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1.3 7 1.3 WASTEWATER=SEWER\Set PH\Rubercht—Absorption Field Pump Tank Force Main to wells and property lines—1-25-2021 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF ROGER AND JOYCE RUBERCHT RESOLUTION NO.: ,2021 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, Roger and Joyce Rubercht (Applicants) have applied to the Local Board of Health for variances from Chapter 136 to install: 1. Absorption field 54' from a neighboring well in lieu of the required 100' setback; 2. Absoiption field 37' from the onsite well in lieu of the required 100' setback; 3. Tank 38' from a neighboring well in lieu of the required 50' setback; 4. Pump tank 28' from a neighboring well in lieu of the required 50' setback; 5. Force main/pump tank 5' from the property line in lieu of the required 10' setback; and 6. Absorption field 4' from the west property line in lieu of the required 10' setback; on property located at 33 Honeysuckle Lane Road 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, February 8"', 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Roger and Joyce Rubercht's sewage disposal variance application concerning property located at 33 Honeysuckle Lane in the Town of Queensbury (Tax Map No.: 226.19-1-52)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 25"' day of January, 2021, by the following vote: AYES NOES ABSENT: SEWER\Conway—300 Cleverdale Trust—Pump and Septic to home property LG—2-8-21 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, FEBRUARY 8TH, 2021 AT 7:00 P.M. AT THE QUEENSBURY ACTIVITIES CENTER, 742 BAY ROAD, QUEENSBURY TO CONSIDER AN APPLICATION BY ROGER AND JOYCE RUBERCHT FOR SEWAGE DISPOSAL VARIANCES TO INSTALL: 1. ABSORPTION FIELD 54' FROM A NEIGHBORING WELL IN LIEU OF THE REQUIRED 100' SETBACK; 2. ABSORPTION FIELD 37' FROM THE ONSITE WELL IN LIEU OF THE REQUIRED 100' SETBACK; 3. TANK 38' FROM A NEIGHBORING WELL IN LIEU OF THE REQUIRED 50' SETBACK; 4. PUMP TANK 28' FROM A NEIGHBORING WELL IN LIEU OF THE REQUIRED 50' SETBACK; 5. FORCE MAIN/PUMP TANK 5' FROM THE PROPERTY LINE IN LIEU OF THE REQUIRED 10' SETBACK; AND 6. ABSORPTION FIELD 4' FROM THE WEST PROPERTY LINE IN LIEU OF THE REQUIRED 10' SETBACK; ON PROPERTY LOCATED AT 33 HONEYSUCKLE LANE ROAD IN THE TOWN OF QUEENSBURY(TAX MAP NO.: 226.19-1-52). J AT THIS PUBLIC HEARING ALL INTERESTED PERSONS WILL BE HEARD. PUBLICATION DATE: ,2021 CAROLINE H. BARBER TOWN CLERK TOWN OF QUEENSBURY ENVIRONMENTAL DESIGN PARTNERSHIP, LLP. 900 Route 146 Clifton Park,NY 12065 (P)518.3713621 (F)518.371.9540 edpllp.com . Shaping the physical environtVent January 19,2621 Town of Queensbury Board of Health /s - `�. .742 Bay Road \ Queensbury, NY 12804 RECEIVED Attn: John Strou h,Supervisor 1 Jr�PI 1 9 .2021 ; g p ' QUEENSBURY i GLERKSOFFIC !' Re: Rubrecht Residence—33 Honeysuckle 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 Rubrecht's residence located at 33 Honeysuckle Lane. This,property is . transferring within a family and will require.a replacement wastewater system. Note that I am including an enhanced treatment unit with further UV light treatment to mitigate the need of setback variances to adjacent wells.The application documents include the following: -. • Proposed Wastewater Improvements For 33 Honeysuckle.Lane Applicant:Joyce&;Roger Rubrecht , Sheet`1 Cover Sheet Sheet 2 Existing Conditions Sheet 3 Wastewater Variance Plan Sheet 4 Wastewater Details • Queensbury Town Board of Health Application for Septic Variance •. Application Fee'-$165.check I am available to meet with you and/or other Board,members to further discuss this proposal prior to the public_hearing. Thank you for your consideration of this request. Sincerely, Dennis MacElroy, PE Environmental Design Partnership Attachment Cc: Dave Hatin Office Use Only SEPTIC VARIANCE Pemiit#: :APPLICATION Permit Fee:$ 7bn-ofQucrnsbury Invoice#: =. 742 Bay Road,Queensbury,NY 12804 P:518=761-8256 wuvw.cgueensbury.net iApprovals: Submittal.: 1 (one) original &8 copies of the completed application package Contact Information: PLEASE PRINT LEGIBLY OR TYPE; PLEASE INCLUDE AN-EMAIL Property Owner(s):Roger&Joyce Rubercht: Owner's Agent: Environmental Design Partnership-Dennis MacElroy Address: PO Box 361 Address:900 Rt.146 New Lebanon,.NY 12125 Clifton Park, NY 12065 Phone M 518 260-2356 Phone#:518 371-7621 Email:Click or tap here to enter text. Email:drriacelroy@edpllp.com -Site Information: Site Address:33 Honeysuckle Lane Tax ID#: 226.19-1-52 Directions to Site: Rt.9Lto Assembly Point Rd.to Sunset Lane to Honeysuckle-#33 Distance from well on property to septic system (if applicable)37 feet Is it possible to install a conforming septic system on this property? ❑ Yes Z 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 ® No If NO, please explain:A replacement system anywhere on this lot will'require a variance(s)from,the onsite well'and a well on the westerly adjacent property. - 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 13679=D V-1: Horizontal separation of absorption field to a neighboring well- 54'vs. 100' required V-2: Horizontal separation of absorption field to onsite well -37'vs. 100' required V-3: Horizontal separation of tank to..a neighboring well.-38'vs.50' required V-4: Horizontal separation of pump tank to a neighboring well -28'vs.50' required V-5t Horizontal separation of force.main/pump tank to property line - 5'vs.10`required V-6: Horizontal separation of absorption field to west property line -4'vs.10'required Septic Variance Application Revised January 2021 V-7: .Horiwntal separation of absorption field to south property line-;vs.10'required V-8: Horizontal separation of absorption field to dwelling '�vs.20'required List.the names, parcel.addresses, and tax map numbers of all adjoining property owners. You may obtain this information from the Town of Queensbury's Assessor's Office: North Name Tim&Kathy Bechard Address 7 Iroquois Ln. Queensbury,IVY 12804 Tax Map ID 226.19-1-53 South Name Irwin Allen Address 10654 Eastborne Ave. Los Angeles,CA 90.024 Tax Map ID. 226.194-35 East Name John Kelly-Kelly Irrev. Family Compound Trust Address 75 Mountain Creek Poughquag;NY 12570 Tax Map ID 226.19-2-26 West Name Jeffrey Lejuez Address 43-28 Auburndale Ln. Flushing, NY 11358 Tax Map ID 226.19-1-51 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 Click or tap here to enter text, feet from the flick or flap here to enter text. may increase the risk of pollution. e Fz:R —TTo Owner—Print Name:Joyce Rubrecht.� i Owner;Signature: i J_Vr Date: NEIGHBOR OR TENANT RELEASE STATEMENT (if applicable) INUe do hereby relieve the Town of Queensbury from any liabilities.on the plumbing and septic system located at: Clink or tap here to enter text. I/We realize.that.putting the well, septic tank or leaching system less than the required Click or tap here to enter text.feet from the Click or tap here to enter text. may jncrease the risk of pollution. NeighborlTenant —Print Name' Click or tap here to enter text. Septic Variance Application Revised January 2021 -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. Roger and Joyce Rubrecht Designates: Environmental Design Partnership-Dennis MacElroy as agent regarding'the Septic Variance for Site Address:33 Honeysuckle Lane Tax Map#:226.19-1-52 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 andsubmitting 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 Disclosurejt.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. lf'there.is a discrepancy between such record and the handwritten rninutes taken by the-designated stenographer,the handwritten minutes shall be deemed the official record`. 1,the.undersigned, have thoroughly read and urideestand the instructions for submission;agree to the submission requirements and completed checklist: OWNER—PRINT NAME;Joyce&Roger Rubrecht OWNER—SIGNATURE l -�-��- `� ;f��cr i` (` DATE: :1// 71.z-/ T AGENT-PRINT NAME: Dennis Ma.cOroy AGENT=SIGNATURE; - - I-Ar-) . �f DATE: