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1989-004
�F}_;L"tR ^s+.-a .«. �,q,wx.r. ic, ;s••yc-•�, _ _ . „ .. r....�.. -. .. . .. R . .. ya _ (DIERTIFI+ A E ' 'QF +COMPLIA.NCE TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date_ October 5 . 19 M This is to certify that work requested to be done as shown by Permit No, - r '`• has been completed. This structure may be occupied as a l� r Location � _ l l cI rIc" Ledges Owncr aT 1 ;a � i= i� �:a� � By Order Town Board TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement 95,204 (07t- 9d New York State Department of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Deputy Regional Permit Aft- nistr for Permit Number 5-5234-00121j00001-1 Expiration pate DeceTber 31, 1989 NOTE: This notice is NOT a permit H BUILDING PERMIT TOWN OF QUEENSBURY No. 89 - 04 WARREN COUNTY, NEW YORK ° .a l PERMISSION is hereby granted to John Matthews ~ l w OWNER of property located at Dunham Say Street, Road or Ave. h.1 in the Town of Queensbury, To Construct or place a Re- top existing dock at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. G O 1 . OWNER'S Address is Same w rr 2. CONTRACTOR or BUILDER 'S Name Q Same Ui 3. CONTRACTOR or BUILDER'S Address C7 !r 4, ARCHITECT'S Name 07 S. ARCHITECT'S Address 6_ TYPE of Construction — (Please indicate by X) M 1 ( I Wood Frame I ) Masonry 11 steel 11 O "Cs 7. PLANS and Specifications ly Ct No. Re -top existing dock as per plot plan , D . E . C . x regulations , and application . ' 8. Proposed Use Dock/retopped 10 * 00 $ 20 w Da PERMIT FEE PAID — THIS PERMIT EXPIRES August 1 19 89 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of C;ueensbury before the expiration date_) Dated at the Town of Queensb is 24th ,January 89 D y of SIGNED BY for the Town of Queensbury Building a nd Z6ning ctor TOWN OF QUEENSIBURY APPLICATTON FOR BUILDTtjG ANT) ZONING PERMIT Pax TOWN OF CIUEENSBURY 9C"4I,eved RECEIVED r JAN 1989 Fee. Fca.-i.d � -�"�" ,� �G-,[ • C'?'.� ..�- BUILDINCB AND COMES U1 'PARTi'T!Nr Fee IbbJaed SLOG. & CODE DEPT. BAY tend IIAVXLAJVD ROADS RD I Box 98 FerLmZt No * < r• VVEN.SBuRY, NEW YORK I2809 �{ Tejo (518) 792-5832 Exr �2U4 w w * ■ * * I* * I * * * * * * * * Yr * * ■ * x * * * w w w * : * * w * w w A PERMIT musT iig OBTAINED 11EFORT BEGINNING CONSTRUCTION , NO INspncTIONS WILL BE, 141ADE UNTIL APPLICAmT HAS RECEIVED A VALID BUILDINC PI±RMIT . All applicable spaces on this application must be completed and the �l "Uature of the applicant must appear an the reverse side of this sheet . A k it �. is ,C Yc :Ir yC Yc yt Yc 7k :k �.' do Ye !c 1' L a owner of this property is : V . O . Address '] 'PAX MAP NO . � _/ f /` 3�r .Cw iroperty location llas there been any split of this property since October 1 , 199 €i ? yes [Nob - if yes , Planning Board Review is necessary . LOT NO . ;; UBDIVISION t4A14E , IF APPLICABLE Codes is : s ery is ion of work as regard :; Building The person responsible for up ' NAMi -- F' . O . e NOO ADDRESS TeIL +(v& 51 `L 14ame or builder - A2WOu Jp llrl re rs Address Tel [4"me of plumber P.ddress Tel Name of Mason Address IiATURE OF paO Ocl CD W RK : LONING IN140 [ AfA`rION ( OTI usa on11J t BONING DLSICNA"PTON OF PROPERTY Cnn::tructior+ of a llew buildirkq R PERMITTED PRINCIPAL PERMITTED ACCESSORY Adaition to a buildilg Altvratiolz to a building „ �REVTEW REQUIRED -- PLANNING BOARD ZONING BOARDI 1s,Y© C11.+I1+] u to exC .: ri0r` aimonf ionlsr} VC]CS �ur work Ca .Crib..) P �0/3- fi S ^+ SITE PLAN REVIEW �! APPROVED DATE VARIANCE # APPROVED DATE --- GROSS AUCA OL" l' ROL° O5L? f3. `� 'L` FsUC '1' UFtE ; - o t . � Remarks • Ist Floor sq f _ 2nd Floor sq £ t . „ COLt[' L�L'1`1 IN1'01: 4ATION 1e1.:QUl1cLD 1!L L.iJ4J . " situ of proL+�.: rty ft X _ft . Othcr Floors sq ft • fC X rt . EK.Lyt.l.l Yr,L 371111+.311Y ] tom } 5i1�:.+= ( not collar or basement ) r _ TOTAL FLOOR AREA sq If t . " 3ixi ::t ing 13wilain04,0 ut new truCtur..`. _ft X_ v�ft # L`ou,+lotion-pierjslaL/crawl}L]arCi.:al/ cull � l°,rpi�a:.:cd building , diic:►nce froul L,rol-I line fC (circl.: one) w Front yard ft Rear yard Nov of stories thaliirabla '�lYaCe ) L t R Side yard;: r t and l[. ighC ( tirade to ridq� ) ft • ,� IBC on corner , �:utbaok from 5idu :: cr" c fc 1f residential . no . of falniliea_ OCCupA" :Y INFORM&TION rJo . of raam.1 ( excludinig X% :- rhs ) [Jo . of 1.3udroom-61 PRIMARY LUILDINC -^ Noo of b:t,cllrGQ9H o one fw ily dwelling l'rilll:ary+ 1k4;" ri119j :iy`..`7~ ..:111 ■, Two f441"Iy dw1311i.nt� `L`ypu of fuel Multipl+: ..whiling / Number of units�� [Jo . Of fiXl;plaCe:: CU klu il4::Csal7 uC1 l�f3nn'a" nt OCCL1�f:sflCy Will a wuu.S attla� k.v ill»t;allud? "t`ran�iunr: oCcura:u+cy CunCX"I Air candlLion-I ausinuss [WILDING STYLC, PRIMARY STRUCTURE * lndusurial Ocher [ullch CAr►t !u=lc++ .+ry 1 .r.+n cafuin � It .ad3ition , wLlar will uuus �ti 'l Du 1 . x rands Man::ic.!! � �, 1Y�li c IvV4.I Old style LsulL.j.. low . ACCESSORY BUILDIUC- Cap" Cod Cott"q&a oclwr car Colani:. 1 r:a4l Pot. !! Lsousa ' Uutachad garagejone crlrj two c:ar/ cue I CI RCUQ ON1 PLFIA`".i ! W Atr uchoU gurarll /011+» car/ two car/ w w ■ ■ ■ ■ w !i ■ w w w w A w V f • Pr-va" storage b"Ilding 4: � '3' T MA'r`1: [3 MAR1: F:'1' V AI. Lf E OF � ^TOthe r C o W.;or [t U C'L` l U N �+ ?,�y�4 ] NFOF.1�tATION ON OU TLO INC S P RCI1' ICA'T'IONS . ON REVELLSL: .�+IOL 4F `PtiY`a .r+11L L•'f R 'lY] Be CC►MPLI 'i"L D r Form DPA 10/88 V1 BUILDING PE}2MIT APPLICATION CONTINUED - F r BUIUDING SPECIFICATIONS : Type of construction , frame , fire safe , etc . Lr)(( 4- CXG- (/�,� *. Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of use? Type of roof - sloped/flat/shed/other Material of roof Size , wood studs "x " spacing " o . c . length ft . Joists ( floor beams ) 1st . floor " x " spacing " o . c . span ft . Joists ( floor beams ) 2nd . floor " x " spacing "o . cl span ft . Overlays ( ceiling beams ) "x " spacing "o . c . span ft . Roof rafters " x spacing o . c . span ft . Roof trusses (pre-engineered) spacing "o . c . span ft . Exterior wall finish Of what material ? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T I O N To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner. Signature - Owner, wnerls agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT : By ` " . . .. ..Y.. rt .A.V'...� ti. • .P- 'M1."'Y- ..yp.Y.,r,.�,.y�V. :I ,IH�-y-Y W_rF "#,Y. '� y/.. . .F.... iS......y�yW,.. �. . ....�... , .-. .. vinuff No* KEW V STATE dEPAlfTaffBNfT OF f NVIROtOMWAL C4MtSERVAYIOIM r . -5234-00121 00001-1 ( 1 O. PERiNIIT WHOM "M EpIVMC"METYTAI. COfgSERVAflpfe I.AR ® AlrH= 111. f1iveteolimsof 1Taaerl Q ASMLE M (Ffi1 VoHMMn) _ A WICLAE te, IFreskarater wellatals) a ARUCU Ei tCewatyecilse it now Nazard Areas) PERMIT ISSUED TO ADCIRESS OF PERmir EE York 12845 LOC AT60% (W rROIECT (Section of stream, tidal wetland, dam building) 685CRIPiIUrrl OF PROJECT m Bay Fhapai v an Psi si 1-na—ram fille- gXJb dock. as shown on the attacked. sketch: [ CCl aatu%jTV MhaaE (City. Town, Village) TOWN COUNTY FIA CCMMUNITY No. D/►ak NQ, PERMIT E.IfPiRATION DATE Warren 12/31 /89 GENERAL CONDITIONS 1. The permittee shall file in the office of the appropriate Regional g, That the State of New York shall in no case be liable far any damal Permit Administrator, a notice of intention to commence work at least 40 or Injury to the structure or work herein authorized which may be caused by hours In advance of the time of comoyencemerd and shall also notify him result from future operations undertaken by the State for the conservation i aromptlY in writing of the completion of the work, Improvement of navlgation, VW for other purposes, and tea claim or right 2. The permitted work shall be subject to inspection by an authorized compensation shall accrue from any such damage, ' - presentative of the Department of Environmental Conservation who okay 9, That if the display of lights and signals on any work hereby author izi _es the work suspended if the public interest so requires_ is not otherwise provided for by law, such lights and signals as may be pry 3. As a condition of the issuance of this permit, the applicant has ac• scribed by the United Stales Coast Guard shall be installed and maintaint pled expressly, by the execution of the, application, The full legal respon- by and at the expense of the owner, tiilily for all damages, direct or indirecir of whatever nature, and by whom 10. All work carried out under this permit shall be performed in acco , ver Suffered, arising out of the project described herein and has agreed to dance with established engineering practice and in a workmanlike manner. �demnity and save harmless the Slate from suits, actions, damages and posts of every name and description resulting from the said project. 11 . it granted under Articles 24 or 2S, the Department reserves the rigs to reconsider this approval at any time and after due notice and hearing ;. Any material dredged in the prosecution of the work herein permitted continue, rescind or modify this permit in such a manner as may be found shall be removed evrnly, without leaving large refuse piles, ridges across the be just and equitable. If upon Ilse expiration w revocation of this permit, tl bed of The waterway or flood plain or deep holes that may have a tendency to modification of the wetland hereby authorized has not been completed, It cause injury to navigable channels or to the banks of the waterway, applicant shall, without expense to the Stater and to such extent and in sue S. Any material to be deposited or dumped under this permit, ritrer in time and manner as the Department of Enr4onmentaiConservation nnay requir he waterway or on store above high-water mark, shall be deposited or drooped reprove all or any portion of the uncompleted structure or fill and restore it 14 krcali[y slbwrr on sire drawing hrrela attached, and, if so preserrbead site to Its former card ition, No claifa shalt br grade against the Stale of Ne thereo , within or behind a good and subs[arnial bulkhead a bulkheads. sacs York air account of any such removal or alteration. n as will prevent escape of the material into the waterway. 12. This permit shall not be construed as conveying to the applicant at There shall tic no unreasonable interference with navigation ►. the to trespass eaawr the Tarns or irnerfere with the riparian rights of other ti. work larThr authorized. to perform the permitted work or as authorizing the impairment of any righli title or iftleresf is real or personal properly held or vested in a person not 7. That if future operations by the Stale of New York require an atrera•.on party I the permiL. in the Posit+on of the structure OF work herein authorized, in it, in the aw,,. r;y, 13. The permittee is responsible for obtaining any other permits, al OF the Department of Environmental Conservation it shall cause urereas.r Wore provals, lands, easements and ri=hts-of-way which may be required for thi obsrruction to the free navigation at said waters or flood flows or roe- vr..., profecl , ter. hrafif:, safety or welfare of the people of the State, or loss or or t,t' .W .o ar T%r "wh a ' resources or the Stalr, the owner may be ordered br r*« w 14. If granted rerde Article 36, this permit is granted solely on the bas me"T la remove or alter the structural work, obstructions, or hazafdt caret of the reouirernents of Article 36 of the Environmental Conservation Law or trier"" without expense la the Slate; and it, upon the expiration or mvo , Part 500 Of 6 NYCVW (Construction in Flood Plain Areas having Special Floc rM th, s pefmit, the structure, fill, excavation, of other modificitra� rr sure Hazards — Building Permits) and in no way signifies that the project will b watercourse hereby authorized shall not be completed, the owner&. .a., free from flooding. wOhorf expense I the Stater and to such extent and in such time one 4 ,# . • as the Deoarumrm of Environmentat Conservation may require, re MCMP r r- tS. By acceptance of this permit the permitter agrees that the perm a"T Port :of- of the uncompleted Structure of fill and restore to its omwew ' is contingent upon strict compliance with ttw special conditions an th Conde vo* rhr navigable and ftoad capacity of the watercourse. No claw � reverse side. _ br maot against the State of New York on account of any such remrn * or ottrrarror. ftrr 4111 s•ERSf SIDE) MA4 CR11M.1{7lOM3 I6 . Authorized work is only for repairs to an existing structure which does not include any expansion or extension of the original structure . I7 . No petroleum products or other ,pollutants nor avoidable amounts of silt shall be allowed to enter the stream or lake . I$ . ' A silt screen curtain (maximum opening size of U . S . Sieve dumber 20) weighted across the bottom and suspended on floats shall be positioned to surround the work site before ,com- mencing dredging or excavation . The curtain shall remain in place for at least twelve ( 12 ) hours after termination of dredging or excavation . 19 . Heavy equipment , including bulldozers , backhoes , payloaders , etc . , shall not be driven in the crater . 20 . Any debris or excess materials from construction of this project shall be immediately and completely removed from the bed and banks of all water areas to an appropriate upland area for disposal . 21 . All necessary precautions shall be taken to prevent the entrance of fresh concrete into the waters of New York State . Only water-tight or waterproof forms shall be used, and wet concrete shall not be poured to displace water within the forms . Equipment , tools , and trucks used in this project shall be cleaned in such a manner as to prevent wash water from entering any stream or lake . Net concrete is highly toxic to fish . 22 . Stone used for filling must be clean and shall not be less than six ( 6 ) inches in diameter . Completed cribs shall be of the 'open-sided " type construction and provide for at least 40% unboarded water contact area to the rock fill . 2 3. A DEC permit sign is to be conspicuously posted at the work site , protected from the weather, for the duration of the project . 24 . The permittee shall require that any contractor , project engineer , or other person responsible for the overall . supervision of this project reads , understands , and complies with this permit , including all special conditions to prevent environmental degradation . 25 . The Fire Control Office noted on the letter attached to this permit shall be contacted at least 48 hours prior to commencement of activities authorized by this permit . Notification must be made on weekdays ( excluding holidays ) between 8 : 30 a . m . and 4 : 30 p. m 26 . No change in din* *+aicns , shape , size , surface area. , location or orientation of the wharf is authorized by this permit. Repairs must ccnform to the specifications of the permit originally issued for the clock ' s construction or , if no pexn t was issued , to the specifications of the wharf registration filed with the Lake George Park Omudssion pursuant to 6NYC33R 646 . Deputy Regional PERM3fi ISSUE VATS rEx0417 AD4AIM ST TOR ADINLESS Box 220 , Warrensburg , NY 12885-0220 .Joseph C. 1 Pr4#fl PROJECT I.D. NUMBER 81T.2t SEAR �_._. Appendix C _ J State Environmental Quality Review SHORT -ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Protect sponsor) 1 . APPLICANT +SPONSOR 2 . PROJECT NAME h `} fez � Te S. PROJECT LOCATION' ,t Municipanly fL+ 5 +a � � K� County W�-R..R.�. IV ♦. PRECISE LOCATION (Strsrr address and r ad intersections. Prominent landmarka, OM., Gr prdvlde map) jZT ej t i, AS i 5rco� v { Dc+rx ► lr�wtS !� !� 5. IS PP40POSED ACTION: 0 New 0 Expansion l`�' )rro<llflcatlon+erteratfon a. DESCAISE PROJECT BRIEFLY: Cr+Erlla/ pt� 5�H19� Fo t'c+ti , i-Rct ?try fi 4i tZsx-+k' +r"r lit 'a( +rL%eK, &L'`-.'''IlI[r'< f 7. AMOUNT OF LAND AFFECTED: Inurally acres unlmalaly _ e'Z _ mcres II. WILL PROPOSED ACTION COMPLY WITH EIUSTING ZONING Oft OTHER EXISTING LAND USE RESTRICTIONS? l�7 Yee ❑ No If No. doecrtim brMfry . 9, WrH•ArT/L9 £SENT LAND USE IN VICINITY C3� 0 OF PROJECT?industrial L13'Resldanllal ❑ industrial con"awow Agriculture © PWWFcrmavOPen mace ❑ Other Damcrl� 'W DOES ACTION INVOLVE A PERMIT APPROVAL, Oft FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? © Yea ('1 No of yes, +Ist agencyrs) and perrnrvapprovals It . DOES ANY ASPECT OF THE ACT, 2rI HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Eales �? ❑ N! If yes, %.%t ar eocy name and permlvapProval 12, AS A RESULT OF P T+OSED ACTION WILL METING PERMITIAPPROVAL REOUIRE MODIFICATION? © Yes UrNa I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ff 2p Appllcant/sppnaOr name: �1 auto: Slgnatura If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Foram before proceeding with this assessment OVER 1 14•r6..4 (Nark—Teal T2 PROJECT 1_0. NUMBER SM21 SE14R Appendix C State Environmental Quality Review SHORT "ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To he completed by Applicant or Project sponsor) t . APPLICANT rSPONSOR � . PROJECT NAME _ DLX ] . PROJECT LOCATION: , 1 Municipailty i'V S Q V iEr2� County L.yJ+itke AI 4. PRECISE LOCATION (Street Address and f4ad Intersecilons, prominent tandmarka, ate.. or provide map) )Z-t Cj i t7AST- S_ IS PROPOSED ACTION: _.�'' ❑ ,,--,New ❑ Expansion 1�`�'Iuiodlricatlonfsltsrstlon 6. DESCASBE PF40JECT BRIEFLY: Iry C'c�rv5 rg 47V L lur s n rcI r r Ilc { Crk Act 5y9�n+L AMOUNT OF LAND AFFECTED: Initially + acres Ultimately - "l "Fee. a. 'WILLLL PROPOSED ACTION COMPLY WMTN EX"I INQ ZONING OR OTHER EXISTING LAND USE RESTRICTiONB? G Yea ❑ No If No, WuYcribe 'WeTSy 9. WMAT 1 £SENT LAND USE IN VICINITY OF PROJECT? �W eotfal Q Industrial Cl Commercist ❑ AQrfculrur* ❑ Parwrorestfopon apace ❑ Othef Deeari br. 10- DOES ACTION INVOLVE A PERMIT APPROVAL„ OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAU? QYes C No It yea, list agency(s) and permivapprarala 11 . i^DOES ANY ASPECT OF THE ACT. ►1 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Ld Yes D No: It yes, 4%1 arency name and permiVapprcwal /fig-ll,k [yw1+Ir'Yl► 5'Slsw I'�iGklvne �i"" -� `�'� � 12 . AS A RESULT OF POSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes l27 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE r Applicantlamnsor name: ._..._ date: J � Signature: It the action Is In the Coastal Area, and you are a Wate agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY� 5E�' YOR �-583 04: TELEPHONE f BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME -4 LOCATION I / ERMIT #� `7---Y--- DATE 7 r •�4� P APPROVED YES NO FOOTINGIPI ES MONOLITHIC POUR FORMS - FOUNDATIONIDAMP`PROOFING�;_ BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: ' FOUNDATION FLOORS 3 WALLS CEILING FINAL TNSPECTTON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR ES/STEPS ,�- -�- STAIRS-CLEA NCE & RAIL PLUMBING INTERIOR TI M/PRIVACYIRF DOOR LVE FINISHED F RS GARAGE FIR PROOFING DOOR CLOS R (S) SMOKE DE CTORS FINAL ELEC RICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED , REMARKS: INSPECTOR r1b` f • 1. 1Cfi-slpfl Oft ^�L1Fl+l �I'„�V� +� T�TtfifcVS _-_-__^—._._.._._.__. .. ) P.�r !< ( �.� + •T' t j j � +.} .'f � f � '�>` f 5 ' s ,� \�i �e'' ,J�I F"fC a CM V �Y J r. 5 f� TrR ' j i T zS AA A _ a�Z II REGULATION UNIT ' ' REGION 5 WARRENS.BURG, N.Y. �I ci 'fir fi r ! 55 ` If [ c��,_ e. �-o_ -._ . - _-�._ • Cp cI S'!k'F'3-^n' I • , N j•/ / _.------__ . . . ____.�{„�;•-M�.'-. - .� .`_'.•"��._.-l"�-- ~- -.� �':[Ili-�.S3a;,y � ..•^-_---------^--__..---- r - . _ . - 1 - . �14ST ,� F �\. k,,� fllt7iW..ti� o4 � _ f 4 , } L `r-0p EYISTlk..f� 6RR16 -bock. AKx( f E - S7Aublti [.3 Port ►-ilnt5 CF 4= ?US1it `1 I' etc+ S �f -tt ._) 1.k1A "C- Luut1... � To �:FF� Cst1 � Arx( X3tFLA( S `TT1Jr STorut rl To ACc. ovv\ P j,( VNoZ. K , Y New York State Department of Environmental Conservation AM& Division of Regulatory Affairs P . O . Box 2200 Hudson Street Warrensburg , New York 12885-0220 Telephone : ( 518 ) 623- 3671 or 668-5441 Thomas, C. Jortfng Commissioner January 10 , 1989 John P . Matthews Box 1154 , RD# 1 Lake George , New York 12845 Re : DEC # 5- 5234 - 00121/ 00001 - 1 Dear Mr . Matthews : Enclosed is your permit which was issued in accordance with Article 15 , Title 5 ( Protection of Water ) of the Environmental Conservation Law . Please review the general and spe0 al conditions that are intended to minimize the environmental disturbances associated with your project . _ Please note that it is the responsibility of the permittee and his agents to comply with all permit conditions . Prior to commencement of activity , the Fire Control Office shall be notified at ( 518 ) 623- 3671 , as stated on the permit . Furtherr the permit is valid only for the activity expressly authorized . Work beyond the scope of the permit shall be considered as work without a permit . Any failure to comply with these terms may be treated as a violation of Environmental Conservation Law . Questions regarding the terms of the permit should be directed to William Miller of our Regional Fisheries office , telephone ( 518 ) 623 - 3671 . For a dock on Lake George , it is also the responsibility of the permittee to obtain any approvals that may be required from the Lake George Park Commission . For information on these requirements , please contact Mr . Karl Parker of the Lake George Park Commission at 668- 9347 . Should your plans change , please contact this office to determine if modifications of the permit are required . Thank you for your interest in environmental conservation . Sincerelyf Jose h C . Prall Deputy Regional Permit Administrator r JCP/cg Enclosures CC * ECO T . Callahan Fire Control PR G . Stec LGPC W . Miller APA