1.4 1.4
SETPH.VAR\Mattson-Replacement System with Absorption Field to Foundation and Property Line—In AM—1 1-15-2021
RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL
VARIANCE APPLICATION OF MARY AND CHRIS MATTSON
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, Mary and Chris Mattson have applied to the Local Board of Health for a
variance from Chapter 136 to replace their existing wastewater system with its absorption field to
be located:
1. 10' from the foundation instead of the 20' required setback;and
2. 4' from the property line instead of the 10' required setback;
on property located at 363 Cleverdale Road, Queensbury,
NOW, THEREFORE, BE IT
RESOLVED, that the Town of Queensbury's Local Board of Health will hold a public
hearing on Monday, December 6a', 2021 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay
Road, Queensbury, to consider Mary and Chris Mattson's sewage disposal variance application
concerning property located at 363 Cleverdale Road, Queensbury(Tax Map No.: 226.12-1-53) and
r
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 15th day of November, 2021, by the following vote:
AYES .
NOES :
ABSENT:
J
1
SEWER\Mattson—Replacement-Absorption to Foundation and Property Line—In APA—12-6-2021
NOTICE OF PUBLIC HEARING
IN ACCORDANCE WITH TOWN OF QUEENSBURY ON-SITE SEWAGE DISPOSAL
ORDINANCE CHAPTER 136, NOTICE IS HEREBY GIVEN THAT THE TOWN OF
QUEENSBURY LOCAL BOARD OF HEALTH WILL CONDUCT A PUBLIC HEARING ON
MONDAY, DECEMBER 6TH, 2021 AT 7:00 P.M. AT THE QUEENSBURY ACTIVITIES
CENTER, 742 BAY ROAD, QUEENSBURY TO CONSIDER AN APPLICATION BY MARY
AND CHRIS MATTSON FOR SEWAGE DISPOSAL VARIANCES TO INSTALL A
REPLACEMENT WASTEWATER TREATMENT SYSTEM WITH ITS ABSORPTION FIELD
TO BE LOCATED:
1. 10' FROM THE FOUNDATION INSTEAD OF THE REQUIRED 20' SETBACK;
AND
2. 4' FROM THE PROPERTY LINE INSTEAD OF THE REQUIRED 10'
SETBACK;
ON PROPERTY LOCATED AT 363 CLEVERDALE ROAD IN THE TOWN OF
QUEENSBURY(TAX MAP NO.: 226.12-1-53).
TO OBTAIN FURTHER INFORMATION, ALL INTERESTED PERSONS MAY
CONTACT THE QUEENSBURY TOWN CLERK'S OFFICE, 742 BAY ROAD,
QUEENSBURY(518) 761-8234 OR ON LINE AT: W W W.QUEENSBURY.NET .
AT THIS PUBLIC HEARING ALL INTERESTED PERSONS WILL BE HEARD.
PUBLICATION DATE: NOVEMBER_,2021
CAROLINE H.BARBER
TOWN CLERK
TOWN OF QUEENSBURY •
ENVIRONMENTAL DESIGN
•, 1. PARTNERSHIP LLP. 900 Route 146 Clifton Park,NY 12065
(P)518.371.7621 (F)518.371 9540 edpllp.com
Shaping the physical environment
November 8, 2021 rya 4 5 6 7 89
7
Town of Queensbury Board of Health �i
742 Bay Road liZCZp,,,
Queensbury, NY 12804 ' O
Attn: John Strough,Supervisor a. Q E IOZO?siv / )
Re: Mattson—383 Cleverdale Road e� cZFRk OFF E �D
Seguljic-26 Forest Road
BOH Variance Request e C 9 S d
Dear John:
Submitted for your distribution and review are nine sets each of two (2) Board of Health wastewater
system variance applications. Each property is a single family residence located in the Lake George
waterfront zoning district(WR). The following summarizes each of the properties and associated
variance requests.
Mattson—363 Cleverdale Road
This property consists of a main house along with a separate guest house. The Owner is proposing
a new replacement system which will accommodate the five total bedrooms. The system will
consist of a 1500 gallon septic tank, a 1000 gallon pump tank with a duplex pump assembly and time
dose controls and an Eljen GSF trench absorption field. There are no wells (this lot or neighboring
lots)within 100' of the proposed absorption field. Two (2)setback variances for the absorption field
to the main house foundation and to the southern property line will be required for this proposed
wastewater system.
Seguljic—26 Forest Road
This Owner of this property is anticipating a renovation of the existing residence and thus proposes
an upgrade of the absorption field. As the property is served by the 'seasonal'Shore Colony Water
District the Owner is planning on having a drilled well constructed onsite. Due to the size of the
property and other neighboring wells a new onsite well cannot meet the required 100'setback to a
proposed absorption field area. A variance is therefore requested for relief from the 100'setback
from the new replacement absorption field to the residence's proposed onsite well.
I am available to meet with you and/or other Board members to further discuss these proposals prior
to the public hearing. Thank you for your consideration of these requests.
Sincerely,
Dennis MacElroy
Dennis MacElroy, PE
Environmental Design Partnership
'A
SEPTIC VARIANCE Office Use Only
Permit#:
APPLICATION Permit Fee:$
Town of Qgecnsbmy Invoice#:
742 Bay Road,Queensbury,NY 12804
Approvals:
P:518-761-8256 www.queensbury.net
Submittal: 1 (one) original &8 copies of the completed application package
Contact Information: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
M,Aat -n—tot.1
Property Owner(s):Qant D� 'rrt7oA-! Owner's Agents i_ Et-a4Va IA7'C-2-1-2?-C'r
Address: 1f Hit C51't_s./.41.4 Address: 9 00'ZT 14 Co
L,A 14c-An.7 PA 174:.0I CA-I rrot-C raw.. 1 t-tY ttatoS
Phone#: 717 -ZO 1 — 7 8Z I Phone#: ' S es "U74:2--,-- 't tt---,
Email: rn,,.n rsp to�,atrnat t .�h''t Email: a..r t0CS�Toy C? map 1I p �
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Site Information:
Site Address: 1=4"t Ca /En>#-1...C'RD . Tax IOU: ZZ<o. 1 Z—1—�J3
Directions to Site: i ail— 'To GL£J) Zt )A-1S 14j• re' .
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 E 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:
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.):
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Septic Variance Application Revised September 2021
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 )%lk�Ar) FA-r. l LTh' Titc.c r
Address Th2
Tax Map ID — ti — �j-5
South Name W u 1-4,rar t. 1+ .Mot-IT S isA e-,11 3 t.
Address '59. Ca C.NteP ,,.t E
Tax Map ID 2.2.4o- 12. - -5 oZ
East Name 1 �r2`t' Syr Lied ti-Ala 1
Address -c,Z c 1 s.ir tia_E
Tax Map ID ZZlo . lZ — 1 —
West Name
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:
5 97 C /We realize that putting the well,septic tank or leaching system less than the required 2.0 feet
from the 4ewu.ctac.-};ern may increase the risk of pollution. -
Owner—Print Name: Ci}'fz L t l ncA twit T4
i Owner—Signature: CO?' Date: IN -9 -z
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 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 September 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: [KAZ`'C C.47nz.lz? MA71 4
Designates: t regarding the Septic Variance for 'P,Ac.K-�j
Site Address: -6625 �'• EAPE ��a .
Tax Map if: 7..Z(:7. 1 Z — t 53
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 tothe
submission requirements and completed checklist:
OWNER—PRINT NAME: 121 MAMP7ot4
OWNER—SIGNATURE: DATE:
AGENT—PRINT NAME: 1 1-4 TA. ry\ awe(
AGENT—SIGNATURE: 141-0 fir'-Fr?ey DATE: 11—a—a1
Septic variance Application Revised September 2021