"Application for Wetlands, Watercourse and Waterbody Protection Permit" - Town of LaGrange, New York

Application for Wetlands, Watercourse and Waterbody Protection Permit is a legal document that was released by the Building, Zoning and Fire Prevention Department - Town of LaGrange, New York - a government authority operating within New York. The form may be used strictly within Town of LaGrange.

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TOWN OF LAGRANGE
120 Stringham Road, LaGrangeville, New York 12540
Tel. No. (845) 452-2046
APPLICATION FOR
WETLANDS, WATERCOURSE AND WATERBODY PROTECTION
PERMIT
Name of Project: _____________________________________________
Date:
Name of Applicant: __________________________________________
Fee:
Mailing Address: ____________________________________________
Tel.No.
_____________________________________________
Acreage:
Grid No. of Property: ________________________________________
Description of proposed activity:
Accompanying documents:
___ An Environmental Assessment Form under SEQRA _________
___ A written explanation of why the proposed activity cannot be located at another
site
___ Map showing all wetlands, watercourses, waterbodies and buffer areas on the site
under review and within 200’ of the site boundaries and location of the proposed
activity
__
Applications affecting the water retention capacity, waterflow, or other
characteristics of any wetland , watercourse or waterbody shall include a
statement of the impact of the project on upstream and downstream areas giving
appropriate consideration to flood and drought levels and the amount of rainfall
__
A description of the vegetative cover of the area, including dominant species
__
A description of the soil types on the site
__
Where creation of a lake or pond is proposed, details of the construction of any
dams, embankments, or outlets or other water control devices and an analysis of
the wetland hydrologic system including seasonal water fluctuation, inflow/
outflow calculations and subsurface soil, geology and groundwater conditions
__
Additional information that may be required as per Chapter 46-9-4.C.
Applicant’s Signature ________________________________________
TOWN OF LAGRANGE
120 Stringham Road, LaGrangeville, New York 12540
Tel. No. (845) 452-2046
APPLICATION FOR
WETLANDS, WATERCOURSE AND WATERBODY PROTECTION
PERMIT
Name of Project: _____________________________________________
Date:
Name of Applicant: __________________________________________
Fee:
Mailing Address: ____________________________________________
Tel.No.
_____________________________________________
Acreage:
Grid No. of Property: ________________________________________
Description of proposed activity:
Accompanying documents:
___ An Environmental Assessment Form under SEQRA _________
___ A written explanation of why the proposed activity cannot be located at another
site
___ Map showing all wetlands, watercourses, waterbodies and buffer areas on the site
under review and within 200’ of the site boundaries and location of the proposed
activity
__
Applications affecting the water retention capacity, waterflow, or other
characteristics of any wetland , watercourse or waterbody shall include a
statement of the impact of the project on upstream and downstream areas giving
appropriate consideration to flood and drought levels and the amount of rainfall
__
A description of the vegetative cover of the area, including dominant species
__
A description of the soil types on the site
__
Where creation of a lake or pond is proposed, details of the construction of any
dams, embankments, or outlets or other water control devices and an analysis of
the wetland hydrologic system including seasonal water fluctuation, inflow/
outflow calculations and subsurface soil, geology and groundwater conditions
__
Additional information that may be required as per Chapter 46-9-4.C.
Applicant’s Signature ________________________________________