Loading...
Application _-. -.. -...... .... .... .� .no WJ UUJ/UUS - TOWN OF QUEENSBURY 742 Bay Road, Oueensbury, NY 12804-5902 518-761.8201 RECEIVED�.� F:=:3 2 q LIJQ FRFSHWATER WETL S PERMIT APPLICATION TOWN OF QUEENSBURY PLANNING OFFICE APPLICATION NO.: PII�2 L o2l-W-3 APPLICATION DATE: This is an Application for a Permit to conduct/cause to conduct a regulated activity on or adjacent to a freshwater wetland pursuant to Freshwater Wetlands Protection Law - Local Law 1, 1976. TO: Town Clerk of the Town of Queensbury -Please immediately forward this application to the Planning Board of the Town of Queensbury by way of service upon the Planning Department of the Town of Queensbury, TO: Applicant - Please type or print the information required and complete all blanks and answer all questions. If the information requested is not applicable, please enter N/A. Please provide the original_plus 14 copies ofthis application with a$IOO anp ication fee. # F F k F F F F F F rt rt rt rt rt F rt # # # # # # F F F F F F F 4 F t F rt rt rt rt F rt rt F F # F F F WORMA77ON FOR APPLICATION Applicant: �ccc 1 /l Name: 1A0S ^n4" DQ,xAoe rvie,t lr 7. Address', 1-1 S 7 6a n j ro( k\v-< �tba�h N� Izz-os Phone: 8!��i — 3 7-t 8 Property Information: 1. Name of wetland or any body of water/stream involved: 4 4spe< M(eE 1.»� ter- ICI — NCAVVJV 1 �B too 2. Address of parcel upon which wetland is located and address of parcel(s) upon which work is proposed. "HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE' SETTLED 1763 02/21/2003 FRI 15:18 FAX 16004/005 3. Tax Map No. of parcel upon wetland is located and Tax Map No. of pared upon which work is proposed: Zc?eo. 20 - /—2- 4. Currant zoning of parcel upon which wetland is located and current zoning of parcel upon which work is proposed: E/G / A 5. Total area of property upon which work is proposed: 4-2'9 N"vo 6. Total area of wetland: t.?—(4 7. Dimensions of wetland: 4 S. Existing uses of wetlands, if any: Nam» 9. Adjacent uses within 400 ft. of wetlands,if any: _ (�6 m m e✓eta 10. State, County, Town property within 500 ft. of wetland: / Quin-ems `Zi 'oc.d, �iN n+�,._ywn2cL rmation About the Project: 1. Detailed description of proposed activity: 2. Purpose, character and extent of proposed activity upon or adjacent to wetland: Q--a8,�-�.� 5��-e....o11C Lei..}.�.,1.. 12 U.oy1 14 �-✓%b Cl,s + Gle 60.ie LAnckP— N Lt5 C-'< rm T O -Oe4 - pyo 3. On a map to be submitted with this application, show the area of the Beshwater wetland or adjacent area directly affected with the location of the proposed activity shown to scale thereon as well. 4. Will the project require any other Federal, State or local pemiits7 5. Has work begun on the project? NO 6. Approximate starting date of project? ! nn Z,-b 3 7. Approximate completion date of project? }e Zyc 3 02/24/2003 MON 11:24 FAX 10002/002 FED 24 2003 11: 41Rh HF&SERJET 3200 * p. 2 11;11 MA ' @I005/006 Lilt the names of the owners of reoofd of lands adjsoetn 10 the p'ed►walor wetland of adjaoeot area upon wl:ch the protect is m bo undertaken: I.�kd Name of cbimmts Of vwtsr righri vfhich you have Imbood and which rdste to any Istd wift of whfie 100 R. of the bouodwy of the property on whkh the proposed rnWated sedvlty vua be located; No n 04k4. -K-n -A ad.'4ce,. nkinews •� •� � � �f�1• • �.I� � � �f4�4 •�IAfM�4� �f •Ii1•♦t� a�tiri • � 1. The ftMOing istbtmation wN be reviewed by the sowxy, and dw agmry, may V it dowcat request any further btlbrroation noogsety to Mahe s deddoe. I ha*y of m under pandty of perjury that the Wortmtion provided herein and all attadbmaea a6wited bwcwMkue to the best ofmy wWpe belief: x oF�Mll ' �L' (J6(.�9J'TEiJI" I hereby aulhotize a dgny.17 ems.h j -'?-C.to 641 as my agog end repreteea me in o0mvettion with this application on my behalf