1.1 1.1
SETPH.VAR\Griffiths—Maintain Existing System—Holding Tank-In Lieu of Current Requirements-7-12-2021
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF HARLEY AND TIA GRIFFITHS
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, Harley and Tia Griffiths (Applicants) have applied to the Local Board of
Health for a variance from Chapter 136 to maintain an existing sewage disposal system that does
not meet today's current requirements on their property as follows:
• Maintain the existing 4,000 gallon holding tank system at their seasonal six bedroom
residence instead of installing a 5,000 gallon holding tank system required for a six
bedroom residence;
on property located at 298 Cleverdale 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 on Monday, July 26th, 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay
Road, Queensbury, to consider Harley and Tia Griffiths' sewage disposal variance application
concerning property located at 298 Cleverdale Road, Queensbury(Tax Map No.: 226.12-1-86) 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 12th day of July, 2021, by the following vote:
AYES :
NOES :
ABSENT:
Evergreen Professional Park
453 Dixon Road,Ste.7,Bldg.3
Queensbury,NY 12804
P 518-761-0417 F 518-761-0513
ENGINEERS
Mr. David Hatin July 6, 2021
Director of Building and Code Enforcement SRA Job #21-793
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
VIA: Hand Delivery
RE: . Septic Variance Application for Griffiths Residence, 298 Cleverdale Road (Tax Map ID
226.12-1-86)
Dear Mr. Hatin:
Please find enclosed a completed Septic Variance Application for the subject property submitted
by SRA Engineers on behalf of the owners, Tia and Harley Griffiths. The purpose of this
variance request is to seek relief from Chapter 136 Section 11 — Holding Tanks. The existing
property currently has six(6) bedrooms, requiring a total holding tank storage capacity of 5,000
gallons. Currently, the site is equipped with two 2,000-gallon tanks for a total storage capacity
of 4,000. All other aspects of the system comply with code requirements. The property is-used
only seasonally, and the current.family that has owned the property for several decades has an
excellent track'record of having the tanks pumped when the 50% alarm is triggered.
Please feel free to contact me with any questions or if additional information is required.
Sincerely,
Erik C.F. Sandblom, PE
Principal
Enclosures: Septic Variance Application(1 Original and 8 copies)
Septic System Sketch Plan (1 Original and 8 copies)
Application Fee ($165).
cc: Harley Griffiths
SEPTIC VARIANCE Office Use Only
Permit#:
APPLICATION Permit Fee:$
Tom)of(.t en ct LI
• Invoice#:
742 Bay Road,Queensbury,IVY 12804
P:518-761-8256 www.gueensbury.net Approvals:
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): Harley & Tia Griffiths Owner's Agent: SRA Engineers
Address: 298 Cleverdale Road Address: 453 Dixion Rd., Suite 7, Bldg. 3
Queensbury, NY 12804 Queensbury, NY 12804
Phone#:(917) 826-4424 Phone#: (518) 761-0417
Email: harley@4as.org Email: info@sraengineers.com
Site Information:
Site Address: 298 Cleverdale Road Tax ID#:226.12-1-86
Directions to site: The address is on the right, approximately 1.35 miles down Cleverdale Road from 9L
Distance from well on property to septic system (if applicable)100+feet From Lake
Is it possible to install a conforming septic system on this property? ❑Yes Q No
If YES, please explain and attach a diagram:
Does the proposed system meet setback requirements for distance from wells&septic systems on neighboring.
properties? ❑Yes ❑ No If NO, please explain: Unknown
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 136-11 Holding Tanks.
Holding tank capacity will be 4,000 gallons in lieu of required 5,000 gallons for a 6 bedroom
residence. :-
Septic Variance Application Revised January 2021
1j
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 Albert F. Freihofer
Address 300 Cleverdale Road
Queensbury, NY 12804
Tax Map ID 226.12-1-85
South Name Sandy Bay Onaway LLC
Address 296 Cleverdale Road
Queensbury, NY 12804
Tax Map ID 226.12-1-87
East Name Lake George
Address N/A
Tax Map ID N/A
West Name Cleverdale Road West Name John A Brock
Address N/A Address 297 Cleverdale Road
Queensbury, NY 12804
Tax Map ID N/A Tax Map ID 226.12-1-2
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 eaching system less than the required feet
from the may increase the risk of p ution.
Owner—Print Name: Harley Griffiths
Owner—Signature: Date: 7/6/21
NEIGHBOR OR TENANT RELEASE STATEMENT(if pplicable)
I/We do hereby relieve the Town of Queensbury from any liabilities on the pl mbin nd septic system located at:
I/We realize that putting the well,septic tank or leaching system less th a required feet
from the may increase the risk of pollution.
Neighbor/Tenant—Print Name:
Neighbor/Tenant-Signature: Date:
Septic Variance Application Revised January 2021
If _ ct
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:
,.-._s���f� 'ti5��-- 1'-� r � y61fIGl•�r`�f}:7t e'41�'A(3'J� -�r,�P ,.s +�
zc:srlt�+� �i ±� 7 `n ` '+•-� 'l-•
Iz
17
,; -sJ• .T 'J `.
Tirmunini
_ 1`l,Y1 11 1
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: Harley and Tia Griffiths
Designates: SRA Engineers (Erik Sandblom, P.E.) as agent regarding the Septic Variance for
Site Address: 298.Cleverdale Road
Tax Map#: 226.12-1-86
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 chec ist:
OWNER—PRINT NAME: Harley Griffiths
-OWNER—SIGNATURE: DATE: 7/6/21
AGENT—PRINT NAME:
AGENT—SIGNATURE: --71 DATE: 7 7 Z��)
Septic Variance Application Revised January 2021
ALARM IN COVERED
GARAGE BUILDING
ti GRAVITY SEWER
o APPROXIMATE PROPERTY LINE FROM
2-2,000 GAL WARREN COUNTY PARCEL VIEWER.
HOLDING TANKS
TAX MAP NO.226.12-1-85 zz
FREIHOFER,ALBERT F LAKE
0.28 ACRES GEORGE
eol,'JKouse
mxm�JOUSF_ SEDIMENT FILTER AND
F
CON\JERTSO (4 BED OoMS) PRESSURE TANK IN BOAT HOUSE
BUILDjt4G
\
GWAGE
ROOMS) WATER LINE--,,,,.,,
0 (2 BED
0
s —S —S
TAX MAP No.226.12-1-86
GRIFFITHS,TIA �SPA
UgIVEWS 0.24 ACRES SOLENOID VALVE ENGINEERS
Evergreen Professional Park
SEWER PUMP STATION 453 Dixon Road,Suite 7,Bldg.3
Queensbury.New York 12804
SEWER FORCE MAIN (518)761-0417,Fax:(518)761-0513
CLIENT NAME
TAX MAP NO.226.12-1-87 HARLEY&TIA GRIFFITHS
SANDY BAY ONAWAY LLC 298 CLEVERDALE ROAD
0.27 ACRES QUEENSBURY,NY 12804
DRAWING TITLE
298 CLEVERDALE ROAD
SYSTEM
BASE MAPPING DEVELOPED FROM AVAILABLE CONCEPTUAL SEPTIC PLAN LEGEND SEPTIC SKETCH PLAN
AERIAL MAPPING,WARREN COUNTY TAX MAP FOR THE 1"=20'
SOLE PURPOSE OF DEVELOPING A SKETCH PLAN OF __4� --- PROPERTY LINE
THE ON-SITE WASTEWATER DISPOSAL SYSTEM.THIS 0 10 20 40 60
SHALL NOT BE USED AS A BOUNDARY OR CERTIFIED _w _w _w BURIED WATER PIPE SCALE: 1—29
SURVEY OF THE PROPERTY.
DATE: 712/217
—S —a -7 PROJ.NO: 293
UNITS:FEET BURIED SEWER PIPE DRAWN BY: -AMD
SETBACK LINE ENG.BY:CHKDBY". ES'
DRAWING NO. REV,C_1 00
0
=Y SEPTIC VARIANCE Office Use Only
Permit#:
' APPLICATION Permit Fee:$
Town of 0treen. U0,
Invoice#:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Approvals:
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): Harley & Tia Griffiths Owner's Agent: SRA Engineers
Address: 298 Cleverdale Road Address: 453 Dixion Rd., Suite 7, Bldg. 3
Queensbury, NY 12804 Queensbury, NY 12804
Phone#:(917) 826-4424 Phone#: (518) 761-0417
Email: harley@4as.org Email: info@sraengineers.com
Site Information:
Site Address: 298 Cleverdale Road Tax ID#:226.12-1-86
Directions to site: The address is on the right, approximately 1.35 miles down Cleverdale Road from 9L
Distance from well on property to septic system (if applicable)100+feet From Lake
Is it possible to install a conforming septic system on this property? ❑Yes XL7 No
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: Unknown
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.): Section 136-11 Holding Tanks.
Holding tank capacity will be 4,000 gallons in lieu of required 5,000 gallons for a 6 bedroom
residence.
Septic Variance Application Revised January 2021
f
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 Albert F. Freihofer
Address 300 Cleverdale Road
Queensbury, NY 12804
Tax Map ID 226.12-1-85
South Name Sandy Bay Onaway LLC
Address 296 Cleverdale Road
Queensbury, NY 12804
Tax Map ID 226.12-1-87
East Name Lake George
Address N/A
Tax Map ID N/A
West Name Cleverdale Road West Name John A Brock
Address N/A Address 297 Cleverdale Road
Queensbury, NY 12804
Tax Map ID N/A Tax Map ID 226.12-1-2
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 eaching system less than the required feet
from the may increase the risk of p ution.
Owner—Print Name: Harley Griffiths
ogn
Owner—Signature: Date: 7/6/21
NEIGHBOR OR TENANT RELEASE STATEMENT(if pplicable)
I/We do hereby relieve the Town of Queensbury from any liabilities on the pl mbin nd septic system located at:
I/We realize that putting the well, septic tank or leaching system less th a required feet
from the may increase the risk of pollution.
Neighbor/Tenant—Print Name:
Neighbor/Tenant-Signature: Date:
Septic Variance Application Revised January 2021
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:.
�..r_' ..
a-tI PAD vim,
^- J,i
kw
wo:s
4
7 4 IyI,3
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: Harley and Tia Griffiths
Designates: SRA Engineers (Erik Sandblom, P.E.) as agent regarding the Septic Variance for
Site Address: 298 Cleverdale Road
Tax Map#: 226.12-1-86
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 chec ist:
OWNER—PRINT NAME: Harley Griffiths
OWNER—SIGNATURE: DATE: 7/6/21
AGENT—PRINT NAME:
i F`r V - J
AGENT—SIGNATURE: 7� DATE: 7
Septic Variance Application Revised January 2021
ALARM IN COVERED
GARAGE BUILDING
GRAVITY SEWER
o APPROXIMATE PROPERTY LINE FROM
z 2-2,000 GAL WARREN COUNTY PARCEL VIEWER.
HOLDING TANKS
TAX MAP NO.226.12-1-85
FREIHOFER,ALBERT F R -" LAKE
0.28ACRES -- GEORGE
BOATHOUSE
TED �J MpW t{OUS S SEDIMENT FILTER AND
\6tp� (4 BEDROOM ) PRESSURE TANK IN BOAT HOUSE
OGA BEDROOMS} o��s WATER LINE
°13 IV
o sd v
Y 26._- s s y '`
--V y p�n•-
TAX MAP NO.226.12-1-862SPA
IY GRIFFITHS,TIA +
111 0.24 ACRES ENGINEERS
SOLENOID VALVE Evergreen Professional Park
SEWER PUMP STATION 453 Dixon Road,Suite 7,Bldg.a
Queensbury,New York 12SC4
" J - SEWER FORCE MAIN (618)761-0417,Fax:(518)761-0513
CLIENT NAME
1 TAX MAP NO.226.12-1-87 HARLEY&TIA GRIFFITHS
1 SANDY BAY ONAWAY LLC 298 CLEVERDALE ROAD
0.27 ACRES QUEENSBURY,NY 12804
DRAWING TITLE
298 CLEVERDALE ROAD
TEM
NOTE:BASE MAPPING DEVELOPED FROM AVAILABLE CONCEPTUAL SEPTIC PLAN LEGEND SEPTIC SKETGH PLAN
AERIAL MAPPING,WARREN COUNTY TAX MAP FOR THE V.=20'
SOLE PURPOSE OF DEVELOPING A SKETCH PLAN OF —-- --— PROPERTY LINE
THE ON-SITE WASTEWATER DISPOSAL SYSTEM.THIS 0 10 20 40 60
SHALL NOT BE USED AS A BOUNDARY OR CERTIFIED —Y —Y —v — BURIED WATER PIPE SCALE: 1^=20'
SURVEY OF THE PROPERTY. DATE: 7 ml
PROJ,NO: 2-793
UNITS:FEET —s —s —s BURIED SEWER PIPE DRAWN BY: AMD
— SETBACK LINE ENG.BY:
CHK'D BY: ES
DRAWMG NO. REV.
c-100