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1.4 1.4 WASTEWATER-SEWER\Set PH Hampshire John-Holding Tank and Setback—9-13-2021 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF JOHN HAMPSHIRE 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, John Hampshire (Applicant) previously applied to the Local Board of Health for variances from Chapter 136, §136-11, which requires applicants to obtain a variance for holding tanks as the Applicant wished to install a new 2,000 gallon septic holding tank in lieu of a sewage disposal system on property situated at 62 Dream Lake Road in the Town of Queensbury and bearing Tax Map No: 279.17-1-10 (property), and WHEREAS, by Resolution No.: BOH 003.2021, the Local Board of Health approved the Applicant's variance to install the new 2,000 gallon septic holding tank in lieu of a sewage disposal system on the property located at 62 Dream Lake Road in the Town of Queensbury, and WHEREAS, the Applicant has applied to the Local Board of Health for an additional variance from Chapter 136, §136-11 to approve the already installed 2,000 gallon septic holding tank 31.1±' from the Dream Lake shoreline in lieu of the required 50' setback, NOW,THEREFORE,BE IT RESOLVED, that the Town of Queensbury Local Board of Health will hold a public hearing on Monday, September 27"', 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider John Hampshire's sewage disposal variance application concerning property located at 62 Dream Lake Road in the Town of Queensbury (Tax Map No.: 279.17-1-10) 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 131h day of September, 2021,by the following vote: AYES NOES ABSENT: RESOLUTION APPROVING JOHN HAMPSHIRE'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCE RESOLUTION NO.: SOH 3,2021 INTRODUCED BY: Mr. George Ferone WHO MOVED ITS ADOPTION SECONDED BY: Mr. Timothy McNulty WHEREAS, John Hampshire (Applicant) filed an application for a variance from provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance Chapter 136, §136-11, which requires applicants to obtain a variance for holding tanks as the Applicant wishes to install a new 2,000 gallon septic holding tank in lieu of a sewage disposal system on property situated at 62 Dream Lake Road 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 request on Monday, January I 1"', 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 1. due to the nature of the variance, the Local Board of Health determines that the variance 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 variance is necessary for the reasonable use of the land and is the minimum variance 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 John Hampshire for a variance from the Sewage Disposal Ordinance to install a new 2,000 gallon septic holding tank in lieu of a sewage disposal system on property located at 62 Dream Lake Road in the Town of Queensbury and bearing Tax Map No: 279.17-1-10. Duly adopted this 11"'day of January, 2021, by the following vote: AYES : Mr. McNulty, Mr. Strough, Mr. Metivier, Mr. Freer, Mr. Ferone NOES : None ABSENT: None SEPTIC VARIANCE Office Use Only Received: APPLICALTION Permit#: Town of chlw RECE Permit Fee: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.aueensbury.net QUESSBURY Invoice#: CLERKS Approvals: _I Submittal: I (one) original & 8 copies of the completed application package Property Owner(s): John Hampshire Owner's Agent: Amica Septic Design & Installation Address: 637 4th Street Address: 6049 Fish House Road Troy, NY 12180 Galway, NY 1207 Phone#: 518-763-2964 Phone#: 518-882-5445 Site Address: 62 Dream Lake Road, Queensbury Tax ID#: 279.17-1-10 Directions to Site: Bay Rd to Sunnyside Rd North, left onto Dream Lake Rd south Distance from well on property to septic system (if applicable) 71'+/- 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.): Previously approved variance placed the tank at 50 0'+/- During installation of the 2000 gallon holding tank holding tank the location of the tank was measured at 31.1'+/- in lieu of required 50.0' fForn the shoreline. The loeation of the tank was placed at the best suited location uI, the property to maximize the setback from adjacent properties, wells and shoreline. Septic Variance Application February 2018 1 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 Barton Address 60 Dream Lake Road Tax Map ID 179.17-1-11 South Name Rivette Address 64 Dream Lake Road Tax Map ID 279.17-1-9 East Name N/A Address Tax Map ID West Name N/A 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: 62 Dream Lake Road I/We realize that putting the well, septic tank or leaching system less than the required 100feet from the well may increase the risk of pollution. Owner—Print Name: John Hampshire Date: 08/09/21 Owner—Signature: Date: 08/09/21 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: N/A 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: N/A Date: Neighbor/Tenant-Signature: N/A Date: Septic Variance Application February 2018 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: y rM 1 t lnwl4Qn�w�w�i 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: John Hampshire Designates: Dominick Arico c/o Arnica Septic Design as agent regarding the Septic Variance for Tax Map #: 179.17-1-10 OWNER'S SIGNATURE: DATE: 08/09/21 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: OWNER—PRINT NAME: John Hampshire OWNER—SIGNATURE: DATE: 08/09/21 AGENT—PRINT NAME: Dominick Arico AGENT—SIGNATURE: -� �'""------ DATE: 08/09/21 Septic Variance Application February 2018 MAPNOTES 1. Boundary mformation shown hereon was compiled from map reference 1,and an actual field survey conducted on October 26,2020 N 2. North orientation and bearmgbaseper map reference 1. 3. Warren County tax parre1279.17-1-10. 4. The location of underground improvements or encroachments,if any exist,or as shown hereon,are not coed. There maybe other Dream Lake underground utilities,the existence of which are unknown. Size and location of all underground utilities must be verified by the appropriate authontres The Underground Facilities Protective Organization must be notif ed prior to conducting test borings,excavation and construction 4Dock Capped Iran Rod �' �� O sh°neLne Found I t hsvm Shore 92his survey was prepared without the benefit of an up to date abstract .r---..._... of title. ____ ` Capped Imn Rod _- „E -Founa'ltfinmshore �./ _ jV81°19'59 6Reproduction or copying of this document may be a violation of �.._ .._----- copyrrghtlaw unless pemd9sion of the authorand/or copyright 10 3 =� Tie Line holderis obtained 7. A copy of this document without a proper application of the surveyors 30.0, embossed seal should be assumed to bean unauthorized copy. Well House saps WeUHouse ,f �•k 2' Tank Lands Now or Formerly of --5 Well House0 DEEDREFERENCE• ` 1. Conveyance to John C.Hampshire a/k/a John C. I►''vette 11,8' .' •• � 4"PVCP�pe Alarm Hampshire,Ill by deed dated October 18,2019,fried in the Book 916 Page 274 Deck County Warren Clerks Office on Ctldber28,2019m Book 6015ofDeeds atpage 36. 279.17-1-9 1�� Wood Frame '4 ,�' ��\ Lands Now or Formerly of Residence c Gravel Drive MAPREFERENCES.• ti ; �� Wood Frame Berton Residencr 1. Map entitled'Map of lands of Susan L. Berkerle;prepared R n �� Book J244 Page 244 by David F. Barrass,Land Surveyor,dated May7,1997, Reputed SepticArea Wall g property of Darrah Land Surveying;PLLC. PondIt k Propane Tank ReputedSepdcArea RebinftWaff 1 1 IShed- Well Casing Comer I ,�' f •`• On Line 4 � _ ►AREA=15,I84tsq.ft.or 1 1 ii•J ' 1 ��`�„� �� \ 0.35tACRE 4 1 r'CaPPedlronRodfaund _�- r. Bay Road y _ ► ►� l _ Ridge `�� ,__ N76°gT N � ► �--`Jenkinsville """- 07 I 1 1 DREROn -• �� t� It Park - _ °"""_-- a;w'.�- _Iq� 1 �J lt� ff CavfR ► Utility Pole • a+w SITELOCATION. l _ _ CappedlronRodFound Dream Lake ' ' - . f \OLD SAY P�PO �.il ROADdEWITT LE .� 5r;.: l ,,09 ROAD, •Oneida �•� �� _ ... ;, ROAD Corners FT ,��kJ } pV 9 " f ,4F. • l tie . V44,."� SUIVNYSIDE �k�BM 3) SunnOSZde , ROAD +\ 54 +N443%. `� -p 35 � � - NOT TOSCALE KRISTI05 803 ADOnION to INS DOCUMENT OR �RRAH DATE REVISIONS RECORD/DESCRIPTION DESCRIPTION DRAFTER � IZED aTICUMEN IS A Map of a Boundary Survey VIOLATION OF SECnON 7209 7/30/21 1 ADD TANK LOCATION AND OITSETS MWB SUBDMSION 2 OF THE NEW YORK Lands Now or Formerly of STATE EDUCATION LAW. ® 2020 John C: Hampshire, III Danah Land Surveying. PLLC ti of NF APPROVED.•KMD TOWNOF QUEENSBVRY WA R REN CO UA7 Y,NEW YORK �,�r�`�N►a+ettF DRAFTED.• Al" N _ Y cH.cVED• , DarTah Land Surve•yin PLLC 20209-1 PROJ.NO. 20209 59 Lake A venue, Lake Luzern,New York 12846 "ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR Voice:(518)798-4692 SHEET 1 OF1 'S EMBOSSED ¢ �� SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S <aND�� SCALE: 1 20 or(518)65¢9416 ORIGINAL WORK AND OPINION." DATE:10128120 PROJNO.• 20209