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1.2 1.2 WASTEWATER-SEWER\SetP1FNolte Holding Tank Replacement System—In APA-4-15-2024 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF GREGG NOLTE 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, Gregg Nolte (Applicant) has applied to the Local Board of Health for a variance from Chapter 136, §136-11 which requires applicants to obtain a variance for a holding tank system, as the Applicant wishes to replace the existing wastewater septic system by installing a holding tank system consisting of two (2) holding tanks each with a 2,000 gallon capacity,thus meeting the required total capacity of 4,000 gallons, on property located at 35 Assembly Point 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, May 6t", 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Gregg Nolte's sewage disposal variance application concerning property located at 35 Assembly Pointe Road in the Town of Queensbury (Tax Map No.: 239.12-2-10) 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 15t'day of April, 2024,by the following vote: AYES NOES ABSENT: i s SEPTIC VARIANCE Office Use Only Permit #: APPLICATION Permit Fee: $ Town oft2bu"rn +3' Invoice #: 742 Bay Road, Queensbury, NY 12804 P: 518-761-8256 www.aueensbury.net Approvals: r Y , Submittal : 1 (one) original & 8 copies of the completed appli n packbge }CP 1 - 0 PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE A EMAIL Section 1: Contact Information: ` Property Owner(s) : Gregg Nolte Owner's Agent: Environmental Design l a� fr nerhsip Address: 10 Apple Blossom Lane Address: 900 Route 146 Albany, NY 12205 Clifton Park NY, 12065 Phone #: 518-858-0537 Phone #: 518-371 -7621 x 138 Email: gnolte60Pgmail .com Email : cdemyerCa)edpllp.com Section 2• Site Information: Site Address: 35 Assembly Point Rd Tax ID#: 239. 12-2- 10 Directions to Site: Section 3: 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 property? ❑ Yes 0 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? F-1 Yes ❑■ No Section 7• Section of the Sanitary Sewage Ordinance from which ou are seeking the variance (i.e. leaching system will be 89 ft. from well in lieu of required 100 ft,) : V- 1 . Use of Ho ding Tanks Septic Variance Application Revised December 2021 a c 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 Jeffrey Randles Address 42 Assembly Point Rd Tax Map ID 239. 12-2-11 South Name Raymond Shirvell Address 31 Assembly Point Rd Tax Map ID 239. 12-2-9 East Name Harold D. Gordon Address State Route 9L Tax 'Map ID 239.12-2-94. 1 West Name Collier FarmRevUvTrust Address 28 Old Assembly Point Rd Tax Map ID 239. 12-2"5 Section 9: Ot1MEEt_STATEA ENr I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 35 AssemblyPmmRd . 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 Name: t*\ f Owner—Signature: is WJ Date: '. OR ! Section 10. NEIGHBOR-OiLTENANTRra EokSESlAMdaff WappAmblel 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 Acwtication Revised December 2021 t 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 belows /.,r' SemOp LacxSrn i',in, p ion41 Op TT .. i x ��.]f'''' ,,..."" i �; r! •.. ^ � i f �t lrc.Yn.r Gewrr,w.ry . , `. z� ss�casra a = V „ ta^cve 8l7fn.s V wfweexs.ns —_ — 'f1.1Y.ftlM ! Septic variance AsmIkatim Revised DecenAper 2021 f 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 following if the OWNER is using an Agent: Owner's Name: 0 A(C Designates: EnvironrnenW Design Partnership as agent regarding the Septic Variance for Nolte Residence Site Address: 35 Assembly Point Road Tax Map #: 239. 12-2-1 Q 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 Meetina 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 retard and the handwritten minutes taken by the designated stenographer, the handwritten minutes shall be deemed the official record. I, the undersigned, have thoroughly react and understand the Instructions for submission; agree to the submission requirements and completed checklist: OWNER—PRINT NAME: e OWNER—SIGNATURE: DATE: , 2A zo; AGENT—PRINT NAME, 'Connor DeMyer AGENT- SIGNATURE: rt. . - .-,� -� - " _ DATE: 4/2/24 Seatic Variance Aooiication kevised December 2021 O1, sso TSB-als � 1 AV O VE:6 t MF,/Z0/b0 3lm riosso'AN i S-11dl30 (INV S310N N011d10�J-1iNd ANdl ONIG�OH AjeuimlWd ONV YIVN 1,LLass3as NVId �Rs .� �.� 3aaovv 131ddv 1N3W33V1d321 2331VM31SVM I _I I-1 I=i --"— . 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