1.3 1.3
WASTEWATER-SEWER\SetPH\Eberleni Replacement System With Components to Lake Line House—In APA-2-13-2023
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF GERALDINE EBERLEIN
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, Geraldine Eberlein has applied to the Local Board of Health for variances from
Chapter 136 to install a replacement wastewater system with the:
1. Absorption bed to be located 95' from Lake George in lieu of the required 100'
setback;
2. Absorption bed to be located 5' from the building foundation in lieu of the required 20'
setback;
3. Absorption bed to be located 3' from the property line in lieu of the required 10'
setback; and
4. Septic and Pump Tanks to be located 7' from the building foundation in lieu of the
required 10' setback;
on property located at 97 Rockhurst Road in the Town of Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury Local Board of Health will hold a public hearing
on Monday, February 27t", 2023 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider Geraldine Eberlein's sewage disposal variance application concerning
property located at 97 Rockhurst Road in the Town of Queensbury(Tax Map No.: 227.9-1-2) 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 27t'day of February, 2023,by the following vote:
AYES
NOES
ABSENT:
r
1 SEPTIC VARIANCE Office Use Only
Permit #:
APPLICATION Permit Fee: $
7bwn a czuwcns wry
Invoice #:
742 Bay Road, Rueensbury, NY 12804
P. 518-761-8256 www.oueensbury.net Approvals:
Q c'
Submittal : I (one) original & 8 copies of the completed application p e
PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAI
o FE'B
Section 1: CFO
{1[5Ei~h1S54
GLERK,S COS . .
Contact Information: '"`�•.
Property Owner's): Geraldine Eberlein Owner's Agent: Environmental Design Partnea
Address: 97 ROckhurst Road Address: 900 Route 146 Clifton Park NY, 12065
Queensbury
Phone #: 518-441 -8811 Phone #: 51 B-37 1 -7621
Email : geberlein0622Ca gmail .com Email : cdemyerCa)edpllp.com
Section 2•
Site Information:
Site Address: 97 Rockhurst Road Tax ID#: 227•9-1 -2
Directions to Site:
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 [■ No
1f 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? ❑Yes Q No If NIO, please explain.• Limited Site constraints to Shoreline,
boundary and dwelling
Section 6•
Is the proposed system to be installed under a parking area? ❑ Yes E No
Section 7:
Section of the Sanitary Sewage Ordinance from which Von are seekine the Variance fi-e. leachine system will be 89 ft.
from well in lieu of required 100 ft.): V 1 . ABSORPTION BED TO LAKE GEORGE -REQUESTING 95' SETBACK IN LIEU OF THE REQUIRED 100'
q V-2: ABSORPTION BED TO BUILDING FOUNDATION - REQUESTING 5' SETBACK IN LIEU OF REQUIRED 20'
V-3: ABSORPTION BED TO PROPERTY LINE -REQUESTING 3` IN LIEU OF THE REQUIRED 10'
Septic Variance Application V-4: SEPTIC TANK & PUMP TANK TO BUILDING FOUNDATION -REQUESTING 7' SETBACK IN LIEU OF THE
REQUIRED 10'
r
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 Peter Krihak
Address 101 Rockhurst Road
Tax Map ID 227.9-1 -3
South Name Patrick Connors
Address 95 Rockhurst Road
Tax Map ID 227 • 9- 1 - 1
East Name Eisenberg LG Trust
Address 98 Rockhurst Road
Tax Map ID 227.9- 1 -13
West '['Jame
Address
Tax Map ID _
Section 9-
OMM ERSTATF M C-ME
I/We do hereby relieve the Town of Queensbury from any liabilitieson the plumbing and septic system located at:
sz Rockhurst Road . I/We realize that putting the well, septic tank or leaching system less than the required '0° feet
from the Lake George r may Increase the risk of pollution .
Owner—Print Name_
Owner Signature: Date .
Section 10:
vELGLIBO 3 OfLTELNANTSELr7ASESTATEMENT (#fapplicahle)
I/We do hereby relieve the Town of Queen sbury 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.
Neighbor/Tenant— Print Name :
Neighbor/'Tenant-Signature: Date :
Septic Variance Application Revised December 2021
�c
PLEASE ATTACH THE FOLLUMN6 TO YOUR APPUCATiON:
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)
a. Physical features (street, steep slopes, lakes, watlands, etc.)
f. Location of all wells and septic systems on neighboring propertles
g. Adjacent ownerships
h. All properties within 500 feet
A sample plat plan and location am shown below:
/ r ! �y+ 4.
OY
F 6. ...a ��,s ! 43• �'� o r
Cnowe.ry.In
I Iawn Mrr.
! 1
ty
_ rwr — `—
rr �—�wptle Vmrftnas AppOaotlon RWA=d oracombw 2=1
Section 11:
AUTHORIZATION AND SIGNATURE PAGE
This page includes the Authorization to Act as Agent form, engineering fee disclosure, authorization for cite
visits, other permit responsibilities and agreement to provide documentation required.
Complete the following if the OWNER is using an Agent:
owner's Name; Geraldine Eberlein
Designates: Environmental Design Partnership as agent regarding the Septic Variance for Eberlein Residence
Site Address: 97 Rockhurst Road
Tax Map #: 227.9- 1 -2
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 a h d the handwritten minutes taken by the designated stenographer, the handwritten
minutes shall be deemed the official record .
1 , the undersigned, have thoroughly read and understand the instructions for submission; agree to the
submission requirements and completed checklist:
OWNER— PRINT NAME; L (,eC . k cte M FG�v tk,. P- "' T
OWNER—SIGNATURE: DATE:
AGENT— PRINT NAME; Connor DeMyer
,, _
AGENT---SIGNATURE : � ,rys,...�=- � -�'- DATE : 2022- 12-28
septic Variance Application Revised December 2022
rx ��%,,,Zl 1",11, P
van wo:,w, 11 LO A 11 11 ll"-11,1_,-Al�l.l."%"I'I 'A
PIII I
———————— -_I
A
54— Q C Pen-
lAll
'A IM
LU
A CtUZI�= V.a
11. TZ 7
�E A 1 FLOW .rvrR E�IA�"E—D 1"11A
:B , : (h V�""il,`'E I aaxr w nu,+nusr nzs erv. vm nx sxwm rrmrx yr mrs< ,w.µau,nunrr rxexrw aarwe m Sl 7F w
0 6 W
LL IS
<w
z
w ZPA,
CAL4 I` w LIJ
�&H
<
SITE LOCATION MAP SITE VICINITY MAP w
W
III I�A P,Is LU
..econwnn+s.axs>wL nau�(SJ ez[r orm omnau�eweeuuw rz nraL omne Lvrttls N/F uo/ III lAl P111 C._ W ,
rex
N.W"A U<l Lu zw
A,
W I R,RI_
A'I I
xrrr 4P'
t, Lu
0
z
9 Z4.
IR `F�A �:z
0
w
`7 m �� P,
0
�,P,UAN,a C�5
TMr
A, I,A, cwawry I,
U. %.ZA_ H, Z� A Z Ak
-ORGE anmr am
LAKE Gi. LA
. GEORGE
K ...............................—
----------------------
LAII lAl 1111 L._
GP-- .1,;1
B.4J07 P 1:1-7 1-
211-1-1
_j
Illom wml P__ T.
EXISTING CONDITIONS n WASTEWATER PLAN
SCALE 1
SCALE:
AS NOTED
NOTFOR
CONSTRUCTION
5HH7E:
WASTEWATER
REPLACEMENT
PLAN
7111-1,
GRAPHIC SCALE GRAPHIC SCALE
(1ryT)_ 1 of 2
e
r
�w
)zz
ae
O LLI
TLL
<
-- / Z v/ o
y w W °
W PIPE W
DDxxEDnDxs sxDwx. n
n ELJEN GSF CROSS SECTION _ -- a.
a
NOT TO SCALE [ wit-- W N
ul
1,250 GALLON SEPTIC TANK a
a
NOT TO SCALE > �
W Y oOZ�-Zz�
w
Lu
oO
I O °Z m� a
<
i�ii-III ili= a W o 00
Hs,DIDW,Dx u,Ew,s sEE -
— —
I- �Enw o xDDD�E Dn.s PEx=niEx DE,IDx� x w
TYPICAL ELJEN TRENCH SYSTEM D aE� xE^>E �_° D D ;—..,oE IL
A i�x xVn xE ux x DD.m x�. w D.E PP1.1VU,
NOT TO SCALE fxcu ixwE ivD cwEn a I.D.----- C�, Cuu.♦s W.
FPEC15! -- pEA SmEu
CCNCxnE.uW1wIF 'rHI'� _.
DflEAUNEp 6t tNE ENaxiEF
Dux Nc wAstEw
wm�iaP sue ar faxr -lF wok-41..1
Hx U ox Dsm sErnDN i µo tlDUs.
m,K x1" - u
I ilx.9�Fn SAADF� NpTFG gy[Dp ipM.ItDx-N- xP T Vy gf
_� '. IxuEAt nnC BE`EVID wmf ncV�w.nC w.RPWS oN 4 Er sErnC i.V+Ait w - VuvE wTM LINDFf V/LYE IXlExfloN ��--•.`
CEP FgKE ___—_—._. -- uaD mE Dmasumx uiEwEs sxoVtD EEn/a�P P iWi J
u foe¢uuN euRE INNAiNnC.Ei44x oVtDDSxiiOPE WLKyiDWMDs WNnunNOxlEss Dx Vui —I 2 PE FDRCE'AWN
IFAI E9tW2E fIlYN vry TEE
— E
FRa RWVCE.6 AS xFEDFD N AW4E nIE I�'Ca
.1x SIAPE to ixEYtM fuvlxD ci P VE num Exunm nMi .�'
i 1—
� i_ �E�x,xDE wvE E,s,Ex
L - Dx
_ �iTMvi E AS NOTED
# ux�z
NOTFOR
ccxxEcna .� fDuxanox svm.,a,oE CONSTRUCTION
DISTRIBUTION BOX 4' I.D. PUMP TANK �HEETTTEE.
NOT TO SCALE NOT TO SCALE
WASTEWATER
DETAILS g
8
SHEET:
20f2