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2015-355 ` Town of Queensbury■ Building&Codes Enforcement Office.742 Bay Roasty ueensbur�2804 MIR DEEP HOLE/PERC TESTRAUG U fo Request for Town Engineer RevileOt Property Owner: ansz �.J7 � � � Phone: Property Owner's I 01JILL �. 4iw Address: Location of Test: 2 ' , j Tax lQ#: _ ,&`"' *Applicant's Engineer: Phone: Applicant's Agent: Phone: Additional Notes: 1. Reason for Request? 0 New Septic System XReplacement Septic System El Failed Septic System E] Subdivision Site Plan Review 2.Are Wetlands present? F� YES �6 NO UNKNOWN *Note: Applicant is required to engage an engineer for design and testing of the system. The Town Engineer's responsibility is to witness„system testing only. PLOT PLAN: Plot plan, to scale, to be submitted with application FEE SCHED <!;. $ 200 Flat Date Paid: � d, J-6 I Check No.: , b. OR Fee to be determined during To Be Determined: Site Plan i Subdivision review process SIGNATURE: In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may engage the services of a qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of Art. IV, including but not limited to the review of plans, specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep hole and percolation tests, system installations, and any other aspect of any matter contained in this Art. IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before any approval can be granted Under this Art. IV shall become effective within 30 days of presentment of an invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to the party to be charged with same. My signature below indicates I have thoroughly read and understand the instructions, agree to the submission requirements and have completed the application. I also fully understand that additional engineering fees may be necessary per Town of Queensbury Local Law 136-14D. SIGNATURE OF APPLIC Date: SIGNATURE OF AGENT: Date: Original (B&C File) Canary(Planning) Pink(Applicant) Gold (Town Clerk) N STAATETEOOF Adirondack F OPPORTUNITY park Agency LEILANI CRAFTS ULRICH TERRY MARTINO Chairwoman Executive Director November 17, 2015 Mr. Craig Hatin Director, Building & Codes Town of Queensbury 742 Bay Road Queensbury, NY 12804 Re: LV2015-0058 Town Variance: Stefanzick Variance Application: BOH 31, 2015 Tax Map Number: 240.6-1-11 Dear Mr. Hatin: Adirondack Park Agency staff review of the above referenced variance determination has been completed. The applicant proposes replacing the existing on-site sewage disposal system with a new absorption field to be located 63-feet from the existing on- site well. Relief is required from the Town 100-foot separation setback. The applicant also seeks an after-the-fact variance for an existing septic tank located 26 feet from the existing on-site well where a setback of 50 feet is required and located 5-feet from the house where a 10-foot setback is required by the Town. Based on the information presented in the record and demonstrated in the Wastewater Replacement Plan received at the Agency on November 12, 2015, no further Agency review is required for this variance as the project does not vary provisions of the Adirondack Park Agency Act. Thank you for your referral of this variance determination. Sincerely, obyn Burgess Principal Adirondack Park Local Planning Assistance Specialist REB:KOK:Ihb cc: John Strough, Supervisor, Town of Queensbury (via email) Craig Brown, Zoning Administrator, Town of Queensbury (via emain Caroline Barber, Town Clerk, Town of Queensbury (via email} P.O.Box 99.1133 NYS Route 86-Ray Brook,NY 12977-Tel:518 891-4050-Fax:518 891-3938-www.apa.ny.gov RESOLUTION APPROVING FRITZ STEFANZICK'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES RESOLUTION NO.: BOH 31,2015 INTRODUCED BY: Mr.William VanNess WHO MOVED ITS ADOPTION SECONDED BY: Mr.Brian Clements WHEREAS,Fritz Stefanzick filed an application for variances from provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 regarding Mr. Stefanzick's request for variances from Chapter 136 to place: 1. the replacement absorption field 63' from the existing on-site well instead of the required 100' setback; 2. the existing septic tank 26' from the existing on-site well instead of the required 50' setback;and 3. the existing septic tank 5' from the house instead of the required 10' setback; on property located at 43 Hanneford Road in the Town of Queensbury,and WHEREAS,the Town Clerk's Office published the Notice of Public Hearing in the Town's official newspaper and the Local Board of Health duly conducted a public hearing concerning the variance requests on Monday,November 2nd,2015,and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners within 500 feet of the subject property, NOW,THEREFORE,BE IT RESOLVED,that 1. due to the nature of the variances, the Local Board of Health determines that the variances would not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives of any Town plan or policy; and 2. the Local Board of Health finds that the granting of the variances is necessary for the reasonable use of the land and is the minimum variances which would alleviate the specific unnecessary hardship found by the Local Board of Health to affect the applicant;and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of Fritz Stefanzick to place: 1. the. replacement absorption field 63' from the existing on-site well instead of the required 100' setback; 2. the existing septic tank 26' from the existing on-site well instead of the required 50' setback;and 3. the existing septic tank 5' from the house instead of the required 10' setback; on property located at 43 Hanneford Road in the Town of Queensbury and bearing Tax Map No.: 240.6-1-11,and BE IT FURTHER, RESOLVED, that the Town Board authorizes and directs the Town Clerk to forward by certified mail a certified copy of this Resolution to the Adirondack Park Agency for its review,and BE IT FURTHER, RESOLVED, that this approval Resolution shall not be effective until 30 days after such notice to the Adirondack Park Agency and shall be subject to any lawful action by the Adirondack Park Agency during such period. Duly adopted this 2nd day of November,2015,by the following vote: AYES . Mr.Metivier,Mr. Clements,Mr.VanNess,Mr. Strough NOES : None ABSENT: Mr. Irish gg a EL N uEll zea �a7 >f e o sow u3 �n ��qm FE a hip co is IIA a = . axRm A PER w 3 ell as g "y t'; G wi ' VgR� E fi� �imal RAI to 91 :5�� g Eg Bo m� n a a ¢ ? �� w Sze 8� �: e > �� sx 3 n + w atm `Ej' �l R b f g J w -01 TpIX SO ru � s �8 - z �I�IIiGE e a g 31,E IF v �I I1�TJ�i-flu cn _� $ g )==77 IU Iw a $ Mll! ° ° 1 a � �aa �S FAa rn I NI of 3 ££o of u �ycs I Hm.ot 8�9(;9iie 0 QvOSgO�IX ,L071d i LYDUO70 LVX 7 ozoaoSE