1.1 1.1
SETPH.VAR\Kubrieky—Maintain Existing System In Lieu of Current Requirements-Lines,Bldgs Well Setbacks K Absorption Area—;-5-18
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF TOM AND TERRI KUBRICKY
RESOLUTION NO.: ,2018
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, the Queensbury Town Board serves as the Town's Local Board of Health and is
authorized by Town Code Chapter 136 to issue variances from the Town's On-Site Sewage Disposal
Ordinance, and
WHEREAS, Tom and Terri Kubricky (Applicants) have applied to the Local Board of Health
for variances from Chapter 136 to maintain an existing wastewater treatment system that does not
meet today's current requirements on property they recently purchased as follows:
1. Dry well is 94' from the existing well line instead of the required 150' setback;
2. Septic tank is 8.5' from the westerly property line instead of the required 10' setback;
3. Dry well is 4' from the westerly property line instead of the required 10' setback;
4. Continued use of the dry well which is 6' in diameter and 4' deep with an absorption
area of 755 feet, instead of the required minimum of 183 square feet of absorption area;
on property located at 89 Pilot Knob Road in the Town of Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public hearing
on Monday, March 19t1', 2018 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road,
Queensbury, to consider Tom and Terri Kubricky's sewage disposal variance application concerning
property located at 89 Pilot Knob Road, Queensbury(Tax Map No.: 227.18-1-15) and at that time all
interested persons will be heard, and
BE IT FURTHER,
RESOLVED, that the Local Board of Health authorizes and directs the Queensbury Town
Clerk to publish the Notice of Public Hearing presented at this meeting and send a copy of the Notice
to neighbors located within 500' of the applicant's property as required by law.
Duly adopted this 5ffi day of March, 2018,by the following vote:
AYES
NOES
ABSENT:
SEWER\Kubricy-Maintain Non Compliant System-Lines,Bldgs Well&Abs Area—3-19-18
NOTICE OF PUBLIC HEARING
IN ACCORDANCE WITH TOWN OF QUEENSBURY ON-SITE SEWAGE DISPOSAL
ORDINANCE CHAPTER 136, NOTICE IS HEREBY GIVEN THAT THE TOWN OF QUEENSBURY
LOCAL BOARD OF HEALTH WILL CONDUCT A PUBLIC HEARING ON MONDAY, MARCH 19TH,
2018 AT 7:00 P.M. AT THE QUEENSBURY ACTIVITIES CENTER, 742 BAY ROAD, QUEENSBURY
TO CONSIDER AN APPLICATION BY TOM AND TERRI KUBRICKY FOR SEWAGE DISPOSAL
VARIANCES TO MAINTAIN AN EXISTING WASTEWATER TREATMENT SYSTEM THAT DOES
NOT MEET TODAY'S CURRENT REQUIREMENTS ON PROPERTY THEY RECENTLY
PURCHASED AS FOLLOWS:
1. DRY WELL IS 94' FROM THE EXISTING WELL LINE INSTEAD OF THE
REQUIRED 150' SETBACK;
2. SEPTIC TANK IS 8.5' FROM THE WESTERLY PROPERTY LINE INSTEAD OF THE
REQUIRED 10' SETBACK;
3. DRY WELL IS 4' FROM THE WESTERLY PROPERTY LINE INSTEAD OF THE
REQUIRED 10' SETBACK;
4. CONTINUED USE OF THE DRY WELL WHICH IS 6' IN DIAMETER AND 4' DEEP
WITH AN ABSORPTION AREA OF 755 FEET, INSTEAD OF THE REQUIRED
MINIMUM OF 183 SQUARE FEET OF ABSORPTION AREA;
ON PROPERTY LOCATED AT 89 PILOT KNOB ROAD IN THE TOWN OF QUEENSBURY (TAX
MAP NO.: 227.18-1-15).
AT THIS PUBLIC HEARING ALL INTERESTED PERSONS WILL BE HEARD.
PUBLICATION DATE: MARCH ,2018
CAROLINE H.BARBER
TOWN CLERK
TOWN OF QUEENSBURY
1 , .
SEPTIC
,-� � � Office Use Only
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SEP 1 IC VARIANCE
Received: / - /$''
ttL;3e� L` .E.. "1.t' _: 4g—
Permit s: :.�. -
1,.t,ri«(Zt..,n..!,1::-1 i :::—,..._a...,..------- -......,, e$6 .r'- `
', l I Permit Fee: /.0:4-6
742 Bay Road,Queensbury,NY 128t14!1.11 „ I °_ : I
i FEB L 1 2018 'i
P:518-761-8256 www.c�saeensbur ` 1i i !'._ I Invoice::: ��
f `ttvrr.i OF Ta T t. .B7 , I Approvals: 'r‘r-_ CLC,... ;;;,,,:
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1 COMMIJNITY IDEVEL.O.PMEt`fi' , .,..rx4
Submittal: I original &8 copies of the completed application package Q4r�s P
Property Owner(s): 1,0-a id, -`;.v,-:' '4uLe,6-1L- Owner's Agent: 4vwi vets lei/.2,-e16 6
I
Address: t)A V� '/t'r r)`:,Lei Address: /fes 7
Phone#: 4....676/ 67 r t` Phone#:c 3-'8 27 '6 12-7---'
-
Site Address: 'a/ ni.,8' ,b R> O�• s.4j:%y' . gi' fig,41 Tax ID#: � -i-do�
Directions to Site: , i 11.114-, ts,i. ' r .c : .'44,4(.4. . • e a'.- '' itow . -`r '„_
Distance from well on property to septic system (if applicable) S ?IAA/ feet
y
Is it possible to install a conforming septic system on this property? Yes 37 No
If YES, please explain and attach a diagram: .4-¼ .
Does the proposed system meet setback requjrements for distance from wells&septic systems on neighboring
properties? Yes V No If NO, please explain: L ie , ,47.' ,4761
Is the proposed system to be installed under a parking area? Yes V 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.):
et t;cv vi i'b,e. te�w:rdo 14,r4 se-t 3+ae 714 AL e✓;7s4,: r1 Weil :.S9'40 '7.wav,s- `riAt4.z.5 '4 ' we,.�
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Septic Variance Application "V( '+1,CI) `'v - A.n T]ZSe e a-"► Are-A T' 7‘s February 2018
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 Cr : 6-0c7.2/,14
Address 'Pn..ot hn.� fv .ett tt5 K' 11 ev4c-�/
Tax Map ID Z-7 . 1 3 - 1 - 2 Z J
South Name t ibcy- r9 S vte—
Add ress -30 F•` I-1 1-• AVL . 'vi to q Sr(hGtJ )f Y
Tax Map ID 02-1 •
East Name 5A-e/2- v1 e.Qr7l J Fa,r6 c.,�b 1 vvs
Address --I L < - vVertf9 37 Civ ee- rs 1itdrci N X
Tax Map ID 2Z1 - 1 tS - 1 - 2
West Name V; n C... 42.41 1) 0 '1J e. t
Address Zy L.,p✓ !. woo Slit 4+oalw s.rck) 7
Tax Map ID 22'7 . 1 $ - 1 - 1z,
OWNER STATEMENT
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 well,septic tank or leaching system less than the required iic feet from the
may increase the risk of pollution.
Owner—Print Name: .77 0>+�>4S „j. ,„4•cDate: 09/,
Owner—Signature: `71«: 340lracy Date: 2,//P /.
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;;Vst:rrt 't:ss than the required feet from the
may increase the risk of pollution.
Nei ;hh')or/Tenant—Print Name: .._ _..._ Dz.tc>' .._.._... ._—.._.___. _
..-.FI,hor/Tenant-Signature: _- —4
Saotic Variance Application Susr
2.
'r I
. 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
3
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: 7Z-;-)rRfc,e.?.' /1/';‘,
Designates: ,4,7 4‘4'64 _4/o .l _70 L as agent regarding the Septic Variance for
Tax Map#: 22 7- /f/- /c
OWNER'S SIGNATURE: " Z- ..ic --We DATE: /9 //f
/ /
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: ---770rr',irr 6arc,' j,4,7
OWNER-SIGNATURE: / ,. DATE: Z�/ ' /�
AGENT-PRINT NAME: io i,G-r
AGENT—SIGNATURE: / �— _ DATE: 09/,
Septic Variance Application August 2017
' s
TARRETT Engineers, PLLC Civil&Environmental Engineering
Transmitted via Email& Hand Delivered
February 21,2018
David Hatin, Director,Buildings& Codes
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Re: Kubricky Wastewater
89 Pilot Knob Road, Queensbury
JE 18-005
Dear Dave,
We have been asked by Tom Kubricky, owner of the above property, to document the existing wastewater
system. Our knowledge is based on a phone call with The Chazen Companies who witnessed a test pit on
the property on Monday, February 19th, a site visit by me on Monday evening, a review of the Coulter&
McCormack survey map prepared for John A. Gurba (photocopy attached), and discussions with
representatives of TKC Engineering.
Our understanding of the existing system is that wastewater exits the one room A-frame cottage on the
south end and enters 1000 gallon (concrete?) septic tank located just south of the cottage. From there,
septic tank effluent flows to an existing precast concrete drywell that is reportedly 6' in diameter and 4'
deep. No information regarding possible crushed stone around the drywell is available, so based on the
information available, we believe that the maximum wastewater disposal capacity of the system could be:
6' diameter x 3.1415 x 4' high=75 gpd.
The test pit witnessed by The Chazen Companies reportedly showed sand (possibly with some clay) to a
depth of 96" where evidence of seasonal high groundwater (mottling) was noted. (Note: the location of
the test pit was north of the cottage, and reportedly the grade elevation of the test pit was 2 feet lower than
grade at the drywell.) Extrapolating from the information available, the bottom of the drywell may be
approximately 5 feet above the seasonal high groundwater noted in the test pit north of the cottage,
however the depth to groundwater at the drywell is not known.
During the site visit, I observed a watercourse running around the north and west sides of the cottage
which likely emanates from a culvert under Pilot Knob Road north of the cottage and exits the site through
a (presumed) culvert under a gravel driveway south of the cottage. Due to snow cover, I could not
ascertain whether the water course is a stream or just a drainage course, however, reportedly both Town
and NYSDEC representatives have examined the site and declared it a drainage course.
Also during my site visit, I noted a domestic well serving the property located just north of the cottage; my
rough measurement suggests that the well is approximately 90' from the leaching system, (possibly cross
12 East Washington Street 518-792-2907
Glens Falls, NY 12801
David Hatin,Director, Buildings & Codes February 21,2018
Re: Kubricky Wastewater, 89 Pilot Knob Road, Queensbury
gradient) although reports of more accurate measurements put the well approximately 94' from the
drywell; in either case, a wastewater variance is needed for that setback. During my site visit I did not see
evidence of any additional domestic wells within 100' of the leaching system(drywell).
Representatives of"Tom Kubricky Company, Inc." measured the location of the drywell in relation to the
two closest property lines, and the approximate location is shown on the attached plan. Based on that
information, a setback variance is also required for the westerly property line.
If you have any questions, do not hesitate to contact us at 792-2907 or via email at
tjarrett@jarrettengineers.com.
Sincerely,
JARRETT Engineers, PLLC
yi/' 2018.02.21
401 09:14:11 -05'00'
H. Thomas Jarrett,P.E.
Principal
Encl:
• "Wastewater Plan, WW1, Existing Wastewater System, 89 Pilot Knob Road", "Submitted to the
Town of Queensbury, Rev A, 2/20/2018", Sheet 1 of 1;prepared by Jarrett Engineers,PLLC
• "Map of a Survey Prepared for John A. Gurba", by Coulter & McCormack, last revised July 16,
1993(?)
Ecopy(ies)w/encl: Craig Brown, Town of Queensbury
Tom Kubricky
Ernest Stanley
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