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1.3 1.3 SETPH.VAR \\ Sheehan Trust - Holding Tank Replacement System & Setbacks – In APA - 9-13-2021 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF MARY E. SHEEHAN IRREV. TRUST 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, the Mary E. Sheehan Irrev. Trust (Applicant) has applied to the Local Board of Health for variances from Chapter 136, §136-11 which requires applicants to obtain a variance for a holding tank system, as the Applicant wishes to replace a wastewater system by installing a holding tank system consisting of three (3) holding tanks each with a capacity of 1,500 gallons for a total capacity of 4,500 gallons, thus meeting and exceeding the required total capacity of 3,000 gallons, and WHEREAS, the Applicant has also applied for additional variances from Chapter 136 to allow placement of the holding tanks: 1. 4’ from the existing home in lieu of the required 10’ setback; 2. 2’8” from the south property line in lieu of the required 10’ setback; and 3. 4’8” from the west property line in lieu of the required 10’ setback; on property located at 80 Rockhurst 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 th on Monday, September 27, 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider the Mary E. Sheehan Irrev. Trust’s sewage disposal variance application concerning property located at 80 Rockhurst Road in the Town of Queensbury and bearing Tax Map No.: 227.13-2-42 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. th Duly adopted this 13 day of September, 2021, by the following vote: AYES : NOES : ABSENT: SEPTIC VARIANCE Office Use Only ow Received: APPLICATION Permit#: (n,n 4(�ix•rn,hun Permit Fee: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Invoice#: Approvals: Submittal: I original &8 copies of the completed application package Property Owner's): Mary E. Sheehan Irrev. Trust Owner's Agent: Ethan P Hall - Rucin-W Hall Architecture Address: 11011 Queens Blvd -Apt 26L Address: 134 Dix Ave Forest Hills NY 11375 Glens Falls NY 12801 Phone#: 917-763-5656 Phone M 518-741-0268 Site Address: 80 Rockhurst Road, Qby Tax ID#: 227.13-2-42 Directions to site:_Property is located on Rockhurst - Sheldon Point Lake George off Cleverdale Road 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 X 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? X Yes No If NO, please explain: 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.): The property does not allow for a sewage disposal system to be installed that meets the separation distance requirement to the lake or the property lines so a holding tank system is being proposed. Setback distance from the existing home to the holding tanks is 4'-0" where 10'-0" is required. The setback distance from the tanks to the property line is 2'-8" on the south and 4'-8" on the west where 10'-0" is required. 1*C 44 4 �"moo Septic Variance Application February 2018 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 LG Legacy LLC Address 2 Dallas Drive, Poughkeepsie NY 12603 Tax Map ID 227.13-2-41 South Name Matthew SL eanne Lucas Address 59 High St. Needham Heights MA 02494 Tax Map ID 227-13-2-43 East Name Lake George Address Tax Map ID West Name William & Jeffrey Clark Address 547 Bridgeview Drive, LeMoyne PA 17043 Tax Map ID 227.13-2-35 OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: 80 Rockhtirst Drive I/We realize that putting the well,septic tank or leaching system less than the required_112 feet from the home may increase the risk of pollution. Owner—Print Name: Joseph Sheehan -Trustee - Mary E. Sheehan Irrev. Trust Date: 27 July 2021 Owner—Signature:�� ��L Date: 27 July 2021 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 septic tank or leaching system less than the required feet from the may increase the risk of pollution. Neighbor/Tenant—Print Name: Date: Neighbor/Tenant-Signature: Date: Septic Variance Application February 2018 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: Joseph Sheehan - Trustee - Mary E. Sheehan Irrev. Trust Designates: Fthan P. Hall - Rucinski Hall Architecture as agent regarding the Septic Variance for Tax Map#: 227.13-2-42 OWNER'S SIGNATURE: DATE: 27 July 2021 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. Officiatial 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: Joseph Sheehan - Trustee - Mary E. Sheehan Irrev. Trust OWNER—SIGNATURE: L �lL¢QfL2rL DATE: 27 July 2021 AGENT—PRINT NAME: Ethan P. /Hall - Rucinski Hall Architecture AGENT—SIGNATURE: DATE: 27 July 2021 Septic Variance Application February 2018