1.31.3
SETPH.VAR \Spath Robert — New On Site Disposal — Leach Bed and Mound to Property Line & Mound Fill Side Slope — 5 -16 -16
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF ROBERT SPATH
RESOLUTION NO.: ___92016
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, Robert Spath has applied to the Local Board of Health for variances from
Chapter 136 to install a new on site disposal system as follows:
1. Leach Bed to be 7'6" from the north property line instead of the required 10' setback;
2. Mound/Basil limit will be 3'4" from the north property line instead of the required 10'
setback;
3. Leach Bed to be 77' from the south property line instead of the required 10' setback;
4. Mound/Basil limit will be 3'5" from the south property line instead of the required 10'
setback; and
5. Mound/System fill side slope will be 2:1 instead of the required 3:1;
on property located at 60 Russell Harris Road, Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public hearing
on Monday, June 6r'', 2016 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider Robert Spath's sewage disposal variance application concerning property
located at 60 Russell Harris Road, Queensbury (Tax Map No.: 240.5 -1 -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' of the applicant's property as required by law.
Duly adopted this 16"' day of May, 2016, by the following vote:
AYES
NOES
ABSENT:
Town of Queensbury Buildin Codes _I�
SEPTIC VARIANCE?L.IfCATIC?N ` •�
Submittal: 1 original & 8 copies of the c ted appl %allot &age
MAY 0 5 aids
40 Q�ENSBURY
.� CLERK'S OFFICE
Owner Robert Spath
Address 60 Russell Harris Rd
Phone
Queensbury, NY 12804
(518)656 -9214
Directions to Site: 60 Russell Harris Road
N1
w
Office Use Only
Received:
Tax Map ID:
Permit No.:
Permit Fee: $
Approvals:
,Wer's Agent Jarrett Engineers, PLLC
Address 12 E. Washington St.
Glens Falls, NY 12801
Phone (518) 792 -2907
Distance from well on property to septic system (if applicable) SEE PLANS
feet
Is it possible to install a conforming septic system on this property? Yes x No
If YES, please explain and attach diagram:
Does proposed system meet setback requirements for distance from wells & septic systems on neighboring properties?
X Yes _ No If NO, please explain:
Is proposed system to be installed over a parking area? Yes x 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):
1. Leach bed will be 716 "± from north property line in lieu of 10, required.
2.
Mound /basil limit
will
be 31411± from north property
line in lieu of 10,
required.
3.
Leach bed will be
71711±
from south property line in
lieu of 10' required.
4.
Mound /basil limit
will
be 31511± from south property
line in lieu of 10,
required.
S.
Mound /system fill
side
slope will be 2:1 in lieu of
3:1 required.
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 Spath, Andrew
Address 56 Russell Harris Rd.
Tax Map ID 240.5 -1 -9
South Name: Demboski, Peter
Address 64 Russell Harris Rd
Tax Map ID 240.5 -1 -11
East Name: Bette Qualified Per Trust #1, Lisa K
Address 34 Boathouse Rd.
Tax Map ID 240.5-1-2.1
West Name: Lake George
Address
Tax Map ID
OWNER STATEMENT
I, we do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:
60 Russell Harris Road
I, we realize that putting the well, septic tank, or leaching systemless than the required 10' feet from the
property line may increase risk of pollution.
Owner -Print Name:r� Y �� a�-�►
Owner- Signature: D a te .7 I �r ,�6� 1, Z C, is
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
Short Environmental Assessment Form
Part I - Project Information
Instructions for Completing
Part 1 - 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
Robert Spath
Name of Action or Project:
Robert Spath WW
Project Location (describe, and attach a location map):
60 Russell Harris Road
Brief Description of Proposed Action:
Construction of new on site disposal system
Name of Applicant or Sponsor:
Telephone: 518- 656 -9214
Robert Spath
E -Mail: spathr @Ikgeorge.org
Address:
60 Russell Hams Road
City/PO:
State:
Zip Code:
Queensbury
NY
12804
1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
NO
YES
administrative rule, or regulation?
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? 0.22 acres
b. Total acreage to be physically disturbed? 0.05 acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? 0.22 acres
4. Check all land uses that occur on, adjoining and near the proposed action.
❑ Urban m Rural (non- agriculture) ❑ Industrial ❑ Commercial m Residential (suburban)
❑Forest ❑Agriculture ❑Aquatic ❑Other (specify):
❑Parkland
Page 1 of 3
NO YES I N/A
5. Is the proposed action, L
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
landscape?
7. Is the site of the
ame:Lake George, Reason Protectt does it
resources of the park,lAgec y:Lake George Park commission,
If Yes, identify.
a. Will the proposed action result in a substantial increase in traffic above present levels?
b. Are public transportation service(s) available at or near the site of the proposed action?
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?
If the proposed action will exceed requirements, describe design features and technologies:
10. Will the proposed action connect to an existing public /private water supply?
If No, describe method for providing potable water:
Lake George is utilized for the residential potable water supply.
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment:
The ro osed action is for a re lacement on -site wastewater disposal system.
12. a. Does the site contain a structure that is listed on either the State or National Register of Historic
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
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:
NO I YES
NO YES
❑ W3
NO YES
NO YES
❑ ✓❑
NO YES
✓❑ ❑
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Mal
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IN
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
m Shoreline ❑ 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
by the State or Federal government as threatened or endangered?
16. Is the project site located in the 100 year flood plain?
17. Will the proposed action create storm water discharge, either from point or non -point sources?
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 Oand storm ❑ S drains)?
If Yes, briefly describe:
Page 2 of 3
Elm
101110
RM
ME
18. Does the proposed action include construction or other activities that result in the impoundment of
water or other liquids (e.g. retention pond, waste lagoon, dam)?
If Yes, explain purpose and size:
NO
YES
❑
❑
19. Has the site of the proposed action or an adjoining property been the location of an active or closed
solid waste management facility?
If Yes, describe:
NO
YES
20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe:
NO
YES
a
❑
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE `
Applicant/spon// name: �}pe V-- sec's -t' Dater( . I 2 61-5'-
'
Signature: ',cam 4
PRINT FORM Page 3 of 3
EAF Mapper Summary Report
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Monday, October 26, 2015 10:57 AM
Disclaimer: The EAF Mapper is a screening tool intended to assist
project sponsors and reviewing agencies in preparing an environmental
assessment form (EAF). Not all questions asked in the EAF are
answered by the EAF Mapper. Additional information on any EAF
question can be obtained by consulting the EAF Workbooks. Although
the EAF Mapper provides the most up -to -date digital data available to
DEC, you may also need to contact local or other data sources in order
to obtain data not provided by the Mapper. Digital data is not a
substitute for agency determinations.
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Part 1 / Question 7 [Critical Environmental
Area]
Part 1 / Question 7 [Critical Environmental
Area - Identify]
Part 1 / Question 12a [National Register of
Historic Places]
Part 1 / Question 12b [Archeological Sites]
Part 1 / Question 13a [Wetlands or Other
Regulated Waterbodies]
Part 1 / Question 15 [Threatened or
Endangered Animal]
Part 1 / Question 16 [100 Year Flood Plain]
Part 1 / Question 20 [Remediation Site]
Yes
Name:Lake George, Reason:Protect the resources of the park, Agency:Lake
George Park Commission, Date-1 1-16-88
No
Yes
Yes - Digital mapping information on local and federal wetlands and
waterbodies is known to be incomplete. Refer to EAF Workbook.
Yes
Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
No
Short Environmental Assessment Form - EAF Mapper Summary Report I
Agency Use Only [If applicable]
Project:
Date:
Short Environmental Assessment Form
Part 2 - Impact Assessment
Part 2 is to be completed by the Lead Agency.
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 ?"
PRINT FORM Pagel of 2
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
El
1:1
of a Critical Environmental Area (CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
El
1:1
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
El
1:1
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,
❑
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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)?
10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage
❑
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problems?
11. Will the proposed action create a hazard to environmental resources or human health?
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PRINT FORM Pagel of 2
Agency Use Only lI a -P1111 " —I
Project:
Date:
Short Environmental Assessment Form
Part 3 Determination of Significance
For every question in Part 2 that was answered "moderate to large impact may adverse environmental need to explain
please
a
particular element of the proposed action may or will not result m a significant measures or design elements that
complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any
have been included by the project sponsor ll not be significant. Each potentials impact should be assess d considering its setting,
determined that the impact may
probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential fors short-
probability
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.
Date
Name of Lead Agency
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)
PRINT FORM Page 2 of 2
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: Robert Spath
Designates: Jarrett Engineers, PLLC as agent regarding Septic Variance for
Tax Map ID: 240.5 -1 -10
OWNER'S SIGNATURE: Date: `� /i /6
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: Robert Spath
SIGNATURE OF OWNER: / GGI�✓ -_.. -_
DATE:
PRINT NAME OF AGENT: Robert U. Holmes II, P . E .
SIGNATURE OF AGENT:
DATE:
Town of Queensbury Building & Codes Septic Variance Application 518 - 761 -8256