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1.3 1.3 WASTEWATER-SEWER\APPROVE\Munno—Replacement With Absorption Field to Well—InAPA-2-27-2023 RESOLUTION APPROVING JACQUELINE MUNNO'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES RESOLUTION NO.: 12023 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, Jacqueline Munno (Applicant) filed an application for a variance from Town of Queensbury On-Site Sewage Disposal Ordinance Chapter 136 to install a replacement wastewater system with the absorption field to be located 81' from the drilled well in lieu of the required 100' setback on property located at 1 Knolls Road South 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 duly conducted a public hearing concerning the variance request on Monday, February 27t', 2023, and WHEREAS, the Town Clerk's Office has 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, the Local Board of Health determines 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 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 Applicant; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of Jacqueline Munno for a variance from the Sewage Disposal Ordinance to install a replacement wastewater system with the absorption field to be located 81' from the drilled well in lieu of the required 100' setback on property located at 1 Knolls Road South in the Town of Queensbury and bearing Tax Map No: 253.3- 1-43, 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 27t'day of February, 2023,by the following vote: AYES NOES ABSENT: SEPTIC VARIANCE Office Use Only Permit 4: APPLICATION Permit Fee: $ 7'owrr afC�n-rn tr Invoice 4: 742 Bay Road, Queensbury, NY 12804 P: 518-761-8256 www.aueensbury.net Approvals: Submittal : 1 (one) original & 8 copies of the completed application ct ° A r ? � PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMS R� � b CIO oA FES 1 rn Section 1& L)Lr�� ao Contact Information: CL5 Property Owner(s) : Jacqueline Munno Owner's Agent: Environmental Des+ Address: 41 Ford Road Address: 900 Route 146 Woodbridge CT, 0+6525 Clifton Park NY, 12065 Phone #: 603-498-8663 Phone #: 518-371 -7621 x 138 Email: Jacqueline_munnoC)gmail.com Email : cdemyer obecipllp.com Section 2• Site Information: site Address: 1 Knolls Road South Tax ID#: 253.3- 1 -43 Directions to Site: Section 3• Distance from well on property to septic system (if applicable) 81 feet Section 4• is it possible to install a conforming septic system on this property? ❑ Yes ■❑ 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 0 No If NO, please explain : Section 6• Is the proposed system to be installed under a parking area? ❑ Yes ❑■ No Section 7: 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.) : V-1 :Absorption field to drilled well- requested 81' in lieu of the 100' required Septic Variance Application Revised December 2021 T t 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 Martin Address 1849 Ridge Road Tax Map ID 253.3- 1 -44 South Name Brian Rose Address 2 Knolls Road South Tax Map ID 253 .3- 1 -34 East Name Address Tax Map ID West Name Comora Irrevocable Trust Address 4 Knolls Road South Tax Map ID 253 .3- 1 -35 Section 9• OWNER STATEMENT I/We do hereby relieve the Town of Queenshury from any liabilities on the plumbing and septic system located at: t Knolls Rd south I/We realize that putting the well, septic tank or leaching system less than the required 8' feet from the well may increase the risk of pollution. Owner—Print Name: _ JACQUELINE MUNNO Owner—Signature: �- —� �J*w�-- _ Date: 2 }23-JAN-30 Section 10: NEIGHBOR OR TENANT RELEASE STATEMENT (if applicable) /We do hereby relieve the Town of Queensburyfrom 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 . NeighborJTenant—Print Name: Neighbor/Tenant-Signature: Date: Septic Variance Application Revised December 2021 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: lift ' sample Lxrtian Mey . �....., recWw� �►. _ I POO* 3 + f � CK f s A .�• v b0f' w• l F f � NG +nYrr? rb n t� Floor.ur "CMS Sati `.. Septic Variance Application Revised December 2021 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 MUnno Residence Site Address: 1 Knolls Rd South Tax Map #: 253. 3- 1 -43 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 : JACQUELINE MUNNO OWNER—SIGNATURE: �} + �.f.�.�-+_� E�-+�7. ►.ti+�+• - DATE : 2023-dAN-30 AGENT—PRINT NAME: Connor C1e11 yer AGENT SIGNATURE: ©ATE : 1130122 Septic Variance Application Revised December 2021 =71 o "M .......... _ - N" A:All-All-1 A-1 'N RO-- SITE rl f.ft'gl -Zl KNOLLS NO -I�P�P-1 -11 -11- IA- LU Z 2=vl A. PPOWSW A- Z z w SITE LOCATION MAP SITE VICINITY MAP 2uj SCALE: I"-ED.' GRAPHIC SCALE X w U) 2.11. < UJ U) 0.Zw 0 w z 0 Q- 0 0 Z Z 0 0 DWELLING o N,GAELIII o -LE: 20' NOT FOR KNOLLS Ot17H KNOLLS R�11D SGUTH CONSTRUCTION WASTEWATER PLAN tl� EXISTING CONDITIONS r-"�WASTEWATER PLAN 1 OF I �j za 1' zz- \\\\ 11 yl. 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