Planning & Zoning Commission (linked)

Town of Waterford 
Department of Planning and Development 
www.waterfordct.org 
 
 
Informal Staff Review  
Site Plan/Design Review 
Municipal Project (CGS§8-24) 
Special Permit/Design Review1 
Subdivision /Resubdivision 
Lot line Adjustment 
Zoning Map Change 
 
Regulation Amendment(s) 
New District 
Multifamily Development 
Coastal Area Management 2 
Earth Excavation  
Flood Hazard Area 
Other: ___________________ 
Other: ___________________ 
Specify all uses and corresponding section for which this application applies3: 
Use:  _______________________________________ 
Section: ____________________________________________ 
Use:  _______________________________________ 
Section: ____________________________________________ 
Use:  _______________________________________ 
Section: ____________________________________________ 
Name of proposed development/subdivision: ____________________________ If subdivision how many lots?: _______ 
If applicable, are roadways proposed to be private, public or both:  
Private  
 
 
 
Public  
 
 
 
Both4 
Parcel 1 
Parcel 2 
Map/Block/Lot:   ____/____/____    ____/____/____ 
Map/Block/Lot:   ____/____/____    ____/____/____ 
Street No. & Name: 
_______________________ 
Street No. & Name: 
_______________________ 
Size SF/AC:  ___________/___________ 
Size SF/AC:  ___________/___________  
Zoning District(s): __________________ 
Zoning District(s): __________________ 
1 Include a completed list of property owners with Parcel ID, name, address and mailing address.  It is the applicant’s responsibility to distribute all 
notices certified 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 
hearing. 
2 Coastal Site Plan reviews under Coastal Area Management §25.4 must submit a completed PZC Form 2 in addition to this PZC Form 1. 
3 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 A plan must accompany the application clearly delineating the limits of public and private roads. 
PZC Form 1    
Planning and Zoning Application 
1.
Type of Application(s), Use and Property Information (check all that apply)
Office Use Only 
Date Submitted:___________ 
Processed By:_____________  
App. No.: ________________  
Total Fee: $_______________ 
Electronic Submission 
Waived:  _____Yes  _____No 
Professional Office
11.1.3
Retina Group of New England
81
174 Cross Road
144,504 3.32
I-G

Name: 
____________________________________ 
Applicant’s Authority to File Application5 
Title: 
____________________________________  
Legal Owner of Record 
Company: 
____________________________________ 
Power of Attorney 
Address: 
____________________________________ 
Contract to Purchase 
City/State: 
________________________ 
__________ 
Other ________________________________ 
Zip Code: 
_______________ 
Telephone: 
_________________ 
Fax: 
___________________ 
Email: ________________________ 
Name: 
____________________________________ 
Specify Nature of Agent 
Title: 
____________________________________  
Attorney 
Company: 
____________________________________ 
Civil Engineer 
Address: 
____________________________________ 
Land Surveyor 
City/State: 
________________________ 
__________ 
Design Professional; ____________________ 
Zip Code: 
_______________ 
Other: _______________________________ 
Bar/License/Reg. No.:___________________ 
Telephone: 
_________________ 
Fax: 
___________________ 
Email: ________________________ 
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: 
________________________________ 
Name: 
________________________________ 
Title: 
________________________________  
Title: 
________________________________ 
Company: 
________________________________ 
Company: 
________________________________ 
Address: 
________________________________ 
Address: 
________________________________ 
City/State: 
________________________ 
______ 
City/State: 
________________________ 
______ 
Zip Code: 
_______________ 
Zip Code: 
_______________ 
Telephone: 
_______________ 
Telephone: 
_______________ 
Fax: 
_______________ 
Fax: 
_______________ 
Email: 
_______________ 
Email: 
_______________ 
5 Applicant must submit evidence attesting to the authority to file application (i.e. deed, option for purchase, etc.) 
2.
Applicant Information
3.
Agent Information; if applicable
4.
Property Owner(s) and Parcel(s) Information
Is owner co-applicant?       Yes        No 
Nauman Chaudhry
Partner
ENGR Group LLC
174 Cross Road
Waterford
CT
06385
203-214-1185
N/A
nchaudhry@retinagroupofnewengland.com
Seamus Moran, P.E.
Principal
H+H Engineering Associates, LLC
232 Greenmanville Avenue, Suite 201
Mystic
CT
06355
29798
413-579-4488
N/A
smoran@hh-engineers.com
<same as applicant>

Attached a typed statement of use in conformance with the Zoning Regulations as described in Section 22.4.2.  In addition 
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. 
Attach a statement describing how the building and site design is compatible with the neighborhood, character of 
Waterford and Zoning Regulations. 
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.  
Yes 
No 
 % of Property 
a. Are inland wetlands present on site?   Total SF/AC _____________/___________      _________
b. Are tidal wetlands present on site? 
  Total SF/AC _____________/___________      _________
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 ½ 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.
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:  ___________________________________________________________ 
g. Does the site possess any structures or sites listed on the local, state or national register of historic
landmarks?
If yes, identify: ______________________________________________________________________ 
8.
Natural and Cultural Resources
5.
Statement of Use
6.
Statement of Design Compatibility (Site Plans and Special Permits only)
7.
Consistency with Adopted Plan of Preservation, Conservation and Development (all
applications)
 
 
 
 
 
Site is developed with a one-story professional office building and associated parking. 
No changes to the existing building are proposed. The applicant is proposed to expand the existing parking area behind the 
building to meet the parking demand for the facility. No other site improvements are proposed at this time. 
In accordance with the Utility Infrastructure section of the POCD, the parking expansion is proposed to be permeable 
pavers, which is a low impact development practice, and has been designed to promote infiltration, thereby improving 
water quality and reducing stormwater runoff volumes. 
X
6,350+/- SF 14.6 AC.
X
4.4
X
X
X
AE (El. 108) - Jordan Brook
X
X

 
Yes  
No 
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:_________________________
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: ______________________________________________________
Have previous permits been issued for the Property:    
 Yes        
 No 
(List singularly; attached additional pages if necessary) 
Date Issued  
 
Issuing Agency  
Approved Use/Activity 
__________ 
___________________ 
___________________________________________________ 
__________ 
___________________ 
___________________________________________________ 
__________ 
___________________ 
___________________________________________________ 
__________ 
___________________ 
___________________________________________________ 
__________ 
___________________ 
___________________________________________________ 
9.
Additional Information
10.
Previous Land Use Permits Associated with the Property(s)
X
X
X
X
X
X
X
X
X
Building is served by public water
Building is served by sanitary sewer
Existing Conservation easement to remain unchanged
2013
PZC
Modified site plan
PZC
Original PZC site plan approval (date unknown)
CC
ZBA
Original CC approval (date unknown)
Lot Frontage (#93-32)
ZBA
Parking (#96-15)

Yes 
No 
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:
Fixed Zone 
Floating Zone 
Overlay Zone 
Identify proposed zone name: ____________________________________________________ 
For new regulations, list proposed section number(s) and titles(s): 
i.
______________________________________________________________________
ii.
______________________________________________________________________
iii.
______________________________________________________________________
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:
i.
______________________________________________________________________
ii.
______________________________________________________________________
iii.
______________________________________________________________________
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
•
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 intersection.
•
Scale of map(s)
11.
Change of Zone, Regulation Amendment or New Zoning District, if applicable
X

Complete the following table, which must also be included on applicable drawings: 
Zoning District(s): ____________ 
Item 
Required 
Proposed 
Minimum Lot Size 
Frontage 
Front Yard 
Side Yard 
Rear Yard 
Building Line 
Building Coverage 
Parking6 
Landscaping 
Impermeable Coverage 
6 Attach method used to determine the number of parking spaces required. 
12.
Bulk Zoning Requirements Table
I-G
40,000 SF
144,504 SF (no change)
125 FT
 50 FT (no change)
75 FT
N/A (no change)
30 FT
73.2 FT (west)(no change)
50 FT
92.9 FT (no change)
150 FT
561 FT (no change)
40%
4.9% (no change)
(1/250 SF) x 7,005 SF = 28 spaces 58 spaces (+23 spaces)
N/A
No change
N/A
No change

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:         Yes   
  No 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
____________________________________________ 
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, I 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 
_______________________________ 
_______________________________ 
________________ 
Applicant 
_______________________________ 
_______________________________ 
________________ 
Agent 
_______________________________ 
_______________________________ 
________________ 
Land Owner 
_______________________________ 
_______________________________ 
________________ 
Land Owner 
14.
Supporting Documentation
15.
For Informal Staff Review Use Only
I
SIGN

Provide a list of all professionals responsible for the project.  Additional pages attached, if necessary:         Yes   
  No 
Discipline: 
_______________________________ 
Telephone: 
_______________________________ 
Name:    
_______________________________ 
Fax: 
_______________________________ 
Company: 
_______________________________ 
Email: 
_______________________________ 
License(s)/ 
License(s)/ 
Accreditations: _______________________________ 
Accreditation No(s): ___________________________ 
Discipline: 
_______________________________ 
Telephone: 
_______________________________ 
Name:  
_______________________________ 
Fax: 
_______________________________ 
Company: 
_______________________________ 
Email: 
_______________________________ 
Licenses and/or  
License/ 
Accreditations: _______________________________ 
Accreditation No(s): ___________________________ 
Discipline: 
_______________________________ 
Telephone: 
_______________________________ 
Name:  
_______________________________ 
Fax: 
_______________________________ 
Company: 
_______________________________ 
Email: 
_______________________________ 
Licenses and/or  
License/ 
Accreditations: _______________________________ 
Accreditation No(s): ___________________________ 
Discipline: 
_______________________________ 
Telephone: 
_______________________________ 
Name:  
_______________________________ 
Fax: 
_______________________________ 
Company: 
_______________________________ 
Email: 
_______________________________ 
Licenses and/or  
License/ 
Accreditations: _______________________________ 
Accreditation No(s): ___________________________ 
Discipline: 
_______________________________ 
Telephone: 
_______________________________ 
Name:  
_______________________________ 
Fax: 
_______________________________ 
Company: 
_______________________________ 
Email: 
_______________________________ 
Licenses and/or  
License/ 
Accreditations: _______________________________ 
Accreditation No(s): ___________________________ 
13.
Planning, Design and Engineering Team
Civil Engineering
Seamus Moran, P.E.
413-579-4488
H+H Engineering Assoc. LLC
smoran@hh-engineers.com
Professional Engineer
29798