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1.10 1.10 WASTEWATER-SEWER\Set PI FLoughrey Michael—Replacement with Absorption and Ejector Pump Tank to Dwelling and Well—In APA-2-12-2024 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF MICHAEL LOUGHREY 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, Michael Loughrey (Applicant) has applied to the Local Board of Health for variances from Chapter 136 to install a replacement onsite wastewater treatment system with certain of its components to be located: 1. ejector pump tank 4' from the dwelling in lieu of the required 10' setback; and 2. wastewater absorption field 60±' from the neighboring well in lieu of the required 100' setback; on property located at 11 Sign Post 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, March 4th, 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury,to consider Michael Loughrey's sewage disposal variance application concerning property located at 11 Sign Post Road in the Town of Queensbury(Tax Map No.: 239.16-1-7) 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 12t'day of February, 2024,by the following vote: AYES NOES ABSENT: t rPeFfall CL`, t15L' [Jflly APPLICATION F enke 11-^.------- 742 Ray Road, Ckueensbury, NY 12804 Approvals �� P: 518-7G1-825G W4VlV.11iles'nsbury,nci mf',. Submittal: x (one) original & 8 copies of the completed appiic p "1e ' ' PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN A Al V. � Section 1: Contact information: Property Owner(s): Michael Loughrey Owner's Agent: F nvironmcrltfri Dasion r'fartncrshlp Address: 8234 212th Street Queens Address: 900 Route 146 Clifton Park NY 12065 Village NY 11427 Phone fg: 917-543-9239 Phone if: 519-371 -7621 x 138 Email: maryloughreyGDicloud.cam Email: Cdemyer@edpilp.COrrl Section 2: Site Information: Site Address; 11 Sign Post Road Tax iD#: 239.115`1 -7 Directions to Site: From Route 9L, northbound from Bay Roars intersection +l-0.7 miles Sign Post Rd an East Section 33; Distance from well on property to septic system (if applicable) n1a feet Section 4: Is it possible to install a conforming septic system on this progerty? ❑ Yes © No If YES, please explain and attach a diagram: Section 5: Does the proposed system rneet setback requirements for distance from wells & septic systems an neighboring; i properties? QYes Q No If NO, please explains ,u- _ __: ±. . !.. _.. :_ i.-_:.w_ -_w .•:.___-. . . . Section 6: Is the proposed system to he installed under a parkins; area? ❑ Yes NO Section 7• V-1 . EJECTOR PUMP TANK TO DWELLING - RrOULSTING 4' SETBACK IN LIEU OF TFiE nEQUIFIED 10, V-2: WASTGWATCfi ABSORPTION FIELD TO NEIGRBORING WELL - nEOUr.6TINGr rf�rr4` IN LIEU OF TFiE RFOUIRED 100' Ih. IW91 Il0(CpllxY loll se;Hic VnrY�nr rt llPprir a%sun Section 8- List the nanies, parcel addresses, and tax rnap numbers of all adjoining property owners. You may obtain this information from the 7 own of Clueensbury's Assessor's Office: North Narne Andrew Morehouse Address 299 112 Lark Street Albany NY 12210 Tax Map ID 239, 16- 1 -9 — South Name Ronald D. Faucher Address 1 Pond Street Paxton MA 01612 Tax Map 1D 239. 16-1 -6 East Name ROUTE 9L Address Tax Map ID West Name LAKE GEORGE Address Tax Map ID Section 9: OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic systern located at: 11 sIgn Post Rd I/We realize that putting the well, septic tank or leaching system teSS than the required 1°p feet from the neighboring well may increase the risk of pollution. Owner—Print Name: I C i7 c7 t/ 11 n � Owner---Signature: 0 cc Date: y Section 10: NEIGHBOR OR TENANT RELEASE STATEMENT (!f applicable) I/We do hereby relieve the -fawn of Queensbury frorn any liabilities on the pkrmhlnit and septic system IoCaterl at : . I/We realize tlttat putting the well, septic tarlk or Icachinlr systern Iess tlr7n the rc•ctuirrd feet from t[W may increase the rii%k'of pollution. Neighbor/ tenant .. Print Narne: [,5r. l:/ q IJt it hbor/T'enant SPgrraturc: Data: suptir Vie fiance Apiplication 11VVjwd L)CCV01ber 2U21 t -- 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 fo44owing if the OWNER is using an Agent: Owner's Name: Michael Loughrey - -- EDP Yln:t�Y l+alnr nnr.�1CC�nr,n1 Plan L.u!�ru of Designates: as agent regarding the septic Varlance for Site Address: 11 Sign Post Rd Tax Map #: 239, 16- 1 -8 En:zineerine 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. Pleas_ e� 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 Me,eti ng 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: " Get DATE: U 4LW -. 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P�«c,µ«ro aE a,sxroE'w i,ftir rNin:°„0000w„xo+("I oft maw U Ii o _ �l � wur,°eox use eE.usEmr Lu z°z snlx°Ea nuu s. o" "' s=o�x 4 a HEAVY DUTY CONCRETE SEPTIC TANK � PLASTIC PUMP TAN�Kma 'ax°�Es NN WW g NOT TO SCALE NOT TO SCALE' LL IW Z m Z Q= tl Z F W O o 51P FruU __48 ___ -_____ \.n° .w. xx„a M� n«.n,«x isF�"o'n �� 1 � S�O IO— irrr III_..................... t:�. — aa.„,„wr ,w.woxw,�xTM,�ow �TNi � E��Liii- ar m . �w wx . (—'\TYPICAL EFFLUENT FILTER / TYPICAL ELJEN TRENCH SYSTEM NOT'fO —,, NOT TO SCALE - x 4 o°t� caKR--nw9,Eo Gx.wE ����c°VEft 'vxmECT ixcM ER°51ox __- I I I I I I ,x�lx _ l _ ,'oanFis rv°pF raF�us+m, ' hswevc'3.s+,da, .-. a SECT ON VIEW AS NOTED d$$ PLPN VIEW jgOiFS. 1-1 ro6"1i°sEonnua`x�(xun E.wu o°i i,)oan r�nw,sz p,5sl i+.o oe'xa"o"Eov"EEIE«E u, w>n- a ors°moot NOT FOR I I.-u. wx i°a ,x CONSTRUCT ION SHEEt nTLE: � �1 #1 DISTRIBUTION BOXY° ELJEN GSF CROSS SECTION WASTEWATER E<ox,:rvw.coxpw�Eo w°sxEn REPLACEMENT NOTTOSCALE NOT TO SCFlLF. DETAILS SHEf:f: 3 2OF2