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1.2 1.2 SETPH.VAR\\Kahan - Replacement System With Components to Lines – APA - 10-19-2020 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF ROBERTA KAHAN 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, Roberta Kahan (Applicant) has applied to the Local Board of Health for variances from Chapter 136 to install a replacement wastewater system with certain of its components to be located as follows: 1. Absorption field to be 2’ from the southside property line instead of the required 10’ setback; 2. Force main piping to be 5’ from the northside property line instead of the required 10’ setback; 3. Effluent line piping to be 5’ from the northside property line instead of the required 10’ setback; and 4. Septic tank to be 3’ from the northside property line instead of the required 10’ setback; on property located at 61 Knox 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 nd on Monday, November 2, 2020 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Roberta Kahan’s sewage disposal variance application concerning property located at 61 Knox Road, Queensbury (Tax Map No.: 239.7-1-12) 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. th Duly adopted this 19 day of October, 2020, by the following vote: AYES : NOES : ABSENT: ENVIRONMENTAL DESIGN 4111 M • PARTNERSHIP, LLP. 900 Route 146 Clifton Park,NY 12065 (P)518.371.7621 (F)518 371 9540 edpllp.com October 12, 2020 Town of Queensbury Board of Health 742 Bay Road Queensbury, NY 12804 Attn: John Strough, Supervisor Re: Kahan Residence 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 Kahan residence located at 61 Knox Road. Due to the fact that the lot is only 50' wide and contains a variety of restictions (structures and trees) an area for the replacement system is limited. This condition will necessitate requesting four setback variances- refer to Sheet 3 for the delineation of those BOH variance requests. • Proposed Wastewater Improvements For The Kahan Residence 61 Knox Road Tax Parcel ID#239.7.-1-12 Sheet 1 COVER SHEET Sheet 2 EXISTING CONDITIONS Sheet 3 WASTEWATER PLAN WITH VARIANCES Sheet 4 DETAILS Sheet 5 ABSORPTION FIELD PROFILE • 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 Roberta Kahan SEPTIC VARIANCE Office Use Only Received: APPLICATION Permit#: Gn.n(It ycsn shun Permit Fee: 742 Bay Road,Queensbury,NY 12804 P: 518-761-8256 www.queensbury.net Invoice#: Approvals: Submittal: I (one) original & 8 copies of the completed application package Property Owner(s): Roberta Kahan Owner's Agent: Dennis MacElroy Address: 61 Knox Road Address: 112 Sunset Trail Lake George, NY 12845 Queensbury, NY 12804 Phone#: 518 656-9489 Phone#: 518 792-8200 Site Address: 61 Knox Road Tax ID#: 239.7-1-12 Directions to Site:Assembly Point Road to Knox Road, #61 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 ® 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? O. Yes ❑ No If NO, please explain: Click or tap here to enter text. Is the proposed system to be installed under a parking area? ❑ Yes ® 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.): Section 136-9 D :Table 1 Horizontal Separation Distances V-1 : Absorption field setback to southside property line—proposed at 2'vs. 10' required V-2 : Force Main piping setback to northside property line—proposed at 5'vs. 10' required V-3 : Effluent line piping setback to northside property line—proposed at 5'vs. 10' required V-4 : Septic Tank setback to northside property line—proposed at 3'vs. 10' required 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 Robert Glandon 3 Address 6%Knox Road Tax Map ID 239.7-1-13 South Name Penelope DeRocker Address 53 Knox Road Tax Map ID 239.7-1-11 East Name Carol Collins Address 62 Knox Road Tax Map ID 239.7-1-39 West Name Lake George Address Click or tap here to enter text. Tax Map ID Click or tap here to enter text. OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: Click or tap here to enter text. I/We realize that putting the well, 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. 1/ Owner—Print Name: Roberta Kahan Rc r44) Date: (0151 1-0 �_ Owner—Signature: _ t � � �� Date: i01 SI" 2-42 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: Click or tap here to enter text. y Gina. I/We realize that putting the septic tank or leaching system less than the required % feet from the.C4ick lu ...: 44. may increase the risk of pollution. Neighbor/Tenant—Print Name: Date: Neighbor/Tenant-Signature: Date: Septic Variance Application Revised February 2019 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: Roberta Kahan Designates: Dennis MacElroy as agent regarding the Septic Variance for Tax Map#: 239.7-1-12 ✓OWNER'S SIGNATURE: �' ��? DATE: /1)/1"--/ 7'4" 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. 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. I,the undersigned, have thoroughly read and understand the instructions for submission; agree to the submission requirements and completed checklist: OWNER—PRINT NAME: Roberta Kahan ✓ OWNER—SIGNATURE: k 0 ;i1-?r !'� �1 ' DATE: October 3, 2020 AGENT—PRINT NAME: Dennis MacElroy AGENT—SIGNATURE• waia.t DATE: October 3, 2020 Septic Variance Application Revised February 2019