SEP-0342-2021 SEPTIC VARIANCE Office use only
Received:
APPLICATION Permit#: �--
Tinvn cif Queen bury
Permit Fee: . 1 UFJ'
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 w_ ww.gueensbury.net Invoice
Approvals:
Submittal: I (one)original &8 copies of,the completed application package
Property Owner(s): Brett and Pamela,West Owner's Agent: Environmental Design Partnership
Address: 4651 Gulf Shore Blvd. N, Unit 104 Address:-900 NY-146 Clifton Park NY 12065
Naples; FL 34103
Phone#: 203-948-5847 Phone#: 518-368-2442
Site Address: 106 Bay Parkway Rd Tax ID#: 226.15-1-17
Directions to Site: Route 9L to Assembly Point Road;Turn Left onto Sunset Lane,Right on
Honeysuckle,continue onto Bay Parkway,Tip of Assembly Point.
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 x No
If YES,please explain and attach a diagram:
Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring
properties?- x Yes No If NO, please explain:
Is the proposed system to be installed under a parking area? Yes x 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.):
The proposed system consists of two 2,000 gallon holding tanks to serve the proposed 4 bedroom,house
located at 106 Bay Parkway Road.The system will be greater than 100 ft from the lake, and is 19' away Lam .
nearest property line.
pE CE
MAY 12 2021
Septic Variance Application TOWN OF QUEENSBURY Fe uary2018
BUILDING&CODES
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 N/A
Address
Tax Map ID
South Name Otyokwa Inc.
Address Lake&Bay Parkway
Tax Map ID 226:15-1-38
East Name West Point South LLC
Address 108 Lake Parkway
Tax Map ID 226.15-1-16
West. Name O'Keefe,Daniel F
Address 102 Bay Parkway
Tax Map.ID 226.15-1-18
OWNER STATEMENT
I/We.do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:
108 Bay Parkway Rd
I/We realize that putting the well,septic tank or leaching system less than the required N/Afeet from the N/A
may increase the risk of polititi
sfOwner—Print Name: Date: /& Z
Owner_Signature: Date: 5
NEIGHBOR OR TE ANT RELEASE STATEMENT if applicable)
I/We do hereby relieve the Town of Queensbury from any1labilities on the plumbing and septic system located at:
/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: Date:
Septic Variance Application February 2019
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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Septic Variance Application February 2018
AUTHORIZATION AND SIGNATURE PAGE
This page includes the Authorization to Act a$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: Brett and Pamela West
Designates: Environmental Design Partnership as agent regarding the Septic Variance for
Tax Map#: 226.15-1- 17
OWNER'S SIGNATURE: F� 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:
—4
OWNER—PRINT NAME: , Ides-(—
es
OWNER—SIGNATURE: DATE: r D
AGENT—PRINT NAME. Gavin- it ayme
c r
AGENT—SIGNATURE: DATE:
I
Septic Variance Application February 2018
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SITE LOCATION MAP
SCALE: 1" = 2000'
Z�Ef - 0-54* •Z021
RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL
VARIANCES FOR BRETT AND PAMELA WEST-
106 BAY PARKWAY ROAD
RESOLUTION NO.: BOH 25,2021
INTRODUCED BY: Mr. George Ferone
WHO MOVED ITS ADOPTION
SECONDED BY: Mr.Harrison Freer
WHEREAS, Brett and Pamela West(Applicants)applied to the Local Board of Health for a
variance from Chapter 136, §136-11 which requires applicants to obtain a variance for holding
tanks, as the Applicants wish to install two (2) 2,000 gallon capacity septic holding tanks for a total
of 4,000 gallons of capacity in lieu of a sewage disposal system to serve a proposed four (4)
bedroom house on property situated at 106 Bay Parkway Road in the Town of Queensbury,and
WHEREAS,the Town Clerk's Office published the Notice of Public Hearing in the Town's
official newspaper and the Local Board of Health conducted a public hearing concerning the
variance requests on Monday,June 7th, 2021, and
WHEREAS, the Town Clerk's Office advised that it duly notified all property owners
within 500 feet of the subject property,
NOW,THEREFORE,BE IT
RESOLVED,that:
1. due to the nature of the variance, it is felt that the variance would not be materially
detrimental to the purposes and objectives of this Ordinance or other adjoining
properties nor otherwise conflict with the purpose and objectives of any Town plan
or policy; and
r
2. the Local Board of Health finds that the granting of the variance is necessary for the
reasonable use of the land and is the minimum variance which would alleviate the
specific unnecessary hardship found by the Local Board of Health to affect the
Applicants; and
BE IT FURTHER,
RESOLVED, that the Local Board of Health hereby approves the application of Brett and
Pamela West(Applicants) for a variance from the Sewage Disposal Ordinance to allow installation
of two (2) 2,000 gallon capacity septic holding tanks for a total of 4,000 gallons of capacity in lieu
of a sewage disposal system to serve a proposed four(4)bedroom house on property situated at 106
Bay Parkway Road in the Town of Queensbury and bearing Tax Map No.: 226.15-1-17,and
BE IT FURTHER,
RESOLVED, that the Town Board authorizes and directs the Town Clerk to forward by
certified mail a certified copy of this Resolution to the Adirondack Park Agency for its review, and
BE IT FURTHER,
RESOLVED, that this approval Resolution shall not be effective until 30 days after such
notice to the Adirondack Park Agency and shall be subject to any lawful action by the Adirondack
Park Agency during such period.
Duly adopted this 7t'day of June, 2021,by the following vote:
AYES: Mr. Ferone, Mr. McNulty,Mr. Strough,Mr. Metivier,Mr. Freer
NOES: None
ABSENT:None
NEIN�YORK Adirondack D
OPPORTUNITY. Park Agency
ANDREW M.CUOMO TERRY MARTINO JUN 14 2021
Governor Executive Director
TOWN OF QUEENSBUBY
June 14, 2021 BUI�D1NG& COD`S
Dave Hatin
Director, Building & Codes �� -- � -20-2-
Town of Queensbury
742 Bay Rd
Queensbury, NY 12804
Re: LV2021-0056
Variance Application: West Point South, LLC
Town Resolution: 1301-126, 2021
Tax Map Number: 226.15-1-16
Dear Dave Hatin:
Adirondack Park Agency staff review of the above referenced variance determination
has been completed. The applicant proposes to replace an existing on-site wastewater
treatment system with two 2,000 gallon holding tanks to serve a proposed 4-bedroom
single family dwelling. Relief is required from the Town Sewage Disposal Ordinance
which prohibits holding tanks unless a variance is granted by the local Board of Health.
Based on the information presented in the record, no further Agency review is required
for this variance since the project does not involve provisions of the Adirondack Park
Agency Act.
Thank you for your referral of this variance determination.
Sincerely,
/s/Robyn Burgess
Robyn Burgess
Principal Adirondack Park
Local Planning Assistance Specialist
REBXOK
cc: John Strough, Supervisor, Town of Queensbury
Craig Brown, Zoning Administrator, Town of Queensbury
Caroline Barber, Town Clerk, Town of Queensbury
P.O.Box 99•1133 NYS Route 86•Ray Brook,NY 12977•Tel:(518)891-4050•www:apa.ny.gov