SEP-0567-2018 ,T1-'5--L.7-- -() /
f DEEP HOLE/PERC TEST
Town of Queensbury REQUEST FOR TOWN ENGINEER REVIEW
Building and Code Enforcement
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.queensbury.net el/� � /
Property Owner(s): 7/01///�I ft/GYf Phone #: (5I S) `�'Z 7. =4
2.
Mailing Address (c/s/z): 7 F.gr eill ,i77 J l77 1/4/ /2/2/1VV 44, ,G/ ,Aei y A C
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Location of test: lc �Jr /mf`/iva /4/ D/fyVF Tax ID#: Z'ir5a. $- (- z_ct
*Applicant's Engineer: a/t�G�J'`7/ 2*./ //l/c/I//t/tf Phone#: (-rig) 74570 50 7
Applicant's Agent: CSf1"/24E) Phone #: ( )
Additional Notes: T6.ST,','T ,O(/v - t- -1:9/1iS7)atc'TQoit '
1. Reason for request? X New Septic System ❑ Replacement Septic System
❑ Failed Septic System ❑ Subdivision ❑ Site Plan Review
2. Are wetlands present? ❑ YESXI NO ❑ UNKNOWN
*Applicant is required to engage an engineer for design and testing of the system. The Town Engineer's responsibility i
to witness system testing only. ';1;( ' I -� a i'/ I= ii r� U � � i9
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PLOT PLAN: plot plan, to scale, must be submitted with application. I
FEES EDULEc. ____ , i 1 cpu '3' 2018 L I)
1. $200 flat fee date paid: / .7,1M1.1.it i ....°4';_'.I_ PIVIEF.IT
check#: -"`r"� "
/i V(C Og 35
2. OR fee to be determined during to be determined:
site plan/subdivision review process
PLEASE READ BEFORE SIGNING:
In carrying out the provisions of Article IV,the Local Board of Health or the enforcement office may engage the services of a
qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of
Art.IV,including,but not limited to,the review of plans,specifications and reports,attendance at inspections,dye tests,deep
hole test pits, septic related deep hole and percolation tests, system installations and any other aspect of any matter
contained in this Art. IV,and any costs incurred in such review shall be paid to the Town by the owner of the property before
any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an invoice for same,
whichever is sooner.Such costs shall not exceed$1500 without proper written notice to the party to be changed the same.
My signature below indicates I have thoroughly read and understand the instructions, agree to the submission
requirements and have completed the application. I also fully understand that additional engineering fees may
be necessary per Town of Queensbury Local Law 6- 4 D. p
SIGNATURE OF APPLICANT:----7 ,2�1lcvaP{ DATE: li-,/D
SIGNATURE OF AGENT --14 DATE: '1,4, i O
Original(B&C File) Canary(Planning) Pink(Applicant) Gold(Town Clerk)
Deep Hole/Perc Test App Updated August 2017
Zoning Board of Appeals—Record of Resolution
Town of Qucensbury 742 Bay Road Quecnsbury, NY 12804 (518) 761-8238
hmn'ra t f LZrcensbcrry
Area Variance Resolution To: Approve if/
Applicant Name: Tamarra Ellsworth
File Number: Z-AV-16-2018
Location: 15 French Mountain Drive
Tax Map Number: 288.8-1-29
ZBA Meeting Date: Wednesday, April 18, 2018
The Zoning Board of Appeals of the Town of Queensbury has received an application from Tamarra
Ellsworth. Applicant proposes construction of a 576 sq. ft. single family home-revised. Relief requested from
minimum setback requirements in the RR-3A zoning district.
Relief Required:
Section 179-3-040 establishment of districts-dimensional requirements—rural residential three acre
The applicant proposes to a 576 sq ft home to be 75 ft from the front where 100 ft is required, 35.6 ft from the
south side where 75 ft is required and 81 ft from the rear property line where 100 ft is required.
SEQR Type II—no further review required;
A public hearing was advertised and held on Wednesday,March 28, 2018 and left open for April 18, 2018;
Upon review of the application materials, information supplied during the public hearing, and upon
consideration of the criteria specified in Section 179-14-080(A)of the Queensbury Town Code and Chapter 267
of NYS Town Law and after discussion and deliberation,we find as follows:
1. There is not an undesirable change in the character of the neighborhood nor a detriment to nearby properties
because we feel the new construction will be an improvement to the neighborhood.
2. Feasible alternatives have been considered by the Board but are not deemed reasonable at this particular
time.
3. The requested variance is not substantial,particularly in view of the size of the lot.
4. There is not an adverse impact on the physical or environmental conditions in the neighborhood or district.
We believe that it's going to be an improvement to the physical conditions.
5. Is the alleged difficulty is of course self-created.
Page 1 of 2
Continued ZIIA Resolution of Approval Z-AV-16-2018 Tamarra Ellsworth
6. In addition the Board finds that the benefit to the applicant from granting the requested variance would
outweigh (approval) the resulting detriment to the health, safety and welfare of the neighborhood or
community;
7. The Board also finds that the variance request under consideration is the minimum necessary;
8. The Board also proposes the following conditions:
a) Adherence to the items outlined in the follow-up letter sent with this resolution.
BASED ON THE ABOVE FINDINGS. I MAKE A MOTION TO APPROVE AREA VARIANCE
Z-AV-16-2018, Tamarra Ellsworth, Introduced by Michael McCabe, who moved for its adoption, seconded by
Ronald Kuhl:
Duly adopted this 18th day of April 2018 by the following vote:
AYES: Mr. Urrico, Mr. Henkel, Mr. Underwood, Mrs. Hayward,Mr. McCabe, Mr. Kuhl, Mr, Freer
NOES: NONE
Page 2 of 2
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