic Data Accuracy and Transmission
If applicable, the undersigned hereby acknowledges that all electronic data submitted as part of this application is an
accurate and true representation of all paper transmissions provided as part of this application and may be transmitted
publically when requested and all applicable fees are paid in full by the requesting party.
Signature Printed Name Date
Glenn E. Fergione (2-6 wus
Appjicant Ke James Bernardo, LS Pu eTiale
Preent
Glenn E. Fergione ie... & popes
5
and Owner
Land Owner

Natural Diversity Data Base
Areas
WATERFORD, CT : é 1
June 2025 = ae s > Ledyard
SA, State and Federal Listed Species
GE Critical Habitat
CI Town Boundary
NOTE: This map shows known locations
of State and Federal Listed Species and
Critical Habitats. Information on listed
species is collected and compiled by the
Natural Diversity Data Base (NDDB)
from a variety of data sources . Exact
locations of species have been buffered to
ys wath ‘NS R DB
produce the generalized locations. », Pleasant Valley
sy oe ep Exit 82a. EE ER ONT
This map is intended for use as a yiden:Spur ~Exits1 ie Exit’82 <SGd > Exit'saE ordon.- *
preliminary screening tool for conducting a X in PERI Bt a ieocte Bay a
Natural Diversity Data Base Review 3 a SI aE ZAEXIt 86s it 87
Request. To use the map, locate the project 0. | a
boundaries and any additional affected areas| RU SWE AEC. Bc
1th
Manitock
Spring
\
New
London
Ck
Ye
:
a7
Mo:
ewe
=
S
7,
«ag Department of Energy &
If the project is within a hatched area there
may be a potential conflict with a listed
species. For more information, use DEEP
ezFile htps:/filings.deep.ct.gov/DEEPPortal/
to submit a Request for Natural Diversity
Data Base State Listed Species Review or
Site Assessment. More detailed instructions
are provided along with the request form on
htps:/portal.ct.gov/deep-nddbrequest
Use the CTECO Interactive Map Viewers
at http://cteco.uconn.edu to more precisely
search for and locate a site and to view
aerial imagery with NDDB Areas.
Environmental Protection (DEEP)
79 Elm St, Hartford, CT 06106
email: deep.nddbrequest@ct.gov

Statement of Use
This application is for the resubdivision of the 28.06 acre property located at 97 Spithead
Road in Waterford, Connecticut. This is a resubdivision of Lot #5 of the Nutmeg Estates
Subdivision prepared for Peter Lampasona and approved by the Waterford Planning and
Zoning Commission on 1/29/1990.
The property owner, Glenn Fergione, wishes to subdivide the property into 2 additional
building lots. It is his intent to gift each one of the lots to 2 of his dear friends. The 2 new lots
will be 2.67 acres each.
Mr. Fergione will maintain ownership of the remaining 18.0 acre property which contains his
primary residence, barn and farm. The remaining 18-acres is encumbered by a 415’ wide
Eversource transmission easement and is predominantly inland wetlands.
There is also a disputed southerly boundary with land of Marjorie L. Daly of 81 Spithead
Road. Mr. Fergione intends to quit-claim this 4.73-acre portion of the property to Ms. Daly to
resolve any title ambiguities.
No open space is proposed.

LLHD Promoting
healthy
Ledge Light Health District communities
Date: 10-15-2025
To: James Barnardo Land Surveying, LLC
102A Spithead Rd., Waterford, CT 06385
Subject Property: 97 Spithead Rd., Waterford 06385 (Lot #3), proposed two lot subdivision (Lot #1 and Lot #2)
Plan Designed by: James Bernardo L.S. #70121 Plan Date: 10/1/2025 Last Revision Date: N/A Date Paid: 10/1/2025
The plan and associated information submitted to our office on 10/1/2025 for a proposed two lot subdivision with
one proposed three bedroom residential building with public water and private septic (Lot #2), and one proposed
four bedroom residential building with public water and private septic (Lot #3) at the above stated property, in the
Town of Waterford, is:
O Approved: Complies with the requirements of Section 19-13-B103 of tihe Connecticut Public Health Code.
X Approved w/conditions: Complies with the requirements of Section 19-13-B103 of the Connecticut Public
Health Code; See conditions below.
oO Requires Further Revisions: Modifications are needed to meet the requirements of Section 19-13-B103 of
the Connecticut Public Health Code. Items requiring revision are listed below.
Conditions / NOTES:
1. One additional test hole is required prior to any septic system installation on Lot #2 in the primary leaching
field area.
2. If there are any wells on Lot 1, 2 or 3, locate on plan.
3. If there are any wells on #91 and #99 Spithead, locate on plan.
4. Note: 97 Spithead Rd., Waterford B100a is approved, and the lot is suitable to subdivide into two additional lots.
This plan review is for site suitability only, and not intended as an approved septic plan.
5. NOTE: All tanks requiring risers shall maintain the original covers on the tanks, have riser covers that weight at
least 59 Ibs. and/or install a safety device below the riser to prevent individuals from falling into a tank. All below
grade tank or riser cover handles shall contain or be fitted with a material that can be located with a metal
detector. Please be aware of the new “kid catcher” septic tank requirements.
The following are not currently required by CT Public Health Code and/or LLHD Plan Review Policies but are
encouraged/recommended to protect the proposed structures, onsite septic system, water treatment discharge
system and/or water supply/groundwater.
1. All proposed well arcs should be kept on the property they serve (to allow neighbors full use of their properties) and all well
casings should be located at least 10’ from driving surfaces and/or structures to prevent future damage and allow for future
maintenance of the wells.
2. It is strongly encouraged to keep the original tank covers on all tanks requiring risers to prevent the escape of sewer gases
and prevent individuals from falling into tanks.
3. The designer should take into consideration the location of potential future water treatment discharge systems, rain gardens
and footing/gutter drain discharge locations.

LLHD Promoting
healthy
Ledge Light Health District communities
Additional Requirements and Recommendations:
1. Installer to submit scaled and/or tied as-built to LLHD upon 30 days of completion with distances to
flow line at house, inlet and outlet cover of tank, d-boxes, cleanouts and ends of leaching rows, well,
footing/curtain drains and between tie points. In addition, provide the name of installer, date, house
location and street/directional arrow.
*Please note that soils testing indicated on this plan are representative of actual soils conditions and additional deep test pits
and percolation tests may be required by the Ledge Light Health District if the building or system location is altered and/or the
suitable septic area is limited. Applica I ware that subdivision approval IS NOT sufficient for individual lot
approval. Each lot must be reviewed by the Ledge Light Health District at the time of building permit lication in ore
obtain lot approval and issue a septic/well permit.
Please call me at 860-448-4882 ext. 1301 with any questions regarding this matter.
Sincerely,
Co
Kimberly Hamley R.S.
Senior Environmental Health Specialist
Ce; Katie Baldwin REHS MPH