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1.6 1.6 WASTEWATER-SLWFR\.Set PILChase Michael—Dark Bay Lane LLGBTU Tank and Absorption Field Retaining Wall to Wells-APA-2-13-2023 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF MICHAEL CHASE /DARK BAY LANE, LLC 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, Resolution No.: BOH 24,2021, the Local Board of Health approved the application of Michael Chase on behalf of Dark Bay Lane, LLC (Applicant) for variances from the Sewage Disposal Ordinance to install a: 1. leaching system 65' from the proposed well in lieu of the required 100' setback; 2. leaching system retaining wall 73' from a neighboring well in lieu of the required 100' setback; 3. leaching system wall 9' from the property line in lieu of the required 10' with retaining wall within 1.5' of the property line; and 4. bottom of the leaching system 2' above the bedrock in lieu of the 3' requirement; on property located at 40 Dark Bay Lane in the Town of Queensbury and bearing Tax Map No: 239.18-1-37 (Property), and WHEREAS, the Applicant has applied to the Local Board of Health for additional variances from Chapter 136 on the Property to install: 1. an ETU Tank 33' from the drilled well in lieu of the required 50' setback; 2. absorption field retaining wall 40' from the existing drilled well in lieu of the required 100' setback; and 3. absorption field retaining wall 67' from a neighboring well in lieu of the required 100' setback; 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 Michael Chase's sewage disposal variance application concerning property located at 40 Dark Bay Lane in the Town of Queensbury (Tax Map No.: 239.18-1-37) 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 13t'day of February, 2023,by the following vote: AYES NOES ABSENT: SEPTIC VARIANCE Office use OniV Permit #: APPLICATION Permit Fee: $ lown Klf i;.,�morns ury Invoice #. 742 Bay Road, Queensbury, NY 12804 P: 518-761-8256 www.gueensburV.net Approvals: Submittal : 1 (one) original &. 8 copies of the completed applicati ~ac�Ca�ge r o h'ECE1VED PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN E IL FFEB _ 1 2" a, s— QL/��IUS � Section 1: C`LJ5 /R �o Contact Information: koy f* 3 Property Owner(s): Michael Chase Owner's Agent,• Environmental Design Address: 60 Masters Common South Address: 900 Route 146 Queensbury NY 12804 Clifton Park NY, 12065 Phone #: 518-222-4891 Phone #: 518-371 -7621 x 118 Email: mcahse12804@gmail .com Email : bferguson0edpllp.com Section 2• Site Information: Site Address: 40 Dark Bay Lane Tax ID#: 239. 18-1 -37 Directions to Site: Section 3- distance from well on property to septic system (if applicable) 65 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 5• Does the proposed system meet setback requirements for distance from wells & septic systems on neighboring properties? ❑Yes Q No If NO, please explain : previously approved BOH Variance for field to neighboring well Section 6• Is the proposed system to be installed under a parking area? ❑ Yes Q No Section 7: Section of the Sanitary Sewage Ordinance from which you are seekingthe variance (i.e. leaching system will be 89 ft. from well in lieu of required 100 ft v`1: ETU TANK TO DRILLED WELL , REQUESTED 33' IN LIEU OF THE 50' REQUIRED V-2! ADSORPTION FIELD RF.TA1NINO WALL TO EXIST]NG DRILLED WELL - REQUESTED 40' IN LIEU OF THE 109 REQUIRED V-3, ABSORPTION FIELD RETAININCY WALL TO NEIGHBORING WELL - REQUESTED 67' IN LIEU OF THE 100' REQUIRED Septic Variance Application 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 Address Tax Map ID South Name Laura Nigro Address 37 Dark Bay Lane Tax Map ID 239 . 18- 1 -35 East Name Million Dollar View LP Address 32 Dark Bay Lane Tax Map ID 239 - 18- 1 -44 West Name John A. Behrens Address 42 Dark Bay Lane Tax Map ID 239 . 18- 1 -36 Section 9: OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 40 Dark Bay Lane . I/We realize that putting the well se tie tank rlieaching system less than the required 501100 feet from the drilled well may increase the risk of pollution . Owner—Print Name: Michael Chase Owner—Signature: �- �-` Date: 1 /3©/23 Section 10• 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 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 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-140 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: ) — .; f' 4�_ •r sampa Location Mev ! 1lMGglt4f/ IN m E NO= ry e 6 .y L 1 I Fn� Septic Variance Application Remised 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: Designates: Environmental Design Partnership as agent regarding the Septic Variance for Chase Residence Site Address: 40 Desk Boxy Lane Tax Map #: 239. 1 8- 1 -37 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: Michael Chase OWNER—SIGNATURE: 'qo**�� 0,----- DATE: 1 /30/23 AGENT-- PRINT NAME: 'Connor DeMyer AGENT—SIGNATURE: r - --'� DATE : /30/23 Septic Variance Application Revised December 2021 / ,nauc♦n0a tors svu,,.w rj v eu uxc mx,o f/� Z aavurnvu oesrvrr a•a,xrasrrrr rw rrunw REsowr ou•Qegow+e 1 A °.. x. s ,u uu,u.an.,n-,n/vaavwn rwxrn.w aim wr uve/xmrse.vm cEouc[ /L\ I W C, �t rot..,°,,,x,re.n.,wu•,a �` 5/TE qIE mn,♦ew.nx,,�.,„ me,m rva ara� 'w n µ z�.. wl mr� n,m m wwwrnr ron m z ,r<,,,-,m,,,, :. xntvn.wx°rowmtwWarn,rosr,wa., �...[,, .. ,�,..n.r,ro°e♦arr.,roa.°aex,w em ar mx�.auwm ro �m.:,r•,EQ m[,nn.n°ram. xxm m.,,m:,,a�owr w rvP:a�[ w�[x iz .+aarr,x,,rr.. •"ID"�""°"°'`"""""`x'"`�„" .. x x° x.� r x a �r nx,xrauxmra, xv[rwm ro m«wx[x ceoror or.rxnxo ornammr ra": x war. »E[ /�� >.n,.'pF\ w,vx�w,.mw, •.. nn ° n.xr a/Snl.`",;&.°:n".wvr•,m;rE:�"-«a'rAni:o;mwxx aama ar M,"R.a" \ � w;- „` ,ro,°vr ,+„° as a� .ro�♦w�nr.,nx°°wrtm,x°rK..� µ�..mne m,°x�x a ° x o„n.+nam /'�"C,'i SITE �u n nw° ro � xM,nmxa e ex a '" �e m= `471/ �:• ><n•,.,,«u:�.rxrx m ar mx w,,.,x m„. .W r x wazw�a�.vn�u.c amoo„m ar°,mrt°. a.__ O a'v� ='n (.) :.•>van.,.wrrnn nm. nro R m[[aw w„n°r xwm,n.rv[,.,m[www,n..vu, awn .'w n[Ro.. ,star mm m � .pa°:.w,r.` `'�� r: LL g L Q x.xn.r..x .>., n.,.,.<,,.♦.k.,,Maw.,,.a.,.w., °w xox or,.o<,ro,A xaa�a[ I i,:'.�'' U < anw a e rxrrn x° ro r,»<ry em ry n,wW xm w.,m ar,.,.xx xa. °`wILIw .xro µo rae Hat, L Ma nR U) J SITE LOCATION MAP raoaerra"�-r urom..„w):.a,° w,rs •rv„,r, ♦ M w m�., a°ww.9,wx.,r♦.rmx r m"x L SCALE: 1 s z,GGG xxirxrr.R m�uW Loz wr°VP[me SITE VICINITY MAP 2' L _ SCALE:1" 200' 111 AsrE a2 - as SIIEDE£rfdi AR 4u n wxrw o sr.0 x sun.a m.wr umv,.coon or me raxuxwo,vua ar tww'r ixa,w 'raxa nu[v am uvrmw ro a v Z QJ m ,tar.n.w,. mr • nrvc • x ux.mmxt ua ucmnrv.un.xmww ux.u[mw na)�uvox c[u r1CM xro ei n in: - .oea. x,ne Q Q >- Y r,...,,.ra..,.n ..u•w ., a[oee..,a re me rrrP a,"`;,w LL Q tt ro o eee orva.mu R[a[m are r M r n rvn w,[M. 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