1.3 1.3
WASTEWATER-SEWEW SetPWRossi-Holdnig Tank and Setback—In APA-11-18-2024
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF ERIK ROSSI
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, Erik Rossi (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 install a 3,525 gallon capacity holding tank,which meets the holding tank
capacity required, on property located at 12 Ward Lane in the Town of Queensbury, and
WHEREAS, the Applicant has applied for an additional variance from Chapter 136 to allow
placement of such holding tank 44' from Lake George in lieu of the required 50' setback;
NOW, THEREFORE, BE IT
RESOLVED,that the Town of Queensbury Local Board of Health will hold a public hearing
on Monday, December 2nd, 2024 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider Erik Rossi's sewage disposal variance application concerning property
located at 12 Ward Lane in the Town of Queensbury (Tax Map No.: 240.6-1-8) 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 18'h day of November, 2024,by the following vote:
AYES
NOES
ABSENT:
SEPTIC VARIANCE Office Use Only
Permit#:
APPLICATION Permit Fee: $
lawn N then, _
742 Bay Road,Queensbury,NY 12804 Invoice tt:
P:518-761-8256 www.queensbury.net
Flood Zone? Y TYPE: ; N
Reviewed By:
Submittal: 1 (one) original & 8 copies of the completed application package
PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
Section 1:
Contact Information:
Property Owner(s): Erik Rossi Owner's Agent: Dominick Arico,Arico Associates
Address: 12 Ward Lane,Queensbury, NY 12804 Address: 1407 Route 9, Clifton Park, NY
Phone p: 518.439.4955 Phone 7t: 518.573.6989
Email: erik454ss@yahoo.com Email: darico@aricoassociates.net
Section 2:
Site Information:
Site Address: 12 Ward Lane Tax IOp. 240.6-1-8
Directions to Site: 400'south Pilot Knob Road
Section 3:
holding tank -
65+
Distance from well on property to�pt.s ..(if applicable) / feet
Section 4:
Is it possible to install a conforming septic system on this property? I Yes I 1 No
If YES, please explain and attach a diagram:
Section 5:
Does the proposed system meet setbackrequirements for distance from wells&septic systems on neighboring
properties? 7 ds I r
Yes No If NO, please explain:
Section 6:Is the proposed system to be installed under a parking area? Yes lit 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 ft.): Holding tank will be 44'+/-from edge of water in lieu of 50'
Septic Variance Application Revised May 2024
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 Edward LaPoint
Address Ward Lane
Tax Map ID 240.6-1-9
South Name David &Sandra Barlow
Address ward Lane
Tax Map ID 240.6-1-7
East Name David Dickey
Address Ward Lane
Tax Map ID 240.6-1-2
West Name David Dickey
Address Ward Lane
Tax Map ID 240.6-1.2
Section 9:
OWNER STATEMENT
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:
12 Ward Lane . I/We realize that putting the well, septic tank or leaching system less than
the required 50 feet from the edge of water may increase the risk of pollution.
Owner—Print Name: Erik Rossi
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 Name:
Neighbor/Tenant-Signature: Date:
Septic Variance Application Revised May 2024
PLEASE ATTACH THE FOLLOWING TO YOUR APPLICATION: a e
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 below:
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41
Septic Variance Application Revised May 2014
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: Erik Rossi
Designates: Dominick Arico, PE as agent regarding the Septic
Variance for wastewater holding tank
Site Address: 12 Ward Lane
Tax Map#: 240.6-1-8
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: Dominick Arico, PE
AGENT—SIGNATURE: ///�- --- DATE: 10.30.24
Septic Variance Application Revised May 2020
I
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SG
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UNDERGROUND HOLDING TANK
3525 GALLON HOLDING TANK DETAIL
SCALE: NONE
NORWESCO EXTENSION AND
LOW PROFILE LID WITH GASKET
FINISHED GRADE---\
1 /4" FT MIN. 1 4" FT MIN.
1" PVC CONDUIT 20"
0 SUPPLYOWER -
N
4" INLET
WATERTIGHT JOINT—
4" C.I. TEE
o
0
12" MIN
as
12" MIN.
16" MAX. SELECT GRANULAR BACKFILL
OFF
= 50% CAP
NORWESCO 3525 GALLON POLY
HOLDING TANK OR EQUAL
1 °1" COMPAGTED
CRUSHED gTONE BASE.
P O
p
(1) TOPOGRAPHIC AND BOUNDARY INFORMATION GENERATED FIR M VAN
DUSEN & STEVES LAND SURVEYORS ON OR ABOUT JANUARY 3, 2024°
ENTITLED "MAP OF A TOPOGRAPHIC SURVEY MADE FOR ERIK ROSSI"
A a
Lands Now or Formerly of
I
Edward LaPoint
a
Book:1406 Page:294 IA °'
{ 240.6-1-9 , gu'1d'n Lands Now or Formerly of
! Pd3oiner ° I David B. Dickey
Book-6270 Page:288
H �A CIRF 40.6-1-2
_ l
�l(l�rrl�� 5 , \ pIPF
5 ± To Mean High Water \ \8 ��9� s t j \ I U.P. NM268-B
CIRF (DLD)
HOLDING TANK SECTION UNDISTURBED EARTH
SCALE: NONE
120VAC TOWN STANDARD NOTES:
HIGTANK
H LEVEL ' (1) THE ALARM SYSTEM SEQUENCE OF OPERATIONS IS AS FOLLOWS: WHEN THE LEVEL OF THE
Floar 1 FLOAT SWITCH - CLOSES HOLDING TANK REACHES 50% OF THE USABLE LEVEL IN THE TANK, THE YELLOW LIGHT WILL
ON RISING LEVEL INDICATE "TANK HIGH LEVEL." WHEN THE LEVEL OF THE HOLDING TANK REACHES 100% OF THE
FLOAT 2 CR TANK SHUT OFF USABLE LEVEL IN THE TANK, THE BUZZER WILL SOUND, THE RED LIGHT WILL FLASH TO INDICATE
I LEVEL RELAY CxR CONTROL RELAY "TANK SHUTOFF LEVEL," AND THE SOLENOID VALVE IN THE MAIN WATER LINE WILL ENERGIZE
TANK AND CLOSE TO PREVENT ANY MORE WATER FROM ENTERING THE RESIDENCE. THE PUSHBUTTON
SHUT OFF ALARM LIGHT - YELLOW WILL BE USED TO SILENCE THE BUZZER. THE SYSTEM WILL RESET AFTER THE HOLDING TANK IS
CR1 LEVEL
R ALARM LIGHT - RED PUMPED DOWN TO BELOW THE ACTUATION LEVEL OF THE LEVEL SWITCHES.
TANK QB BUZZER (2) FLOAT SWITCHES SHALL BE DIRECT ACTING, NORMALLY OPEN, SUSPENDED, WITH BUILT-IN
Ii SHUT OFF WEIGHT WHICH ACTUATES WHEN THE LONGITUDINAL AXIS OF THE FLOAT IS HORIZONTAL AND
✓ � CH
1 CR2 I PUSH o O NORMALLY TOPEN ON �r DEACTUATES WHEN THE LIQUID LEVEL FALLS ONE INCH BELOW THE ACTUATION LEVEL. THE
}��-------jjjif e FLOAT SWITCH SHALL OPERATE AT 120 VOLTS ALTERNATING CURRENT WITH A PILOT DUTY OF
SOLENOID VALVE -
'ALARM SILENCE' FAIL OPEN 4.5 AMPERES MINIMUM. THE CONTACT SHALL BE NORMALLY OPEN, I.E., IT SHALL CLOSE WHEN
-j_ ZR R� + SILENCE THE FLOAT RISES ABOVE THE ACTUATION LEVEL. THE FLOAT SHALL BE CHEMICAL -RESISTANT
C� POLYPROPYLENE CASING WITH A FIRMLY BONDED ELECTRICAL CABLE PROTRUDING. ONE END
j Wes_ OF THE CABLE SHALL BE PERMANENTLY CONNECTED TO THE ENCLOSED MERCURY SWITCH, AND
MAIN WATER LINE THE ENTIRE ASSEMBLY ENCAPSULATED TO FORM A COMPLETELY WATERTIGHT AND
SOLENOID
CONC:f IFM HOLDING TAW IMPACT -RESISTANT UNIT, GOULD TYPE A2-3OR EQUIVALENT.
LEVEL ALARM SYSTEM SCHEMATIC DIAGRAM
Faw3 (3) THE FLOAT SWITCH WIRING SHALL BE TERMINATED IN A NEMA 4X JUNCTION BOX MOUNTED
KTB. INSIDE THE HOLDING TANK. ALL WIRING FROM THE FLOAT SWITCH JUNCTION BOX TO THE LEVEL
ALARM SYSTEM PANEL SHALL BE INSTALLED UNDERGROUND IN ACCORDANCE WITH THE LATEST
EDITION OF THE NATIONAL ELECTRIC CODE AND ALL STATE AND LOCAL CODES. WIRING SHALL BE
3#12AWG, TYPE THW OR THWN, CONDUCTDRS IN A ONE HALF -INCH PVC CONDUIT. ONE LEVEL
SWITCH SHALL BE ACTUATED WHEN THE TANK IS AT 50% OF THE USABLE CAPACITY TO INDICATE
A HIGH LEVEL. THE SECOND LEVEL SWITCH SHALL BE ACTUATED WHEN THE TANK IS AT 100% OF
THE USABLE CAPACITY TO INDICATE A SHUT OFF LEVEL.
(4) THE CONTROL RELAYS SHALL BE GENERAL PURPOSE, 120 VOLTS ALTERNATING CURRENT, WITH
CONTACTS RATED FOR FIVE AMPERES CONTINUOUS. THE NUMBER AND TYPE OF CONTACTS
SHALL BE AS SHOWN, SQUARE "D" 8501, TYPE RS-14, OR EQUIVALENT. A RELAY SOCKET TO
MATCH THE CONTROL RELAY FURNISHED SHALL BE PROVIDED.
(5) THE ALARM LIGHTS SHALL BE 120 VOLTS ALTERNATING CURRENT PILOT LIGHTS WITH A DOMED
PLASTIC LENS. THE "TANK HIGH LEVEL" LIGHT LENS SHALL BE YELLOW, SQUARE "D" KP1Y9 TYPE
K OR EQUIVALENT. THE "TANK SHUTOFF LEVEL" LIGHT SHALL BE SUPPLIED WITH A FLASHER AND
A RED LENS, SQUARE "D" KPF1 R9 TYPE K OR EQUIVALENT.
(6) THE BUZZER SHALL BE 120 VOLTS ALTERNATING CURRENT, HEAVY DUTY, ADJUSTABLE VOLUME
EDWARDS ADAPTABUZZER, TYPE 340A-N5 OR EQUIVALENT.
(7) A NORMALLY OPEN, 120 VOLTS ALTERNATING CURRENT, NONILLUMINATED PUSHBUTTON SHALL
BE PROVIDED. THE PUSHBUTTON SHALL HAVE A FULL GUARD. SQUARE "D" KR1UH5 TYPE K OR
EQUIVALENT.
(8)THE RELAYS AND RELAY SOCKETS SHALL BE MOUNTED IN A GENERAL PURPOSE NEMA 1
ENCLOSURE. THE ALARM LIGHTS, BUZZER AND THE BUZZER SILENCE PUSHBUTTON SHALL BE
MOUNTED ON THE FRONT OF THE
ENCLOSURE. ALL NECESSARY MATERIALS SHALL BE PROVIDED, I.E., TERMINAL BLOCKS,
CONNECTORS, ETC., TO MOUNT AND CONNECT ALL DEVICES. THIS ENCLOSURE SHALL BE
PROVIDED WITH A NAMEPLATE WITH THE FOLLOWING DESCRIPTION "HOLDING TANK LEVEL
ALARM SYSTEM." PLASTIC LAMINATED NAMEPLATES, WHITE THROUGH TO BLACK CORE, SHALL BE
PROVIDED OVER EACH DEVICE. THE NAMEPLATE DESCRIPTION SHALL BE AS INDICATED ON THE
SCHEMATIC. ALL WIRING IN THE HOLDING TANK LEVEL ALARM SYSTEM CONTROL PANEL SHALL
BE INSTALLED IN A NEAT AND WORKMANLIKE MANNER. A COPY OF THE SCHEMATIC AND
SEQUENCE OF OPERATION SHALL REMAIN WITH CONTROL PANEL. THE ENCLOSURE SHALL BE
MOUNTED IN A SUITABLE LOCATION IN THE RESIDENCE.
(9) THE SOLENOID VALVE SHALL BE A NORMALLY OPEN (ENERGIZE -TO -CLOSE) VALVE, 120 VOLTS
ALTERNATING CURRENT AND SHALL BE INSTALLED IN THE RESIDENCE INCOMING MAIN WATER
LINE. THE SIZE OF THE VALVE ORIFICE SHALL CORRESPOND WITH THE PIPE DIAMETER OF THE
WATERLINE. WIRING TO THE SOLENOID SHALL BE SIZED IN ACCORDANCE WITH THE LATEST
EDITION OF THE NATIONAL ELECTRIC CODE.
Lands Now or Formerly of 4scri-4so Pox \ l ( \ OOP-
David B. Dicke I / 1 INV(TANK)=339.00t I' \\ \ Wood Fr \ \
INV(B,DG)=341.00±'
Io
Book:6270 Page:2 8 th j I ,
240.6-1-2 � I 1 I` 1� t 1 l I I f /J I ��gR) 4 a` \
Q \ � I � � � ` � �� \ � 134 Opt
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\\ 1
I I 3.525 GAL
\/ \ °' i Lands Now or Formerly of
Dock II ! HOLDING
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' ,\ 1 \ I " ` Book:6839 Page:38
l ` DECK 1 TWO STORY SINGLE a \ 240.E 1 5
\ Fire Pit \ LIMITS, 'I� \ ' FAMILY DWELLING24 \
FF348.00f 4 \
Dock �� I N .p.
RETAINING WALL ` - \ 1 WefF Casing
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5' To Mean High Water \ I Bw334
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1 /2" IPF I I � � \\. � $�0�, 41 �W ! \ \ \
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1" IPF \
CIRF
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Lands Now or Formerly of
David & Sandra Barlow Lands Now or Formerly of
I Book:6136 Page:151 David & Sandra Barlow
240.6-1-7 Book:6136 Page:151
' 240.6-1-3
Well Casing
I
SITE LAYOUT PLAN
SCALE: 1 "=20'
350
340
330
320
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SITE LOCATION MAP
SCALE. 1 2000 _
No Whacks
top two or —
three courses
Three 10" nails
per timber
Two 10' nails
/- Notch for
weep holes
First course
below grade
:1� Well-tlrairled
backfill
Tiebacks staggered
1 16 ft. on center
. °.
Two 10' nails
3/4' compacted crushed store
I' 16" deep trench
1/2' diameter rebar, two per timber first course
❑ISSUED FOR REVIEW
❑ NOT FOR
CONSTRUCTION
[]RECORD PLANS
DATE SUBMITTED:
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DATE: OCTOBER 2024
JOB NO. 24.11
SCALE: AS NOTED
DRAWN BY: DFA
CHECKED BY: AA
DRAWING NO.
S1
SHEET 1 OF 1
0_t-00 0+20 0+40 0+60 0+80 1 +00
SYSTEM PROFILE -SECTION A' -A'