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SETPH.VAR\Pontiff-Holding Tank Replacement System&Setbacks- 12-4-17
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF JUDY PONTIFF
RESOLUTION NO.: ,2017
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 issues variances from the Town's On-Site Sewage
Disposal Ordinance, and
WHEREAS, Judy Pontiff (Applicant) has applied to the Local Board of Health for
variances from Chapter 136, §136-11 which requires an applicant to obtain a variance for a holding
tank, as the Applicant wishes to replace her wastewater system by installing a holding tank system
consisting of two (2)holding tanks each with a capacity of 1,500 gallons, thus meeting the required
total capacity of 3,000 gallons, and
WHEREAS, the Applicant has also applied for additional variances from Chapter 136 to
allow placement of such holding tanks:
1. 32' from the lot#9 well in lieu of the required 50' setback;
2. 29' from the onsite well in lieu of the required 50' setback;
3. 23' from the future onsite well in lieu of the required 50' setback;
4. 41' from the lot#11 well in lieu of the required 50' setback;
5. 5' from the lot#9 property line in lieu of the required 10' setback;
t a
6. 4' from the Sunnyside Road right-of-way in lieu of the required 10' setback;
and placement of the pump tank to be:
7. 40' from the lot#9 well in lieu of the required 50' setback; and
8. 37' from the onsite well in lieu of the required 50' setback;
on property located at 52 Sunnyside North in the Town of Queensbury,
NOW, THEREFORE,BE IT
RESOLVED, that the Town of Queensbury Local Board of Health will hold a public
hearing on Monday, December 18th, 2017 at 7:00 p.m. at the Queensbury Activities Center, 742
Bay Road, Queensbury, to consider Judy Pontiff's sewage disposal variance application concerning
property located at 52 Sunnyside North in the Town of Queensbury and bearing Tax Map No.:
279.17-2-37 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 feet of the property as required by law.
Duly adopted this 4th day of December,2017,by the following vote:
AYES :
NOES :
ABSENT:
SEPTIC VARIANCE Office Use Only
Received:
APPLICATION Permit#:
Town of Queens•ury
Permit Fee:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.queensbury.net Invoice#:
Approvals:
Submittal: I original &8 copies of the completed application package
Property Owner(s): Judy Pontiff Owner's Agent: Dennis MacElroy
Address: PO Box 108 Address: EDP -4 Glens Falls Tech Park#5
Glens Falls, NY 12801 Glens Falls, NY 12801
Phone#: 518-793-7310 Phone#: 518-792-8200
Site Address: 52 Sunnyside North Tax ID#: 279.17-2-37
Directions to Site: Bay Road to Sunnyside North Rd., #52
Distance from well on property to septic system (if applicable) 29 feet
Is it possible to install a conforming septic system on this property? Yes X No
If YES, please explain and attach a diagram:
Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring
properties? Yes x No If NO, please explain:
See variances requested below
Is the proposed system to be installed over a parking area? Yes X No
Section of the Sanitary Sewage Ordinance from which you are seeking the variance(i.e. leaching system will be 89 ft.
from well in lieu of required 100 ft.):
V-1: Request for the use of holding tanks-Section 136-11 V-5: Setback from holding tanks to Lot#11 well-41'vs.50'required
V-2: Setback from holding tanks to Lot#9 well-32'vs.50'required V-6: Setback from holding tanks to Lot#9 property line-5'vs.10'required
V-3: Setback from holding tanks to onsite well-29'vs.50'require V-7: Setback from holding tanks to Sunnyside Road r.o.w.-4'vs.10'required
V-4: Setback from holding tanks to future onsite well-23'vs.50'required V-8: Setback from pump tank to Lot#9 well-40'vs.50'required
V-9: Setback from pump tank to onsite well-37'vs.50'required
Septic Variance Application August 2017
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 John Ellis, Fung Mei Lung
Address 54 Sunnyside North
Tax Map ID 279.17-2-36
South Name Judy Pontiff
Address 50 Sunnyside North
Tax Map ID 279.17-2-38
East Name Lake Sunnyside
Address
Tax Map ID
West Name Lynne Fish
Address 59 Sunnyside North
Tax Map ID 279.17-1-1.1
OWNER STATEMENT
I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:
52 Sunnyside North
I/We realize that putting the well,septic tank or leaching system less than the required 50 feet from the well
may increase the risk of pollution.
Owner—Print Name: Judy Pontiff Date:
Owner—Signature: Date:
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 the risk of pollution.
Neighbor/Tenant—Print Name: Date:
Neighbor/Tenant-Signature: Date:
Septic Variance Application August 2017
PLEASE ATTACH THE FOLLOWING TO YOUR APPLICATION:
1. A location map showing the site within the Town of Queensbury
2. A 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 (street, steep slopes, lakes,wetlands, etc.)
f. Location of all wells and septic systems on neighboring properties
g. Adjacent ownerships
h. All properties within 500 feet
A sample plot plan and location are shown below:
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Septic Variance Application August 2017
AUTHORIZATION AND 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: Judy Pontiff
Designates: Dennis MaCElroy as agent regarding the Septic Variance for
Tax Map#: 279.17-2-37
OWNER'S SIGNATURE: DATE:
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.
Officiatial 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 the application, and that the
minutes transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy
between such record and the handwritten minutes taken by the designated stenographer,the handwritten
minutes shall be deemed the official record.
I,the undersigned, have thoroughly read and understand the instructions for submission; agree to the
submission requirements and-completed checklist:
OWNER—PRINT NAME: Judy Pontiff
OWNER--SIGNATURE: DATE:
AGENT—PRINT NAME: Dennis MacEIroy
AGENT—SIGNATURE: DATE:
Septic Variance Application August 2017