Barber site plan application General Inf rmati in
JUN 15 20116
Tax Parcel ID: o g> -- a '
„'''0WN F IfiQUI FDIC° 13Ij's;,y
Zoning District:
Lot aims:, (t`2 At :le Z
Current: U � �VLI �o0.
Proposed Use:
l z ev V1,e,
Appfica�t-Name Address:
M X 23! v rtz" + `tit
Home Phone,
Work Phony: Fax
-Mall:
-Agenfs Name: Address.
0Lkyttdm 51 54i n
Hume Phone � ell:
Work Phone n. �..� m Fax
E-mail
Owner'sName- _ Addm
vili
Home! Phone V Call
Work Phone Fax
'ti�, I It e,
site Otani Revue Re April 20,116
Tolwn fQu ngbiury Mari Off .742 Bay Road •Queensbury,NY 12804°5118-761-8220
Additional Proiect Information
1, Will the proposal require a Septic"variance fromi the Town Lord of Health'?
If the parcel has previous approvals, fist, ppliination number(s): - 2,0v2,
. Does thus project req uIre coverage under the New York Statin Pollutant Discharge Ellnnin til n Sys-tearn
(SPDE ) Ferr it Pro r rn"
4.
Estimated prnjusct drtin. tirt[ t —it, nd Date '
Estimated total cost of projj e^ct.
6. Total area of land d istu rbance for project,,. :1
Floor ,area Ratio Worksheet
F'L R AREA RATIO(FAR)--The relationship uhf building size to lot size„ derived by dividing the tett it buildiin
floor area by the lot size in square a feet, yieIdin i a perc nt ge.
Zoning District Symbol Fl or, re Ratio[FAR]
1Z:F, 4� A- L
Waterfront Residential 012j
r
u n'nirn rciial Modera,t lo,,mmrclai Illrnternsi:ve CGI I Cl 0
�[l"!
n Street fl.
A. The combined area of all square footage, as measure from exterior malls of all structures on the property, including
all floors of the structures, garages. basements and attics with m on re than five ( ) feet of celfingi height and
covered porches. Building sgr,uara footage does, not include: Open duck.. docks and that portion; of covered docks
extending over water and one storage shad of one hundred twenty (d 0) square feat or lass, Any addlitional
sheds will be ins luuded.(See"FLOR AREA RATIO").
S, Commercial or iundu,ustrisl the total area in square! feat as measured from time exterior of the cutsPide� walls of ,a
building or structure, and when applicable, the,.su.im total of all fluor areas of the principal and accessary buildings or
struuctures on time project site.
A. Parcel Area � l sq.ft.
B. Usti ng FIo,ar Area sq.ft. (see definition above)
C, Plroposed Additibnial Floor Area sq, ft„
D. Proposed Total (Floor Arca sq.ft.
Ea Total Allowable, Floor Area (area am_) (see above tablle)
V D is, larger, than E, a variance or rev I isions to your plea may, needed. P6 na,, .e
r suit / t fif.,
$ft Plan Review Revised Aptill 2016
Town ofQueensbury Planning Office°742 Bay Road, uuieensbuury°, NY 128014,518-761-8220
§ 1794-080 ReggiremenIfi for LJ_to
, Pli ApprovA The Planning Bbard shall nol approve a, Site Plan, unless it
first d0termines that sushi site plan meets the Foli[owing Standards. Please prepay 5 r9sponses to each of the Wowing
topics.
STANDARDS
B. 'the proposed project furthers or is consistent with the policies of the Townis Comprehensive Flan-
The proposed project complies with aill other requirements of this Chapter,hicluding 1he site plain,review standards as set fbMh in Paragraph F
of this section,the cilmensional,bulk,and density,regulations of the zoning district in whi�ch I is proposed to be located(Ari 3 and Table I),
the applicable requirements of all cither Artides that aipply-
C. The site plan encourages pedestrian acuity Intarrially and, It practicable,, lo and from, the site Wlh pedestrian patina or sidewalks cciinnecqed to
adjacent areas.
D. The site plan, must wniform to Chapter 1316 Sewage and Sewage Disposal, Chapter 147 Stormwater Management I-ci Law, and other
applkOWG tical laws.
F- the proposed usiashall be in harmony withi thiageneral purposecirintentofthlis Chapti specifically taking hit.olaccouiritthelocallon,character
and size of the Proposed use and the descrip6ion andl purpose of the district in which such use is proposed,the uwatuure and intensity of the
activities to be involved'in or conducted in connection with this proposed use and the nature and rate of any hicirease in the burden on
supporting public soNloes,and faii which will fullow the app+roval of the proposed use.
F. The establishment,maintenance and operation of the proposed use will not create public hazards from itrall'i trafflo Congestion or the parking
of vii andlor e,*pment or be otherwise deffinnental to the heallthi, safety or general welfare of persons residing or working In the
nehborhood or to the general welfare of the town.'Traffic access mid circuitalioni,mad intersections, mad and d6veway widths,,and traffic
controls will be adequai
G Offiistreet parkiiinig and loading faclildies will be appropflately located aid avenged and suftient to meet traffic,anticioated to be generated by
the new use- The esW[shrnent of Vehlole lini between parking areas of adjacent properties are provided where feasible. Thfurtheirs the
Town's goal of reducing curb cuts,and reducing congestion.A twein-i wide corinaci is toquirod, 9 adjacent propei are either
undeveloped or previously devebiped without having made provision fair future linkage, then a future conne0on Must be identified, and
provided for in,the site plan under reNdew for such fulure linkage when, the time anses, The, Planning Board may require proof that the
applicant has maide,contact with,adjacent pimperty owners for porposei of=oirdloialinji link"es with adjacent properties
H The project shall not have,aiin undius,adverse Impact VV*n the ratural,scerriu.aesthetic.ecdlogicaE.wildilfe.lrtairic,recreational or open spaice
resources of the town or the Adirondack Rairk or upoin the adequate provision of supportiling,facill1les.and see Ides i necessary by the
proi taking Ir W account thele commerclall,industrial,residential),i recreational or other benefits that might be derived from the project In
makingthe dioternrniatlon hereunder.the Flani-fing Board shalt consider those facturs piedinerttoi the project contaiined,In the developtri
considerations,set forth herein uni§179-9-080 of this chapter,and In so doing,the Planning Board shall make a not overall evaluation of
the project linirolaillon to the development objeciJives and general guidelines,set forlh in§179-M80 of this,Article.
1. The pro' do for arid)arrangement of pedestriOn traffm access and cinculation,walkway structures,coni of intersections with vahlicularitiraffic
and overall pectestrian conivainionca shall be safe and adequate for pedestrian movement Pedestrian connections between adjacent.sites
shiall be provided to encourage pede5trian use.,
starmliwater drainaii3e facilities will prevent an increase of postblevelopment drainage flows as compared to pre-develapment alralri flows.,
Drainage of the site shall recharge griound water to the extent practical. Surface waters flowing off-slte shall not d4giracle,any silrearns or
adversely affei drainage,on adjacent properties or pubfic roads. Facilities shall be Inconformanice with thei dirallini standards of Chapter
147 of the Town Code and the'town of Queensbury Subdivision ReguEaficinis where applicabl�e.
The Mi.9uppfy and sewage disposell facilities Wit lbie adequateand Will meet all applicable and"irrent retluiromen%set forth by Dapartment
of Health regulations and Chapter .116 of the Town Coi
L The adequacy, type and arranqamml of trees. shrubs and other siii plianfings, landscaping and screening shaft effectivaily proVda a
visual ani noise buffaTi between Ina applioards and adjoins lands„ including the maximurnn retention of e4sifing vegetatibin and
malinferiance,haWdIng reptarement of dead or deceased plants.
MIL Fire lianiosi,emergency zones,and fore hVdirents will be adequate and meet the needs and requirements of emergency service pmviders,
N. The design of structures, roadways and "sicaping in areas susceptible to ponding, flooding andvor erosion will mininIze, or,avoidid such
rinipacts,to the maximum extent practiloobte.
p., The site,plem Conforms,to the design standards, ndscaping standlards and performance standards of this chapter,
S#e IPlan Review R"S,ed April 2016
'Town of Queensbury Plann i nig Office,742 day Road-Queensbury, NY 12804-5118-761-8220
§ 179-9-050, ppill'i Hon for She Plan Revie%w
Abisent any,waiver or,waivers, alt application for Site P'lain Review sh,:11 inclu die the!fo Rowi n
REQUIREMENTS
A A vi map drawn at the Scale that shows the relationship of the proposal to exisfiffigi community facilities which affect or serve It,
such as; roads.,shopping areas,, schoate, etc. The map shall also sho:w all prepartes,, idientify al subdIvislons, stri and
easements wilithin 500 feet of the pmparty.such a sketch may bile superimposed on a United States,Gleclogical Survey map of the
The site,plan shall The cmawn at a scale of forty feet to the inch(I"_:40 feet), or such other scale as the Planning IBoard may deem co
appropriate,on standard 2:4"x.36"sheets,with mrithuatlon cni$)12"'x 1111"sheets as nealassory for wrilMen information,The information
ilsted below shall be shown an the site pitan and loontirl shel 4
C N!ame of the plrc�srt,boundadss,data, north anvw,,and alicalle of the On,
D Name aril address of the owner of ri developer,and sealof the enqfttaer..arofidect,or landscape architect. f the applicant is nol
I
the record owner, a letter of authorization ahalf be requked from the owner
E The location and, use of all existingi and proposed structures wilhin the property, including all dlhensiims of height and ftor area,,all WVjV'k&
I e3derior entrances,, arra all anticipated future addificins and alterations. jilloteo'-, I
F The location of all present and proposed public and pritil ways, off-streal purls no are", ddy�aiy5, outdoor iataTage areas, -i ql 6
sidewalks,ramps,curbs,paths,landscaping,walls,and1snicals, Locallon,type,ands soreanifing details for all wi disposal containers
shall also,be showni.
The locatlon, beiltd, intelnsdy,awnd,bulb type.l incandescent, etc.)of all)external lighting ftitures. The direction, of illilurnination
and methods,IG efimiiate glare ono adjoining propefflas miusualso ba shown InconVilance vft 11 7S-I =,
H The loosti helgbt.,slue,rnaterial�,and design of all proposed signs. 11Z14
The location of aff present aind proposed utifity,syslarnis kndudlng,-
1- Sewageorsepticsystel 0/14
2- Walter supOy systemi;
3. Telephone,cable,and allial systaims; and
4. StLorm drainage system Including axlOng atW proposed drain 111nes,culveits,catch basins,headwalls, endwal1i hydrants,
rnenholes,anddralinage swsla5'
J lcns to,prevent the pici of surface or groundwater, larosion of soll both dniuring and after consilruction, exressWe runcill and
floi other properl as applicable, A Starmilwater Polluficin Prevention, Plan (SVVFPP) for all land development activities
(excluding agricultural aefivitles), on ft We that resWa in landdisturbancel of 1-acre of more. A 3WPPP sh,allf comply vivith the
requirements of the DEC SPETES MS-4 General Famit aind Chapter 147 of the Town of Queensbury Code- It shaIll The at the
6scriation of the Pillanning Board as,to v4ietef a SVVPPP or an eirosion,and control planshall be required lbr a site plan review profact
1liandaliaturbance of less than 1-i
K Exmng and proposed topography at two-fool contow htervals,or such other contour intefiva[as,the Planning Boardshall allow, NJ 6.41,
elevations shall refer to the nearest United.5tates Coastal and Geodetic Bench Mark. If any portion of the parcal is within the
site and in
mar floodplaifi,.,the area wall be shown,and base flood alevations given.Areas shall be indicated wilthlin the praimsed with
60 feet of the proposed,side where soil removal or fiffing 1;required,showing the appiotil volume lnr-ubk yards-
L A landscape plain,shoviling all)existling rudurall land feaWirels that maty influence the design of the proposed use such as rock outcrops
stands of tresis, single trees sot or mote inches In diameter, forest cover,and wateir sources, and aill proposed changes to these
feel hOiding Owis and itypies of plants. Water zoim-ol Include ponds,, Eakels,wetlands and watercourses, aquilfers,floodiplains., lir
and drainage retention areas,
M Land Use District boundaries wlftn 5010,flet of the situs perimeter shall be dram and ideotMed on the sIl plan. as well as any
Ovi CNStrlicts that appilly to the property.
site Plan Review,Revised April 2o11
Town oif Queorisbury Plannirig Offle�742 Bay Road-Queensbury, NY 28014. 18-761.8220
——------------—
REQUIREMENTS CONTINUED it
Traffic flow patterns within Oia site,,entrances and exI15,anc loading and unloading areas,as wall as curb,cut%ionthe site anal within
100 feet of the site. The Planning IBoardl rna ,at Its discretion, require a clletailed traffic study for barge developments or for those in,
heavy trafficareas,which s1hall inclUde,.
I. The projeoved number of motor vehicle trips,to enter or leave khe site,,e0matO4 for weekly and annual peak hour,traffic
laveliv
2. Tha profected traffic flow, pallern including vehicultar movements at all major intersections likely to be affected by, the
proposed use of the Site;
3, The impact of this ttaffic on bevels of service on abutfing publlic streets aLrvd at affected 1 ntersectioms. Existing and pro posed
weekly and annual peak hour traffic b(Ms and r:oadcapoolty levals shine))also be given,.,
0' Fair view,c=rtructjon or alterations to any structure,a table containing the followl no Inforrmatlon shall be Included:
1. Estimated area of structure to be used for parliculsrpurposes such as retail operation,oftei, Storage, esc,,,
2„ Estimated ma;dmurry number of amploym:
3. Maxurnseating capacity,where ippllcabts;Mid
4., Nlumber of parkiing spaces existing and required for the intended use-
P 1, Flow Plans,
2. Elawations at a SOWs,of on"Uarter ir&equals one fool (V4"= I foot)for all extericir Wades of the proposed struutiffe(s) andlo;
alterations to or expansions of existing(acadiea, shoviing design features and in&r h g the type and colot of materials,to be used.
Q Soil logs,water supply well and percdation lest results,aindl stormrunoff Kcalculations,as needed to determine and mifigate project
Impacts.
R Plans,for dlispcsal of construdion And!dervic4ition waste.. either on4lo or at an approved disposal facility.
S Plans for snow remiaval,including location(s)of on4te w,ow storage.
T
An EnAronmental Assessment Form "`EAF"'),as required by,the SEQRA regiulalions,with,Parl I completed by the Applicant shall be
Submitted as part of the application., 11 the propos&d project roquires a speoiall use permit and an E has beein submittad In
conjunction with,a special use permit applic-ation,a duplicate EAF Is not requited for the site plan application.
U If an application J&for a pam:ell or piwcels on which more than one use Is;proposed, the applicant may subrrwit a single application for
all suchUSGSL PMVW)Qd The pimp Uses are accurately delineated an a sits Rion due" pursuant to the reqmiiemen4s, set forth
above. "The, Planiriling Board may grant the apple tion With respect to s proposed uses and not athars. For putrimsea; o�f revltemnq
an application (and for SEQ RA compliance)all! proposed user on a single pafQel or on contiguous parcels, shall be considered
together.
V A bidef narrative statement on how the project proposed for review furthers,or Is consistent with the,vision,,ghouls and poNcies In the
Town"s Comprehensive Plain. Q/
Site IMawrn Review Revised April:2016
Town ol'Queenisti,ury Planning Office-742 Say Road Queensbury,NY 112804 .518-761-0220
NARRATIVE APPLICATION
LANDS OF INGLEE/11AMBIan RAND SANKEY
On April 6, 201.6 Jeffrey In, lee, the theta owner of Ingle e:Mountain.Road (Lot
3) was, issued a Notice of Violation in regards, to, a complaint by the adjoining owner
regarding land clearing.
Subsequent to that Notice, meetings have occurred between Tim Barber, the;
current owner of 35 Jnglee "lo untain Road and the!Town regarding the alleged violations
of the: Subdivision and Site Plan Regulations.
This application being submitted in consultation.with the Town.of'Queeinsbury
Planning:Department seeking to resolve all outstanding issues,. It is noted that the
adjoining owner, Jason P. Sankey, is in litigation with the owner of 35 in lee M'ountain
Road,, and this application isbeing made by b,oth parties in arra Pt to also settle that
litigation.
The Town of Queensbury has determined that work on the existing driveway on
35 and 48 Tangle e Mountain Road occurred on slopes over 15%, thus requiring Site Plan
Review. As the existing dnveway was not shown on the original, Subdivision Plan,
prepared in 20,0 1, that created the lots, a subdivision modi fication is alsR required to be
approved.by the Town of Queensbury Planning Board.
As part of the agreement between Inglee/Barber and Sankey, aland transfef will
occur. That land, transfer will result in the elimination of Lot 3, as shown on the 200 1
Subdivision Plan. A portion of Lot 3 will be combined with Lot 2, naw known as 48
Inglee Mountain Road,, Lands of Saakey. The remaining portion of Lot 2 will be
combined with Lands of Inglee/Barber, that is located in the Town of Lake Luzerne. As, a
result a portion.of Lot 3, 12.2 acres in size wil I be left in the Town of Queensbury,
without frontage on a Town Road, While legal access, in the form of filed easernents
already exist to provide the access needed for Lot:3, an area variance will be required.,
The variance is a, result of the combining of the two (2)—40' strips of land for Lot 2 and
3 into a single 80..' wide strip, that will be owned by Lot 2,
ABD fi�gintqers, LLP 35 and 48 Inglev Moomazin Road
4733,A-narr-6115120/6
It is noted that the owner of Lot 2, Jason Sankey, recently constructed a new,
driveway on that strap of land, which is the subject of a Site Plan Approval application
being separately applied for by Sankey.
In surarnary the application before the Town of Queertsbury Plartning Board are
as follows:
L Site Plan review for a dri veway over '15%slope.
2, Subdivision modification to allow the transfer of lands, creating revised
lot lines,, between Lot 2 and Lot 3 Lands of Sankey and, IngleedBarber,
In conjunction with the Subdivision application the Town of Queensbury Zoning
Board, of Appeals will need to consider a:n area variance for Lot 3, as the only access will
be thru an existing access easement:, and the lot will not have,fiontage:on a public
highway,
Site Plan Application, for Driveway Slope over 15%
Access to Lands of Barber in the Town of Lake Luzeme, as well as, to Lot 3,
known as 35 In lee Mountain Road is provided over existing driveways and along an
existing access road, that was originally created when the property was, logged. 'Th,e
logging occurred prior to the Subdivision of the lands in 2001.
Included in the Site'Plan package are aerial photographs from 2004, 2009 and
2011 All show the existing access driveway. The 2004 photo clearly shows the land after
the logging operation, with areas of open land. Subsequent aerials show infill of the
logged areas with tree regrowth.
Mr. Barber, th�is, Spring, perfortned maintenance on that access drive. The
maintenance woTk consisted of some minor grading of the access drive to even out the
ruts that occurred over the year and improvernents, to the driveway ditches on the sides of
the access, drive. No new material, was used in the regrading. The access drive:has, slopes
ranging,frorn under 15% across a portion of 48 Inglee Mountain Road and Lands of
Miller to varying slopes of"9 to 24 to 33% across,the eastern portion of 35 and 48 In lee
Mountain Road.
A s,ite visit was made on April 21, 2016, by ABD Engineers, LLP to, observe this
road,maintenance,, It was verified that there was some disturbance of land adjacent to the
AOD Engineers, LLP 3.5and 48hzgWiWounrah?Rovd
4733A.-narr-6115120116
access drive that was associated with drainage work, A disturba,nc;e of O�.45 acres haus
occurred, As the disturbance is less than I acre, s Pennit fram NYSDwas net
required.
The access driveway provides access to a seasonal use trailer and cabin in the
Town orf'Lake Luu erne "The access drive will not serve a year round residence, The
access road is d6vsble by a, 4-wheel drive SIMV type vehicle„ It is noted that 8 In lee.
Mountain Road, which is the house at the bottom of the Dill, that is level with Tuthill
Road, is owned by Jeffrey Inglee, a relative of the co-owner of 35 In lee Road., A 4-
wheel drive all-terrain vehicle is always available at that property, to use to access the
lands of In lee ler in the Town of Loupe Luuzerne.
It is AIT Engineers, Isl.'s professional opinion that the current driveway, while
over 15%slope„ in places, does provide adequate access t the se s n l u se trailer and
bin,
Subdivision vis;'ion Lot Line AaWstineat
In order to resolve a di. puute'betvween the owners, of 35 and 48 In lee Mountain
Road, a Lot Line Adjustment is proposed..
The western portion of Lot 3 (35 In lee Mountain Road) will be con tined with
Lot Inglee Mountain Road). The eastern part of Lot 3 will be combined with,other
lands of I:n l arber in the Tow n of Lake Luuzer e.
The result will be the elimination tioru of the buildable lot adjacent to the home on 48,
Ingl,ee l"w ountain Road and the combination,of the two ( 40' strips of land into one strip,
' in width, that will be part of 'In lee Mountain Road.
This modifies the original 3 Lot Subdivision, done in,2001. to eliminate a let. 'T'his
resolves the dispute between the owner of'35, and 8 In lee Mountain Road,, allowing the:
driveway,a for 48 Inglee: Mountain Road to be all on its own property and eliminating,the
potential for construction of a house next to the existing house on 48 Irnglee Mountain
Toad.
.s a result of this Subdivision a variance fuer,let frontage of 3 In lee Mountain
Road is needed,.
4733,-naris 611 12016
Area Variances for 35 fru lee Mountain Road
As 35 Inglee Mountain Road will. no longer have tome on Tuthill Road an
Area Variance,, is required for 0' frontage.
In justification for the area the following is provided.
l„ Whether and undesirable change will be produced in the character of
the neighborhood or a detriment to nearby property will be created
Icy the granting of this area variance 9
There willbe. no change in the character of the neighborhood as the
access easement to 35Ira glee Mountain Road alreadyexists. The
elimination of the actualfron taa, e has no effect as thatftontage Was nolt
utiliz-edfior access. Access was always thru the access easement on 8 and
48 Inglee Mountain Road.
2. Whether the benefit sought by the applicant can be achieved by some
method, feasible for the applicant to pursue, other than an, area
variance'?'
In order to,settle the dispute between the property owners of 35 and 48'
.Inglee Mountain Road the transfer of hand is required The transfer
creates the area variance requirement and thus no, other means to
accomplish the,transfer, other than the,area variance is possible.
3. Whether the requested, area variance is substantial?
The, variance is sulbstantial'in that it eliminated all access, however it is
not substantial in, that the access,,euements are,already ire placet resulting
i'n no change, rom the existing condition.
4. Whether the:prop sect variance will.have an adverse effect or impact
on the physical or envirournental.conditions in the neighborhood or
district?
Therwill be no effect on the physical or environmeatal conditions as,
there is no actual physical disturbance proposed.
ABDDAgineers,, LLP 4 35 and 48'Inglee Mountain Road
4733.4-ooarp-611540 16
5. Whether the alleged difficulty, was self-created?
The variance is se created", however it does not preclude the granting of
the variance. The resolialon of,the d4pute baNn the, property owner,
along with the eliminafionof one building lot outweigh the seal-created
test.
It is respectfully submitted that the Site Plan approal for the driveway over 15%,
the Lot Line Adjustment and the Variance that is assGciated with the Lot Line
Adjustment be granted,
.4 BD Engjneers,LLP 5 35 and 48 Inglee Moupuain,Rood
4733A-narr-611J12 1
.N.' i2,
ppe"n',d h.B,
Part -krO,JectInaf"ormatiorn. The,applicant or prr%Jact Bpansoris responsible for the co paletirnn ofFort,1. Responses;
'be me pert of c applicaticll for approl&nding,care sine,W topublic review 7eatd Mgy be subjiect.Wfufther vefipncation,
Complete part 1 based on i nfbnnation,currently available. Madditiannaal rel cr investigation would he neededto fully
respond to any italrn,pal sns° eras thanro*ly es possible an cu t information.
Complete all 'items in.Pam I P You m anlsar pnn`vide:aany additional information which you believe will he needed by or useful
to dial toad agent;Bch additional,paps as,n to supplement any item.
Part 1-Project land,Sponsor InformatiaiD.
ajr
Nme
of"Action,crr l ject:
r ion cusp, ,
fl
Project Locationde ^Ila spud e4�u�1� 1
04
�ri iponro rcpu_m� Action;
� a I " . t ,
Ct.t+° lv
Name f pplicannt or Sporlimr, Telephaane:
Address, .
q,
e-
MOO. State,: Zip Crede,
Vk i P'
1.'Dothe proposed action anruly-involve-theJe
9isWVe adoption urn plan,kcal law,ordinance, i NO YES
min stellve Tule,.or regunletlrmn
'if,Y, ,,attachznarradvedescription of d° cfthe,pruposed„action and;the arwironment6l,resources,that
-ma �be tMaled in the municipality aa ,tl Z If no,continue!to question 2.
Daces the prpposed ectiuxan..req uire a_nerrr 14 approval orfundingficniany o0wer overnrneawl Agency, NO M
If Ylist' enc (s)mannan and pernriit or apprrryal, �t
U.''Total acreage of-the-she O tine proposed action? eco
lua Total aoi to be physically,disturbed? i L4 acres
an.""]�"ptal acreage(prp t,sate and any contiguou,s properties)owned
rnr controlled by the applicant or pmject spions r?
4. Check.s, 111anl that occur on,urljclning and near the proposed.ectlrrn.
lilrban t3 ural(nnon�icult ) 0 Industrial ❑Commerelal Mesideantiarl(suburban),
Forest Ell Agriculture, 0 Aquetie 13 Other(specify);:
PaWand
Pagel of 4
. Is the proposed action., rNO IYIEN/Ae. permitted use under the cuing regulation �
b,Consistent with the adapted oompu"ellahensive plan?
ta. Is the proposed action consistent°with the predominant character of the a irsting;built,or ruatuMra,l NO 'YE
landscape? I V I
I
T Is the site o the proposed action located in,.cr does it adjoin„a state listed Critical Environmental Arft? NO YES
Il° "`es,identify,
-g. a.Will the proposed action resutltim a substantial increase in trine above present;levels.? No YES
b.Arepublic,transportation-service(s)avail,able at or,near thoe site efthe proposed action?
c.,,ire aruy pedestrian accommodations,or°blpy'r a routes available on or near site o'fthe,proposed:action?
-9,"lees flue pMose.4 action rneet oar eyed theswe energy code requirements? NO YES
Jf thepropcased action will 7exceed reuluuirements,de,erlhe°desl', featum and teehrnnlejtes:;
I D. Will the proposed action 0onnect to an existing pnubliciprirvate water supply? N671 v
If Yes,4oes the zxlusti �ystetn have,Capacity tura proVkle service? M NO E3 ACES Ar
If.No,,describe,nwtlued filar pravidigg;potable water:
11.Will theproposed actidnvoonnecttun existing' wastewaw: utilities? 1'u1 YES
If Y- M,does the exisfinwAystem have oar ity°te,provide.servi ? SCI NO -YES IX
If Na,describe u etbod 1br providr"n g astewster t ant.
12. n*Ices the site cionul n a &udure that is listed on eldw the Stair,or National':l ister of Historic, YES
Places?
b.Is the praposuud action located in an archeologiacal.,sensifive areidi?
IS.,a.-Does anyr pdnttiom of the sito,of thm proposed action,„or lands adjain1qg#ip.prqposed uucti;oru,euauntatin NO YE
Wetlands or u r waterbodieS regulated by afiederal,state or local agency?
'6.Would"tlne pr au ed action physicWly alter,or encroach into,-any existing wetl nd oruuterbody
'if Yes,identify the wetland or waterlrody and extent of alterations in square feet or acute:
V �
14. Identily the-typlid l habitat-types that occur on,or are lit t to°be,found can ibe prajectsite. Inec oll that appl
.0shooelino ricuultuuralllgxas ian& 0 Early rni&suceemssiondl
13 Weiland, E3 Urban MSo'bu roan
15.Does the,site of ftpropo"daptiom contain any species of animal,or-assudiated habitats,listed
byt'the -or Ilederal guu em;as th atened or endangered?
lb.Is-the ProJect site located in the I0ll,ytearfldarud;plzin? Nli Y-l1
17:Willi the proposed action create stcurra�+ at dlsd eft uer p itnt r tion-paint soak bT _
If yM
e. Will stc,m'u winter discharges flow to 7adj acent properties? 13 ILIO AYES
b.'Will stoma eirdischarges be directed.to e,stablMed conveyance�ysterns(ruiuunu "irund storm,.drains)? �
If es,.laruetlyv describe. 0 NO YES �.
_)z
Page
18,Does the proposed action incl We construction,or otluer activities that result in the impoundment of NO YES
Ater or otiuer liquids(e.g.retention pond,waste lagoon,darn)?
If"des,explain purpose and size:
19.Has tine site of the prgposcd action or-an adjoining property beeru:the loication of an act a or closed NO YEg
°a id waste-mann nt® ilityl
If Yes,.describe:
20.Has tine,site of the,proposed action or an adjoining property been the srrbjeet of remediation(ongoing or No YES
earrrplete ) r hazardoas waste's
If Yes,descI
1AFFIRM THATTHEIli TION!PROV DED ABOVE,.:IS TRUE AND kCCURATE'TO THF I ST or, RV
KNOWLED
pplicandsponsor name;
Sign,
Part --Impact Assessment., the Lead Agency Is ribte fbr the completionof . .Answer all of the ffilowin
questions,in'Part'2 using the istfnrr ation contained inTArt I .and other materials submittewd by,the prionscir or
otherwiseavailablelo the reviewer. When answcTinj the,gpe Ens the revir+ er4hc'utld i�a Sulded by the pPit:"'Have my,
responses been reasonable considaring,the scisand omwii dfthedaction?"
m W.r �'➢d7 1 M r + ! 4Moderate
, w ..small teUrge
r
purupact impact
k May- may,
i
°r, � occur P=r
o r
1. 'Fill tho props ed action create a material conflict'w'utlu au adopted land use,plan or zon'Ing
iati�aus"�
Will,the proposed action result In,a.6h ge in tl .itme or intensity orf uuse 'land''
w Will'tine priaction iruupair the dbari or quality of the axwing rum uruit;
4, Will tiro peep ed action bave.aru impact ontlieienvimmmental, sec sties drat caused the
establishment-of to Critical'Environmental tial Area(CEA)?'
S, ''h ill the proposed artion, result.in.an adverse change in the existing.level iftraffiic.er
o "eet.e i?shRg in ; c sre mass° it,biking or walkway?
6. Will the;proposed action came an inormse in the use of energy and it fails-tri incoryorate
r, ruaill available eneM conservation or-rile 0,erg o n i 7
7. Will.he proposed,action impact existing:
.a,public/private water,supplies?
la. public/,private wastewater to ,trrrent utilitles s
R., '?hili the proposed actl m impair the chary 'or quality of iruuportact historic,,archaeological,
architectural-or aesthetics-e '
9 ?'ill the proposed,.action result,in an adverse change to natural,resources le:,pp.,wetlands,
waterbodies,groundwater,air quality,flora and fauna)'?
Page 3.of
No,or Moderate
r
Small to,lure
a Impact Impact
may may
occur Occur
10. "W the the piroposedaction result in an increase in the p oon lal ibr crosionftoding or drainage
11. Will the proposed action create sa hazard W en i nmental resources or human health,
Parti-Determination ofsignifim . The Lead Aged ps responsiblefor thecolimpletlon 61"Part.3. p'or every
question In Part 2,that was answered"moderate to,lie impact may o ooe",or If there i's a need to expalairu, by a Particular
element ofthe proposed action may,or will not Mult in.a significanVadverse environmental immt,please c�c m let Part:3.
part.3 should,in,,suffliciontdoiall,identify the impact,including any manumor design,olamit,have been included by
the pr9jot;sponsor to avoid or reduce impacts. Part hould also,explain how the lend agency determined that the imutp o?t
may gr will not he siippuilimLi Bach,potentW impact should be assessed oonsidering,its setting,probability of oemr-r:ing,
duration,irTev)ersibility,., eograpuhie scope and magnita& Also consider the potential fora ort-tea,long-term, aid
cumulative impacts.
:3 beck-this box-If you have ined,based an theinfbrimation and. is obov%=4 ori sgpportinpp,documentation,
thamhe pro.posed action may, result in one or;MM potentially lwge or°silignifi ant adverse imuupai a
,environmental impact-stawment is required.
Cheokitffis'box if you have,date pined,b oa,thou in ranation and,.e nrnal i'is above,and any supportid ditation
that the proposed mon will not result in any,sippuifucant;edverse aniviremmental Impacts.
Name of liead,4gency Date
Print or"l .pe Name of Responsible Officerin Lead Agent Title of Responsible Officer
ipmtcure of Responsible Dffk=in Leel, pub Signatum of Preparer kif diffBrent from Responsible Officer'),
"age 4 of 4
Signature Page
This page includes the 1,t Authoft"on to Art as,Agent Form .) Engineering Fee Disclosure; 3.)Authorization for Site
Visits; 4.) Other Permilt Res,ponsibilities; 5.) Wicial Meeting Disclosure and 6.) Agreement to provide documentablon,
required.
OWNERS AGENT PORM.-I
Complete the following I the OWNER of the property is not the same as the applicant
Owner, "Q_
Dasignates:
As agent regarding: Varia,nGe Site IPlan Subdivision
For Tax Map No.- Section Block Lot
Deed Reference, Book Page Date
OWNER SIGNATU RE. DATE-
APPLICAN178 AGENT FORM
Complete the folloWnIg if the APPL 11CANT is unable to attend the meeting or vivishes to be represented by another party
Ovvner:
Designates-. A0V
As agent ragardng: VVariance v8fte Pian Zgubdivislon
�For Tax Map No,:: Sectlon Block i Lot qui,��
Deed Reference: Book -Page Date
APPLICANT SIGNATURE: 12 DATE.
2) ENGIN--ERIKIr. FEE QJ$CLOSURE. Applications may be referred to the Town consulting engineer, for review of sepfic designi,
storm drainageetc, as determined byr the Zonling or, Planning Department. Fees for engineering review services vifilll be charged
d[recUy to the applicant. Fees for engineering review will not exceed S I D010 wiftut notification to,the applicant.
3.) AUTHORIZATION FOR, SIITE VISIT&�, By signing, this page and submitting the application mater) lis attached herein, the Owner,
Applicant,, and histhedthe[f agents) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject
properties for the purpose of revijewing The application submitted.
4.) OTHER PE RMIT RESPONSIBILIT]ES,.6 Other permits,may be required for construction or alteration attivity subsequent to approvall
by the Zoning Board or Planning Board., lit lithe applicant's responsibility to obtain,any additional,permlts,..
5.) OFF ICIAL MEETING MINUTES DISC LOS URE: Itisthe practice of the Commiunity Development:Department to have a designated
stenographer tape record the proceedings of meebings resulting from application,and minutes twranscuribedlfrom those tapes constitutes
the officiallrecord of all proceedings,
6,.) AGREE ME.NT TO PROVIDE DOCUMENTATION REWIRED: 1,the undersigned, have thoroughly read and understand the
instructions for submission and agree to, the submission requiTemems, I acknowledge no constructlon, activifies shall be commenced
p6Dr to, issuance of a valid permit. r certify that the application, pilans and supporting materials Ore a true and complete
stateimentidesicripfion of the exisfing conditions and the work proposed)., and that all work will be performed In accordance with, the
approved plans, and InconfoTmance with locall zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my,
agents,. will obtain,a cerfificate of occupancy as nacessairy. I Wse understand that I/we may be required to,provide an as-built survey by
a licensed land surveyor of all newdy constructed facilities prior to issuance of a certificate of=upancy
I have read anus agree to above,
Sigfiature f4pficant), Print, Marne [Applicint] Date signed
-8ignature[Agen't] Prini Namie [Agenfl Date signed
Site Plian Review Revised April 2016
Town of Queensbury Planning Office- 742 Bay Road Queensbury, NY '12804 518-7134-812201
„ /+� a-Ju;.fIt- _ 14-Q, &)IsomV a'% r.Q',n 0,1
Pre-Submission Conferen.Ge Four [179-4-0401
1. Tax Map IIS � 0' ' —
2', Zoning Classification 4-.i.^- %
CAI
3. Tette of Allowed Uses su bjectto Slte Plan Review
Ordinance Section
5. P,re-S,ubmission Meeting dotes; utstanding tains To Beddr ssed hm ludie:
Deed Yes '0 ,
General Information complete No l
Site Development Data Complete— � C ice”
Setback Requirements Complete . ae o p S61
. � ��i�raan� under DEC �nl r�rrnllts � i� ui�
i�diti���nai Project fnf�rrrrnst PPP Pr W 'es No
FAR Worksheet complete /M-yes
Standards addrossed yes
i addst items, addressed Yes � u
Environmental Foy colmipleted "ass
~ nature Page completed yes
� .
, s, of r
[ ,�
r
ip
6' . t 4rum 60 5-119 5 31�96
q.. ',: V.
-'so "
rn st r i office with Matt o f erre I'j i " , Form. ITEC i1etter lieu In permit jcjynt
number: NticeofTerminati ( IIOT')
Staff, Representative, �� M- )" `
Applicant I Agent., ItW
Date: t
Site Rain Review Revised April 20116
Road Queensbury, 1 8014, n18-761 82 0,
�'"s� nof Qr�eeneba�irr Pi °'rniim�,C� ee°'�4 .:f3er�
M
� I � ` � � �.