Immunotek1
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
TOWN OF QUEENSBURY
Site Plan Review Application
Review Process:
1. Required Pre-submission meeting with staff to determine general completeness to be held no later than 1
week prior to deadline day.Call (518) 761-8265 or (518) 761-8220 for an appointment.
2. Submittal of complete application: 1 original and 14 copies of the application package by monthly deadline.
3. Determination of application completeness. All necessary information must be provided and appropriate
fee(s) paid for consideration for placement on an agenda for that month.
4.Incomplete applications will not be considered for placement on any agenda until all missing
information has been submitted.
5. Submittal to Warren County Planning, if applicable.
6. Planning Board meeting, generally the third & fourth Tuesday of each month. You will be advised in
writing as to which meeting to attend.
7. Following the meeting you will be provided with a copy of the resolution stating the Board’s decision on
your application. If your application was approved, the next likely step is a Building Permit. Final
drawings must be provided for the next phase of review. If your application was denied, your project cannot
proceed as submitted.
DOCUMENTATION REQUIREMENTS (hard copy & electronic):
Please submit 1 original & 14 copies of the completed application package to include:
x Completed Application pages 2-9, signed & dated
x Pre-Submission Meeting Notes:signed by staff
x Copy of Deed
x Checklist & Plot Plan
x Environmental Assessment Form for any non-residential project
x Fee:$100 (0 – 10,000 sq. ft.); $250 (10,001 – 30,000 sq. ft.); $500 (30,001 -100,000 sq. ft.); $1,000
(100,000+ sq. ft.)
Staff & Contact Information:
Craig Brown, Zoning Administrator craigb@queensbury.net
Laura Moore, Land Use Planner lmoore@queensbury.net
Sunny Sweet, Office Specialist – Planning sunnys@queensbury.net (518) 761-8220
Visit our website at www.queensbury.net for further information and forms
2
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
General Information
Tax Parcel ID Number: ____________________
Zoning District: ____________________
Lot size: _____________________
Detailed Description of Project [includes current & proposed use]:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Location of project:
________________________________________________________________________________
Applicant Name: Address:
Home Phone Cell:
Work Phone Fax
E-Mail:
Agent’s Name:Address:
Home Phone Cell:
Work Phone Fax
E-mail
Owner’s Name Address
Home Phone Cell
Work Phone Fax
E-mail
453 Dixon Road, Ste. 7, Bldg. 3
Queensbury, NY, 12804
5750 Johnston St, Ste 302, Lafayette,
LA, 70503
302.7-1-42
Commercial Intensive (CI)
2.32 Acres
This site consists of a former ALDI grocery store to be repurposed as a blood plasma donation facility by Immunotek Bio Centers.
The existing building is considered a nonconforming structure due to the building violating the site setback requirements on the front
and East side of the lot. There will be no significant changes to the site design nor utilities.
176 Quaker Rd, Queensbury, NY, 12804
Immunotek Bio Centers
208-297-9191 208-297-9191
208-297-9191
design@immunotek.com
SRA Engineers
518-761-0417 ex. 21
eriks@sraengineers.com
Aldi Inc.PO Box 584, Tully, NY, 13159
3
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
Site Development Data
Area / Type Existing sq. ft. Proposed
Addition sq. ft.
Total sq. ft.
A. Building footprint
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area
E. Porches / Decks
F. Other
G. Total Non-Permeable [Add A-F]
H. Parcel Area [43,560 sq. ft. / acre]
I. Percentage of Impermeable Area of Site [I=G/H]
Setback Requirements
Area Required Existing Proposed
Front [1]
Front [2]
Shoreline
Side Yard [1]
Side Yard [2]
Rear Yard [1]
Rear Yard [2]
Travel Corridor
Height [max]
Permeability
No. of parking spaces
15,500 0 15,500
N/A N/A N/A
N/A N/A N/A
64,760 0 64,760
N/A N/A N/A
N/A N/A N/A
80,260 0 80,260
101059 0 101059
80% 0 80%
75 67.5 67.5
75 N/A N/A
75 N/A N/A
20min, sum 50 69.2 69.2
20min, sum 50 10 10
25 N/A N/A
25 N/A N/A
N/A N/A N/A
40 14.4 14.4
30% min 20% 20%
31 91 92
4
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? _______________
2. If the parcel has previous approvals, list application number(s): _________________________
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System
(SPDES) Permit Program ? _______________
4. Estimated project duration: Start Date __________ End Date __________
5. Estimated total cost of project: _______________
6. Total area of land disturbance for project: _______________
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total
building floor area by the lot size in square feet, yielding a percentage.
Zoning District Symbol Floor Area Ratio [FAR]
Waterfront Residential WR 0.22
Commercial Moderate/ Intensive CM/ CI 0.3
A. The combined area of all square footage, as measure from exterior walls of all structures on the property,
including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling
height and covered porches. Building square footage does not include: Open deck, docks and that portion of
covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less.
Any additional sheds will be included. (See “FLOOR AREA RATIO”).
B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a
building or structure, and when applicable, the sum total of all floor areas of the principal and accessory
buildings or structures on the project site.
A. Parcel Area ___________________________ sq. ft.
B. Existing Floor Area ___________________________ sq. ft. [see above definition]
C. Proposed Additional Floor Area ___________________________ sq. ft.
D. Proposed Total Floor Area ___________________________ sq. ft.
E. Total Allowable Floor Area ___________________________ (Area x _____) [see above table]
*If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff.
SP44-1996-Building, SV66-1996, SV21-2000
No
No
2022 2022
$2,200,000
0
101,059
15,500
0
15,500
30,318 0.3
5
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
§ 179-9-080 Requirements for Site Plan Approval.
The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the
following Standards. Please prepare responses to each of the following topics:
STANDARDS
A.The proposed project furthers or is consistent with the policies of the Town’s Comprehensive Plan.
B.The proposed project complies with all other requirements of this Chapter, including the site plan review standards as set forth in Paragraph
F of this section, the dimensional, bulk and density regulations of the zoning district in which it is proposed to be located (Article 3 and
Table 1), the applicable requirements of all other Articles that apply.
C.The site plan encourages pedestrian activity internally and, if practicable, to and from the site with pedestrian paths or sidewalks connected
to adjacent areas.
D.The site plan must conform to Chapter 136 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local Law, and other
applicable local laws.
E.The proposed use shall be in harmony with the general purpose or intent of this Chapter, specifically taking into account the location,
character and size of the proposed use and the description and purpose of the district in which such use is proposed, the nature and intensity
of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on
supporting public services and facilities which will follow the approval of the proposed use.
F.The establishment, maintenance and operation of the proposed use will not create public hazards from traffic, traffic congestion or the
parking of vehicles and/or equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in
the neighborhood or to the general welfare of the town. Traffic access and circulation, road intersections, road and driveway widths and
traffic controls will be adequate.
G.Off-street parking and l9oading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated
by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers
the Town’s goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either
undeveloped or previously developed without having made provision for future linkage, then a future connection must be identified and
provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the
applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties.
H.The project shall not have an undue adverse impact upon the natural, scenic, aesthetic, ecological, wildlife, historic, recreational or open
space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by
the project, taking into account the commercial, industrial, residential, recreational or other benefits that might be derived from the project.
In making the determination hereunder, the Planning Board shall consider those factors pertinent to the project contained in the
development considerations set forth herein under § 179-9-080 of this Chapter, and in so doing, the Planning Board shall make a net overall
evaluation of the project in relation to the development objectives and general guidelines set forth in § 179-9-080 of this Article.
I.The provision for and arrangement of pedestrian traffic access and circulation, walkway structures, control of intersections with vehicular
traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent
sites shall be provided to encourage pedestrian use.
J.Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-development drainage flows.
Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or
adversely affect drainage on adjacent properties or public roads. Facilities shall be in conformance with the drainage standards of Chapter
147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable.
K.The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by
Department of Health regulations and Chapter 136 of the Town Code.
L.The adequacy, type and arrangement of trees, shrubs and other suitable plantings, landscaping and screening shall effectively provide a
visual and/or noise buffer between the applicants and adjoining lands, including the maximum retention of existing vegetation and
maintenance, including replacement of dead or deceased plants.
M.Fire lanes, emergency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service providers.
N.The design of structures, roadways and landscaping in areas susceptible to ponding, flooding and/or erosion will minimize or avoid such
impacts to the maximum extent practicable.
O.The site plan conforms to the design standards, landscaping standards and performance standards of this chapter.
6
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
§ 179-9-050 Checklist-Application for Site Plan Review.
Application materials and site plan shall include sufficient information for the Board to review and provide a
decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The
applicant may request a waiver from A-V and is to provide reasons for waiver(s) requested. Please label
information to be submitted.
REQUIREMENTS Sheet #
A.A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect
or serve it, such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners,
subdivisions, streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States
Geological Survey map of the area.
B.The site plan shall be drawn at a scale of forty feet to the inch (1” = 40 feet) or such other scale as the Planning Board may
deem appropriate, on standard 24” x 36” sheets, with continuation on 8 l/2 “x 11” sheets as necessary for written
information. The information listed below shall be shown on the site plan and continuation sheets.
C.Name of the project, boundaries, date, north arrow, and scale of the plan.
D.Name and address of the owner of record, developer, and seal of the engineer, architect or landscape architect. If the
applicant is not the record owner, a letter of authorization shall be required from the owner.
E.The location and use of all existing and proposed structures within the property, including all dimensions of height and
floor area, all exterior entrances, and all anticipated future additions and alterations.
F.The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas,
sidewalks, ramps, curbs, paths, landscaping, walls and fences. Location, type and screening details for all waste disposal
containers shall also be shown.
G.The location, height, intensity and bulb type (sodium, incandescent, etc.) of all external lighting fixtures. The direction of
illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with § 179-6-020.
H.The location, height, size, materials and design of all proposed signs.
I.The location of all present and proposed utility systems including:
1. Sewage or septic system;
2. Water supply system;
3. Telephone, cable and electrical systems; and
4. Storm drainage system including existing and proposed drain lines, culverts, catch basins, headwalls, endwalls,
hydrants, manholes and drainage swales.
J.Plans to prevent the pollution of surface or groundwater, erosion of soil both during and after construction, excessive runoff
and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development
activities (excluding agricultural activities) on the site that results in land disturbance of one acre or more. A SWPPP shall
comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury
Code. It shall be at the discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be
required for a site plan review project land disturbance of less than one acre.
K.Existing and proposed topography at two-foot contour intervals, or such other contour interval as the Planning Board shall
allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel
is within the 100-year floodplain, the area will be shown and base flood elevations given. Areas shall be indicated within
the proposed site and within 50 feet of the proposed site where soil removal or filling is required, showing the approximate
volume in cubic yards.
L.A landscape plan showing all existing natural land features than may influence the design of the proposed use such as rock
outcrops, stands of trees, single trees eight or more inches in diameter, forest cover and water sources and all proposed
changes to these features, including sizes and types of plants. Water sources include ponds, lakes, wetlands and
watercourses, aquifers, floodplains and drainage retention areas.
M.Land Use District boundaries within 500 feet of the site’s perimeter shall be drawn and identified on the site plan, as well
as any Overlay Districts that apply to the property.
A1.1, A2.2,
R-01
NO
CHANGE
NO
CHANGE
NO
CHANGE
NO
CHANGE
C-100
C-100
C-100
C-100
All Plans
N/A
C-100
C-100
7
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
REQUIREMENTS (CONTINUED)Sheet #
N.Traffic flow patterns within the site, entrances and exits, loading and unloading areas, as well as curb cuts on the site and
within 100 feet of the site. The Planning Board may, at its discretion, require a detailed traffic study for large developments or
for those in heavy traffic areas, which shall include:
1. The projected number of motor vehicle trips to enter or leave the site, estimated for weekly and
annual peak hour traffic levels;
2. The projected traffic flow pattern including vehicular movements at all major intersections likely
to be affected by the proposed use of the site;
3. The impact of this traffic on levels of service on abutting public streets and at affected
intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity
levels shall also be given.
O.For new construction or alterations to any structure, a table containing the following information shall be included:
1. Estimated area of structure to be used for particular purposes such as retain operation, office,
Storage, etc.;
2. Estimated maximum number of employees;
3. Maximum seating capacity, where applicable; and
4. Number of parking spaces existing and required for the intended use.
P.1. Floor Plans.
2. Elevations at a scale of one-quarter inch equals one foot (1/4” = 1 foot) for all exterior facades of the proposed structure(s)
and/or alterations to or expansions of existing facades, showing design features and indicating the type and color of materials
to be used.
Q.Soil logs, water supply well and percolation test results, and storm water runoff calculations as needed to determine and
mitigate project impacts.
R.Plans for disposal of construction and demolition waste, either on-site or at an approved disposal facility.
S.Plans for snow removal, including location(s) of on-site snow storage.
T.An Environmental Assessment Form (“EAF”) as required by the SEQRA regulations, with Part 1 completed by the Applicant
shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been
submitted in conjunction with a special use permit application, a duplicate EAF is not required for the site plan application.
U.If an application is for a parcel or parcels on which more than one use is proposed, the applicant may submit a single
application for all such uses, provided the proposed uses are accurately delineated on a site plan drawn pursuant to the
requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not
others. For purposes of reviewing an application (and for SEQRA compliance) all proposed uses on a single parcel or on
contiguous parcels shall be considered together.
V.A brief narrative statement on how the project proposed for review furthers or is consistent with the vision, goals and policies
in the Town’s Comprehensive Plan.
NO
CHANGE
C-100
A2.0,
A2.2,
R-01
N/A
N/A
C-100
Attached
N/A
Attached
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In response to item 2)
The existing parking lot contains 91 parking spaces. The lines will be re-painted without adding any new
pavement, thus the new parking lot will contain 92 parking spaces.
8/16/2022
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9
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
Signature Page
This page includes the 1.)Authorization to Act as Agent Form: 2.)Engineering Fee Disclosure; 3.)Authorization for Site Visits; 4.)
Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.)Agreement to provide documentation required.
OWNER’S AGENT FORM:
Complete the following if the OWNER of the property is not the same as the applicant
Owner: ____________________________________
Designates: ____________________________________
As agent regarding: _____ Variance _____ Site Plan _____ Subdivision
For Tax Map No.: _____ Section _____ Block _____ Lot
Deed Reference: _____ Book _____ Page _____ Date
OWNER SIGNATURE: ___________________________________DATE: _______________
APPLICANT’S AGENT FORM:
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party:
Owner: ____________________________________
Designates: ____________________________________
As agent regarding: _____ Variance _____ Site Plan _____ Subdivision
For Tax Map No.: _____ Section _____ Block _____ Lot
Deed Reference: _____ Book _____ Page _____ Date
OWNER SIGNATURE: ___________________________________DATE: ______________
2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm
drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant.
Fees for engineering review will not exceed $ 1,000 without notification to the applicant.
3.) AUTHORIZATION FOR SITE VISITS:By signing this page and submitting the application materials attached herein, the Owner, Applicant,
and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of
reviewing the application submitted.
4.) OTHER PERMIT RESPONSIBILITIES:Other permits may be required for construction or alteration activity subsequent to approval by the
Zoning Board or Planning Board. It is the applicant’s responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated
stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes constitutes the official
record of all proceedings.
6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thoroughly read and understand the instructions
for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans and supporting materials are a true and complete statement/description of the existing conditions and the
work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I
acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that
I/we may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of
occupancy
I have read and agree to the above.
____________________________ ___________________________ __________________
Signature [Applicant] Print Name [Applicant] Date signed
____________________________ ___________________________ __________________
Signature [Agent] Print Name [Agent] Date signed
SRA Engineers (Erik Sandblom)
Immunotek Bio Centers
302.7 1 42
989 16
302.7 1 42
989 16
Aldi Inc. So Windsor Division
SRA Engineers (Erik Sandblom)
o.:_____ S
_____ B__
_______________
S
989
ce: _____________________________________________________________________B
___________________________________________________________________________________________________________________
___________________________________________________
.DWKU\Q5RVW
7.14.22
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Short Environmental Assessment Form
3DUW3URMHFW,QIRUPDWLRQ
Instructions for Completing
Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part of the application for approval or funding, are subject to public review, and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully
respond to any item, please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency; attach additional pages as necessary to supplement any item.
Part 1 - Project and Sponsor Information
Name of Action or Project:
Project Location (describe, and attach a location map):
Brief Description of Proposed Action:
Name of Applicant or Sponsor: Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
administrative rule, or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no, continue to question 2.
NO YES
2. Does the proposed action require a permit, approval or funding from any other governmental Agency?
If Yes, list agency(s) name and permit or approval:
NO YES
3.a. Total acreage of the site of the proposed action? ___________ acres
b. Total acreage to be physically disturbed? ___________ acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? ___________acres
4. Check all land uses that occur on, adjoining and near the proposed action.
Urban Rural (non-agriculture) Industrial Commercial Residential (suburban)
Forest Agriculture Aquatic Other (specify): _________________________
Parkland
1BHFPG
Immunotek Building Renovations
176 Quaker Rd, Queensbury, NY, 12804
The existing building on site is being re-purposed. There will be no significant alterations to the site design nor the utilities.
SRA Engineers
(518)-761-0417 ex.21
eriks@sraengineers.com
453 Dixon Rd, Suite 7, Bldg. 3
Queensbury NY 12804
✔
✔
2.32
0
2.32
✔✔
Page 2 of
5. Is the proposed action,
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
NO YES N/A
6. Is the proposed action consistent with the predominant character of the existing built or natural
landscape?
NO YES
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify: __________________________________________________________________________
_______________________________________________________________________________________
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels?
b. Are public transportation service(s) available at or near the site of the proposed action?
c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
NO YES
9. Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
10. Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water: ______________________________________
_______________________________________________________________________________________
NO YES
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment: ________________________________
_______________________________________________________________________________________
NO YES
12. a. Does the site contain a structure that is listed on either the State or National Register of Historic
Places?
b. Is the proposed action located in an archeological sensitive area?
NO YES
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
wetlands or other waterbodies regulated by a federal, state or local agency?
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: _______________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
Shoreline Forest Agricultural/grasslands Early mid-successional
Wetland Urban Suburban
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed
by the State or Federal government as threatened or endangered?
NO YES
16. Is the project site located in the 100 year flood plain?NO YES
17. Will the proposed action create storm water discharge, either from point or non-point sources?
If Yes,
a. Will storm water discharges flow to adjacent properties? NO YES
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe: NO YES
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔✔
✔
Existing storm sewer system - unchanged
18. Does the proposed action include construction or other activities that result in the impoundment of
water or other liquids (e.g. retention pond, waste lagoon, dam)?
If Yes, explain purpose and size: ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
19. Has the site of the proposed action or an adjoining property been the location of an active or closed
solid waste management facility?
If Yes, describe: _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe: __________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: ___________________________________________ Date: ___________________________
Signature: _______________________________________________________
1BHFPG
✔
✔
✔
PRINT FORM
ATTACHMENT A
Responses to Requirements
Attachment to Queensbury Site Plan Review Application July 6, 2022
Applicant: Immunotek Bio Centers SRA 22-983
Page 1 of 2
Immunotek Bio Centers, 176 Quaker Road, Queensbury, NY 12804
Detailed Project Narrative:
The project involves the change in use of an existing site from a former grocery store to a
health-related facility. Only minor changes to the building exterior and site are proposed
resulting in very little to no ground disturbance. Existing utilities including underground water,
sewer, electric, and gas that will remain. No changes in the amount of impervious surface is
proposed and no changes to the existing stormwater conveyance system are proposed.
The business use will be a plasma collection center. Hours of operation will initially be 10am -
4pm Tuesday - Saturday and then will be extended to 8am - 6pm Monday - Saturday. The
business will employ 30 total employees, 22-25 onsite at one time hired from the local
community. This will be a 36 bed center. There may be approx. 25-40 donors in the building at
one time.
The project requires Site Plan Review due to the change in use and an Area Variance will be
required due to the existing nonconforming structure that does not meet all current setback
requirements.
Responses to Requirements for Site Plan Approval (Section 179-9-080):
A. The proposed activities are consistent with the recommendations presented in the Town
of Queensbury Comprehensive Plan, adopted August 6, 2007, amended September
2014.
B. The project complies with the requirements of this Chapter except that an area variance
is needed due to the existing structure being nonconforming to the existing setback
requirements.
C. The existing site plan allows free pedestrian movement throughout the site. No changes
are proposed. The Warren County Bikeway runs alongside the southwest edge of the
site and there is connectivity to the site form the bike path. There are no pedestrian
facilities along Quaker Road.
D. There are no changes to the site plan or existing sewerage system.
E. The existing/former use of the site is consistent in character with the neighborhood
consisting primarily of commercial and industrial uses. The proposed change in use will
not modify the nature or character of the site or the neighboring area.
F. The change in use will result in a reduction in the number of daily trip ends as compared
to the previous / former use of the property.
G. Existing off-street parking is more than sufficient for the proposed new use of the site.
The existing loading dock located at the back of the facility will remain in use.
H. The change in use will not result in any change and as such no undue adverse impact
upon the natural, scenic, aesthetic, ecological, wildlife, historic, recreational, or open
space resources of the Town. The project is not in the Adirondack Park.
Attachment to Queensbury Site Plan Review Application July 6, 2022
Applicant: Immunotek Bio Centers SRA 22-983
Page 2 of 2
I. There is no proposed change to existing pedestrian or vehicular traffic. Existing access
and flow is safe and more than sufficient for the proposed use.
J. There is no change proposed to existing drainage facilities.
K. All existing water supplies and sewage treatment meet applicable standards and are
approved by the appropriate agencies. No changes are proposed.
L. No existing trees or shrubs will be removed. Minor landscaping will be performed to
spruce up the existing landscaping that has been unmaintained since the site was
vacated.
M. Adequate access for emergency vehicles is provided.
N. Existing and proposed structures are not located in the floodplain.
O. There is no change from existing site plan conditions or standards.
ATTACHMENT B
Property Survey
"ALTA/NSPS LAND TITLE SURVEY"
PREPARED FOR:
Inc.
Tel: (714)-979-7181 Fax: (714)-641-2840
17220 Newhope Street, Suites 108-110, Fountain Valley, CA 92708
www.thematthewscompany.com
THE MATTHEWS COMPANY
R
Collection Center Property Company
LLC
176 Quaker Road
Queensbury, NY
SURVEY REFERENCES
LEGEND
SURVEY NOTES
RECORD DESCRIPTION
SITE
ZONING INFORMATION
SURVEYOR'S CERTIFICATION
STATEMENT OF ENCROACHMENTS
NOTES CORRESPONDING TO SCHEDULE B, SECTION II
QUAKER ROAD
(VARIABLE WI
D
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R
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"ALTA/NSPS LAND TITLE SURVEY" "ALTA/NSPS LAND TITLE SURVEY"
PREPARED FOR:
Inc.
Tel: (714)-979-7181 Fax: (714)-641-2840
17220 Newhope Street, Suites 108-110, Fountain Valley, CA 92708
www.thematthewscompany.com
THE MATTHEWS COMPANY
R
Collection Center Property Company
LLC
176 Quaker Road
Queensbury, NY
LEGEND
ATTACHMENT C
Architectural Plans
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ATTACHMENT D
Proposed Site Plan
QUAKER ROAD
(VARIABLE WI
D
T
H
P
U
B
L
I
C
R
.
O
.
W
.
)
Δ
MONUMENT
IRON PIPE/REBAR
BOOK
PAGE
RIGHT OF WAY
SIGN
FLAGPOLE
MAILBOX
DUMPSTER
HANDICAP SYMBOL
TELEPHONE MANHOLE
STORM MANHOLE
CATCH BASIN
LIGHT POLE
WALL-MOUNTED LIGHT
BOLLARD
TREE
WATER METER
GAS VALVE
GAS METER
UTILITY POLE
GUY WIRE
ELECTRIC METER
UNKNOWN MANHOLE
ELECTRIC MANHOLE
SANITARY MANHOLE
WATER VALVE
FIRE HYDRANT
WATER SHUT OFFCLEAN OUT
WELL
IRRIGATION CONTROL VALVE
PROPERTY LINE
SETBACK LINE
WETLANDS BOUNDARY
STREAM OR BROOK
PROPERTY LINE (PQ)
TREE LINE
GAS LINE
ELEC./TELE. LINE
OVERHEAD WIRES
WATER LINE
SANITARY SEWER
CHAIN LINK FENCE
WOOD FENCE
STORM SEWER
GUIDE RAIL
SHT. OF
REV.
DRAWING TITLE
CLIENT NAME
SCALE:
DATE:
PROJ. NO:
DRAWN BY:
ENG. BY:
CHK'D BY:
REVISIONS
REV.DATE DESCRIPTION
DRAWING NO.
AS NOTED
7/6/2022
22-983
RAS
RAS
ES
IMMUNOTEK BIO CENTERS
5750 JOHNSTON ST. SUITE 302
LAFAYETTE, LA 70503
C-100 11
-
SITE PLAN
176 QUAKER RD
QUEENSBURY, NY, 12804
ZONING CLASSIFICATION: COMMERCIAL INTENSIVE (CI) AND UNDERGROUND
UTILITY OVERLAY ZONE
PROPOSED USE: BLOOD PLASMA DONATION FACILITY (HEALTH CARE FACILITY)
MINIMUM REQUIRED AREA: 1.0 ACRES PER PRINCIPAL BUILDING - 2.32 ACRES
PROVIDED.
TAX MAP NO. 302.7-1-42
LOT SIZE: 2.32 ACRES
TOTAL PROPOSED DISTURBED AREA: +/- 0 SQ. FT.
PROPOSED NEW BUILDING AREA: 0 SQ. FT.
TOTAL ADDITIONAL IMPERVIOUS AREA: 0 SQ. FT.
TOTAL RESULTING IMPERVIOUS AREA ON ENTIRE SITE: 80,260 SQ FT. (80%)
LOCATED IN TOWN OF QUEENSBURY SEWER DISTRICT
EMPLOYEES: 30 TOTAL EMPLOYEES, 25 ON SITE AT ONCE
REQUIRED PARKING: PARKING SPACES SHALL BE MIN. 9 FT. X 18 FT.
REQUIRED 1 PER 500 SQ. FT. OF BUILDING PER
QUEENSBURY CODE 179-4-090
15,500 SQ. FT. BUILDING / 500 SQ. FT. PER SPACE
31 SPACES REQUIRED
SPACES PROVIDED: 92
SETBACK REQUIREMENTS
DIMENSION REQUIRED PROPOSED
FRONT [1] 75 FT. 68 FT.
SIDE YARD [1] 20 FT. 69 FT.
SIDE YARD [2] 20 FT. 10 FT.
REAR YARD [1] 25 FT. N/A
HEIGHT (MAX) 40 FT. 15 FT.
PERMEABILITY 30% 20%
PARKING 31 92
ZONING/SITE INFORMATION
PROJECT
LOCATION
EXIST. SEWER CLEANOUT
EXIST. 10"-12" PIPE TO DIRECT
STORMWATER
EXIST. DROP INLET
EXIST. HYDRANT
PRESUMED EXIST. CATCH
BASIN OUTLET TO DITCH
EXIST. 8" WATER SERVICE LINE
EXIST. 18" CMP ACROSS
QUAKER ROAD TO HALFWAY
CREEK
EXIST. GAS
VALVES
EXIST.
CULVERT
EXIST. DITCH TO
DIRECT
STORMWATER
EXIST. DITCH
LEGEND
EXIST. MUNICIPAL SANITARY
SEWER MANHOLE
EXIST. U/G ELEC. AND TELE.
LINES
EXIST. U/G GAS LINE
EXIST. 12" CMP
EXIST. 12" HDPE
STORM SWALE/DITCH
EXIST. 6" PVC LATERAL PER
TOWN OF QUEENSBURY
DEPARTMENT OF
WASTEWATER
EXIST. 4" HDPE STORMWATER
LINE
EXIST. 10" HDPE
STORMWATER LINE
SIGN DISTANCE
TO PROP. LINE
ATTACHMENT E
Property Deed