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1.2 WASTEWATER-SEWER\Set PFFBenson-Absorption Field to Lane and Structure-1-8-2024 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF SUN-AE BENSON RESOLUTION NO.: 92024 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, Sun-ae Benson has applied to the Local Board of Health for variances from Chapter 136 to install a replacement wastewater system with its absorption field fill to be located within: 1. 8' of the east property line in lieu of the required 10' setback; and 2. 6' of the structure in lieu of the required 20' setback; on property located at 371 Glen Lake 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, January 22nd, 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Sun-ae Benson's sewage disposal variance application concerning property located at 371 Glen Lake Road in the Town of Queensbury (Tax Map No.: 289.10-1-1) 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 8t'day of January, 2024,by the following vote: AYES NOES ABSENT: 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering PLLC pFaxe(518) 745-03087 January 3, 2024 $ Town of Queensbury Town Board as '" Board of Health RECEIVED w 742 Bay Road " Queensbury NY 12804 �, QI.IEEl�i °„ C}�aR.1<S OF�r OFFI 1GE ,,, Re: Sun-ae Benson Q+$ 371 Glen Lake Road .L Tax Map ID: 289. 10-1 -1 Dear Supervisor Strough 8& Town Board Councilmen: This office represents Sun-ae Benson with respect to the pursuit of wastewater variances for a replacement wastewater system installation at their property located at 371 Glen Lake Road. Presently the 1 -bedroom cottage is served by a 1 ,000-gallon concrete septic tank and a 4 ft x 4 ft drywell. During the property transfer inspection , it was discovered that the existing drywell is within the 150 ft setback of a neighboring well. Given the terrain and site constraints, it is not passible to install a compliant wastewater system. We are proposing to install a new 10 ft wide by 25 ft long stone absorption bed in the southeast corner of the property. Relief is requested for the installation absorption field fill within 8 ft of the east property line where 10 ft is required and within 6 ft of the structure where 20 ft is required . The existing cottage is built on piers with a shallow crawl space. Enclosed please find ten submission packages for this project. We respectfully request, if possible, that this item be placed on 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 1r SEPTIC VARIANCE office Use Only Permit #: APPLICATION Permit Fee: $ ftofoj�ns Invoice #: 742 Bay Road, Queensbury, NY 12WA P; 518-761-8256 www.pueensbur_net Approvals: Submittal: 1 (one) original & S copies of the completed application package PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL Section 1• Contact Information: Property Owner's): SUN-AE BENSON Owner's Agent: HUTCHINS ENGINEERING , PLLC Address: 3 ORIENT AVENUE Address: 169 HAVILAND ROAD BROOKHAVEN , NY 11719 QUEENSBURY,NY 12804 Phone #: Phone #: 518-796-2515 Email: Email: TGENTERCHUTCHINSENGINEERING OOM Section 2: Site Information: Site Address: 371 GLEN LAKE ROAD Tax ID#: 289 . 10- 1 -1 Directions to Site: NORTH SIDE OF GLEN LAKE ROAD BETWEEN SULIIVAN DRIVE & ELM DRIVE Section 3• Distance from well on property to septic system (if applicable) 1 1 6' 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 ❑ 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 IOC? ft. ) : PLACE ABSORPTION FIELD 8 FT FROM EAST PROPERTY LINE IN LIEU OF 50 FT REQUIRED & 6 FT FROM septic variance Application Revised December 2021 t Section S: 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 QUEENSBURY LAND CONSERVANCY / SUN-AE BENSON Address 169 HAVILAND RD, QUEENSBURY / SAME AS OWNER Tax Map ID 289.9- 1 -65 / 289,6- 1 -4 South Name GARY HILLERT TRUST Address 366 GLEN LAKE RD QUEENSBURY Tax Map ID 289. 10-1 -53 East Name FRANCIS DONOHUE Address 40 RED WOOD TREE LANE IRVINE CA 92612 Tax Map ID 289, 10-1 -2 West Name SANDRA STROTHER Address 357 GLEN LAKE ROAD, QUEENSBURY Tax Map ID 289. 9-1 -64 Section 9: OWNERSTATEMENT I/We do hereby relieve the Town of Clueensbury 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 Narne: Owner—Signature: Date: 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 dame: neighbor/Tenan,-Signature : _ Date = septic Var:a rice Appi scat for Revisec Dece-iiUev 2C21 D 'o" r- m. O Q- O =- as � � � n 'cr'a)- m . y. Z Di"Cu � N .c ECA rD o: v va o v q - -- �. (D v O n� "`�" x _ o Ln N 04; C:-t :3 r+ _. m . .� _ ( a � �. N ca' '� Q. fD fD CL off. m m :3 m a m � �' ' x c, � tD70 Ln ..� zt; "o: o A ua " CD (D,CD o" cr Cr- ' .. iq ID CL N c-, -CV4,Alto... { p tA ro cr .. N.. Ali Q N� Y 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 : SUN-AE BENSON Designates: HUTCHINS ENGINEERING as agent regarding the Septic Variance for Site Address: 371 GLEN LAKE ROAD Tax Map #: 289. 1 - 1 - 1 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 : OWNER —SIGNATURE : DATE : AGENT— PRINT NAME : THOMAS CENTER, PE - HUTCHINS ENGINEERING , PLLC AGENT—SIGNATURE: DATE : 11312.8 7, Y "�`°� Sep[-cvariance Applica(-on Revised Decen ber 202 '_