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1.1 w 1.1 WASTEWATER-SEWER\APPROVE\Joshuas Rock-Replacement System With Absorption Bed and Septic Tank to Well—APA-6-21-2021 RESOLUTION APPROVING JOSHUA'S ROCK CORPORATION'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES RESOLUTION NO.: ,2021 INTRODUCED BY: WHO MOVED ITS ADOPTION - SECONDED BY: WHEREAS, Joshua's Rock Corporation (Applicant) filed an application for variances from provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 to install a replacement wastewater treatment system with its components to be located as follows: 1. Absorption bed to be 75' from the well instead of the required 100' setback; and 2. Septic tank to be 45' from the well instead of the required 50' setback; on property located at 3089 State Route 9L in the Town of Queensbury, and WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's official newspaper and the Local Board of Health duly conducted a public hearing concerning the variance requests on June 2l't, 2021, and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners within 500 feet of the subject property, NOW, THEREFORE,BE IT RESOLVED,that w 1. due to the nature of the variances, the Local Board of Health determines that the variances would not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives of any Town plan or policy; and 2. the Local Board of Health finds that the granting of the variances is necessary for the reasonable use of the land and are the minimum variances which would alleviate the specific unnecessary hardship found by the Local Board of Health to affect the Applicant; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of Joshua's Rock Corporation for variances from the Sewage Disposal Ordinance to install a replacement wastewater treatment system with its components to be located as follows: 1. Absorption bed to be 75' from the well instead of the required 100' setback; and 2. Septic tank to be 45' from the well instead of the required 50' setback; on property located at 3089 State Route 9L in the Town of Queensbury and bearing Tax Map No: 239.19-1-12, and BE IT FURTHER, 'RESOLVED, that the Town Board authorizes and directs the Town Clerk to forward by certified mail a certified copy of this Resolution to the Adirondack Park Agency for its review, and BE IT FURTHER, RESOLVED, that this approval Resolution shall not be effective until 30 days after such notice to the Adirondack Park Agency and shall be subject to review by the Adirondack Park Agency during such period. Duly adopted this 21S`day of June, 2021, by the following vote: AYES NOES ABSENT: ENVIRONMENTAL DESIGN PARTNERSHIP, LLP. 900 Route 146 Clifton Park,NY 12065 (P)518.371.7621 (F)518.371.9540 edpllp.com r; in th=physic-/ev June 1, 2021 Town of Queensbury Board of Health -� 742 Bay Road Queensbury, NY 12804 Attn: John Strough, Supervisor QULErdsBURy C.ER;Q 0l pIC Re: Joshua's Rock Corporation—Caretaker's House—3089 State Rt. 9L fl BOH Variance Request Dear John: Submitted for your distribution and review are nine sets of a Board of Health wastewater system variance application for a single-family residence located at 3089 State Rt. 9L. The Joshua's Rock Corporation is proposing to replace their existing wastewater system at this property and is requesting Board of Health variances for relief from certain setback requirements. The application documents include the following: • Proposed Wastewater Improvements For Joshua's Rock Corporation Sheet S-1 Cover Sheet Sheet S-2 Existing Conditions Sheet S-3 Wastewater Plans Sheet S-4 Wastewater Details • Queensbury Town Board of Health Application for Septic Variance • Application Fee -$165 check I am available to meet with you and/or other Board members to further discuss this proposal prior to the public hearing. Thank you for your consideration of this request. Sincerely, Dennis MacElroy Dennis MacElroy, PE Environmental Design Partnership Attachment Cc: Dave Hatin Katharine Seelye 7 s SEPTIC VARIANCE Office Use Only Permit#:. APPLICATION Permit Fee:$ 7'otsm�f Quccns�un Invoice#: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensburV.net Approvals: Submittal: I (one) original &8 copies of the completed application package Contact Information: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL Property Owner(s): jo5tit%x^%S Rc=cA< Owner's Agent: "'D 0:1-4�1-0 I-A'ft' GaRpo'R.�.Ti o r1 Address: Goo L-co%a �o LAF- Address: $a K E:L-Erk (5�;-) Q T4-,7'� 1 Z BaH Phone#: 9 1 7 ` _03�� Phone#: Email: k Email: CFL ry,c—r-(2,1 G� nyfi�rv►.2�. c-cirY► Site Information: ,�f L -z g, - Site Address: Tax ID#: Directions to Site: -5,k� . '�a trt —ram •�L- I ILEF1 ei—� Alt.. 1"v�'a o" L�T Distance from well on property to septic system (if applicable) -77'feet Is it possible to install a conforming septic system on this property? ❑Yes KNo If YES, please explain and attach a diagram: Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring properties? DYes ❑ No If NO, please explain: Is the proposed system to be installed under a parking area? ❑Yes KNo 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.): ( t�::GTt o>� 1�J - Q a'�tZ�9�"�,�L �,r�,A-i t cro Septic Variance Application Revised January 2021 LI]L UIC rldlIICJ, IJdf t Cl dUUI CJJCJ, CIIfU LdA IIlClp 1IUI IIUCI J UI dll CUJU111111r, I./1 L)pt=l LY UVVI ICI J. I UU 11IdY UULdll l Lill., ' information from the Town of Queensbury's Assessor's Office: North Name 9 C4 Address 94 \?4 t lt4 15 71 . eOD ,CA Tax Map 1D South Name I Address Tax Map ID _ 99 19 1 — 1 l East Name Address 09,4+ » —4 / Tax Map ID �'�' 4--��►��09 G �� I �f/ West Name i Address Tax Map ID 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 feet from the may increase the risk of pollution. e sf 1 S 10 `C is �}r��1, Cif'er Owner—Print Name: 1 �f Owner—Signature: 4WWIPA Date: 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 well,septic tank or leaching system less than the required feet 1 from the may increase the risk of pollution. S � t TD-56A s s1 D �es��n Cyr Neighbor/Tenant—Print Name: [186��n� .�l�� .� Neighbor/Tenant-Signature: lA Date: , septic variance Application Revised January 20.21 .ti e. 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: Designates: as agent regarding the Septic Variance for Site Address: rs�vj � T, 9 L_ Tax Map#: Z7�59 e tc1 — 1 — i Z 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: DS ��- ate OWNER—PRINT NAME:�,,,t�,,rknQ � j coo OWNER—SIGNATURE: DI�AATE: AGENT—PRINT NAME: 11t -� AGENT—SIGNATURE: DATE:6 Septic Variance Application Revised January 202'1 r r r r r m p 00 m cn cn cn cn —� -p 61 ry O me cDn c> < >C m m z :;o C 0 DDLn n = G) D _+ l CC !" m mmom 0� tti� f z 7l7 �7 I— o � m� m !�' X m m r �-`` G) Dz0 z m t'.Ln ., " X N p r �---r q O �_ ,- (n (n (n Ln c - m n m D PROPOSED WASTEWATER z p m o o IMPROVEMENTS FOR Cn 0 m -� cn mZ J0S�"' UNS ROCK CORP. 2 4 Ag --< •EN•.VIRONME.NTALD.E.SI'GN m3089 STATE ROUTE 9L P A R.T,N E R S.H-I-R-L L P. mTOWN OF QUEENSBURY TAX MAP. No. 239.19-1-12 900 Route 146 Clifton.Park,New York 12065WARREN COUNTY, NEW YORK MAY 27, 2021 (518).371-7621 edpllp:com 11 Qi\WARREN\QUEENSBURY\R❑UTE 9L\J❑SHUA ROCK RD\J❑SHUA ROCK C❑RP\05-dwg\Detailed Plans\SHEETS\CS_JoshuaRock,dwg Jun 01, 2021 12,41103PM,