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exemption SEWAGE DISPOSAL SYSTEM EXEMPTION COMPLIANCE LETTER Town of Queensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Date: 13 June 2019 To: Scott Sbrocco (Purchaser) Re: System Inspection Site Report for: 2952 State Rte 9L, Lake George NY (Site Address) The purchaser of the above-referenced parcel has submitted to the Town of Queensbury an exemption request which includes a notarized letter stating the septic system will be replaced with a code compliant system or installation of a compliant holding tank system within 6 months of purchase of said-property or prior to the first frost. The purchaser has also submitted the refundable deposit of$2000, as well as paid the $250 inspection fee. Sincerely, (-88j David Hatin, Director Building& Code Enforcement Town of Queensbury Building&Code Enforcement March 2019 • June 13,2019 To: Town of Queensbury Wastewater Department 742 Bay Road Queensbury, NY 12804 From: Scott Sbrocco 423 Wyckoff Ave Ramsey, NJ 07446 RE: Affidavit to Install Compliant Septic System at 2952 State Route 9L,Tax Map#239.20-1-13 STATE OF NEW YORK) )SS.: COUNTY OF QUEENS) Scott Sbrocco, being duly sworn,deposes and says that: 1. My wife, Carol Sbrocco, and I are purchasing the above referenced property from Daniel&Suzanne Lombardi and Michael Novak. 2. The sellers do not wish to have the current septic system inspected pursuant to the Town of Queensbury Local Law Chapter 137. 3. My wife and I agree to install a code compliant septic system within 6 months of the transfer of title of said property into my name or the installation of a holding tank if a code compliant septic system cannot be reasonably installed. Scott Sbrocco Sworn to before me this day of J ne, 2019. tary Public /Affix Stamp or Seal SUSAN R. PHILLIPS NOTARY PUBLIC-STATE OF NEW YORK No.01PH6219119 Qualified in Queens County MYCommission Expires,03-22-2022