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SETPH.VAR\Sbrocco Scott Carol-Replacement Leaching System to Lines—8-27-2020
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF SCOTT AND CAROL SBROCCO
RESOLUTION NO.: ,2020
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, the Queensbury Town Board serves as the Town's Local Board of Health and
is authorized by Town Code Chapter 136 to issue variances from the Town's On-Site Sewage
Disposal Ordinance, and
WHEREAS, Scott and Carol Sbrocco (Applicants) have applied to the Local Board of
Health for variances from Chapter 136 to install a replacement leaching system:
l. 8' from the easterly property line in lieu of the required 10' setback; and
2. 5' from the southern property line in lieu of the required 10' setback;
on property located at 2952 State Route 9L in the Town of Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public
hearing on Monday, September 14th, 2020 at 7:00 p.m. at the Queensbury Activities Center, 742
Bay Road, Queensbury, to consider Scott and Carol Sbrocco's sewage disposal variance application
concerning property located at 2952 State Route 9L, Queensbury (Tax Map No.: 239.20-1-13) and
at that time all interested persons will be heard, and
BE IT FURTHER,
RESOLVED, that the Local Board of Health authorizes and directs the Queensbury Town
Clerk to publish the Notice of Public Hearing presented at this meeting and send a copy of the
Notice to neighbors located within 500' of the applicant's property as required by law.
Duly adopted this 171"day of August, 2020, by the following vote:
AYES
NOES
ABSENT:
SEPTIC VARIANCE Office Use Only
Received:
APPLICATION Permit M
/<an of C�ixcnstwry
Permit Fee:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Invoice#:
Approvals:
Submittal: I (one)original &8 copies of the completed application package
Property Owner(s):Scott&Carol Sbrocco Owner's Agent:Click or tap here to enter text.
Address:423 Wyckoff Ave Address: Click or tap here to enter text.
Ramsey, NJ 07446 Click or tap here to enter text.
Phone M(917)560-6015 Phone M Click or tap here to enter text.
Site Address: 2952 State Route 9L Tax ID#:239.20-1-13
Directions to Site: Click or tap here to enter text.
Distance from well on property to septic system (if applicable)_N/A_feet
is it possible to install a conforming septic system on this property? ® Yes ❑ No
If YES, please explain and attach a diagram: Drawing attached does not meet property setback
Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring
properties? ❑ Yes ® No If NO, please explain: Does not meet property line setbacks see drawing.
Is the proposed system to be installed under a parking area? ❑ Yes ® No
Section of the Sanitary Sewage Ordinance from which you are seeking the variance (i.e. leaching system will be 89 ft.
from well in lieu of required 100 ft.):
Removing and replacing existing leaching system. New field will be 8'in lieu of required 10'from Easterly property line
along State Route 9L and leaching system will be 5'in lieu of required 10'from Southern property line along Edward J.
Holohan's property.
Septic Variance Application Revised Fahninr Imo
List the names, parcel addresses, and tax map numbers of all adjoining property owners. You may obtain tax
map numbers from the Assessor's Office as well as the names and addresses:
North Name Thomas J Mastin
Address 41 Bellwood Way,Castleton NY 12033
Tax Map ID 239.20-1-14
South Name Edward J. Holohan
Address 363 Pinewood Ave,Troy NY 12180
Tax Map ID 239.20-1-12
East Name Mountainside Grange, LLC
Address 423 Wyckoff Ave, Ramsey NJ 07446
Tax Map ID 239.20-1-20
West Name N/A Lake George
Address Click or tap here to enter text.
Tax Map ID Click or tap here to enter text.
OWNER STATEMENT
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:2952
State Route 9L
I/We realize that putting the well,septic tank or leaching system less than the required_10 feet from the Property Line
may increase the risk of pollution.
Owner—Print Name:_Scott Sbrocco Date:_7/27/2020_
Owner—Signature:_ ! Date:_7/27/2020
NEIGHBOR OR TENANT RELEASE STATEMENT (if applicable)
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 2952
State Route 9L
I/We realize that putting the septic tank or leaching system less than the required_10 feet from the property line may
increase the risk of pollution.
Neighbor/Tenant—Print Name: Date:
Neighbor/Tenant-Signature: Date:
Septic Variance Application Revised F.6r,,.,7m 9
PLEASE ATTACH THE FOLLOWING TO YOUR APPLICATION:
1. A location map showing the site within the Town of Queensbury
2. A plot plan showing existing and proposed features of the property, including:
a. Lot dimensions
b. North arrow and scale: 1 inch=40 feet
c. Location &dimensions of existing and proposed buildings, showing setback distances and
uses
d. Parking layout to scale (if applicable)
e. Physical features(street,steep slopes, lakes, wetlands, etc.)
f. Location of all wells and septic systems on neighboring properties
g. Adjacent ownerships
h. All properties within 500 feet
A sample plot plan and location are shown below:
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SeDtic Variance Awlication Revi_wt r.h—.—,)mo
AUTHORIZATION AND SIGNATURE PAGE
This page includes the Authorization to Act as Agent form, engineering fee disclosure, authorization for site
visits, other permit responsibilities and agreement to provide documentation required.
Complete the following if the OWNER is using an Agent:
Owner's Name: Click or tap here to enter text.
Designates: Click or tap here to enter text. as agent regarding the Septic Variance for
Tax Map#: Click or tap here to enter text.
OWNER'S SIGNATURE: DATE:
Engineering Fee Disclosure:Applications may be referred to the Town consulting engineer for review of septic
design, storm drainage, etc. as determined by the Town Board of Health. Fees for engineering review services
will be charged directly to the applicant.
Authorization for Site Visits: By signing this page and submitting the application materials attached herein,the
Owner,Applicant and his/her/their agent hereby authorize the Town Board of Health, building and code
Enforcement Officers and Town Engineer to enter the subject properties for the purpose of reviewing the
application submitted.
Please Note: Other permits may be required for construction or alteration activity subsequent to approval by
the Town Board of Health. It is the applicant's responsibility to obtain any additional permits.
Official Meeting Minutes Disclosure: It is the practice of the Town Board of Health to have a designated
stenographer tape record the proceedings of the meetings resulting from the application, and that the
minutes transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy
between such record and the handwritten minutes taken by the designated stenographer,the handwritten
minutes shall be deemed the official record.
I, the undersigned, have thoroughly read and understand the instructions for submission; agree to the
submission requirements and completed checklist:
OWNER—PRINT NAME:Scott Sbrocco
OWNER—SIGNATURE: DATE: 7/27/2020
AGENT—PRINT NAME: Click or tap here to enter text.
AGENT—SIGNATURE: DATE: Click or tap here to enter text.
Septic Variance Application Revised February 2019
List the names, parcel addresses, and tax map numbers of all adjoining property owners. You may obtain tax
map numbers from the Assessor's Office as well as the names and addresses:
North Name Thomas 1 Mastin
Address 41 Bellwood Way,Castleton NY 12033
Tax Map ID 239.20-1-14
South Name Edward J. Holohan
Address 363 Pinewood Ave,Troy NY 12180
Tax Map ID 239.20-1-12
East Name Mountainside Grange,LLC
Address 423 Wyckoff Ave,Ramsey N1 07446
Tax Map ID 239.20-1-20
West Name N/A Lake George
Address Click or tap here to enter text.
Tax Map ID Click or tap here to enter text.
OWNER STATEMENT
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:2952
State Route 9L
I/We realize that putting the well,septic tank or leaching system less than the required_10 feet from the Property Line
may increase the risk of pollution.
Owner—Print Name:_Scott Sbrocco Date:_7/27/2020
Owner—Signature: Date:_7/27/2020
NEIGHBOR OR TENANT RELEASE STATEMENT(if applicable)
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:2952
State Route 9L
I/We realize that putting the septic tank or leaching system less than the required_10 feet from the property line may
increase the risk of pollution.
Neighbor/Tenant—Print Name: C�D_vZ WD dLQ -! Date:
Neighbor/Tenant-Signature: Date:
Septic Variance Application
Revlsed February Imo