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1.1 1.1 SETPH.VAR\Barlow David-Holding Tank Replacement System Request for Time Extension—In APA-1-23-2023 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF DAVID BARLOW RESOLUTION NO.: ,2023 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, David Barlow(Applicant)has applied to the Local Board of Health for a variance from Chapter 136, §136-11 which requires applicants to obtain a variance for a holding tank system, as the Applicant wishes to replace a wastewater system by installing a holding tank system consisting of two (2) holding tanks each with a capacity of 1,500 gallons for a total capacity of 3,000 gallons, thus meeting and exceeding the required total capacity of 2,000 gallons on property located at 22 Ward Lane in the Town of Queensbury, and WHEREAS, Town Code Chapter 137 requires inspection of Onsite Wastewater Treatment Systems (OWTS) prior to the sale 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, a change of deed for the Applicant's property occurred on or about September 1, 2022 and when the required property transfer septic inspection took place, it was found that the existing wastewater system was deficient; however, the proposed new system is not able to be completed within the required six (6) month time period due to the time of year and timing of permitting, and WHEREAS, the Applicant has therefore applied for a timeline extension or until June 3rd 2023 to install the system and to extend the date on which the $2,000 escrow deposit he previously deposited with the Town shall be automatically forfeited to the Town, and WHEREAS, the Town's Director of Building and Codes Enforcement has recommended Town Board approval of this requested extension, and WHEREAS, the Local Board of Health will consider this extension request at the time of the public hearing on the requested variance from Chapter 136, NOW, THEREFORE, BE IT RESOLVED, that the Town of Queensbury Local Board of Health will hold a public hearing on Monday, February 13d', 2023 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider David Barlow's sewage disposal variance application concerning property located at 22 Ward Lane in the Town of Queensbury and bearing Tax Map No.: 240.6-1-6 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 feet of the property as required by law. Duly adopted this 23rd day of January, 2023,by the following vote: AYES NOES ABSENT: 169 Haviland Road �■ ',. Queensbury, NY 12804 Hutchins Engineering PLLC Phone. (518) 745-0307 Fax: (518) 745-0308 December 22, 2022 Town of Queensbury Town Board Board of Health r 742 Bay Road • G'% I nn Queensbury NY 12804 U DEC 2 7 2022 Re: Dave Barlow ` ` '% 22 Ward Lane r� Tax Map ID: 240.6-1 -6 TOWN OF QUE-1= ASBURY BUILDING & CODES Dear Supervisor Strough & Town Board Councilmen: This office represents Mr. Dave Barlow with respect to the pursuit of wastewater variances for a holding tank system installation at his property located at 22 Ward Lane. Presently the home is served by a unknown sized seepage pit which is far from adequate and they desire to bring the parcel up to the town's current on-site wastewater system standards. Given the terrain and site constraints, it is not feasible to install an absorption field system, therefore we are pursuing the holding tank system. A change of Deed for the property occurred on September 1 , 2022_ The required septic inspection found the existing wastewater system to be deficient. Presently the house is served by a seepage pit, which is far from adequate and the applicants desire to install (2) 1500-gallon tanks to support the existing 1 -bedroom cottage. Relief is requested for the installation of the holding tank system which is detailed in the application . We are also requesting a 6 month extension from the property transfer law requirements for the installation of the holding tank system and force main, Enclosed please find ten submission packages for this project. We respectfully request, if possible, that this item be placed upon the agenda of the next town board meeting. Please contact me if you have any questions or if you require additional information . Best Regards, Thomas R. Center Jr. , P.E. Associate - Design Engineer Cc_ Dave Barlow .r- SEPTIC VARIANCE Office Use Only Perrnit #: APPLICATION Permit Fee: $ Town oar 742 say Road, Queensbury, IVY 128" Invoice #: P: 518-761-8256 www aueensbury net Approvals: Submittal: 1 (one) original & 8 copies of the completed application package PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL Section 1: Contact Information: PropertyOwner(s): DAVID BARLOW Owner's Agent: HUTCHINS ENGINEERING, PLLC Address: 162 HUDSON POINT Address: 169 HAVILAND ROAD QUEENSBURY,NY 12804 QUEENSBURY,NY 12804 Phone #: 518-955-1 180 Phone #: 518-796-2515 Email: Email: TCENTER360YAHOO.COM Section 2: Site Information. Site Address: 22 WARD LANE Tax ID#: 240.6-1 -6 Directions to Site: RIDGE ROAD TOWARD LAND. Section 3• Distance from well on property to septic system (if applicable) N/A feet Section 4: Is it possible to install a conforming septic system on this property? ❑ Yes Q No If YES, please explain and attach a diagram: Section S• Does the proposed system meet setback requirements for distance from wells & septic systems on neighboring properties? OYes ❑ No If NO, please explain: Section 6• Is the proposed system to be installed under a parking area? Q Yes fN�j No Section 7• Section of the Sanitary Sewage Ordinance from which you are seeking the variance (i.e. Teaching system will be 89 ft, from well in lieu of required 100 ft.): VARIANCE REQUEST TO INSTALL HOLDING TANKS SEC. 136-11 .A) Septic Variance Appl Kati an Revised December 2021 i Section 8• List the names, parcel addresses, and tax map numbers of all adjoining property owners . You may obtain this information from the Town of Queensbury's Assessor's Office: North Name DAVID BARLOW Address 18 WARD LANE Tax Map ID 240.E-1 -7 South Name DAVID DICKEY Address 2445 RIDGE ROAD Tax Map ID 240,6-1 -2 East Name SAME AS SOUTH Address Tax Map ED West Name NONE Address Tax Map ID Section 9• OWNER STATEMENT 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 well, septic tank or leaching system less than the required feet from the may increase the risk of pollution. Owner--•Print Name: Owner—Signature: Crate: Section 10• NEIGHBOR OR TENANT RELEASE STATEMENT (if applicable) VWe do hereby relieve the Town of Queensbury from any liabilities an the plumbing and septic system located at: I/We realize that putting the well. septic tank or leaching system less than the required feet from the may increase the risk of pollution. Neighbor/Tenant—Print Name : Neighbor/Tenant-Signature: Date: Septic Variance Application Revised December 2021 ` S T 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 lases 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: am hilit Leembn Map!! rOWN 4 , J+ � LwAy • SMI� t MfJLOC �_ 1 nax xw Septic Variance Application Revised December 2021 ' r Section 11• 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: DAVID BARLOW Designates: HUTCHINS ENGINEERING as agent regardingthe Septic Variance for Site Address: 22 WARD LANE Tax Map #: 240v6- 1 W6 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: DAVID BARLOW OWNER—SIGNATURE: S1,>a" DATE: 11 z z ZZ ­z- AGENT- PRINT NAME : THOMAS CENTER, HUTCHINS ENGINEERING AGENT—SIGNATURE: -' DATE : �Zz ?/Z � Septic Variance Application Revised December 2021 IPF - IPF DISTURBS[ ti Land: argare k ,I Tax M Parc IPF C illli'i I HOIDINGETANKS PLAN GRAPHIC SCALE APPROXIMATE FINISH GRADE 4" SDR-35 PVC 3" INLET MIN. SLOPE 1/4" PER FOOT 16" 6"+ POLYETHYLENE EXTENSION TO GRADE WITH TAMPER RESISTANT ACCESS COVER 4" PVC SDR-35 CONNECTOR PIPE INSTALLED LEVEL SEALED WATERTIGHT 507CAPACITY WATERTIGHT SLEEVE (1500 GAL) AND SEAL (TYP.) WARNING LEVEL ALARM LIGHT ON 1500 GALLON INJECTION MOLDED POLYMER SEPTIC TANK INSTALLED AS HOLDING TANK 67f PEA GRAVEL 5 0 2.5 5 10 20 ( IN FEET ) POLYETHYLENE EXTENSION CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES TO GRADE WITH TAMPER RESISTANT ACCESS COVER 1500 GALLON INJECTION MOLDED 6"+ POLYPROPYLENE SEPTIC TANK _,I— — — — — INSTALLED AS HOLDING TANK J LIQUID LEVEL INSTALL FLOAT SWITCHES TO OPERATE ALARM PANEL AT INDICATED LEVELS 959 CAPACITY (4275 GAL) ALARM/SHUT DOWN ALARM ON HOLDING TANKS IN SERIES DETAIL NTS 67± PEA GRAVEL HOLDING TANK NOTES WASTEWATER SYSTEM DESIGN 1—BEDROOM DESIGN WATER SAVING FIXTURES — REPLACE EXIST. FIXTURES AS NEEDED (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW — 110 GPD/BEDROOM SYSTEM DESIGN FLOW — 110 GPD HOLDING TANK DESIGN NYSDOH SIZING — 5—DAYS DESIGN FLOW — 550 GALS TOWN OF QUEENSBURY HOLDING TANK VOLUME REQUIRED: 2000 GAL — §136-11 B.(2) INSTALL (2) 1500 GAL POLYPROPYLENE TANKS IN SERIES 3000 GAL TOTAL TO BE PROVIDED POTABLE WATER SUPPLY IS EXISTING LAKE WATER SUPPLY — RELAY TO BE INSTALLED ON WATER PUMP CIRCUIT TO SHUT DOWN WATER SUPPLY TO HOUSE WHEN ACTIVATED BY WARNING/SHUT DOWN ALARM ON PANEL HOLDING TANK ALARM NOTES ALARM PANEL CONTROLS SHALL BE SJE RHOMBUS TANK ALERT DUO ALARM SYSTEM OR EQUIVALENT, AND PROVIDE THE FOLLOWING MONITORING AND CONTROL FUNCTIONS: WHEN LEVEL OF TANK REACHES 501w. CAPACITY, ALARM WILL INDICATE "TANK HIGH LEVEL" WITH A YELLOW LIGHT ON ALARM PANEL. WHEN LEVEL OF TANK REACHES 95% CAPACITY, AUDIBLE ALARM WILL SOUND AND RED LIGHT WILL FLASH, INDICATING "TANK SHUTOFF LEVEL". ELECTRICAL INTERLOCK SHALL BE INSTALLED TO DISABLE WATER SUPPLY UPON REACHING "TANK SHUTOFF LEVEL". SYSTEM WILL RESET AFTER HOLDING TANKS ARE PUMPED DOWN TO BELOW THE ACTUATION LEVEL OF "TANK HIGH LEVEL" ALARM. AN ELECTRICAL INSPECTION BY A CERTIFIED ELECTRICAL INSPECTION AGENCY IS REQUIRED AFTER INSTALLATION. ELECTRICAL INSPECTION SEAL IS TO BE AFFIXED TO ALARM CONTROL PANEL. SYSTEM MATERIAL SPECIFICATIONS HOUSE SEWER PIPE PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 1/4" PER FOOT MINIMUM SLOPE. HOLDING TANK CONNECTOR PIPE PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL LEVEL BACKFILL MATERIAL BACKFILL TO BE GRANULAR SAND BACKFILL MATERIAL WITH NO PARTICLES GREATER THAN 1 ". VARIANCE SUMMARY THE FOLLOWING RELIEF IS REQUESTED FROM THE TOWN OF QUEENSBURY CHAPTER 136 SEWERS AND SEWAGE DISPOSAL: HOLDING TANK INSTALLATION — §136-11 A. — INSTALL TWO 1500 GALLON WASTEWATER HOLDING TANKS REQUEST A 6 MONTH EXTENSION FROM TOWN CODE CHAPTER 137 PROPERTY TRANSFER LAW FOR INSTALLATION OF THE NEW HOLDING TANK SYSTEM. W AST N ATER SYSTEM SETBACK SCHEDULE PROPERTY LINE WELLS GLAKE HOUSE HOLDING TANK IV 50' SO' lu ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF INJECTION MOLDED POLYPROPYLENE AS MANUFACTURED BY NORWESCO LOW PROFILE 1500 GAL. TANK OR EQUIVALENT. ALL STRUCTURES SHALL BE PLACED ON 6" MIN. COURSE OF CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVE A STABLE BASE. TANK SHALL BE SECURED TO BEDROCK WITH EPDXY GROUTED ANCHOR EYEBOLTS AND THREADED ROD AS PER COUNTER BUOYANCY INSTRUCTIONS PROVIDED BY TANK MANUFACTURER. RUBBER GASKETS SHALL BE INSTALLED IN ALL INLETS AND OUTLETS TANKS ARE NOT APPROPRIATE TO BE INSTALLED IN TRAFFIC AREAS. TANKS TO BE BACKFILLED WITH CLEAN SAND FILL; NATIVE COBBLY, BOULDERY SOILS ARE NOT ACCEPTABLE AS BACKFILL MATERIAL. ALL SEAMS, PENETRATIONS, & ACCESS COVERS MUST BE MAINTAINED WATERTIGHT BY INSTALLER. FIELD COAT ADDITIONAL PENETRATIONS AS NECESSARY WITH WATERTIGHT SEALANT. MAP REFERENCE BASE MAP INFORMATION FROM "MAP OF SURVEY OF LANDS OF DAVID BARLOW AND JAMES BARLOW ON WARD LANE" IN THE TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK. DATED NOVEMBER 16, 2022. PREPARED BY WILLIAM M. CURRAN PROFESSIONAL LAND SURVEYOR. SITE LOCATION —� LOCATION MAP H091 DISCHARGE COVER, HDPE 14" BALL VALVE, PVC 14 FPT CONNECTION INI,ET GATE VALVE 4 SOCKET WELD, PVC BASIN, HDPE To/ O ALARM PANEL 14/6 CABLE ANTI-SIPHON/CHECK VALVE 28 11 2 .210 n A�NSERYJ)MBL, [708inml ALARM IN-S AB BUR AL ON 19.4 n DEP H [4941nm 19 ir OFF 14.4 n 63 vol [492 mm [3671 nrn 47 ial 11.9i 29 in [303mm 737 m 37 in 38 gal 940 rnrIn SEMI -POSITIVE DISPLACEMENT TYPE PUMP DIRECTLY DRIVEN BY A 1 HP MOTOR SGS 4-26-07 - 1/16 DR BY CHK'D DATE ISSUE SCALE SEWER SYSTEMS IH091 STATION, DETAIL SHEET BASIN CAPACITY = 91 GALLONS NA0056P02 Dig ®safely. New ®Rork Call Before You Dig Wait The Required Time Confirm Utility Response Respect The Marks Dig With Care 800.962- /�J 962 www.digeafelynewyark.com E-Q%E IH091 GRINDER PUMP DET AIL SCALE: %IS TAX MAP # 240.6-1-6 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.