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1.1 1.1 WASTEWATER-SEWER\Set MCrevv—Absorption Field to Lake George Shoreline—6-1-15 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF CHARLES CREW RESOLUTION NO.: ,2015 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, Charles Crew has applied to the Local Board of Health for a variance from Chapter 136 to install a fill absorption system 160' from the Lake George shoreline in lieu of the required 200' horizontal separation on property located at 111 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, June 15ffi, 2015 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Charles Crew's sewage disposal variance application concerning property located at 111 Assembly Point Road in the Town of Queensbury(Tax Map No.: 239.7-1-1.12) 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 1St day of June, 2015, by the following vote: AYES NOES ABSENT: i„IIIIIIIIII, �IIIlillillll) ENVIRONMENTAL DESIGN PARTNERSHIP,LLP May 26, 2015 Town of Queensbury Board of Health 742 Bay Road RECEIVED Queensbury,NY 12804 MAY 2 6 2015 `^ Attn: John Strough, Chairman --, QUEENSBURY ' CLERK'S OFFICE Re: Crew Property Wastewater System Variance Tax Parcel 239.7-1-1.12 Assembly Point Rd. '6 T t g Dear John: Submitted for your distribution and review are nine sets of a septic variance application for an Assembly Point Road lakeshore property. Attached with the Town's application form and variance plan set is a Project Description narrative which provides an explanation for this somewhat different request. I will be available at the convenience of the Board for a site visit to explain the site conditions and the need for the variance relief requested. If it would be advisable I could also attend your workshop meeting(June 10th)prior to the meeting at which the public hearing (June 15th)would be scheduled. Thank you for your consideration of this request. We are hopeful to be placed on the agenda of the June meetings of the Board of Health. Sincerely, Dennis MacElroy, PE attachments cc: Dave Hatin Charles Crew 900 Route 146, Clifton Park, New York 12065 phone(518)371-7621 -fax(518)371-9540 i • • ^ ^ r4�••1 '�1 ' ' Town of Queensbury Building & Codes Office Use Only Fteceiveci� SEPTIC VARIANCE APPIICATI�Ii �w.. ax Map D: Submittal: 1 original&8 copies of the completed pp�irc bon ppac a Pg7it N " X4'5 ;04e: $ goo oval TOW N012 `i,:::,LN 3, BUILDING & COD Owner GCE Owner's Agent Address 1 1 1 'tom+.-4 . ej Address E jP -'4 GF Tircur T�-aK i'Doic 5 L oSA G4 C 1.4. 'e t+ E•5 Cwt p4 Fi�u..— �Y 1 Z 1 Phone 44 13 +-V4 1 — 1 OIoS Phone "7l:=,1 —O"v 1? Directions to Site: IZT.9L To Pro-DEr&vLY fi r". 'D - - PULE. Tor4PARc.et- ar4 LEE='r' Distance from well on property to septic system(if applicable) 1'4 O feet Is it possible to install a conforming septic system on this property? Yes ✓No If YES, please explain and attach diagram: Does proposed system meet setback requirements for distance from wells&septic systems on neighboring properties? Ni Yes No If NO,please explain: Is proposed system to be installed over a parking area? Yes /No Section of the Sanitary Sewage Ordinance from which you are seeking the variance: (example: leaching system will be 89 ft. from well in lieu of required 100 ft.separate distance): r b4p,; 1z ►34-crfs Fu-i- A131 Prt et-4 "2 ■,r-Or -14 "To $E. 16:70 Faeztvk 1km12-t Town of Queensbury Building&Codes Septic Variance Application 518-761-8256 List the names, parcel addresses,and tax map numbers of all adjoining property owners. You may obtain tax map numbers from the Assessor's Office as well as the names and addresses: North Name Mt -i E L 4. ( *A%L Corti Address 1S A z/=E L-Y . 2� Tax Map ID 231 . 7 — 1 —ZI_2. South Name: Ca-1,' t�'3 . CiZE l.41) Address 111 Er*13t < RC Tax Map ID 23°1 . 7 - 1 - 1_ 11 East Name: Address Tax Map ID FRED .14 35-T— L./Da-AAA ,440 Getkosic West Name: 117 ,4 Address •13 Aw���u( z Tax Map ID 239.7— 1-3 2„3°1 1- 1 — OWNER STATEMENT I,we do hereby relieve the Town of Queensbury from any liabilities on the plumbing nd septic system located at: l 1$ A�Eax'�.►..w %A-4-r '?o, (ZZ`1 T—II —I-1z.) I, we realize that putting the well,septic tank,or leaching system less than the required Zpo feet from the � may increase risk of pollution. Owner-Print Name: G4+ c'' , Owner-Signature: 9‘12A4 ? Date: 5-7j -It 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 septic tank or leaching system less than the required feet from the may increase risk of pollution. Neighbor or Tenant-Print Name: Neighbor or Tenant-Signature: Date: Town of Queensbury Building&Codes Septic Variance Application 518-761-8256 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: C 1P- So 12 E L \l Pa ArvAc Project Location(describe,and attach a location map): ► 1 1 Avg e3.0■ j1zr "P::)%14-1- .- IR SZ-rb zn-tE. t� Brief Description of Proposed Action: FOIL, "F tua- -0*--(DTt—r" rn#1I (C., Elia7TWATA) Zoo i oc= -,Pdece---bvbe Name of Applicant or Sponsor: Telephone: Ar1ZLE..'1, a ___ E-Mail: Address: City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? •r/ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 1.tZ acres b.Total acreage to be physically disturbed? Z45oo2 gyres'-D¢ c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.34: acres 4. Check all land uses that occur on,adjoining and near the proposed action. o Urban 0 Rural(non-agriculture) ❑Industrial ❑Commercial Xtesidential(suburban) ❑Forest 0 Agriculture ❑Aquatic ❑Other(specify): o Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? _ ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES_ landscape? ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES_ If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 1/ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: NA 10. Will the proposed action connect to an existing public/private water supply? NO YES If Yes,does the existing system have capacity to provide service? WO❑YES If No,describe method for providing potable water. 11.Will the proposed action connect to existing wastewater utilities? NO YES If Yes,does the existing system have capacity to provide service? litNO❑YES If No,describe method for providing wastewater treatment: pry, 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: XShoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban )(Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ✓ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? )<NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: )(NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? ✓/ If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? ✓ If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/s•onsor name: _ _ �� 1.a7 Date: S-24- IS Signature: `„��:� L�, _ ._•I1. • MI• T Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 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: Cb+A t_Ev C'.EVJ Designates: --DEcrirl.'7 MAC.-EA.- " f as agent regarding Septic Variance for Tax Map ID: 3°f�-± — I: 1- _2 OWNER'S SIGNATURE: •tr�, I Date: ��-2/ I .f 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 application, and that 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 the checklist. PRINT NAME OF OWNER: C'A1 Al2_1.€ I C Z.E-Lx- SIGNATURE OF OWNER: 9C49tL4Af DATE: PRINT NAME OF AGENT: �EN•�yz, SIGNATURE OF AGENT: DATE: Z1 Zstz.1.1 Town of Queensbury Building&Codes Septic Variance Application 518-761-8256 Crew Property Wastewater - Town of Queensbury Assembly Point Road Tax Parcel 239.7 - 1 - 1.12 Project Description: The subject property is a 1.12 acre vacant parcel exists under separate deed description and has been approved under the Town subdivision process as a legal lot for development. This lot is contiguous to the lot containing the residence of the Owner and in fact includes the wastewater system serving the Owner's residence. Rights to that wastewater system for the Owner's residence is included within the property deed. It is the Owner's intent to design and gain Town approval for a wastewater system to serve a future four bedroom house on the subject parcel. Should the current Owner plan to sell the existing lot the knowledge that it already has the ability for an approved wastewater system will be a benefit to the seller and buyer alike. The Town of Queensbury Codes - Chapter 136, Sewers and Sewage Disposal under Section 136-9 Special Standards Paragraph B requires a 200' horizontal separation to the shoreline of Lake George for a fill system. It has been determined that this site will require a raised system. Relief from the 200' standard is therefore required. The absorption bed proposed will range from 170' to 190' and the toe of slope will be at 160' at its closest location. It should be noted that fill systems for replacement of existing systems can be within 100' of the shoreline. The proposed absorption field system will be an Eljen Geotextile Sand Filter in a bed configuration. Eljen GSF systems are recognized by the NYS Department of Health to provide an advanced level of treatment prior to dispersal to the native soils. • BOARD OF HEALTH VARIANCE REQUEST The proposed wastewater system is designed to serve a future four bedroom house to be built on the currently vacant but zoning compliant parcel adjacent to 111 Assembly Point Road. Upon discussions with the Town of Queensbury Director of Buildings & Codes it has been determined that a Town Board of Health variance will be required. As proposed the raised wastewater absorption field will need a variance from to two following provisions of the Town of Queensbury Codes - Chapter 136 • Chapter 136-9 B. - horizontal separation to the shoreline from a fill system : 200'required- 160'proposed 40'of relief sought. • Chapter 136 Appendix A : Table 1 Horizontal Separation Distances fill system to Lake George : 200'required- 160'proposed These sections refer to the same dimensional standard simply stated in two different locations within the Code. Only one variance for horizontal relief is being requested. Crew Property Wastewater Variance Assembly Point Road Tax Parcel 239.7 - 1 - 1.12 Zoning Compliance The subject property is a pre-existing 1.12 acre vacant parcel located adjacent to Owner Charles Crew's residence at 111 Assembly Point Rd. It is the desire of Mr. Crew to gain an approval for a wastewater system to serve a future four (4) bedroom house. He does not plan to build a house on the parcel at this time but rather to make available for sale a building lot with an approvable wastewater system. The house as shown is a'generic' four bedroom house that would be compliant with Queensbury zoning requirements ... i.e. setbacks, building height, permeability and FAR(floor area ratio) . The setbacks are indicated on the proposed site plan with the proposed house in full compliance. The building height standard is 28' which can be easily met for even a two story house on this very level site. The 75% permeability standard would allow impervious area of up to 12,197 sf. As proposed the area of the house footprint, the driveway and access drive is 8,800+/- sf. Compliance with the permeability standard will not be an issue. The Floor Area Ratio (FAR) at 22% of the land area of this lot equals 10,733 sf of allowable floor area. As proposed, the building footprint of 2400 x 2(stories) plus the garage area(720) is approximately 5520 sf. Due to the ground water conditions at this site no basement area greater than 5' in height would be constructed. The expected floor areas of a four bedroom house at this site would be typical of this depiction so compliance with floor area ratio for the development on this site will not be an issue. Based on site review and discussions with the Town's Director of Building & Codes it has been determined that a Board of Health variance will be required for the proposed wastewater system. Refer to the attached Board of Health Variance Request description which cites the section of the Town Sanitary ordinance from which relief is sought.