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1.2 A 1.2 WASTEWATER-SEWER\Set PH\Moriarty-Replacement-Absorption Bed Pump and Clarus Tank to Lines Well Home-IN APA-3-9-21 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF TIMOTHY MORIARTY RESOLUTION NO.: 92021 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, Timothy Moriarty has applied to the Local Board of Health for a variance from Chapter 136 to install a replacement wastewater treatment system with its components proposed to be located as follows: 1. absorption bed to be 88' from the neighboring well in lieu of the required 100' setback; 2. pump tank to be 4' from the property line in lieu of the required 10' setback; 3. absorption bed to be 7' from the property line in lieu of the required 10' setback; 4. absorption bed to be 2' from the property line in lieu of the required 10' setback; 5. Clarus tank to be 5' from the building foundation in lieu of the required 10' setback; and 6. absorption bed to be 10' from the building foundation in lieu of the required 20' setback; on property located at 12 Honeysuckle Lane 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, August 23`d, 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider Timothy Moriarty's sewage disposal variance application concerning property located at 12 Honeysuckle Lane in the Town of Queensbury (Tax Map No.: 226.19-2-34)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 91h day of August, 2021, by the following vote: AYES NOES ABSENT: ENVIRONMENTAL DESIGN GO PARTNERSHIP, LLP. 900 Route 146 Clifton Park, NY 12065 (P)518.371.7621 (F)518.371.9540 edpllp.com Shaping tl, Vsical environmr July 27, 2021 Town of Queensbury Board of Health 742 Bay Road Queensbury, NY 12804 ?se G Attn: John Strough, Supervisor Re: Moriarty Residence— 12 Honeysuckle Lane BOH Variance Request Dear John: Submitted for your distribution and review are nine sets of a Board of Health wastewater variance application for a single-family residence located at 12 Honeysuckle Lane. The Moriarty residence 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 Moriarty Residence Sheet 1 Cover Sheet Sheet 2 Existing Conditions Sheet 3 Site Plan Sheet 4 Variance Plan Sheet 5 Wastewater Details Sheet 6 Enhanced Treatment Details • Queensbury Town Board of Health Application for Septic Variance • Application Fee - $165 check I am available to meet with you and/or other Board members to further discuss this proposal prior to the public hearing. Thank you for your consideration of this request. Sincerely, Dennis MacElroy Dennis MacElroy, PE Environmental Design Partnership Attachment cc: Dave Hatin Tim Moriarty (timm9896@roadrunner.com) d Office Use Only SEPTIC VARIANCE Permit#: APPLICATION Permit Fee:$ iTbisuj 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): Timothy Moriarty Owner's Agent: Environmental Design Partnership Address: 12 Honeysuckle Lane Address: 900 Route 146 Clifton Park NY,12065 Lake George NY,12845 Phone#: 518-354-9698 Phone#: 518-371-7621 Email: timm9896@roadrunner.com Email: n-glen@edpllp.com,(Nick Zeglen) dmacelroy,@edpllp.com(Dennis MaCelroy) cdemyer@edpllp.com(Connor DeMyer) Site Information: 12 Honeysuckle Lane Site Address: Tax ID#: 226.19-2-34 Directions to Site: From 9L,turn onto Assembly Point Road,turn left onto Sunset Lane,Right onto Honeysuckle Lane,continue to 12 Honeysuckle Distance from well on property to septic system (if applicable) N/A feet 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? Des B No If NO, please explain: Proposed setback from neighboring weuis88' Is the proposed system to be installed under a parking area? ❑Yes 0 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.): V-1 Absorption Bed to neighboring welt 88'vs the 100'required V-2 Pump Tank to property line 4'requested vs the 10'required V-3 Absorption Bed to property line 7'requested vs the the 10'required V-4 Absorption Bed to property line T requested vs the 10'required V-5 Clarus Tank to building foundation 5'.requested vs the 10'required V-6 Absorption Bed to building foundation 10'requested vs the 20'required Septic Variance Application Revised January 2021 -r List the names, parcel addresses,-and tax map numbers of all adjoining property owners. You may obtain this y information from the Town of Queensbury's Assessor's Office: North Name PaulLejuez Ad d reSS 7 Hickory Dr Hickory NY,10580 Tax Map ID 226.19-2-21 South Name BideAWeeLLC Add reSS 36 Liberty Street Hawthorne NY,10532 Tax M a p I D 226.19-2-35 East Name Jonathan Lejuez Address 49 Palisade Road Rye NY,10580 Ta x M a p I D 226.19-2-20 West Name Doris Hopper Address 17 Honeysuckle Lane Lake George,NY 12845 Tax Map ID 226.19-1-23 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. Owner—Print Name: Timothy J. Moriarty Owner—Signature: 2 Date: 7/24/2021 NEIGHBOR OR TENANT RELEASE STATEMENT(if applicable) I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and,se.pticsystem 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. Neighbor/Tenant—Print Name: Neighbor/Tenant-Signature: Date: Septic variance Application Revised January 2021 1 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: , 1e41 r 471 PL 8`— 5 a aim OF fsr. L g�i .rrS 6 ;t4 FIFM-Of �_ nvrur�lpp C � .s �i TtrAl Cfi�et ��.rA1SIF I 3�- Septic Variance Application Revised January 2021 'f- 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: Tax Map #: 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: Timothy J. Moriarty OWNER—PRINT NAME: OWNER—SIGNATURE: DATE: 7/24/2021 67 AGENT—PRINT NAME: AGENT—SIGNATURE: DATE:- 7D14 1 Septic Variance Application Revised January 2021