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1.1 1.1 SETPH.VAR\IVkMorrow-Replacement Wastewater System to Lake,Property Lines and Dwelling—7-11-16 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF KATHERYN & DANIEL MCMORROW RESOLUTION NO.: ,2016 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, Katheryn and Daniel McMorrow have applied to the Local Board of Health for variances from Chapter 136 to replace a failing wastewater system with three puraflo peat biofilter units,with a 12' x 28'1.5' stone absorption bed as follows: 1. Absorption area to be 96.4' from Lake George instead of the required 100' setback; and 2. Absorption area to be 3.9' from the side property line instead of the required 10' setback; 3. Absorption area to be 11.4' from the dwelling instead of the required 20' setback; 4. Septic tank and pump station to be 3.4' from the property line instead of the required 10' setback; 5. Septic tank and pump station to be 4.7' from the dwelling instead of the required 10' setback; and 6. Effluent line to distribution box (force main) to be 3.7 from the dwelling instead of the required 10' setback and 9.7' from the property line instead of the required 10' setback; on property located at 366 Cleverdale Road, Queensbury, NOW, THEREFORE, BE IT RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public hearing on Monday, July 25t'', 2016 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Katheryn and Daniel McMorrow's sewage disposal variance application concerning property located at 366 Cleverdale Road, Queensbury(Tax Map No.: 226.12-1-62) 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 l lt''day of July, 2016,by the following vote: AYES NOES ABSENT: • Th- I SEWER\McMorrow—Replacement Wastewater System to Lake,Property Lines&Dwelling—7-25-16 NOTICE OF PUBLIC HEARING IN ACCORDANCE WITH TOWN OF QUEENSBURY ON-SITE SEWAGE DISPOSAL ORDINANCE CHAPTER 136, NOTICE IS HEREBY GIVEN THAT THE TOWN OF QUEENSBURY LOCAL BOARD OF HEALTH WILL CONDUCT A PUBLIC HEARING ON MONDAY, JULY 25m, 2016 AT 7:00 P.M. AT THE QUEENSBURY ACTIVITIES CENTER, 742 BAY ROAD, QUEENSBURY TO CONSIDER AN APPLICATION BY KATHERYN AND DANIEL MCMORROW FOR SEWAGE DISPOSAL VARIANCES TO REPLACE A FAILING WASTEWATER SYSTEM WITH THREE PURAFLO PEAT BIOFILTER UNITS, WITH A 12' X 28'1.5' STONE ABSORPTION BED AS FOLLOWS: 1. ABSORPTION AREA TO BE 96.4' FROM LAKE GEORGE INSTEAD OF THE REQUIRED 100' SETBACK; AND 2. ABSORPTION AREA TO BE 3.9' FROM THE SIDE PROPERTY LINE INSTEAD OF THE REQUIRED 10' SETBACK; 3. ABSORPTION AREA TO BE 11.4' FROM THE DWELLING INSTEAD OF THE REQUIRED 20' SETBACK; 4. SEPTIC TANK AND PUMP STATION TO BE 3.4' FROM THE PROPERTY LINE INSTEAD OF THE REQUIRED 10- SETBACK; 5. SEPTIC TANK AND PUMP STATION TO BE 4.7' FROM THE DWELLING INSTEAD OF THE REQUIRED 10' SETBACK; AND 6. EFFLUENT LINE TO DISTRIBUTION BOX (FORCE MAIN) TO BE 3.7 FROM THE DWELLING INSTEAD OF THE REQUIRED 10' SETBACK AND 9.7' FROM THE PROPERTY LINE INSTEAD OF THE REQUIRED 10' SETBACK; ON PROPERTY LOCATED AT 366 CLEVERDALE ROAD, QUEENSBURY,(TAX MAP NO.: 226.12-1-62). AT THIS PUBLIC HEARING ALL INTERESTED PERSONS WILL BE HEARD. PUBLICATION DATE: JULY ,2016 CAROLINE H.BARBER TOWN CLERK TOWN OF QUEENSBURY -41dantS. Town of Queensbury Building & Codes Office Use Only 4gr- -.rya 4 Valk SEPTIC VARIANCE APPLICATION Received: R c . ci Tax Map ID: _ Submittal: 1 original&8 copies of the completed application package Permit No.: �Y ' f , Permit Fee: Mi �77�-��1��1�� Approvals: Mina Agal fa I Pa Wile 9 W Owner KATHERYN&DANIEL MCMORROW Owners Agent HUTCHINS ENGINEERING Address 302 WESTOVER ROAD Address 169 HAVILAND ROAD STAMFORD,CONNECTICUT 06902 QUEENSBURY,NY 12804 Phone Phone (518)745-0307 Directions to Site: 366 CLEVERDALE ROAD Distance from well on property to septic system(if applicable) 96 FROM LAKE SUPPLY feet Is it possible to install a conforming septic system on this property? Yes I No If YES, please explain and attach diagram: Does proposed 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 I 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)ABSORPTION AREA WILL BE 96.4'FROM LAKE IN LIEU OF REQUIRED 100'SEPARATION DISTANCE 2)ABSORPTION AREA WILL BE 3.9'FROM SIDE PROPERTY LINE IN LIEU OF REQUIRED 10'SEPARATION DISTANCE 3)ABSORPTION AREA WILL BE 11.4'FROM HOUSE IN LIEU OF REQUIRED 20'SEPARATION DISTANCE 4)SEPTIC TANK&PUMP STATION WILL BE 14'FROM PROPERTY LINE IN LIEU OF REQUIRED 10'SEPARATION DISTANCE. 5)SEPTIC TANK&PUMP STATION WILL BE 4.7'FROM HOUSE IN LIEU OF REQUIRED 10'SEPARATION DISTANCE 6)EFFLUENT LINE TO DISTRIBUTION BOX(FORCEMAIN)WILL BE 3.7'FROM HOUSE IN LIEU OF REQUIRED 10'SEPARATION DISTANCE.AND WILL BE 9.7'FROM PROPERTY LINE IN LIEU OF 10'REOUIRED SEPARATION DISTANCES. Town of Queensbury Building&Codes Septic Variance Application 518-761-8256 r 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 MARTIN,CHRISTOPHER Address • 370/372 CLEVERDALE ROAD Tax Map ID 226.12-1-61 South Name: GREENHOUSE.JEFFREY A. Address 364 CLEVERDALE ROAD Tax Map ID 226.12-1-63 East Name: LAKE GEORGE Address Tax Map ID West Name: CLEVERDALE ROAD 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: 366 CLEVERDALE ROAD I, we realize that putting the well, septic tank,or leaching system less than the required 96 feet from the LAKE WATER SUPPLY may increase risk of pollution. 06°0 Owner-Print Name: DANIEL J. McMORROW^ Ne Owner-Signature: •P�A/ Date: 6/1 6/1 6 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 8 Codes Septic Variance Application 518-761-8256 PLEASE ATTACH THE FOLLOWING TO YOUR APPLICATION: 1. Location map showing the site within the Town of Queensbury; 2. 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(streets,steep slopes, lakes,wetlands, etc.) f) Location of all wells and septic systems on neighboring properties g) Adjacent ownership h) All properties within 500 feet. A sample plot plan and location are shown below _� iSample hn�Map '„ mew naunca JI q"° 5,• Yi:.lt4 1 (' i,,y I. 1-71::‘, C---,,t 7 PCS, _ ,...„c.... „ u , ,..______, ,....1-2, „.-.0 i w 9 . �, ecMvad'Ot / iz. . - i ti o \ v d rlfl Ft afi b tV� 3 Io, i 11 p . literal!al°arbun I > F oNCulmcn _ .�- tavn OMim :wwlvi.m I i. i nz — 3 b I lQfXRIN —' Nia_ W • _...._... U . w 0 'I,otb SUL <� sx Town of Queensbury Building&Codes Septic Variance Application 518-761-8256 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part I. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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 I -Project and Sponsor Information KATHERYN&DANIEL MCMORROW Name of Action or Project: MCMORROW WASTEWATER REPLACEMENT Project Location(describe,and attach a location map): 366 CLEVERDALE ROAD,QUEENSBURY,NY 12804 Brief Description of Proposed Action: REPLACE FAILING WASTEWATER SYSTEM WITH(3)PURAFLO PEAT 8IOFILTER UNITS WITH A 12'X28'1.5'STONE ABSORPTION BED. Name of Applicant or Sponsor: Telephone: KATHERYN&DANIEL MCMORROW E-Mail: Address: 302 WESTOVER ROAD City/PO: State: Zip Code: STAMFORD CT 06902 • 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 [] fl 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? 0.16 acres b. Total acreage to be physically disturbed? 0.03 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.16 acres 4. Check all land uses that occur on,adjoining and near the proposed action. El Urban 0 Rural(non-agriculture) ❑Industrial ❑Commercial mResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic mother(specify): LAKEFRONT RESIDENTIAL ❑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? D ❑ ❑ 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? ❑ ❑ 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: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: NEW WASTEWATER SYSTEM ❑ ❑ 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? U ❑ 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? 0 LI 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: m Shoreline 0 Forest ❑Agricultural/grasslands ❑Early mid-successional 0 Wetland 0 Urban m 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 11 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 OYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ONO OYES Page 2 of 4 i 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: 111 ❑ 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: a ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo nn •e: DANIEL J. MCMORROW Date: 6/1 6/1 6 . r Signature: air 1111 , 7 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? 1-1 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 ❑ L❑. 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 I private wastewater treatment utilities? ❑ 0 8. Will the proposed action impair the character or quality of important historic,archaeological, a ❑ 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 Fl problems? 11. Will the proposed action create a hazard to environmental resources or human health? 111 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) PRINT Page 4 of4 i 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: KATHERYN&DANIEL MCMORROW Designates: HUTCHINS ENGINEERING as agent regarding Septic ariance for Tax Map ID: 226.12-1-62 OWNER'S SIGNATURE: J ( rt - . 6/16/16 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. 11, the undersigned, have thoroughly read and understand the instructions for submission; agree to the submission requirements and completed the checklist. PRINT NAME OF OWNER: DANIEL .7. MCMORROW SIGNATURE OF OWNER: T . �/ 4.111111101 DATE: 6/16/16 PRINT NAME OF AGENT: C- t, • S 5 "�ftrrvS SIGNATURE OF AGENT: ' ‘ \ose DATE: C�,l!CJl`4. Town of Queensbury Building&Codes Septic Variance Application 51&761-8256