SP Application w/deed General Information
Tax Parcel.ID Mber: 309.9-2-6 C 00 Ip V
Zoning District: CLI
Lot size: 395'x 1,407°02.92 Acres)
Detailed Description of Project[includes current&proposed use]:
multiple tenants. Tenants to be determined.
Location of project:
120 Luzerne Road-at the intersection of Maine Ave and Luzerne Road
Applicant Name: Boguslaw&Anna Bielecki Address: 282 Glen Street„Glens Falls NY 1280
.Home Phone Cell: 917-414-5590
Work.Phone Fax
E-Mail: bjbielecki@msn.com
Agent's Name. Ethan P. Hall- Ruclnski Hall ArcAddress: 134 Dix Ave Glens Falls NY 12.801
Hunte Phone Cell: 518-260-2888
Work Phone
518-741-0268 Fax 518-741-0274
E-mail
e,phall@a nycap.rr.com
Owner's Name Address 282 Glen Street
Baguslawv&.Anna Biel,ecki ,Glens Falls NY 1280
Home Phone Cell 91.7-414-5590
Work Phone Fax
E-mail
bjblelecki rnsn.com.
Site Plan Review application—Revised October 2016 2
Town of Queensbury Planning.Office-742 Bay Road,Queensbury,NY 12804
Site Development,,Data
Area 1'Type Existing sq. ft. Proposed Total sq. ft.
Additions . f't.
A. Building footprint 36,800 36,800
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced azea 97,718 97,718
E. Porches/Decks
F. Other
G. Total Non-Permeable [Add A-Fj 562,590 134,518 134,518
H. Parcel Area [43,560 s9, ft. /acre] 562,590 562,590
I. Percentage of Impermeable Area of Site [I=G/H] 0% 23.91%
Setback Re uirements
Area Required Existing Proposed
Front [1] 50'-0"
961-1111
Front [2] NA NA
Shoreline 751.011 413'-8"
Side Yard [1] 30'4"
1061-1 11
7
Side Yard [2] 30T-01T 9V711_11011
Rear Yard [1] 301.011
9571-41s
Dear Yard [2] NA `!
NA
"Travel Corridor NA NA
Height [max] 601-011 501-0"
Permeability °
3a% 76.09%
No, of parking spaces 176 182
Site Plan Review application—Revised October 2016 3
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
Additional Project Information
L Will the proposal require a Septic Variance from the Town Board of Health? No
2. If the parcel has previous approvals, list application number(s): None known
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System
(SPDES) Permit Program? Not anticipated
4. Estimated project duration: Start Date Fall 2017 End Date Fall 2018
5. Estimated total cost of project- $7M
6. Total area of land disturbance for project: 4.6 Acres
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total
building floor area by the lot size in square feet, yielding a percentage.
Zoning District Symbol Floor Area Ratio [FAR]
Waterfront Residential WR 0.22
Commercial Moderate/Intensive CM/CI 0.3
A. The combined area of all square footage, as measure from exterior walls of all structures on the property,
including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling
height and covered porches. Building square footage does not include: Open deck, docks and that portion of
covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less.
Any additional sheds will be included. (See "FLOOR AREA RATIO").
B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a
building or structure, and when applicable, the sum total of all floor areas of the principal and accessory
buildings or structures on the project site,
A. Parcel Area
1 . Exstin Floor�+irea sq. ft. [see above definition]
C. Pro osed Additional Floor Area
D. Proposed Total Floor Area
E. Total Allowable Floor Area (Area x [see above table]
*If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff
Site Plan Review application—Revised October 2016 4
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
§ 179-9-080Reguirem.ents for Site Plan AgRjovai.
The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the
following Standards. Please prepare responses to each of the following topics:
TIQ
STANDARD.,
A. �The proposed project furthers or is consistent With the policies of the Town's Comprehensive Plan.
B. The proposed project complies with all other requirements of this Chapter,including the site plan review standards as set forth in Paragraph
F of this section,the dimensional,bulk and density regulations of the zoning district in which it is proposed to be located(Article 3 and
Table 1),the applicable requirements of all other Articles that apply,
C. The site plan encourages pedestrian activity internally and,if practicable,to and from the site with pedestrian paths or sidewalks connected
to adjacent areas.
D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal,Chapter 147 Stormwater Management Local Law,and other
applicable local laws,
E. The proposed use shall be in harmony with the general purpose or intent of this Chapter,specifically taking into account the location,
character and size of the proposed use and the description and purpose of the district in which such use is proposed,the nature and intensity
of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on
supporting public services and facilities which will follow the approval of the proposed use,
F The establishment,maintenance and operation of the proposed Use Will not create public hazards from traffic,traffic congestion or the
parking of vehicles and/or equipment or be otherwise detrimental to the health,safety or general welfare ofpersons residing or working in
the neighborhood Or to the general welfare of the town. Traffic access and circulation,road intersections,road and driveway widths and
traffic controls will be adequate.
G. Off-street parking and 19oading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated
bythe new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers
the Town's goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either
undeveloped or previously developed without having made provision for future linkage,then a future connection must be identified and
provided for in the site plan under review for such future linkage when the time arises. Tire Planning Board may require proof that the
applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties.
H. The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlife,historic,recreational or open
space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by
the project,taking into account the commercial,industrial,residential,recreational or other benefits that might be derived from the project.
In making the determination hereunder,the Planning Board shall consider those factors pertinent to the project contained in the
development considerations set forth herein under§ 179-9-080 of this Chapter,and in so doing,the Planning Board shall make a net overall
evaluation of the project in relation to the development objectives and general guidelines set forth in§ 179-9-080 of this Article.
The provision for and arrangement of pedestrian traffic access and circulation,walkway structures,control of intersections with vehicular
traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent
sites shall be provided to encourage pedestrian use.
J, Stormwater drainage facilities will prevent an increase ofpost development drainage flows as compared to pre-development drainage flow
s.
Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or
adversely affect drainage on adjacent properties or public roads. Facilities shall be in conformance with the drainage standards of Chapter
147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable.
K The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by
Department of Health regulations and Chapter 136 of the Town Code,
E. The adequacy,type and arrangement of trees,shrubs and other suitable plantings,landscaping and screening-,ball effectively
provide a
visual and/or noise buffer between the applicants and adjoining lands,including the maximum retention of existing vegetation and
maintenance,including replacement of dead or deceased plants,
M. Fire lanes,emergency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service providers.
N. The design of structures,roadways and landscaping in areas susceptible to ponding,flooding and/or'erosion�will
impacts to the maximum extent practicable,
minimize or avoid such
Q. The site plan conforms to the design standards,landscaping standards and performance standards of this chapter,
Site Plan Review application—Revised October 2016 5
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinsk!
Ethan Peter Hall
134 Dix Avenue
Glens Falls NY 12801
Voice 518741 0268
Fax 518 741 0274
Email ephall@nycap.rr.com
Now Mixed Use Facility— Luzerne Road — Boguslaw Bielecki
The following are responses to questions A thru 0 of the site plan review standards.
A. The project is a mixed use office, light manufacturing &warehouse facility in the CLI
(Commercial Light Industrial) zone and is therefore consistent with the Town's
Comprehensive Plan
B. The project is designed to fit within the allowed setbacks and all other items comply with the
requirements of zoning district.
C, Pedestrian activities within the site are encouraged by the use of sidewalks along the
parking area. There are no existing sidewalks along Luzerne Road.
D. The site is not served by municipal sewer, all sewage disposal has been designed to take
place between the proposed building and the buildings are connected to this system. All
new pavement provides storm water management controls.
E. The proposed use is a mixed use facility and is an allowed use in the CLI zone,
FThe site has been designed so that on site traffic will take place around the perimeter of the
lot and there are two proposed curb cuts along Luzerne Road to make access to the site
easier from either direction. The property has good sight lines in both directions on Luzerne
Road and is in close proximity to Exit 18 via Media drive.
G. The proposed facility provides for parking along the main drive around the entirety of the
proposed building. New parking area will be accessed via two curb cuts at the east and
west boundaries of the property at Luzerne Road.
H. The project is proposed to occupy a total of approximately 4-1/2 acres on a roughly 13 acre
site which is approximately 1'13 of the site and therefore will not create an undue adverse
impact on any of the listed items contained herein,
I. The on site circulation takes place mainly around the perimeter of the site and there are
sidewalks provided around all aspects of the parking areas and access walks to the
buildings take place at many intervals,
J. Steps have been taken to manage the roof drainage through eave trenches. The
percolation rate of the soil is very good and the soil make-up is mainly medium sands and
the ground water location is a minimum of 60" below existing surface. Based on the
topography of the site the buildings will be placed basically at the existing grade and new fill
material will be brought in around the proposed: buildings to provide the needed stormwater
management for all new hard surfaces,.
K Water supply will be provided from the municipal system, all buildings will be provided with,
fire suppression sprinkler systems and the, municipal system will be confirmed as adequate
to provide the required flow for the proposed buildings. The sewage disposal system will be
designed to provide the required amount of disposal area for the proposed facility.
L. New landscaping is proposed and is detailed on the proposed site plan.
M. All emergency access, is provided around the proposed buildings and a new hydrant is
proposed to be provided at the rear of the lot between the two proposed buildings,
N. All proposed work will be done to prevent ponding, flooding and/or erosion.
0, 'The site plan conforms to all design standards and is a minimal impact project, Proposed
fighting will be recessed downcast fixtures with cut-off lenses mounted at the personnel
entrances to the proposed facility renovation. New pole lights will be installed as indicated
as well as fight bollards along the proposed sidewalks along the buildings,
YABieler-ULazerne Road-Storage BuildingsTaperwork\Rcsponse to A-0 standards.doc
§ 179-9-050 Checklist-Application for Site Plan Review.
Application materials and site plan shall include sufficient information for the Board to review and provide a
decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The
applicant may request a waiver froze A-V and is to provide reasons for waiver(s)requested. Please label
infon-nation to be submitted.
REQUIREMENTS
Sheet#
A. A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect
or servo it,such as roads,shopping areas,schools,etc. The map shall also show all properties,identify owners, C-1
subdivisions,streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States 1
Geological SurveymM of the area.
B. The site plan shall be drawn at a scale of forty feet to the inch(F'=40 feet)or such other scale as the Planning Board may
deem appropriate,on standard 24"x 36"sheets,with continuation on 8 1/2"x I I"sheets as necessary for written C-I
information, The information listed below shall be shown on the site plan and continuation sheets.
C. Name of the project,boundaries,date,north arrow,and scale f the plan, All
D. Name and address of the owner of record,developer,and sea]of the engineer,architect or landscape architect. If the
applicant is not the record owner,a letter of authorization shall be required from the owner. All
E, The location and use of a]I existing and proposed structures within the property,including all dimensions of height and
floor area,all exterior entrances,and all anticipated future additions and alterations. C-1
The location of all present and proposed public and private ways,off-street parking areas,driveways,outdoor storage storage areas, —
sidewalks,ramps,curbs,paths,landscaping,walls and fences. Location,type and screening details for all waste disposal C-1
containers shall also be shown.
70--
G. The location,height,intensity and bulb type(sodium,incandescent,etc.)of all external fighting fixtures. The direction
of
illumination and methods to eliminate glare onto,ad'oining_Rroperties must also be shown in,compliance with§ 179-6-020. C-1
H. The location,height,size,materials and design of all proposed signs.
C-1
The location of all present and proposed utility systems including:
1. Sewage or septic system; C-1
2, Water supply system;
3. Telephone,cable and electrical systems;and
4. Storm drainage system including existing and proposed drain lines,culverts,catch basins,headwalls,cndwalls,
hydrants,manholes and drainage swales.
J Plans to prevent the pollution of surface or groundwater,erosion of soil both during and after construction,excessive runoff
anC-1 &
d flooding of properties,as applicable. A Stormwater Pollution Prevention Plan(SWPPP)for a land development SWPPP
activities(excluding agricultural activities)on the site that results in land disturbance of one acre or more. A SWPPP shall
comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury
Code. It shall be at the discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be
required for a site plan review project land disturbance of less than one acre.
K. Existing and proposed topography at two-foot contour intervals,or such other contour interval as the Planning Board shall
allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel C-1
is within the 100-year floodplain,the area will be shown and base flood elevations given. Areas shall be indicated within
the proposed site and within 50 feet of the proposed site where soil removal or filling is required,showing the approximate
volume in cubic yards.
A landscape plan showing all existing natural land features than may influence the design of the proposed use such as rock
outcrops,stands of trees,single trees eight or more inches in diameter,forest cover and water sources and all proposed C-1
changes to these features,including sizes and types of plants, Water sources include ponds,lakes,wetlands and
watercourses,aquifers,floodplains and drainage retention areas,
M. Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan,as well
as any Overlay Districts that apply to the property. C-1
Site Plan Review application—Revised October 2016 6
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
REQUIREMENTS (CONTINUED)
Sheet#
N, Traffic,flow patterns within the site,entrances and exits,loading and unloading areas,as well as curb cuts on the site and
within 100 feet of the site. The Planning Board may,at its discretion,require a detailed traffic study for large developments or C-1
for those in heavy traffic areas,which shall include:
I. The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and
annual peak hour traffic levels;
2. The projected traffic flow pattern including vehicular movements at all major intersections likely
to be affected by the proposed use of the site;
3. The impact of this traffic on levels of service on abutting public streets and at affected
intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity
levels shall also be given.
0. For new construction or alterations to any structure,a table containing the following—information shall be included.
C-1
I. Estimated area of structure to be used for particular purposes such as retain operation,office,
Storage,etc.;
2. Estimated maximum number of employees;
3. Maximum seating capacity,where applicable;and
4. Number of parking spaces existing and required for the intended use.
P, I. Floor Plans.
A-1 &
1 Elevations at a scale of one-quarter inch equals one foot(1/4"=I foot)for all exterior facades of the proposed structures) A-2
and/or alterations to or expansions of existing facades,showing design features and indicating the type and color of materials
to be used.
Q, Soil logs,water supply well and percolation test results,and storm water runoff calculations as needed to determine and —
mitigate project impacts. C-1
R, Plans for disposal of construction and demolition waste,either 011-site or at an approved disposal facility. — C-1
S. Plans for snow removal,including location(s)of on-site snow storage.
C-1
T. An Environmental Assessment Form("EAF")as required by the SEQRA regulations,with Part I completed by the Applicant
shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been Yes
submitted in conjunction with a special use permit application,a duplicate EAF is not required for the site plan application.
U. If an application is for a parcel or parcels on which more than one use is proposed,the applicant may submit a single
application for all such uses,provided the proposed uses are accurately delineated on a site plan drawn pursuant to the
requirements set forth above, The Planning Board may grant the application with respect to some proposed uses and not
others. For purposes of reviewing an application(and for SEQRA compliance)all proposed uses on a single parcel or on
contiguous parcels shall be considered together.
V, A brief narrative statement on bow the project proposed for review furthers or is consistent with the vision,goals and p 11 olicies
in the Town's Comprehensive Plan. Yes
Site Plan Review application—Revised October 2016 7
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
04
Town of Queensbury Site Plan Pre-Submission Conference Form Section 179-9-040
1. Applicant Name; Boguslaw&Anna B iclecki
2. Tax Map ID 309.9-2-6 Location: 120 Luzeme Road
3. Zoning Classification CLI
4. Reason for Review: U'V
J `�4,t' W qq
5. Zoning Section#: CING UL, ' C'jW5T(('k'60/N
PA L 4n V1.
6. Pre-Submission Meeting Notes: Provided outs ease provide by
Deed
General Information complete
Site Development Data Complete
Setback Requirements Complete
Additional Project Information Complete
FAR addressed
Requirements for Site Plan-Standards
Checklist items addressed
Environmental Form completed
Signature Page completed
L9 a'L
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Staff Representative: Q� L)Cc,,
Applicant/Agent: Date:
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
Signature Page
This page includes the 1.) Authorization to Act as Agent Form: 2,)Engineering Fee Disclosure;3.)Authorization for Site Visits; 4.)
Other Permit Responsibilities;5.)Official Meeting Disclosure and 6.)Agreement to provide documentation required.
OWNER's AGENT FoRm:
Complete the following if the OWNER of the property is not the same as the applicant
Owner:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No.: Section Block Lot
Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
APPLICANT'S AGENT FORM:
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party:
Owner: Boguslaw Bielecki
Designates: Rucinski Hall Architecture-Ethan P.Hall
As agent regarding: Variance X Site Plan Subdivision
For Tax Map No.: _3'U ®Section Block Lot
Deed Reference.- Page D
OWNER SIGNATURE: DATE:
2.1 ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm
drainage,etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant.
Fees for engineering review will not exceed$1,000 without notification to the applicant.
3.1 AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein,the Owner,Applicant,
and his/her/their agent(s)hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of
reviewing the application submitted.
4.) OTHER PERMIT RESPONSIBILITIES.-' Other permits may be required for construction or alteration activity subsequent to approval by the
Zoning Board or Planning Board, It is the applicant's responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated
stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes constitutes the official
record of all proceedings.
§J,AGREEMENT TO PROVIDEDOCUMENTATION REOLARED: 1,the undersigned,have thoroughly read and understand the instructions
for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application,plans and supporting materials are a true and complete statement/description of the existing conditions and the
work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I
acknowledge that prior to occupying the facilities proposed,I or my agents,will obtain a certificate of occupancy as necessary. I also understand that
I/we may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of
occupancy
I have read and agree to the above.,
Boguslaw Bielecki
a
Signature [Applicant] nt e 6Aiate si ed
than P.Hall
Print
.t r A_'I
Signature [Agent] Print Name [Agent] Date signed
9
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
Short Environmental Asasessment Form
Part I -Project Information
Instructions for Empleting
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 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
Name of Action or Project:
New multi-use warehouse[Manufacturing/Office facility
Project Location(describe,and attach a location map):
120 Luzerne Road-at the intersection of Luzerne Road and Maine Ave
Brief Description of Proposed Action,
The applicant propses to develop a currently vacant lot for the use of light manufactuing/offiGe and warehouse facility in the commercial light
industrial zone within the Town of Queensbury
Name of Applicant or Sponsor- Telephone: 917-414-5590
Boguslaw Bieleck! E-Mail: bibielecki@rasn,corn
Address:
282 Glen Street
City/P0.' -State: Zip Code-,
Glens Faft New York 12801
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 R] E]
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�ermit or approval:
Town of Queensbury Building Permil
El LVJ
3.a. Total acreage of the site of the proposed action? .9 acres
b. Total acreage to be physically disturbed? 4.60 acres
c.Total acreage(project site and any contiguous properties)owned -
or controlled by the applicant or project sponsor? 12.92 acres
4. Check all land uses that occur on,adjoining and near the proposed action.
DUrban 0 Rural(non-agriculture) gIndustrial OCommercial 0 Residential(suburban)
DForest ClAgricnIture El Aquatic E30ther(specify):
OParkland
Page 1 of 3
S. Is the proposed action ,
,
a.A permitted use under the zoning regulations? 1�0 —_J�/_A
F-1 R]
b.Consistent with the adopted comprehensive plan`? D
EJ_ _a
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? EJ Z
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? 1lT0_ YES7
If Yes,identify:
Will theproposed actionresultin 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?
ED r__.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?
If the proposed action will exceed requirements,describe design features and technologies: NO YES
M LKJ
10. Will the proposed action connect to an existing public/private water supply? NO --VE—S
If No,describe method for providing potable water: El R]
11.Will the proposed action connect to existing wastewater utilities? _W0_ YES
If No,describe method for providing wastewater treatment:
On-site sewage disposal will be required for the facility Fv9 El
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic——N—O YES
Places?
b.Is the proposed action located in an archeological sensitive area? Z 1:1
El Z_
13. a.Does any portion of the site of the proposed action,or lands adjoining the pro—posed action,contain NO YES
wetlandsor 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: Z El-
J
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
[I Shoreline El Forest El Agricultural/grasslands El Early mid-successional
El Wetland D Urban 0 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? 0 Z_
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 El Z
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: NO [—]YES
Page 2 of 3
1&.Does the proposed action include construction or ether activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon,darn)?
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
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 N 0 SAES
completed)for hazardous waste?
If Yes,describe:
Unknow that any on-site remetl'iation his taken place cn the subject parcel �,
I AFFIRM I'THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Ethan P.Hall-Architect-Agent for the Applicant a
Applicant/sponsornanre: Date:a May 2017
Signature:
T F[:��INORMPage 3 of 3
EAF
Mapper Summary ReportFriday, May 05, 2017 9:34 AM
Disclaimer: The EAF dapper is a screening tool Intended to assist
project sponsors and reviewing agencies in preparing an environmental
trrt; e assessment form(EAF),Not all questions asked in the EAF are
answered by the EAF Mapper.Additional information on any EAF
f 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
sFalls 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 No
Area]
Part 1 /Question 12a [National Register of No
Historic Places]'
Part 1 /Question 12b [Archeological Sites] Yes
Part 1 l Question 13a[Wetlands or Other Yes- Digital mapping information on local and federal wetlands and
Regulated Waterbodies] waterbodies is known to be incomplete, Refer to EAF Workbook.
Part 1 f Question 15 [Threatened or 'Yes
Endangered Animal]
Part 1 /Question 16 [100 Year Flood Plain] Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
Part 11 Question 20 [Remediation Site] Yes
Short Environmental Assessment Form - EAF Mapper Summary Report
z
Agency Use Only[If applicable]
Project:
Date: F
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 I 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? F]
El
3. Will the proposed action impair the character or quality of the existing community? 0-
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area(CEA)?
S. 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? Ej
7, Will the proposed action impact existing:
a.public/private water supplies?
b.public/private wastewater treatment utilities? F]
8. Will the proposed action impair the character or quality of important historic,archaeological,
architectural or aesthetic resources? El
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
problems?
11. Will the proposed action create a hazard to environmental resources or human health? ❑
PRINT FORMI Pagel oft
L
Age le)
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 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.
M Check this box if you have determined,based on the F
formation and analysis above,and any supporting documentation,
that the proposed action may result in one or more otentially 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 biffi-cer)
T FORM
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NEWYORK
Department of'
STATE OF
O"ORTUNITY Environmental
11� Conservation
Environmen'tal Site Remediation Database Search
Details
So
ite Record
Administrative Information
Site Name: Glens Falls Landfill
Site Code: 557003
Program: State Superfund Program
Classification, 02
EPA ID Number:
Location
DEC Region: 5
Address: Luzerne Road
Cl :Queensbury Zip: 12801
County:Warren
Latitude. 43.30346785
Longitude: -73.67625921
Site Type: LANDFILL
Estimated Size: 15 Acres
Site owner(s) arid Operator(s)
Current Owner Name: City of Glens Falls
Current Owner(s) Address: City Hall /42 Ridge Street
Glens Falls,NY, 128011
Current Owner Name: CITY OF GLENS FALLS
Current Owner(s) Address: CITY HALL, 42 RIDGE ST
GLENS FALLS,NY, 12801
Owner(s) during disposal: CITY OF GLENS FALLS
Current On-Site Operator: CITY OF GLENS FALLS
Stated Operator(s) Address: CITY HALL, 42 RIDGE ST,
GLENS FALLS,NY 12801
Current On-Site Operator: City of Glens Falls
Stated Operator(s) Address: City Hall / 42 Ridge Street
Glens Falls,NY 12801
Hazardous VAhiste I isposal Period
From 1961 To: 1977
Site Descriptic,),in,
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Contaminant Name/Type
SUSPECTED: PCBS (13007)
CONFIRMED- INK SLUDGE (D001)
Site Environmental Assessment
Remediation of the Site is substantially completed. Prior to remediation, the primary contaminants of
concerns were PAHS in the surface soil and PCBS in the groundwater.
Site Health Assessment
Exposures to groundwater contamination leaving the landfill are not expected since the community is
serviced by public water. There is a potential for exposure for one known d'owngradient private well if
it were to be used for irrigation or consumption. There are numerous dirt bike trails on-site indicating
the regular use of the site by trespassers. These trespassers may come in contact with landfill waste
uncovered in areas where previous soil cover has eroded. Remedial actions are planned to cover the
landfill and fence the entire perimeter which will deter future trespassers and eliminate potential
exposures to landfill waste.
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_/O�HEWYORK
Department of
STATE OF
oPoFiTuNiTy Environmental
IIIY� Conservation
Environmental Site Remediation Database Search
Detalls
S Re Record
Ad,ministrative lnfw'mation
Site Name. Sherman / Luzerne
Site Code: 557015
Program, State Superfund Program
Classification: C
EPA ID Number:
Location
DEC Region: 5
Address: Luzerne Road!
Ci :Queensbury Zip: 12804
County,Warren
Latitude: 43.304224628
Longitude: -73.7032608
Site Type: DUMP
Estimated Size: 1 Acres
Site Owner(s) and Operator(s)
Current Owner Name: ROBERT CLARK
Current Owner(s) Address: VAN DEUSEN ROAD, R.D. #3
QUEENSBU!RY,NY, 12804
Current Owner Name: Robert Clark
Current Owner(s) Address: RD 3 Van Deusen Road
Queensbury,NY, 12801
FiazardOLIS', Waste Disposal Period
From. unknown To: unknown
Site Description
The site is located between Sherman Avenue and Luzerne Road in the Town of Queensbury
approximately 600 feet north of Luzerne Road and 6000 feet west of the Adirondack Northway. Cores
from stripped capacitors were found in a cleared area several acres in size. The capacitor cores
appeared to have originated from an area 25 feet in diameter and are now spread over a 100 foot x
200 foot area. Each core had a dark stain surrounding it in the soil and there was a PCB odor in that
area. The capacitor cores were unearthed during clearing and earth-moving activities. The cores
observed are typical of five gallon PCB units. Intact, one gallon size capacitors were also present at
the site. Past sampling results revealed PCBs in soils, of up to 25,0010 ppm and PCB within the liquids
were estimated to be nearly 100%. A Record of Decision was signed on (`✓larch! 31, 1997 and called
for the delineation and removal of the PCB contaminated soils at the site, The ROD also called for the
excavated soils to be shipped to an acceptable disposal facility and the excavated areas, to be back-
filled, graded and seeded. The Remedial Action has been completed in accordance with the ROD and
the site has been delisted from the Registry.
Contaminants of Concern (including Materials Disposed)
Contaminant NamelType
PCBS (13005 AND B007)
Site Environmental Assessment
Disposal of PCBs has been confirmed at this site and wastes were exposed at the ground surface.
Remediation of this site is complete. There are no environmental problems remaining at this site
associated with the disposal of hazardous wastes.
Site 1- It Assessment
The area near the site is used by off-road vehicles. However, the removal of contaminated soil's has
eliminated potential exposures to PCB material, The area is served by public water. Two homes
identified as still using wells have been sampled and no contamination was detected.
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NEWYORK
Department of
OPPORTUNE"
OPPORTUNE" Environmental
111� Conservation
Environmental Site Rernediation Database Search
Details
Site Record
Administrative Information
Site Name: Luzerne Road Site
Site Code: 557010
Program: State Superfund Program
Classification: 02
EPA ID Number:
Locat'101"I
DEC Region: 5
Address: Luzerne Road
City:Queensbury Zip: 12801
County:Warren
Latitude: 43.30417061
Longitude. -73.67396301
Site 'Type: DUMP LANDFILL
Estimated Size: 9 Acres
Institutional And Engineering ant"',1"Ols
Control Type:
Environmental Notice
Control Elements:
Ground Water Use Restriction
Cover System
Landuse Restriction
Monitoring Plan
Site Management Plan
O&M Plan
IC/EC Plan
Site Owner(s) aOraors)
Current Owner Name: NYSDEC
Current Owner(s) Address: 625 BROADWAY, 12 FLOOR
ALBANY,NY, 12233
Current Owner Name: A & Q HOLDINGS
Current Owner(s) Address: 10 SAGAMORE STREET
GLENS FALLS,NY, 12801
Owner(s,) during disposal: ARNOLD ALINES
Current On-Site Operator: NYS DEPT. OF ENVIRONMENTAL CONSERVATION
Stated Operator(s) Address: 625 BROADWAY, 12TH FLOOR
ALBANY,NY 12233
Hazardous Waste Disposal Period
From: about 1958 To. about 1968
Site Description
Location: The Luzerne Road Site is located in the Town of Queensbury, Warren County, New York. It
lies west of the City of Glens Falls, approximately 1,000 feet east of Interstate 87 and' approximately
3,500 feet north of the Hudson River. Site Features: The Site, as defined by the NYSDEC, consists of
two adjoining land parcels, 51 Luzerne Road (Tax Map Lot No. 309.10-1-91) and the northern portion
of 53 Luzerne Road (Tax Map Lot No. 309.10-1-90�). The eight acre parcel at 51 Luzerne Road is
owned by the State of New York, while the 1.2 acre northern portion of the 53 Luzerne Road parcel is
owned privately. The 2.7 acre Containment Cell was formerly present on the northern portion of the 51
Luzerne Road property. Following completion of the OU-2 remediation, the undeveloped portions of
the Site were backfilled to create a relatively flat surface, and then restored with surface vegetation,
Current Zoning/Use(s): The Site (Tax Map Lot Nos. 309.10-1-91 and 309.10-1-90) is zoned
commercial/light industrial (CLI). The Site is located among residential, commercial/ light industrial,
and vacant properties. Immediately to the east and north of the 51 Luzerne Road parcel is
undeveloped property. To the west and southwest of the Site are two privately owned parcels (a
furniture distribution warehouse and a commercial office occupy a structure on the southern portions
of these parcels). Further to the north and west lies the Old Glens Falls Landfill, a Class 2 Inactive
Hazardous Waste Site (Site No. 5-57-003), which is currently being remediated. The Luzerne Road
Transfer Station, owned by the City of Glens Falls, is present to the west of the 55 Luzerne Road
parcel. Luzerne Road is the southern boundary of the Site. Multi- and single-family residences and the
St. Alphonsus Cemetery are present opposite the Site on the south side of Luzerne Road. Historical
Use(s): The Site was historically a scrap and salvage yard for automobiles, machinery, and other
industrial equipment. Salvaging operations of capacitor equipment performed from the1950s through
the 1970s on the northern portion of the 53 Luzerne Road property resulted in the discharge of PCBs
to surface and subsurface soils. Associated capacitor salvaging operations also contaminated the
backyards of private residences in a neighborhood approximately one mile to the west of the Site,
Upon discovery of contamination, an emergency declaration was issued for the Site by the
Commissioner of the New York State Department of Health (NYSDOH) to limit human exposure to the
PCB contamination. As a temporary measure to stop PCB volatilization and prevent direct contact, the
United States Environmental Protection Agency (USEPA) granted approval for construction of the
Containment Cell for contaminated materials. In 1979, a clay-lined cell was constructed by the
NYSDEC on the northern portion of 51 Luzerne Road. Contaminated soil excavated from the private
residences and visibly contaminated soil and other contaminated materials removed from areas of the
Site were subsequently placed in the Containment Cell. The Containment Celll reached its capacity
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surrounding area are underlain by glacial and alluvial deposits (Fisher et all., 19170). Bedrock, which is
primarily shale and limestone, is encountered at depths ranging from 110 to 130 feet below ground
surface (bgs) at the Site. However, the nature of the bedrock is unknown. Natural near-surface
deposits at the Site are lacustrine sand associatedwith large bodies of water (Cadwell et all., 1986).
These very fine sands to coarse sands are described as well sorted and well drained (EEEPC, 2002).
Water levels in existing monitoring wells on the Site indicate that the water table is approximately 18
to 24 feet bgs. Groundwater generally follows the topographic gradient of the area, flowing southeast
across the Site. It ultimately flows with a hydraulic gradient of approximately 0.005 feet per foot (fUft)
toward the Hudson River to the south of the Site, which is a regional groundwater discharge area. The
average hydraulic conductivity from slug tests in the Site wells is 175 ft/day.
Contaminants of Conceirn (Including Materials Disposed)
Contaminant Namerrype
PCB oil
Site Environmental Assessment
Nature and Extent of Contamination: PCB compounds in the subsurface soils have contaminated the
groundwater in the vicinity of this site. Exceedances of standards, criteria, and guidance include PCBs
in the groundwater and soils above clean-up, guidance values in the surface and subsurface soils.
Groundwater monitoring wells were installed on-site and off-site in order to determine the
concentrations in the PCB plume. The site presented a significant threat due to direct exposure to
PCBs above clean-up guidance numbers and ongoing releases from sources areas (the subsurface
soils) of PCB contamination into groundwater. Remediation at this site was completed in the spring of
2009. The site is now in the site management phase. Prior to remediation: The following presents a
summary of the major site investigation findings, as presented in the remedial investigation report and
the subsequent Feasibility Study (FS) Report. Surface Soil: The southern portion of the Southern Area
contained widespread PCB presence. PCBs were present in surface soils in the Southern Area of the
Site; concentrations ranged from below detection to 2,984 milligrams per kilogram (mg/kg). Access to
the area was not restricted; thus PCBs were available for human exposure via foot traffic. Surface soil
was the primary exposure medium for wildlife at the Site. PCBs were detected in surface soil samples
at concentrations exceeding NYSDEC's ecological criteria. Small mammals, songbirds, and raptors
potentially could have been exposed to the contamination and adversely affected. A toxic effect
analysis was recommended'. Since there were no fish in the ditch or wetland area, the Site did not
pose an impact to fish. Subsurface Soil: Subsurface soil PCB presence was, limited to the Western
and Southern Areas. PCBs were detected to a depth of 12 feet in the middle of the Southern Area,
and to a depth of 16 feet in the western flank of the Southern Area. PCBs were also, detected to a
depth of 24 feet in the Western Area. The greatest subsurface soil total PCB concentration detected
was 17,200 mg/kg, found in the 01-to 4 foot depth interval in the parking lot located within the Western
Area of the Site. PCBs were not detected in the Eastern Area., The VOCs xylene and methylene
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The September through November 2000 removal action of PCB-contaminated soils, from the six
residential properties has eliminated exposures to PCB-contaminated soil in these yards. No further
investigation or excavation of the identified residential soils are needed. Exposures to contaminated
groundwater are not expected because the area is, served by public water. Eighteen residents had
their blood serum analyzed for PCBs. The PCB blood serum results for all participants are within the
expected range for the general population. The area of the PCB disposal cell is completely fenced.
Hazardous waste warning signs are posted to deter unauthorized entry.
For more Information, E-mail Us
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WARREN COUNTY—STATE OF NEW YORK
PAMELA J.VOGEL, COUNTY CLERK
t 1340 STATE ROUTE 9,
LAKE GEORGE, NEWYORK 12845
COUNTY CLERK'S RECORDING PAGE
***THIS PAGE 1'S PART OF THE DOCUMENT—DO NOT DETACH***
Recording:
Cover
RecordiingeFee 30.00
Cultural Ed 14.25
Records Management -- Couin 1.00
Records Management - Stat 4.75
Additional Names 0. 50
BOOK/PAGE: 5451 / 179 TP584 5.00
INSTRUM1ENT #: 2016-7506 RP5217 - County 9.00
Receipt#: 2016415210 RP5217 All others - State 241.40
Clerk: TR Saab Total : 310,50
Rec Date: 11/02/2016 12 : 53: 25 PM
Doc Grp: RP Transfer Tax
Descrip: DEED Transfer Tax - State 800.00
Num Pgs: 3
Rec`d Frm: STAFFORD CARR & MCNAL.LY PC Stab Total : —800.00
Partyl: DRELLOS GEORGIA P
Party2 : BIELECKI BOGUSL.AW Total : 111[9. 517
Town. QUEENSBURY * * NOTICE: THIS IS NOT A BILL
Transfer Tax * *
Transfer Tax #: 80
Transfer Tax
Consideration: 200000.00
Transfer Tax - State 800.00
Total 800®00
I hereby certify that the within and foregoing was
recorded in the Warren County Clerk's Office,
Record and Return To: Stare of New York.
This sheet constitutes the Clerks endorsement
required by Section 316 of the Real Property Law
STAFFORD CARR & MCNAL.LY PC of the State of New York.
175 OTTAWA STREET Pamela J. Vogel
LAKE GEORGE NY 12845 Warren County Clerk
GNUWARRANTY DEED WITH LIEN COVENANT
THIS INDENTURE made the 24th day of October, 2016 between GEORGIA P. DRELL OS,
/residing at 3439 Spring Oak Lane, Port Orange, FL 32129, party of the first part, and BOGUSLAW
BIELECKI and ANNA BIELECKI, husband and wife, residing at 282 Glen Street, Glens Falls, NY
12801' parties of the second part,
WITNESSETH, that the party of the first part, in consideration of One Dollar($1.00) lawful
money of the United States and other good and valuable consideration paid by the parties of the
second part, does hereby grant and release unto the parties of the second part, their heirs and
assigns forever,
ALL THAT TRACT OR PARCEL OF LAND, situate, lying and being in the Town of
Queensbury, County of Warren in the State of New York, shown and designated on
the tax rolls of the Town of Queensbury as Section 93 Block 2 Lot 5, 12.41 acres and
being a portion of the premises conveyed by H. Russell Harris to Chris Drellos a/k/a
Christ G. Drellos dated August 8, 1969, recorded in the Warren County Clerk's Office
September 17, 1969 in Book 512 of Deeds at Page 532,
BEING the same premises conveyed by Georgia P. Drellos and Madaline Drellos to
Georgia P. Drellos by deed dated November 22, 2006 and recorded in the Warren
County Clerk's Office on December 5, 2006 in Book 3130 of Deeds at Page 89.
Together with all right, title and interest, if any, of the party of the first part in and to any
streets and roads abutting the above-described premises, to the centerline thereof.
Together with the appurtenances and all the estate and rights of the party of the first part
in and to said premises.
To have and to hold the premises herein granted unto the parties of the second part, their
heirs and assigns forever.
And said party of the first part covenants as follows.
First, that the parties of the second part shall quietly enjoy the said premises;
1
W
Second, that said party of the first part will forever warrant the title to said premises.
Subject to the trust fund provisions of Section Thirteen of the Lien Law..
IN WITNESS WHEREOF, the party of the first part has duly exec this deed.
P.
Ge&giap. DrellosA '4q�"ekjr"�
STATE CSF NEW YOR )
) ss:
COUNTY OF )
On the day of October in the year 2016 before me, the undersigned, personally
appearedTthe
Drellos, personally known to me or proved to me on the basis of satisfactory
evidence tividual whose name is subscribed to the within instrument and acknowledged
to me that ted the same in her capacity, and that by her signature on the instrument, the
individual, son upon behalf of which the individual acted, executed the instrument.
otary Iii
462352
Record and Return to: KFLLY S. CHADWICK
Notary Pudic, State of New York
Saratoga county, #01CH5053440
Commission Fnpires Dec. 113, 2am
2