1.3 1.3
WASTEWATER\Extension of Time to Complete Septic Alteration&Escrow Deposit Per Property Transfer Law-Orban—21 25 Duncan Cove-5-16--
2022
RESOLUTION GRANTING STEPHEN AND MEGHAN ORBAN
EXTENSION OF TIME TO COMPLETE INSTALLATION OF
NEW WASTEWATER SYSTEM ON PROPERTY
LOCATED AT 219 25 DUNCAN COVE
RESOLUTION NO.: 92022
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, by Resolution No. 380,2018, the Queensbury Town Board adopted Local
Law 2 of 2018 entitled "Septic Inspection Upon Property Transfer" which is set forth at
Queensbury Town Code Chapter 137 (Chapter 137), and
WHEREAS, by Resolution No.: 176,2019, the Town Board adopted Local Law 5 of 2019
and by Resolution No. 47,2020, adopted Local Law 1 of 2020 to make additional minor
modifications to Chapter 137, and
WHEREAS, Chapter 137 requires inspection of Onsite Wastewater Treatment Systems
(OWTS) prior to the transfer of ownership of certain real property and provides that a $2,000
escrow deposit will be forfeited to the Town in the event that completion of a wastewater
treatment system meeting all standards is not completed within the time provided as established
by Chapter 137, and
WHEREAS, by letter dated May 4, 2022, Stefanie DiLallo Bitter, on behalf of Stephen
and Meghan Orban (Applicants) advised that the Applicants took title of property located at 21, 25
Duncan Cove in the Town of Queensbury(Tax Map No.: 226.16-1-7) in January 27, 2022 with the
intention of demolishing the existing structure and reconstructing the septic system at the time their
new home is constructed with the new septic system scheduled to be installed and running in the
spring of 2023, and
WHEREAS, since the new septic system will not be installed by June 2022, the
Applicants have requested that the Town Board grant additional time to complete such work and
extend the date on which the $2,000 escrow deposit Applicants previously deposited with the
Town shall be automatically forfeited to the Town, and
WHEREAS, the Acting Director of Building and Codes Enforcement has recommended
Town Board approval of this requested extension to May 1, 2023,
NOW, THEREFORE, BE IT
RESOLVED, that the Queensbury Town Board, as the Town's Local Board of Health,
hereby authorizes and grants Stephen and Meghan Orban additional time or until May 1, 2023 to
obtain a certificate of compliance from the Town's Building and Codes Enforcement Office as
set forth in Chapter 137 for completion of Applicants' new septic system located on their
property located at 21, 25 Duncan Cove, Queensbury and to extend the date on which the $2,000
escrow deposit shall be automatically forfeited to the Town until such date of May 1, 2023 and
authorizes and directs the Town Supervisor and/or Acting Director of Building and Codes
Enforcement to and take any and all actions necessary to effectuate all terms of this Resolution.
Duly adopted this 16"' day of May, 2022, by the following vote:
AYES
NOES
ABSENT :
ALAN R.RHODES BARTLETT,PONTIFF,STEWART&RHODES,P.C. GREGORY J.TEREsi
PHILIP C.MCINTIRF. VICTORIA M.CRAFT
MARK A.LEROWI•rL ATTORNEYS AT LAW ALEXANDRA C.DAVIS
J.LAwRENcs PALTRown-L P.O.BOX 2168 BEYaAnim R.PRATr,JR.
MALCOLM B.O'HARA ONE WASHINGTON STREET OF COUNSEL
PATRICL4 E.WATKINs ROBERT S.McMILLEN
MARK E.CERASANO GLENS FALLS,NEW YORK 12801-2168 RETIRED
BRUCE O.LIPINsm RICHARD J.BARTLETT
PAULA NADEAU BERUBE 1926-20I5
JONATHAN C.LAPPER TELEPHONE(518)792-2117 PAUL E.PONTIFF
JAMES R.BURKETT FAX(518)792-3309 1930-2021
S[EFANIF.DiLALLO BITTER EMAIL infow basrlaw.com ROBERT S.STEWART
KARLA WILLIA:ms BuETTNER 1932-2001
WE13S('fE www.bnsrlaw.cum BERTRAMJ.DUBE
JoaN D.WRIGHT
SERVICE BY FACSIMILE NOT ACCEPTED 1916-1999
May 4,2022
Supervisor John Strough and
Town of Queesbury Town Board
742 Bay Road
Queensbury New York 12804
Re: 21,25 Duncan Cove
Property Transfer Sewage Disposal Information Form
Dear Supervisor Strough and Town Board Members:
Please be advised that I represent Stephen and Meghan Orban the individuals who took title of the
above mentioned property on January 27, 2022. At that time we requested an exemption,because
it is my clients intention to demolish the existing structures and reconstruct the septic system at the
time the home is constructed. On the closing date we submitted the$2,000 refundable deposit plus
the $275 permit fee. At this time my clients have retained AJA Architecture and Planning, EDP
Engineering and Hilltop Construction relative to the site's construction. We will be submitting the
applications to the Town of Queensbury this month and it is anticipated that the applications will be
before Planning and Zoning in June. The Team anticipates that the new septic system should be
installed and running in the Spring of 2023.
In speaking to John O'Brien relative to the status of the project he advised that it will be necessary
to submit and request an extension of the Septic Inspection since the new System will not be
installed by June 2022. Please accept this as my request for an extension and place this on your next
available agenda. I have enclosed the proposed Site Plans together with proposed Septic for your
review.
Sincerely,
Bard��t,Pot ' f, S�e 2ii( &Rhodes,P.C.
1 f
Stefanie,[ illl c
Dire 're: (518)832-6419
Direct E-ma(/. .••ilb(ri,havdamcoi-
Enclosure �--_�
Office Use'OnIV
Perrn1t#:
Fee:
142:Bay Road,QL;dP.nsbqm. NY 12804
P:518461-8206o r 518m761-8205 invoice#:
WWW.Weensburvinet
SEWAGE DISPOSAL'SYSTEM INSPECTION.INFORMATION
Individual Residential Wakewaigr Tire.aUnipat System
CONTACT INFORMATION(please-print legibly or type and include An email address)
Propertyand Own6r friforMation: (Pleqse attach propertysurvoy or tax parcel map)
Property address for inspectioin? 21,25 Duncan Cove(PVT).
Tax map number: 226.16ri1.-7-and-22_6,16-1--9�'
Property owner: Jeannette C,Vosburgh, Evan L.Connolly,.Lisa V.Earl,Beverly L.Vosb u rg h,Jean Fra hdes.:Garty
Mailing Address(c/s/z): P.O. Box'97,.Cleverclal NY128.20"
Cell#: Land.Line
Email: michaelgarrv@garrygarry.com
Applicant(if different than abave)_- Stephen and Median Orban c/o Stefanie.Qilallo Bitter
Mailing Address(c/s/i); 162 Larchmbnt Avenue, Larch,mont.NY 10538
Cell#: ..La-nd Line M 518-832-6419
Email.. sd b@b0'srIaw,corn
0 Proposed owner 0 Realtor [2 Attorney E] other(explain:
Septic Contractor: DennisMacElmy/EDP
Mpiling-Address(c./s/z EGEAVE
Cell#: Land Line#: jAtA 3.1 .2022
Emaji:
O\N'*0 U BURYEENS
BUALDI
'Reason for Ins,pattion Request:
M On the market ❑ Futwelisting [2 Sale Pending D02d Transfer. 0 Other:
Rpvf§c.d April 2611
Pfoperty Transfer Packet
HOUSEHOLD INFORMATION
"PLEASUEE.SEPARATE PAGE FOR EXEMPTIONS"
Bedrooms 6 If Bathrooms . 3.5 .#Kitchens. 9 Jacuzzftub(s) :13arbagegrinder
(system services 2 dwellings: main house with 4 Cr—, 2.5 bath, lkkc66'n cottage with:2.br, 2.M7,
1 kitchen)'
Onsite Wastewater Treatment.System:
How many sy
stems: re on the propetty? 1
Year system(s)J1nstaIl*ed:- Tank 1 Size of Septic Tank 1960.
Type of Absorption System: uncertain
Are all system components wholly within the property boundaries.'.? ERYes EJ No,
Are system plans available? [I Yes ER No
Does thesystem(s) serve multiple properties? El Yes ® No
If yes,describe
Maintenance:
Service agreement?[-] Yes ❑ No; If yes-, business.1 name
Date oflast inspection--N/A-Ej Date tank last pumped N/A❑
Frequency of pumping N/A E1
List known repairs/replacements, with dates:
Date Type of Repair/Replacement
Operation:
System probl'ems? E]'Yes 0. .140
Sewage odors? El Yes :E] No
A Direttsurface discharge(s)? ❑ Yes; D..No
# Back-up of toilets? Elyes E].:No-
a
# Back-up of-any,other flxtures? (e.g.slow dralns)- .0.Yes El: No
4 Seasonal.ponclin.9 orbreakoutof leach field? 0Yes Ej NoProperty Ttamfer Packet Reviscd April 2021
EXEMPTION. CONDITION
ON OPTIONS.
Due to one.of the conditions listed.below, I am requesting an exemption from the
Septic.Inspection Upon Property Transfer by the Town own or Queensbury:
PLEASE CHOOSE ONLY ONE CONDITION BELOW IF YOU ARE'REQUESTING A WAIVER
Ej The,prop -
qrty to be sold or transferred will not be inhabited,and the,new owner plans'to demolish the
existing structure. in order to qualify
for the exemption,a notarized affidavitmust,b.p-submitted:to-the
Building:and Codes Enforcement Office stating that the dwelling,will not.
be inhabited and that it will be
dern-orislied with ma immediate plans to.rebuild or the dwelling will not:be.inhabit d, it will be
demolished and rebuilt.i.n which.case the affidayit shall be accompanied by a site plan,-including-
adequate detail to demonstrate a.lawful OWTS,together with a check payable to the Town of
QueensbUry in the amount of$2 0.00. Such funds will b&.h6ldin a non-interestrbeaflngescrow account
and will be released,.in the former case,up
on-issuance.of A dernolfti,6n permit.and,intbe latter case,
upon is.s.u.,Oftd.e.of a certificate of compliance from the:Ouilding.and Codes Enf:irpement Office.If the.
Property Transfer inspection is:not completed within that 6 (six).month timeframe,
the$2000 will be forfeited.
F-1 An OWTS:inspection was not able to be completed prior to the conveyance of real property due to
inclement weather.In orderto qualify for-ihd exemption,a notarized affidavit from the new property-'
owner to complete the requisite OWTS inspection with-in skinonthg of the date of the conveyance of
real property;or.June.1,-whichever come.s first,must,be,filed with.illeBuildiiiq and Codes.Enforcem.ent
Office.A check payable to the Town of-Queensbury in the amount.of$2,,000 will be held in-a non.=
interest-bearing escrow account and shall be released upon the completion ofa satisfactory QWTS.
inspection from the.Building and Codes Enforcement office;If the Property Traiisfer.
inspection is.-not completed within that (six) month or June 11ttimeframe, the
$2000 will be forfeited.
The property to be.sold or transferred.contains an-existing OWTS that does riot comply with,the
Provisions,of this article, and thic prospective.purchasers and/or the Seller'wish to forgo an inspntion.
in favor of installing an'gpproved-OWTS-Within six months of the transfer.of property.:In order to
quality for the exemption,-a notarized affidavit must betsubmitted to the Building and Codes.
Enforcement Office stating that the existing OWTS will be replaced within six months from transfer of
property.The affidavit must be-accompanied by a site plan, including adequate Aetail-lo demonstrate
that the:replacement OWTS will-comply with this article.,together with.a check payable to the Town of
Queensburyin the amount of$2,000. Such funds will be fi.eld.in.anonrintdtest_bearing escrow account
and will be released upon issuance of a certificate of compliance fiorn the Building and.Codes
Enforceriiont Office. If the Property Transfer inspection is not completed within that 6:
(six) month timeframe, the $2000 will be forfeited.
Property Transfer Packet Revised Aprij-19211
S. t'aternent of Acceptance of Conditions:
I agree to:
* Ensure that theseptic tahk(s), distribution-box(es), and/or seepage p.it(s), if any, will
be uncovered prior to the requested inspection time;
* Have 8 septage hauler onsite (to pump the tank a fter*the inspector verifies flow
from fixtures),�
> Tank must be.pumped in:presence ofln-spector
* Have an:authorized representative present at the site;
Allow the inspector to verify information
on provided above, and to conduct an
inspection.of the indicated oh5ite wastewater treatment system(s), including all
system components and interior plumbing in crawl spaces and.basements.
To the-best of my knowledge, the information provided above l's-accurpte and I acknowledge
the following:
After I year from date of submission and there is no activity on this permit;the permit will
expire and will be subject to-submission of a renewal application and payment of the renewal
fee based*on the current fee schedule. All fees must be.,paid PRIOR TO SCHEDULING:any
inspections. In addition, if the permit i's-withdr withdrawn 20% of the fe.0.1s retained b the
a Y. Town of
Que6ns.bury,
Signature of property owner orauth-orized agent:
Affiliation: [9owner []agent ❑other:
Please print name: 4--crqht(\
Date: 12 1'3 -z'I
Signature
Prior to scheduling with.the Town of Queensbuni., you MUST:
1.Schedule a sewage hauler to..be on site to puntp. tank While Inspector Is on.site,
Hauler should arrive 3.0-45 minutes after scheduledtithe with the ToIN.n. of Queensbury's
Code.Enforcement Officer.
Z. Expose inlet and outlet of septic tank,and/or:pump.statiM expose d-box, expose
ony-seepcIV pit covers.
.3. Excavate test hole in-leach field if there is no d-bond.
Revised April 2021
Property Transfer Packet . P
Statement of Acceptance of Condifion's;
I agree to:
• Ensure that the septic tank(s), distribution box (es), and/or seepage pit(s),..If any,will
be uncovered prior to the'requested inspection-time,
'Have a s�eptage.hauler on site(to pump the ian.k.qftqr*the inspector verifies flow
from fixtures);
➢ Tank must be pumped in presence of inspector
Have an authorized representative present'at the site;
Allow the inspector to verify information provided abovei, and to conduct an:
-inspection of the indicated.onsite wastewater tr.eptme.nt.systetn.(s) ..ineluding..alI
system components:and interior plumbing in crawl spaces and basements.
To the best.of'my:knowledge,the information provided above is,accurate and I acknowledge
the following:
After 1 year from.date of submission and there is no activity on this permit,the perm'it will:
-expire and will be:subject to.submissi6m of a renewal application and payment of the renewal
fee based on the current fee schedule. All fees must be paid PRIOR TO-SCHEDULING any
inspections. In addition, if the permit is withdrawn 20%of the fee is retained by the Town of,
Queensbury.
Signature of property,ownor or authorized agent:
Affiliation: 6Nr6__wner E],agent E]other:
Please print name:
Signature: 2— Date: //.L�/Z L
/L___' 17
7—
Priotto.scheduling with the Town of QUeensbury, you MUST:
1. Schedule a sewage hauler to be on site to pump tankwhile inspector is on site.
Hauler should arrive 30-45 minutes after scheduled time with the Town of O.Ueensburys
-Code Enforcement Officer.
Z. Expose inlet and outlet of septic tank,and/or pump station, expose d-box,expose
*01t covers.
any seepage 1 .0
3. Excavate test hole in leach field if there is no d-box.
Reyised.-April 2021
Property Transfer Packet.
Statement of Acceptance of Conditions:
I agree to:
* Ensure thatthe septictank(s), distribution:box(es), and/or seepage.pit(s), if any, will
be uncovered.prior to the requested:inspection time;
* Have a teptage hauler on-site-(to pump the tank-after*the-inspector verifies flow
from fixtures);
Tank must be pumped in presence of inspector
* Have an authorized representative present at the site;
* Allow the inspector to verify information provided.above,'and'to. conduct an
inspection of indicated onsite'wastewater treatment system(s.-); including all
system components and interior plumbing in crawl spaces and basements.
To the best of my knowledge,
edge,the information provided above is.accurate.and I ac knowled'
ge
the following:
After I year from date of submission and there is no activity on this permit,the permit will
expire. and will:be subject to submission of a'mrenewal application and payment of the renewal
fee based on th-e current fee.schedule. All fees''mustbe paid PRIOR TO.SCHEDULING any
inspections. In addition, if the permit is withdrawn.20%of the fee is retained by the Town of
Queensbury.
Signature of property owner or authorized agent:
Affiliation: Blow ner F-1 agent ❑other-
Please print;name GivAlcA
Signature: Date:
Prior to,scheduling with the Town of QUeentburv, you MUST-
1. Schedule-asewagehauler to be on site to pump tank while inspector is on site.
Hauler should arrive 30-45 minutes aft6r scheduled time with the Town.of Queensbury's
Code Enforcement.Officer.
2. Expose inlet and outlet of septic tank, and/or pump station, expose dwbox,expose
any seepage pit covers:
3. Excavate test hole in leach field if there is no d-box.
Property Transfer Packet Revised April 2021
❑ During the OWTS inspection,a.failure of the septic system was determined..Due to winter.and
frozen conditions, the repair-to an,existing OWTS could.not occur-or a new OWTS:could not be
installed before-the conveyance of real property:In.orderto qualify for the exemption,'a.notarized
affidavit from the new property owner to:complete the installation or repair of the septio.system within.
six months from the.date of the.conveyance of real property,.or June 1,whichever comes first,must be
filed with the Building and Codes Enforcement Office.A check-payable to..the Town of Queensbury in
the.amount of$2,000 will be held.in a:non-interest-bearing;escrow account and shall.be rrleased upon
the completion of the repair or installation of a new septic system and a satisfactory OWTS.inspection.
from the Building and Codes Enforcement Offce.If the Property Transfer inspection.is not
completed within that 6 (six).month or June ls`timeframey the2000 will.be
forfeited.
❑ There is a .record of a septic system inspection upon property transfer pormit and.hispection completed
and passed within the last three years: Please provide a copy of this record.
PLEASE READ NOTICE THOROUGHLY:
Failure.to complete the inspection,obtain the permit.or complete all.repairs/installations
identified in the preceding subsections of this section within the time.provided or:any subsequent
deadline established by the-Building and Codes Enforcement Office will result-in forfeiture of the
moneys held in escrow,and the Town may use such funds toward abating the conditions.caused
by each.such violation of this.article..
Inspections crust take.place within one (1.).year of submission of a completed application.
Inspections scheduled to take place after the.one year period.will be subject to submission
of a_renewal application:and payment of the renewal fee based on the current fee.schedule..
***ONLY SIGN THIS PAGE IF YOU ARE:OPTING FOR A WAIVER REQUE87[`1r***
.1:have read'and understand the above notice.regarding the expectations,and possible forfeiture
of moneys submitted to the Town of.Queensbury for an exemption request.
Seller.:
Print.-Name: G `t
Sign Name: _ bate: Z'/
Buyer: r
PrintName: v Q t
Sign Name: r _ _ Date:
t � Z6 Z l
J
Property Traiisfer Packet Revised April2021
M During the OWTS inspection,a failure of the septic system was determined,Duejo winter and
frozen.conditions,the repair to an existing ONYTS could not.occur or a,new O'Y..VrS could not be
installed Before the conveyance of real property.In.order to qualify-for the exemption,a notarized
affidavit:from the new property owner to complete. . the-installation or repdir.-of the septic system within
six-months from the.
he.date of the.conveyance of real property,or June 1,whic'h6vertom&.s.-flist,must be:
-filed with the-Buildirig and Codes.Enforcement Office.A.check payable to.the Town- :of Queensburyin
the at.nOutit:of$2,000 will be held.in-a--non-interest-bearing escrow adcoWit,and shall be released'upon
the completion of the repair or installation of a.new.septic.system.and a satisfactory OWTS inspection
from the Building-and Codes Enforcement Office.If the Property Transfer-inspection is not
completed within that 6 (six)-month-or June ls .0ineframe,the:$2000 will be
forfeited.
F1 There is 9-record of a.septic system inspection upon properly transfer f6r perhift-andinspection completed
and passed within the last thece years: Please provide a copy of tfiis�record.
PLEASE READ NOTICE THOROUGHLY:
Failure to-complete the jn$Vpctiqn,-qbtain the permit dr.complete All repairs/installations
Identified in the preceding,subsections-of this section within the time provided or any subsequent
deadline.established by the Building-and Codes Enforcement Office will result in forfeiture of the:
moneys ji6ld in escrow,and the'Town may use such funds toward abating the;conditions caused
by each:such violation of this article..
Inspections must-take place within one(1)year of submission of-a completed application.
Inspections scheduled.to take place after the.one year period will be subject to submission
of a renewal application and payment of the renewal fee based.on.the current fee schedule..
***ONLY SIGN THIS PAGE IF YOU ARE.OPTING FOR A WAIVER REQUEST!.!***
I have read-and understand.the above notice-regarding the expectations.etid.posgible forfeiture
of moneys submitted to.the Town of'Queensbury for an exemption request.
Seller:
Print.Narne:.
Sign Nam. ..e; Date:
Boer
Print tame:
S ign Name: Date:
Property Transfer Packet Reviied.April 2021
_F1 During the OWTS inspection,a failure of the septic system was determined.Due.to winter and.
frozen conditions,the repair to an existing OWTS;could not occur.or a new OWTS could not be
installed.before the conveyance of real property. In order to.qualify for the exemption,a notarized
affidavit from the new.property owner-to complete the installation.or repair of the septic system within
six months from:the date.of the conveyance.of real property,,or June l.,whichever comes first,must be
filed with.the.Building'and Codes Enforcement Office:A.checkpayable to the Town.of Queensbury in
'the amount.of$2,000 wit]be.held in a.nonAnterest-bearing escrow ac. . . iit acid shall be released upon.
the completion of the repair or installation of a new septic system and a satisfactory OWTS inspection
from the-,Building-and Codes Enforcement Office.If the Property Transfer.inspeetion is not
completed within that:6 (six) month or June 111 timeframe, the $2000 will be.
forfeited.
0 There is a record of septic system inspection upon.property transfer permit and inspection completed
andpassed within the last three years. Please provide a copy of this record,
PLEASE.READ NOTICE THOROUGHLY
Failure to complete the inspection,obtain the-permit or complete all repairs/installations
identified in the preceding;subsections of this.section within the time,provided'or any subsequent
deadline established by the.Building and Codes Enforcement Officewill.•result in.forfeiture.of the
moneys held in escrow,.and the Town may use such funds toward.abating the conditions.caused
by each such violation of this article.
Inspections must take place within one (1)year of submission of a.completed.application.
Inspections.scheduled to.take place after the one year period will be subject to submission
of:a renewal application and payment of they renewal fee based on 'the current fee schedule.
***ONLY SIGN THIS PAGE IF YOU ARE OPTING FOR A WAIVER REQUESTItx**
I have read and understand.the above notice regarding,the expectations and possible forfeiture
of moneys submitted to the Town of Queensbury for an exemption request.
Seller:
Print
Sign Name:
Datek Vt
Buyer:
Print.Name:.
Sign Name• D.ate:.,
Property Transfer Packdt Revised April 202.1
November 22,.2021
Stephen and Meghan Orban
1621Archmont Avenue •--
Larchmont,New York 10538 ~I�l +� (' E 9.rV .E r-
meghanorbanPgmail.com U/
stephen.orban(a),,ammail.com �J JAN 3 12022
Via Email.davehCa),gueensbur met TOWN Of-QUEEiVSCiURY
David Latin 8 U I L D I N G CODES
Director,Building and Code Enforcement �M`�`
Town of Queensbury
RE: Exemption for OWTS Inspection.
21,25-Duncan Cove.,Town of Queensbury,Warren County
Dear Mr.Hatin:
Please allow this letter to.serve as. confirmation that we are under con'tractto purchase the
above captioned property.We are.requesting a waiver from the Town of Queensbury for
inspection of the Onsite Wastewater Treatment System("OWTS")located at this premises and
are submitting this letter along with the Property Transfer Sewage.Disposal Information Form
confirming the same,
As the Purchasers of this property,we hereby.state and affirm that the property identified
above contains an existing OWTS that does not comply with the provisions,of the Queensbury
Building Code.We and the Seller wish to forego an inspection in favor of installing an approved
OWTS within six (6)months.of the transfer of the property or by June 1,202.2,whichever occurs
first. We hereby confirm that such installation will take,place as required by the Town of
Queensbury:
If you need further information regarding this request please contact our attorney Stefanie
Bitter 1t sdbia),bUsrlaw.com:or via phone at 51&832-6419.
zr ��
Orban Iv glian Orban
Sworn to before me this 43 day of t0-r- ,2021
NERNANI]o AGUILAR
Notary Public,State of New York
No.01AG6057702
Not lic^ Qualified in westohoster County
co;nirnission Expires April 24,20_i?,
property Transfer SeWage Disposal Information Form
Date: 11/21/21
Town-of 0—treemm'y
742 gay Road,Queenibury,.NV 12804.
P:518-761-8256, www.clue0sburu;net
Vosburgh,Con'nolly, Earl,Garry
(Na,rb(5 bf owner/Applicant)
.Re: Crisite Wastewater Treatment System Inspection—finformation Request for.-
21,25.Duhcan C ove(om
(site Address f6rintpection)
`Thank you for requesting an inspecii.on for the.onsite wastewater treatment system (MYS). (o.tated on the
property referenced above.M look forward to completing a thorough inspection-for you. You can' help us.do.
the best-job possible by providing some advanced.information about the site.Priortd a4rinspecOoR,we request
this c9mpletedappli'caticin, a site map*indiK atihg the location of the septic tic corhpohdrits and confi.rffiatlori'tM p i
pre-inspection preparation.(:see the.last.page.of this packet).will'be completed prior to.our arrwoL
Enclosed is a Septic System Inspection Infbirmatidn form, which Must be completed". signed and returned to
this office,.with the appropriate fee(s) and documentation;prior to.scheduling an`inspection:
Please note the Town of Queens bu ry's fee for this service is-$27.5. Be advised that.a I I fees rn ust be paid prior to
scheduling the inspection. We require 4.8 hours notification pride to.schecluling the inspection.
If the.purchoserisreci p�ting an exemption,please bit thi licatio
ease sums•appn
P along with a ...n ptarized letter stating
the :septic. system will be inspected orrepaired/replaced within 6 months from the date of the. Property
Conveyance or June 11t of%the.:-current,.or following year ,(whichever comes first), a: map.:I*ocat.f.ng the septic
system and payment-totaling$2275($2000 r.efunda'b.1.P deposit plus.$275 permit fee). The deposit is forfeited
if the owner fails.to complete the repairs orirfstallation,as stated above.
If you have any questions, please call.
Phone:. (518)761-8256 Email: kated@q peen bury,net
Thank you.
.Sincerely,
,� �� C E
David Hatin, Director JAN 3 i 2022
Building andCode Efforcernent
Town.of Queensbury TOWN OF QUEENSBURY
BUILDING&COMES
Frope4y Transfer Packet Revised April 2021
511E PL:N LEGEND: _ '!
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