Freshwater Wetlands permit applicationt�
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TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 518-761-8201
FRESHWATER WETLANDS PERMIT APPLI ATTON
APPLICATION NO.:
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 Toym 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 eater N/A Please
provide the original plus 14 copies of this application with a $100 application fee
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E FORMATTON FOR APPLICATTON
Name: VMJR Companies
73 Mohican Street
Address: PO Box 578
Glens Falls, NY 12801
Phone: (518) 792-1128
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Name of wetland or any body of water/stream involved:
Federal wetlands on Rte. 254. northeast intarcartion of 0-tar Ridge.
2. Address of parcel upon which wetland is located and address of parcel(s) upon which
work is proposed.
Northeast corner of Quaker Ridge Road & Rte. 254
"HOME OF NATURAL BEAUTY... A GOOD PLACE TO LIVE"
SETTLED 1763
3. Tax Map No. of parcel upon wetland is located and Tax Map No. of parcel upon
which work is proposed: Lot E. 303.15-1-25
4. Current zoning of parcel upon which wetland is located and current zoning of parcel
Upon which work is proposed: HC- I NT
5. TOW am of property upon which work is proposed:
6. Total area of wetland: 13.1
34.4
7. Dirrrensionsofwedand: Varies
8. Existing uses of wetlands, if any:
None
9. Adjacent uses within 400 ft. of wetlands, if any: None
10. State, County, Town property within 5W ft. of wetland:
County of Warren - East Side
1. Detailed description of proposed activity: 199,000 SF retail development including
parking utilties landscaping and other Site improympnts-
2. Purpose, character and extent of proposed activity upon or adjacent to wetland:
Filling wetlands to provide parking and storm water
management facilities.
3. On a map to be submitted with this application, show, the area of the freshwater
wend or adjacent area d'aectly 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
5. Has work begun on the project?
6. Approximate starting date of project? April 2006
7. Approximate completion date of project? April 2009
List the comes of the owners of record of lands adjacent to the freshwater wetland or adjacent
area upon which the project is to be undertaken:
Forest Enterprises - west side
Niagara Mohawk Power Corp - north side
County of Warren - east side
RYSDOT te.Zb4 - south side
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:
The foregoing information will be reviewed by the agency, and the agency, may if it des)res,
request any finther information necessary to make a decision.
I hereby affirm er penalty of perjury that the information provided herein and all
attachments submi herewith a true to the best of my knowledge and belief.
Signature: WE i�rut. Go ari�ffi
I herdry authorize Bergm ssoci ates to act as my agent and represent me
in connection with this application on my behalf.