1.5 1.5
WASTEWATER-SEWEMSet PHIEast Lakc George-Kirkpatrick Family H0la1es-8 Nnlding'1;lnkg-l'empvnry Until Racklrurst Smer Project is Complctc-la APA-3-18-2024
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VA.RJANCE APPLICATION OF EAST LAKE, GEORGE HOUSE, LLC
RESOLUTION NO.: ,2024
INTRODUCED BY.
W1,I0 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, East Lake George house, LLC (Applicant) has applied to the Local Board of
Health for a variance frrom Chapter 136, §136-11 which requires applicants to obtain a variance fox
a holding tank system, as the Applicant 'wishes to temporarily connect four (4) future dwelling
structures (their construction to be approved by the Planning and Zoning Boards), each to two (2)
2,000 gallon precast concrete holding tanks, for a total use of eight (S) total holding tanks,while the
Rockhurst Community Sewer Project is underway, with the holding twiks only to be temporary
until the Sewer Project is complete and structures can be connected, on property located at 9 Sceyle
Road North 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 April 1st, 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider Kirkpatrick Family Homes' sewage disposal variance application
concerning property located at 9 Seeyle road North in the Town of Queensbury (Tax Map No.:
227.17-1-60) and at that time all interested persons will be heard, and
BE IT FURTHER,
RESOLVED, that the focal Board of Health authorizes and directs the Queensbury Town
Clerk to publish the Notice of Public Dearing 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 18t"day of March, 2024, by the following vote:
AYES
NOES
ABSENT:
z
SEPTIC VARIANCE Office Use Qnfy
Permit#:
APPLICATION permit Fee:$
����=.�Krrr„7arr•
Invoice#:
742 Bay(toad,Queensbury,NY 12804
P;518-761-8256 Approvals. - m
Submittal: l (one) original &8o1s of the cmpietedppl 'ion!` aclage,„t
PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE A ML
Section 1: '
Contact Informatlon: �
Property Owner's):
East Lake Gsmga House LLC Owner's Agent: Environmental Design Painershlp
Address: 39 North Church Lane Address, 900 Route 146
Ciueenshury NY 1 804 Clifton Park NY 12804
Phone#: 617-584-6939 Phone#; 518.371-7621 x 138
Email: akirkpat@adobe.corn Email: cdemyer@edpllp,com
se jan Z•
Stte Informatlon,
Site Address: 9 Seeyle Road North Tax ID#: 227,17-1-60
Directions to Site: From 9L,turn onto Cieverdals Road,turn right onto Rockhurst,turn left onto Seeyle Rd N
Section 3:
Distance from well on property to septic system(if applicable) nla(Lake Water Supply)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:
§gtion 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 0 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 ftj; Use of eight (8) total holding tanks
i Saptle Variance Appllratiork Revised December 2021
l
sect] a_
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 Mark Ryan
Address 28 Rockhurst Road
Tax Map ID 227.13.2-58
South Name David Ries
Address 8 Seeyle Road North
Tax Map ID 227.17-1-24
East Name Geraldine Eberlein
Address 12 Seeyle Road North
Tax Map ID 227.17-1-25
West Name State of New York
Address Gunn Lane
Tax Map 10 227.18-2-20
Section 9:
QWNER STATEMENT
I/we do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at-
USE OF HOLDING TANKS i/we realize that putting the well,septic tank or leaching systemless than the required NIA feet
from the N/A may increase the r€ k of ollut n,
Owner—Print Name,
Owner—Signature,- Date`
Section i0:
NE GIg ?IZ OR TENE[EASE STATE E (!f apprlcbre)
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 systemless than the required feet
from the may increase the risk of pollution.
Neigh bor/Tenant—Print Name;
Neighbor/Tenant-Signature: hate:
Septic Variance Application Revised December 2021
Section 11:
AUTHORIZATION AND SIGNATURE PAGE
This page Includes the Authorization to Act as Agent farm, 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,
Homes
Designates: nvirar,mantaa.DesignParnership Kirkpatrick Famil as agent regarding the Septic Variance for p y
Site Address: 9 Seeyle Road North
Tax Map#: 27.17-1-60
Engineering Fee Disclosur ,Applications may be referred to the Town consulting engineer for review of septic
design, storm drainage,etc.as determined by the Town ward of Health. Fees for engineering review services
will be charged directly to the applicant.
Authorization for Sit 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 f49te: 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,
Offcial 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. 4"' �
OWNER—SIGNATURE: DATE: 6�2_
AGENT—PRINT NAME, CO nor Ike er
AGENT—SIGNATURE: If DATE: 6/27/23
Septic Variance Application Aavlsed Occember 2021