1.1 1.1
SETPH.VAR\ lodgkuis-Replacement WasteNvater System to Property Lilies and Dvvelling—12-21-15
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF JOHN AND CATHY HODGKINS
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, John and Cathy Hodgkins have applied to the Local Board of Health for
variances from Chapter 136 to install a replacement wastewater system with certain components
requiring variances as follows:
1. Septic/pump tanks to be 7.5' from the north side property line instead of the required
10' setback;
2. Septic/pump tanks to be 7.5' from the dwelling instead of the required 10' setback; and
3. Force Main to be 5' from the north side property line instead of the required 10'
setback;
on property located at 218 Lake Parkway, Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public hearing
on Monday, January ll fl,, 2016 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider John and Cathy Hodgkins' sewage disposal variance application concerning
property located at 218 Lake Parkway, Queensbury (Tax Map No.: 226.19-1-84) 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' of the applicant's property as required by law.
Duly adopted this 21St day of December, 2015, by the following vote:
AYES
NOES
ABSENT:
Ne 4,~. IIIIIIIIIIII1
RFcEivED
\) ENVIRONMENTAL DESIGN
DEC 1 5 2015 I_._._ PARTNERSHIP,LLP
611') , OUEENS8lAr w
CLERK'S OFFICE \
December 15, 2015 2.41 c
tir
Town of Queensbury Board of Health
742 Bay Road
Queensbury,NY 12804
Attn: John Strough, Supervisor D LC 1 b 2015
Re: Hodgkins Wastewater-218 Lake Parkway
BOH Variance Request
Dear John:
Submitted for your distribution are nine sets of a Board of Health wastewater system variance
application for a single family residence located at 218 Lake Parkway. John and Cathy
Hodgkins are proposing to redevelop their existing waterfront residential property and are
requesting Board of Health variances for the wastewater system. The application documents
include the following:
• Proposed Residence For John & Cathy Hodgkins
Sheet SV-1 Septic Variance Plan
• Queensbury Town Board of Health Application for Septic Variance
• Application Fee -$100 check
• Project Description
• Variance Request Narrative
The variance request is a result of the most functional location of the tank assemblies in
consideration of the associated grade around the house,the water supply/discharge mechanical
systems of the proposed house and the stormwater systems designed for the south side of the
property. Refer to the attached Project Description and Variance Request Narrative.
900 Route 146, Clifton Park, New York 12065 phone(518)371-7621 -fax(518)371-9540
Page 2
John Strough—Queensbury Board of Health
December 15 ,2015
I am available to meet with you and/or other Board members to further discuss this proposal prior
to the public hearing. Thank you for your consideration of this request.
Sincerely,
-.E.Tite4VOMACO2.347-erf
Dennis MacElroy, PE
Environmental Design Partnership
Attachment
Cc: Dave Hatin
John& Cathy Hodgkins
900 Route 146,Clifton Park, New York 12065 phone(518)371-7621 - fax(518)371-9540
PROJECT DESCRIPTION:
THE EXISTING HODGKINS PROPERTY IS AN APPROXIMATE 0.62
ACRE PARCEL WHICH IS BISECTED BY LAKE PARKWAY. IT IS THE
DESIRE OF THE OWNERS TO TEAR DOWN THE EXISTING SINGLE
FAMILY RESIDENCE AND REPLACE IT WITH A NEW RESIDENCE
COMPLIANT WITH ALL SETBACK REQUIREMENTS. THE
REDEVELOPED PARCEL WILL INCLUDE THE NEW RESIDENCE, A
NEW ONSITE WASTEWATER SYSTEM AND A STORMWATER
MANAGEMENT SYSTEM TO CONTROL STORMWATER RUNOFF.
DUE TO THE LOCATION OF THE WATER SUPPLY/DISCHARGE
MECHANICAL SYSTEMS OF THE PROPOSED HOUSE AND THE
STORMWATER SYSTEMS (RAIN GARDENS) DESIGNED FOR THE
SOUTH SIDE OF THE LOT IT IS PROPOSED TO INSTALL THE SEPTIC
TANK AND PUMP TANK ON THE NORTH SIDE OF THE HOUSE.
INSTALLATION OF THE TANKS AND THE FORCE MAIN WITHIN THE
20' SIDE SETBACK AREA WILL NECESSITATE RELIEF FROM THE
CURRENT STANDARDS.
L
VARIANCE REQUEST
Due to the special circumstances of the proposed redevelopment for this
pre-existing parcel the location of the replacement wastewater system will
require several variances from the Town of Queensbury Sanitary Sewer
Ordinance - Chapter 136. As indicated herein and shown graphically on
Sheet SV-1 we request relief from the referenced standards.
Section 136-9 Special Standards Paragraph D. and
Appendix A: Horizontal Separation Distances
V-1 - Septic/pump Tanks to Property Line (northside) 7.5' vs. 10' required
V-2 - Septic/pump Tanks to Dwelling 7.5' vs. 10' required
V-3 - Force Main to the Property Line (northside) 5' vs. 10' required
$
Town of Queensbury Building & Codes OffiCe Use Only
SEPTIC VARIANCE APPLICATION Received:
Tax Map ID:
Submittal: 1 original&8 copies of the completed application package Permit No.:
Permit Fee: $
Approvals:
Owner J€ sr4 £ C__T"H-C Owner's Agent E'•►tva 1 M i-e-csf
Address Zo Kt 1C = _ Address Eb? - "-i GF T GH Yom. QK #5
t_,at Cc��c• tIV6•4 N`( 12801
Phone Phone ?Grp 1 -X31?
Directions to Site:( . lbw '1b RI:41U 'Tip Aa-PEIN•CA -anh'1- -Tr)
Distance from well on property to septic system(if applicable) NA feet
Is it possible to install a conforming septic system on this property? ✓Yes No
If YES, please explain and attach diagram: 'rA4-1.bc c ow.4) E oK £.
or tilfAx0e. Apv kM i Ac tc . -
t-n o4- k.u.. v-x_.- -`at.x`.�-
Doe roposed system meet setback requirements for distance from wells&septic systems on neighboring properties?
—Yes _No If NO,please explain:
Is proposed system to be installed over a parking area? Yes /lo
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):
ATTaG11 E, AZ1 AAA L£
Town of Queensbury Building&Codes Septic Variance Application 518-761-8256
VARIANCE REQUEST
Due to the special circumstances of the proposed redevelopment for this
pre-existing parcel the location of the replacement wastewater system will
require several variances from the Town of Queensbury Sanitary Sewer
Ordinance - Chapter 136. As indicated herein and shown graphically on
Sheet SV-1 we request relief from the referenced standards.
Section 136-9 Special Standards Paragraph D. and
Appendix A: Horizontal Separation Distances
V-1 - Septic/pump Tanks to Property Line (northside) 7.5' vs. 10' required
V-2 - Septic/pump Tanks to Dwelling 7.5' vs. 10' required
V-3 - Force Main to the Property Line (northside) 5' vs. 10' required
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 TAtv.%ANl �.esc Ate
Address 2.14 LA .t& AY LM'c£ Se% .r-a-E-t N• 'LSA-5
Tax Map ID 19 -1 - 85
South Name: E-12.1—%f JES t i)
Address A-1-€3.7 V I rAer zt-, bAcyzZt-v,Cr-
Tax Map ID ?2ro. 1°I- 1 - If53
East Name: -Re.NA,t_ 1.-Jac.,
Address Z- F 1 E T pia 12�o bAiCeaQ��
t.).1 1%o1-k V a.LE L GT 43(.001B.
TaxMaplD ZZA..141-1-'IZ ZZIo.t9-1 -4-`tI
West Name: 1 ALICE GtL.o ZciLE
Address
Tax Map ID
OWNER STATEMENT
I,we do hereby relieve the Town of ueensbury from any liabilities on the plumbing and septic system located at:
Zt LAVE,
I,we realize that putting the well,septic tank or leaching system less than the required IC_feet from the
cr c Lt,.& ont. may increase risk of pollution.
Fu-1744.
Owner-Print Name: a trl
Owner-Signature: - Date: I z I °► I Z g I {
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
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: J o c•1., \-\ cc ,.3�
Designates: tt MAC-- tL¢=9.r as agent regarding Septic Variance for
Tax Map ID: 2-2-42. 1 1 —
OWNER'S SIGNATURE: Date: IZ4 a 120 I
Engineering Fee Disclosure: Applications = be :ferred to the Town consulting engineer for review of septic design, storm
drainage,etc.as determined by the Town Board o ealth. 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: - --(-)I-VI C.00 {--1ti\
SIGNATURE OF OWNER: ■
DATE: ` 1 z R 1 t'Y
PRINT NAME OF AGENT: _ Er9 . t7:› t9A' d C-E'- 4 (
SIGNATURE OF AGENT: tNH ro
DATE: 12..- 14-1S
Town of Queensbury Building&Codes Septic Variance Application 518-761-8256