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1.2 i 1.2 SETPH.VAR\Graziano-Replacement System With Leaching System to Well—8-17-2020 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF JOHN GRAZIANO RESOLUTION NO.: ,2020 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, John Graziano (Applicant) has applied to the Local Board of Health for a variance from Chapter 136 to install a replacement wastewater system with the leaching system to be located 80' from a neighboring well in lieu of the required 100' setback on property located at 2 Sunset Lane 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, September 14th, 2020 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider John Graziano's sewage disposal variance application concerning property located at 2 Sunset Lane, Queensbury(Tax Map No.: 226.19-2-17) 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 17`h day of August, 2020,by the following vote: AYES NOES ABSENT: ecoENVIRONMENTAL DESIGN PARTNERSHIP LLP. 900 Route 146 Clifton Park,NY 12065 ' (P)518.371.7621 (F)518,371.9.540 edpllp.com August 11, 2020 Town of Queensbury Board of Health 742 Bay Road Queensbury, NY 12804 Attn: John Strough, Supervisor Re: Graziano Residence—2 Sunset Lane BOH Variance Request Dear John: Submitted for your distribution and review are nine sets of a Board of Health wastewater system variance application for the Graziano residence located at 2 Sunset Lane. The neighboring property two lots to the north (Carte -215 Assembly Point Rd.)) has a water supply well located near the property line about mid-lot. As a result there is no location on the Graziano lot that the absorption field could be located that will meet required 100' setback to that well. It should be noted that the existing Graziano system is approximately 80'from the Carte well. The proposed design will include an Eljen Geotextile Sand Filter(GSF) trench system and an ultra violet(UV) light disinfection unit to mitigate the need of a setback variance to the neighboring well.The application documents include the following: • Proposed Wastewater Improvements For The Graziano Residence 2 Sunset Lane Sheet 1 of 3 Variance Plan Sheet 2 of 3 Existing Conditions Sheet 3 of 3 Wastewater Details • Queensbury Board of Health Application for Septic Variance • Application Fee -$150 check I am available to meet with you and/or other Board members to further discuss this proposal prior to the public hearing. Thank you for your consideration of this request. Sincerely, Dennis MacElroy Dennis MacElroy, PE Environmental Design Partnership Attachment Cc: Dave Hatin t SEPTIC VARIANCE Office Use Only Received: APPLICATION Permit#: tr>tiu1<�tticxtalur� 742 Bay Road,Queensbury,NY 12804 Permit Fee: P: 518-761-8256 www.gueensbury.net Invoice#: Approvals: Submittal: I (one) original & 8 copies of the completed application package Property Owner(s): John Graziano Owner's Agent: Dennis MacElroy Address: 7 Old English Road Address: 900 NY-146 Slignerland, NY 12159 Clifton Park NY 12065 Phone#: 518-463-8644 ext. 8477 Phone#: 518-371-7621 ext. 164 Site Address: 2 Sunset Lane Queensbury NY Tax ID#: 226.19-2-17 Directions to Site: Intersection of Assembly Point Road and Sunset Lane directly across from Lake George Distance from well on property to septic system (if applicable) NA feet Is it possible to install a conforming septic system on this property? ❑ Yes ❑X No If YES, please explain and attach a diagram: Click or tap here to enter text. Does the proposed system meet setback requirements for distance from wells &septic systems on neighboring properties? ❑ Yes ❑X No If NO, please explain: System does not meet setback requirements to neighboring well. Approx. 80 feet from Neighbor's well two properties north of project site. Is the proposed system to be installed under 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.): Leaching system will be 80 ft. from neighboring well in lieu of required 100 ft. Septic Variance Application Revised February 2019 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 Frank & Erin Steinbach Address 211 Assembly Point Road Tax Map ID 226.19-2-18 South Name Sharon Bell Adamo Address 124 Old Stone Hill Road, Pound Ridge NY 10576 Tax Map ID 226.19-2-3 East Name NA - Lake George/Assembly Point Address Road Tax Map ID Click or tap here to enter text. West Name Rita Saunders and Others Address 310 1 st Ave Indialantic, FL 32903 Tax Map ID 226.19-2-36 OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 2 Sunset Lane I/We realize that putting the well,septic tank or leaching system less than the required 100 feet from the neighboring well may increase the risk of pollution. owner—Print Name: , ��" G—1�c y,/,'> Date: /i 2 Owner—Signature: Date: z�z NEIGHBOR O ENANT RELEASE STATEMENT (if applicable) I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: Click Letter from Neighbor to be provided at Town Board of Health Meeting I/We realize that putting the septic tank or leaching system less than the required_feet from the Click or tap here to enter text. may increase the risk of pollution. Neighbor/Tenant—Print Name: Date: Neighbor/Tenant-Signature: Date: Septic Variance Application Revised February 2019 S 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: ,f� u x Rill r s r• axrriasn Ivr IAYPd i' Saic n'mwxertiRnLT � f ..,�. 'ktwtnfilliwt 1tLln "Ib1a 5tlM q., } Septic Variance Application Revised February 2019 f AUTHORIZATION AND SIGNATURE RAGE 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:John Graziano Designates: Dennis MacEtroy as agent regar ' g the Septic Variance for Tax Map#: 226,19-2-17 OWNER'S SIGNATURE: ,� ,r DATE: Engineering Fee Disclosure- ppli ations may be referred to the Town consulting engineer for review of septic design, storm drainage, c. 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. Official 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. 1,the undersigned, have thoroughly read and understand the instructions for submission; agree to the submission requirements and completed checklist: OWNER—PRINT NAME: Clir'k-b t p hJa 0/1112 OWNER--SIGNATIk - DATE: Click or tap here to enter text. AGENT—PRINT NAMlick r tair tc .t`x .E. ,--t. e"d. AGENT--SIGNATURE: '= 1.--'' - .' �" DATE:Click or flip Fire to enter text. Septic Variance Application Revised February 2019