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Freshwater Wetlands Application -_ ---� Updated: 03/05/2004 tf ^; TOWN OF QUEENSBURY FRESHWATER WETLANDS PERMIT APPLICATION APPLICATION NO.: APPLICATION DATE: 12/14/2021 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 conies of this application with a$100 application fee. INFORMATION FOR APPLICATION Applicant: GREAT ESCAPE THEME Name: PARK, LLC Address: PO BOX 511 LAKE GEORGE NY 12845 Phone: 518-792-3500 Property Information: 1. Name of wetland or any body of water/stream involved: Stream 2. Address of parcel upon which wetland is located and address of parcel(s)upon which work is proposed. 1172 ROUTE 9 Updated: 03/05/2004 3. Tax Map No. of parcel upon wetland is located and Tax Map No. of parcel upon which work is proposed: 288.20-1-20 4. Current zoning of parcel upon which wetland is located and current zoning of parcel upon which work is proposed: RC & LC42 5. Total area of property upon which work is proposed: 237.6 6. Total area of wetland: 1,430±sf stream area 7. Dimensions of wetland: 74'± x 23'± 8. Existing uses of wetlands, i f any: No uses of wetlands. 9. Adjacent uses within 400 ft. of wetlands, if any: Great Escape Theme Park rides and pedestian access, parking and Route 9 10. State, County,Town property within 500 ft. of wetland: Route 9 Information About the Proiect: 1. Detailed description of proposed activity: Entrance improvements including construction of a new metal detection building & ticket building & removal of existing building space. 2. Purpose, character and extent of proposed activity upon or adjacent to wetland: Construction of buildings pavement and landscape areas 3. On a map to be submitted with this application, show the area of the freshwater 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 permits? Yes Town Zoning Variance Site Plan Approval and Building Permit 5. Has work begun on the project? NO 6. Approximate starting date of project? March 2022 7. Approximate completion date of project? May 2022 Updated: 03/05/2004 About the adjacent pro e�rtv owners. List the names of the owners of record of lands adjacent to the freshwater wetland or adjacent area upon which the project is to be undertaken: GREAT ESCAPE THEME PARK, LLC Name of claimants of water rights which you have noticed and which relate to any land within or within 100 ft. of the boundary of the property on which the proposed regulated activity will be located: TBD * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * The foregoing information will be reviewed by the agency, and the agency, may if it desires, request any further information necessary to make a decision. I hereby affirm under penalty of perjury that the information provided herein and all attachments submitted herewith are true,to the best of my knowledge and belief. Signature: Y ` Wo U rev I hereby authorize C.T Male Associates to act as my agent and represent me in connection with this application on my behalf.