The URL can be used to link to this page

Variance application 1 � I Office Use Only .� SEPTIC-VARIANCE i Received: l APPLICATION Permit#: 3e p!O b - 20 20 Town ofCLace , Y i�L 0 V Permit Fee: 742 Bay Road,Queensbury,MY 12804 P:S18-761-8256 www.queensbury.net Invoice#: 2 I Approvals: rl Submittal: I original&8 copies of the completed application package i Property Owner(s). Scott Erwin&Sheila Paella Owner's Agent: Hutchins E;itgiaaeering PLLC Address: 30 Sullivan Road 169 Havland Road l Lake George,NY 12045 ueensb 1� uay,t� 1,2804 Phone#: 732-674-3791 Phone#: 520-745-0307 i Site Address: 30 Sullivan Road Tax ID#: 209.9-1-25 !I Directions to Site: heading northeast on Glen Labe Rd,take left onto Sullivan Rd,parcgl is on right side of road Distance from 101 m well on property to septic system (if applicable) . feet Is it possible to install a conforming septic system on this property? Yes j X No If YES,please explain and attach a diagram: it i Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring properties? X Yes No If NO,please explain: u II Is the proposed system to be installed under a parking area? Yes X .il 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.): I� Septic Wank-request 4'frown house,instead of 10'required l Septic Tank-request 4'from property live,instead of 10'required Septic Wank-request 27'fror>m well,instead of 50'required D I E � � �1 � OCT 0 2 2020 Septic Variance Application TOWN OF QUEENSBURY February2018 BUILDING&CODES 0 z 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: ®9#h Name ` Paul&Theresa Shambo Address 31 Sullivan Road Lake George,NY 12845 Tax Map ID, 289.9-1-20 South Name Glen Lake Park Inc Address 32 Sullivan Drive Lake George,NY 12845 N Y Tax Map ID 289.9-1-31 East Name Paul&Theresa Shambo Address 13 Sullivan Place Lake George,NY 12845 Tax Map ID 289.9-1-24 West Name Robert F Niedermeyer Jr.Trust Address 26 Sullivan Road Lake George,NY 12845 Tax Map ID 289.9-1-26 OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 30 Sullivan Road I/We realize that putting the well septic tank r leaching system less than the required 50' fe'et from the well may increase the risk of pollllu'ttii-on. nOwner—Print Name: 0� Erwf d 1 Date: f � Owner—Signature: Date: lo CZ 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: I/We realize that putting the septic tank or leaching system less than the required feet from the may increase the risk of pollution. Neighbor/Tenant—Print Name: Date: Neighbor/Tenant-Signature: „r:,. Date: '1 .': Septic Variance Application February 2018 r r 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: ,r�`:�'� � it ~�"'�� LX f F�I" ' ` @ � f3 ,� _.ter-�- w...--•-_^ i ��"`'`�'�s - - Septic Variance Application February 2018 �Q 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: Scott Erwin or Sheila Faella Designates: Hutchins Engineering PLLC as agent regarding the Septic Variance for Tax Map#: 289.9-1-25 OWNER'S SIGNATURE: DATE: a 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. Officiatial 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: OWNER—SIGNATURE: DATE: AGENT—PRINT NAME: G.T Amas Hutchins, P.E. AGENT—SIGNATURE: - "-- DATE: ILA /i ) Septic Variance Application February 2018 Glen Lake Park, Inc. C/O 4 Sullivan Road-Glen Lake Phone: (518)683-6022 Lake George,NY 12845 E-mail:squillinan52Qgmail.com Town of Queensbury September 11,2020 Attn: Dave Hatin-Director Always Remember Buildings &Codes Dept&/or Zoning Board of Appeals 742 Bay Road Queensbury,NY 12804 REGARDING: AUTHORITY TO DIG AND CORRECT SEPTIC Applicant&Owner Scott B.Erwin Location: 30 Sullivan Road Lake George,NY 12845 Tax ID No. 289.9-1-25 Septic Project 291563-01 Dear Town of Queensbury Building&Codes Department&/or Zoning Board of Appeals: On behalf of the Glen Lake Park,Inc.,Scott B. Erwin has our authority to complete the necessary excavation and repairs to the septic system servicing the property located at 30 Sullivan Road,Lake George,NY 12845 address,in the Town of Queensbury. Glen Lake Park,Inc. is aware of the planned digging and what repairs to the septic system are being completed.We have reviewed the scope of work with Scott Erwin and do understand that it requires them to access and work on our Park property. Repair = Location Scott B. Erwin I Property y Glen Lake ,�<�' Park,Inc. We do not have any issues with the project and support their request for permission to complete the work. If you have any questions for us regarding this matter,please do not hesitate to contact us at any time. Sincerely, Sean W. Quillinan President-Glen Lake Park,Inc. (518) 683-6022 Cc: Dave Hatin- DaveH@Queensbury.net Scott B.Erwin- Scoerw@gmail.com Sheilacm@comcast.net 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone:(518)745-0307 Fax: (518)745-0308 October 2, 2020 D E E 0 v E OCT 0 2 2020 Town of Queensbury Local Board of Health 742 Bay Road TOWN OF QUEENSBURY Queensbury, NY 12804 BUILDING&CODES Re: Scott Erwin & Sheila Faella 30 Sullivan Road — Lake George Tax Map ID: 289.9-1-25 Dear Supervisor Strough & Board Members: This office represents Scott Erwin & Sheila Faella with respect to the pursuit of wastewater variances for a replacement wastewater system at their Sullivan Road home. A change of Deed for the property occurred on July 12, 2019. The required septic inspection found the existing wastewater system to be deficient. The proposed replacement wastewater system includes a 1,000 gallon polyethylene tank and 375 SF pipe-in-stone absorption field to be located on the adjacent Glen Lake Park property. A letter of endorsement of the project from Glen Lake Park, Inc. is included in this submission package. The proposed wastewater system requires variances for setback from the septic tank to the house (4' instead of 10'), septic tank to the property line (4' instead of 10'), and septic tank to the well (27' instead of 50'). Enclosed please find ten submission packages for this project. We respectfully request that this item be placed upon the agenda of the next available town board meeting. Please contact me if you have any questions or if you require additional information. Best Regards, G. Thomas Hutchins Enclosures Cc: Scott Erwin & Sheila Faella