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2.5 2.5 WASTEWATER-SEWER\\Set PH\\Markert – Holding Tank & Setbacks - 11-1-2021 RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF JOHN AND MARGARET MARKERT 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 and Margaret Markert (Applicants) have 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 Applicants wish to install a holding tank system consisting of two (2) heavy duty 2,000 gallon capacity holding tanks, for a total capacity of 4,000 gallons, and WHEREAS, the Applicants have also applied for additional variances from Chapter 136 to allow placement of the holding tank(s): 1. 2’ from the property line instead of the required 10’ setback; 2. 4’ from the property line instead of the required 10’ setback; and 3. 6’ from the foundation instead of the required 10’ setback; on property located at 390 Cleverdale 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, November 15, 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider John and Margaret Markert’s sewage disposal variance application concerning property located at 390 Cleverdale Road in the Town of Queensbury and bearing Tax Map No.: 226.8-1-7 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. st Duly adopted this 1 day of November, 2021, by the following vote: AYES : NOES : ABSENT: SEPTIC VARIANCE Office use only Permit#: APPLICATION Permit Fee:$ Ury invoice#:. 742 Bay Road,Queensbury,NY 12804_ P:518-761-8256' wWw.gueensburv.net Approvals: . 12 AM c{> `k. c� Submittal: I (one) original&8 copies of the completed application pZKg6l 2T 2021 �, au��NQ -V cb Contact Information: PLEASE PRINT LEGIBLY OR TYPE PLEASE INCLUDE N E IIA-[4 �®�� 'Property Owner(s): MAimiuns- Owner's Agent: t i n_ MAc.,Ej--w-c1C Address: Address: 9bZ> �T'. 1-1+Co Phone#: 7-01 -7 88- %-MCD Phone#: 5Is . ..... Email: R1srXQ,.r%C91 Email: �•.� �ro�leda�����- C�r1l� Site Information: Site Address: 390 C, cV> �ya � Tax ID#: Z71o.S- 1 -? Directions to Site: , Distance from.well on property to.septic system(if applicable) A feet Is it possible to install.a-conforming septic system on.this property? Yes XNo 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: Is the proposed system to.be installed under a parking area? KYes ❑ 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): �/-Z - 1-1oL:DIVAC -—F^TLW,-o zor zW-t Lt�.t� 2 2�.��w�..10 v►.� a �ss ��-ti Septic Variance Application Revised September mi Listthe names, parcel addresses, and tax map numbers of all adjoining property owners. You may obtain this information from the Town of.CLueensbury's Assessor's Office: North Name ia,CAL., Address 3R C-z Mfi''i2G''P� Q-�G A4' T. 9F— `r1EtrJ `4f�iZK � �'� 1 fr 0� Tax Map ID South Name Address 3$S C --403 -->-A- L- ' - Vo?C -Z7-C Tax Map 1D �. g 8 East Name L_A�� Cc.F-gsv—ca.s Address Tax Map ID West Name .���y �--� Ly Address ib? 0)e o L.^1-f7 Tax Map ID G�fH�>�t"L��'+•`tx.1� OWNER STATEMENT. I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at:Gi 1/We realize that putting the well,septic tank or leaching system less than the required 1p feet from the-VL may increase the risk of pollution. Owner—Print Nam V/100'wner—Signatu e:. Date: 16-7.Z-r 23 NEIGHBOR OR TEN 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 from the may increase the risk of pollution. Neighbor/Tenant--Print Name: Neighbor/Tenant-signature_ Date: Septic Variance Application Revised January 2622 S AUTHORIZATION AND SIGNATURE PAGE E 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: ,oiy M/jy�,A�G.+o►� ' �` .1�'Et� Designates: as agent regarding the Septic Variance for Site Address: -vqo Tax Map#: ZZ+Cv_ 8�. I —7 Ergneerine 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: OWNER—SIGNATURE• DATE: 10-ZZ"'Z AGENT--PRINT NAME-� M^C'O-A ld_z2, AGENT—SIGNATURE:�- �+ ttf> DATE: m rL.l Septic Variance Application Revised January 2021