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1.4 1.4 WASTEWATER-SEWER\SetPH\Wilk ms—Septic Tank Replacement to House and Lane-11-4-2024 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF DAVID WILKINS RESOLUTION NO.: ,2024 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, David Wilkins (Applicant) has applied to the Local Board of Health for variances from Chapter 136 to install a replacement septic tank to be located: 1. 13"from the house in lieu of the required 10' setback; and 2. 13"from the property line in lieu of the required 10' setback; on property located at 116 Sunnyside 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 Monday, November 18ffi, 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider David Wilkins' sewage disposal variance application concerning property located at 116 Sunnyside North in the Town of Queensbury (Tax Map No.: 279.17-2-13) 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 4 h day of November, 2024,by the following vote: AYES NOES ABSENT: SEPTIC VARIANCE Office Use Only Permit#: W", ,�n. APPLICATION Permit Fee:5 742 Bay Road,Queensbury,NY 12904 Invoice#: P:518-761-8256 www.queensbury net Flood Zone? Y P Reviewed By: Submittal:1(one)original&8 copies of the completed application package y PLEASE PRINT LEGIBLY OR TYPE,PLEASE INCLUDE AN EMAIL Section 1: j Contact Information:y� �s Property Owner(s):_ CJQ(/1 i4� 1" Owner's Agent: C' y-('�/,/�,�4j Address:_ ��/f/�%sj'y �'+� Address: �7` !' Phone#:—,.c/�- `/�^ 7 Phone#:_ /cQ-7� Email:--Jayf' !fj ,? �m Email: Section 2: Sitelnformaticiru Site Address:_116 <,VjG�I}�/)6/�ia'N7�= ,�.,/;�lI -^ ) Tax/ID#: Directions to Site: C "_-s Ji L2 Section 3: AlDistance from well on.property to septic system(if applicable)_A feet Section 4: Is it possible to install a conforming septic system on this property? Il 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? ,7 Yes O No If NO,please explain:_ Section 6: Is the proposed system to be installed under a parking area? n Yes -II No Section 7: Section of the Sanitary Sewage Ordinance from which you are seeking the vari nce(i.e.leaching system will be 89 ft. from well in lieu of required 100 ft.): ,gip ¢/`� s,P ,?q {)j�'/"�q'.t+ pcj c , j�'1/ ,�roY1n o(eseptic var—ceAppP<atlon —�� '(�1`� •l' .A-sed May 2024 Section S; L1 he nsries,PaIcel addresses,and tax reap numbers or all aciclning prolrercy Owners YOU may obtain this infol-mation from the Town of flueensbuiy's Assessor's Offize. North Name Address Tax Map ID J 7 South Name Address Tax Map ID East Name Address lax Map ID West Name Address T.Map ID Section 9: OWNER STATEMENT !/Vve do nerp[dy relieve'he-own rfQceerubjryiron any ialo;I.ties o,i The 31umclng and sep-lc system ljAtea at .............. P,ve rea hat auit,ng t­e­li 4p,ic lea:rhig 5ysrn,e less than the�eaulred Yo'eet frorn:h' Owner—Print Name: Owner--Signature: ��-j_d� P --L Date: Section 10; NEIGHBOR OR TENANT RELEASE STATEMENT(ifapplicable; !/We do de-eov re;eVis The TOW-)or Qjeensr_ry from any Ilaolitie5 an-,he plug-,,b;ng ands c-.l:system lal_a7ed at AVe re; cat putt ng the well scoL,dark or leach,.ing system less than ine feet Fr,rn he 'the Or pollution. Neighbor/-errant Pr'u)t Name Ne[ghDc,r/-e,iarl —--------- ------ —--------- 5n�'F lq77�4cljep Septic ialia­A,p,kat­ Ila,2C2A ZaFcf Section 8: Lis the nar-es,rra',gel accrresses,and tax map numoers of all adjoining grope-hy owners You may obtain this Inform a tion Froinr the Town of Queensoury's Assessor's North Name Address "v Tax Map ID South Name Address Tax Map ID East Name -Y, n Address r_n�_ d '11 Tax Map ID West Name Address Tax:'Nap ID Section 9: OWNER STATEMENT ov'e so hereby r elieve rn�?_r.)­of Cr�_eer sr soY lao;IlUes o1i The?1_m&ng�nd,septo system xroateo a,, tea;Z., nar ro-tting t')e ss'ste—less than tne reqL red 70 fieet frDm tre risK "T�rrn. Owner—Print Name: Owner—Signature: ,L c�-e'� Date: Section 10: NEIGHBOR QR TENANT RELEASESTATEM�ENT'ifapplicable; /We he,ecy re ie�e Tow,) any locllftie5(:'i the piurrbirg ands eotic s��s-�err, c�,a[ej at: /We'-ea Ice a,pn:i rig,,I,e xeseDocra rn�K or eacr Ing syste less r, �hUe Sreq,red_1, -feet from zine aly crtsse nne,,,sk c-, Narne "1�7'0_17)............... ............. , Date: _4 0O SqM I Vari In ze A, ­ � i or, P—ned xi a y2o,4 X 3 Section 8: List the games,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 Address Tax Map ID South Name Address Tax Map ID East Name tz .............. Address /Z9 Tax Map ID West Name Address Tax Map ID Section 9: OWNER STATEMENT i/We do hereby relieve the iown of ueensbcry from any liabilities on the plumbing and septic system located at: I& - ------ /We realize that putting The,Neil,<-e-,7-tank)or leaching system less than the required_ZO feet from the may increase the risk itfTrffDTon. Owner-Print Name: Owner-Signature: Date: Section 10: NEIGHBOR OR TENANT RELEASE STATEMENT(ftpplicoble) :/We do hereby rMthe Town f Que risbury from any liabilities on the plumbing and septic system located at: i/We realize that putting the well,sepVc tank or leaching system less than the required_feet from the ......_-,ay increase the risk of pollution. Neighocr/Tenant-Print Naim twq /J) �, 2-Z Nelghbor/7eriart-Signaturp: ;7�F/Pk,"�-V­ Date:4691 Rev,-May 2024 41 7 Section 8: Lis r-h names parcel addresses,a`d tax map numbers of all adjoinir Property owners- You may obtair this in-lonnation rrorn the Town of queensbury"s Assessor's(If"ice. North Name Address r Tax Map ID _� ,1 w_�r•-- r South Name Address — Tax Mao ID — East Name —L pps�. ',.� - y Address _fFlZ:.f�ml p Tax Map ID West Name Address Tax Map ID 241,/Z Section 9: OWNER STATEMENT /We no iereby rei,cve the-a-Of Qi,e nso.;ry Tr Oro a,')y'i3o jfie5 o I t:he al,,,joingand sPptir,yste'r located a', Vy/e reaoe that pl,t inn ne vel r�PptiC tanl.�)r le2chlns system 1e55 h _ �-sa P £:an. Owner PrintNarne Owner-Signature! .-ES-. Date. i_G 'z//_G/ r t /Section 7— 10: NEIGHBOR OR TENANT RELEASE STATEMENT(if oppilccblej /'Ae Co ne ecy r lev, the T w Ui eer c. fro,any i n1(res or ,r p!U i�igand s tic systerr l a e�,l at. _� /e reahz that pat ing ore well sect c'tank or leaching sy,tam less than he rr grimed_ feet from-he _((_��-,,.._rc-r�_44,-- .ay in r, ,e t•e ri K o ,ollution. eig / enei it Tarr -LX. � h Nc�g — ir r r ,rant f c nature- _ .. r C"�4i1 SoptYc Variance"P RevrseU May 2024 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:_4a Kl� Designates: as agent regarding the Septic Variancefor__ Site Address: Tax Map#: 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. 1,the undersigned,have thoroughly read and understand the instructions for submission;agree to the submission requirements and completed checklist: OWNER—PRINT NAME: 10 all OWNER—SIGNATURE: A- DATE: AGENT—PRINT NAME: AGENT—SIGNATURE: DATE: Septic Variance Revised May 2024 "�.�� �'�- .�, / l SEWAGE DISPOSAL SYSTEM NOTES: LAYOUT PLAN 1. SEWAGE FLOWS: 3 BEDROOMS TOTAL EXPECTED FLOW=330 GPD 110 BED 1"-40' ) BASED ON WATER SAVING FACILITIES-REPLACE EXISTING IF NEEDED / ) ! I V N Y� 2.) SEPTIC TANK DESIGN SIZING: 3 BEDROOMS - 1000 GPD PROVIDED II ..`'1 I �I�/ 1 3.) CONTRACTOR SHALL AT ALL TIMES COMPLY WITH THE REQUIREMENTS OF NOR THE N.Y.S.D.O.H. DESIGN DOCUMENT APPENDIX 75-A-WASTEWATER APPROX. LOCATIONS f - !C 7 TREATMENT STANDARDS FOR INDIVIDUAL HOUSEHOLD SYSTEMS AND THE 40 I/ OF LEACHING SYSTEM "I\\\ 4� l�� I N.Y.S.D.O.H. PUBLICATION "INDIVIDUAL RESIDENTIAL WASTEWATER TO REMAIN APPROX. / `�,,/ ��7 '-._,� ` TREATMENT SYSTEMS DESIGN HANDBOOK" (MOST RECENT EDITION). 105' FROM LAKE �� ~" 4.) THE LOT INFORMATION HAS BEEN TAKEN THE WARREN COUNTY GIS n SITE ' / �✓ SYSTEM & LIMITED FIELD MEASUREMENTS. THE TAX MAP NUMBER IS 279.17-2-13. 11 LOCATION OF EXIST. CJ j PARCEL IS .14t ACRES IN SIZE. l LAKE SUNNYSIDE °� '' SEPTIC TANKS `� ; 5.) CONTRACTOR TO SECURE ALL REQUIRED PERMITS FOR PROJECT. PROP. 1000 GAL. 6.) CONTRACTOR RESPONSIBLE FOR COMPLIANCE WITH ALL OSHA REGULATIONS AND ug I PRECAST SEPTIC TANK , "y REQUIREMENTS. hgrr —50' FR M WELLS & /O� VM/ f 7.) ALL WORK MUST CONFORM TO ALL FEDERAL, STATE AND LOCAL CODES, a � I1 LAKE AREA Q ^� J SPECIFICATIONS, ORDINANCES, RULES AND REGULATIONS. � 14 ACRES �\ rockwell 5'1 8,) ALL UTILITY LOCATIONS, IF SHOWN, ARE APPROXIMATE. CONTRACTOR TO s road �1 �I FIELD VERIFY AND CONTACT UFPO AS REQUIRED. 9.) CONTRACTOR 70 PROVIDE RECORD DRAWINGS FOR THE PROPOSED WORK IF REQUIRED BY THE TOWN OF QUEENSBURY. SO LOCATION PLAN NN YS`O 10.) A PROFESSIONAL ENGINEER SHALL PERFORM INSPECTIONS OF THE SYSTEM AT THE i FOLLOWING TIMES: REPLACEMENT SEPTIC TANK IS EXPOSED. A 48 / NOTICE REQUIRED. ENGINEER TO CERTIFY THAT THE SYSTEM WAS INSTALLED IN NTS THIS FLAN TAKEN FROM SUBSTANTIAL ACCORDANCE W/PLANS. A FEE IS REQUIRED FOR THIS SERVICE, THIS DOES NOT CONSTITUTE FULL TIME INSPECTION OR PROJECT SUPERVISION. THESE SCALE: 1"-40 t QUE L N`F3URY TAX MAPPING, SERVICES CAN BE PROVIDED AT ADDITIONAL COSTS. SEPTIC TANK NOTES: 11.) THERE ARE NO EXISTING DRILLED WELLS WITHIN 100 FEET OF PROPOSED LEACH FIELD. 1. SEPTIC TANK TO BE FORT MILLER OR EQUAL. TANK TO BE HEAVY DUTY IF WITHIN TRAFFIC E0 ARC;A. A SEAMLESS TANK IS PREFERRED, IF NOT PROVIDE SECURE, WATERPROOF JOINTS. 12.) ALL REFUSE, DEBRIS AND MISC. ITEMS TO BE REMOVED SHALL BE LEGALLY 2. PROVIDE 6"-12" COVER OVER THE TANKS. PROVIDE EXTENSION COLLARS IF COVER EXCEEDS 12'" ONE EXTENSION DISPOSED OF OFF SITE BY THE GENERAL CONTRACTOR. COVER REQUIRED OVER OUTLET TO ACCESS TANK FOR PUMP OUT AND TO ACCESS EFFLUENT 111,1T.R. 13.) ALL POINTS OF CONSTRUCTION INGRESS OR EGRESS SHALL BE MAINTAINED TO 3. PROVIDE MINIMUM 3" PEA STONE, COARSE SAND OR GRAVEL AS SEPTIC TANK BEDDING, TANK TO BE. PLACED PREVENT TRACKING OR FLOWING OF SEDIMENT OR DEBRIS ONTO A PUBLIC ROAD LEVEL. OR ON THE PAVED AREAS OF THE SITE. 4. WHERE SEASONAL HIGH GROUNDWATER (SHGW) CAN RISE ABOVE THE TANK BASE, ANCHOR AGAINST FLOTATION. 14.) GRAVITY PIPING TO BE PVC SDR-35 OR SCH. 40. DO NOT PUMP DURING SHGW PERIOD. 5. EFFLUENT FILTERS ARE RECOMMENDED FOR ALL SEPTIC 15.) CONTRACTOR TO FOLLOW EROSION CONTROL GUIDELINES FOR ALL WORK AS PROVIDED SYSTEMS. THEY ARE REQUIRED BY MANY LEACFIING SYSTEM FOR IN "NEW YORK GUIDELINES FOR URBAN EROSION AND SEDIMENT CONTROL" DATED SECTION ZABEL ACCESS 4" OUTLET PIPE OMPANIES (SEE NOTE ON PLANS) OUR Df SIGN WILL APRIL 1997 OR ITS MOST CURRENT UPDATE. VIEW SYSTEM RISER DEPTH MIN. SLOPE J"/FT REQUIRE THEM FOR RAISED BED OR FILL. SYSTEMS, 16.) OWNER SHALL NOT ALLOW ANY CLEAR WATER DISCHARGES SUCH A SUMP PUMP AS REQ'D 26" MIN. 0 6. LOW PROFILE FIBERGLASS SEP11C TANKS MAY BE USED DISCHARGE, ROOF OR FOUNDATION DRAINS OR WATER SOFTENER BACKWASH TO BE 4" INLET PIPE WHERE CONDITIONS REQUIRE SUCH A TANK IF APPROVED DIRECTED TO THE SEPTIC SYSTEM AS IT WILL CAUSE SYSTEM FAILURE. MIN. SLOPE 1/4"/FT BY ENGINEER. CONCRETE IS PREFERRED, PROPOSED 13 f TO PROPERTY LING:. 6" 4'-0" LIQUID LEVEL 4' _ 124" INSPECTION 1 , 18" COVER (TYP.) �I 8" ZABEL EFFLUENT CO, 7 ...] TAT a I" FILTER �. `o I OUTLET. Lands Of David Wilkins (TYP.)LL 4E ftp r Q 116 Sunnyside North 4" TYP. V TOWN OF QUEENSBURY WARREN COUNTY STATE OF NEW YORK s, Mai: e ARS `,snot©;::G vl l:. pE n s.7t7 PROPOSED 1 s"r To HOUSE SEPTIC TANK REPLACEMENT PLAN — NLET 8,_�"" DATE: 10-2-24 SCALE: AS NOTED DWG. NO.:wilkonsseptic PLAN VIEW SEPTIC TANK DETAILS — 1000 GAL. CARRY ROBINSON, P.E. N OF TO SCALE P.E. LIC. No.: NY-060166 CONSULTING ENGINEER SHEET ) OF 2 279.17-1-4 S8U 279,17-1-20 SBU 2791]-1-2 i7. SBL� 27917-1-22 Sm. 279.17-1-21 nY ^ SHU Nw 279.17-1-23 9 IV N SHL� �h�ti N ,{y 27917-1-24 rye. "ul 7'79:P7,.1-mo ^y4 �y ryb 2]917-17-1-32 N SHL, q} ws `"ff``` �i 27Rt7�-1-47 279.17-1-49 ti � ti`Y Hti h h�4 ` J 3 279177--1-48 N ` �`7/tab pi`in S .ti SBL�(51 279 iBLi-s0 27%17-t-46 M4 -tl 9'„> 0 O „» S \' 2791 I-59 Q� �}7i �9�� F" 27917�-i-si mac? WILKINS PARCEL—...... ....,.. G 581-� V I 279.17"2'"7 n S84 2 SHU 279.17-1-38 a W 279.4^2 6 I._AKF SUNNYSIDE SB. 27917` <'J J^ 9.17-1 17-1 9JJ�. -44 SBL� Sr-'2_4 r`79 279.i7-I"S2 Lands of David Wilkins 116 Sunnyside North set _ SBL, TOWN OF QUEENSBURY WARREN COUNTY STATE OF NEW YORK zjg17 z 3 27Rnt2-2 27917-1-53 8791T 1-s4 279.17-1-57 NEIGHBORING PROPERTY PLAN DATE: 10-2-24 SCALE: AS NOTED DWG. NO.:wilkonsseptic GARRY ROBINSON, P.E. - CONSULTING ENGINEERSHEET 2 OF 2 I P.E. I.IC, NO NY-06016r