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Application0 - — k CI Property Location; '?r4v4E��-'�� �jt— Tax Map ID: . . ..... .... Zone Classificatior: H6, 7.o 3 Ae A - MEN el=15Applicant A IMAddress: Pr Home Phone: 5- 4 7— 7. 2- Work Phone/Fax: -5-9 -7 4 2 7 0 14 "1 Address: (04144AW Phone: Work Phone/Fax: Popper Address: epryeA,,t: D & C Management Awo., Inc. 16 Door Run Gensevoort, N.Y. 12831 Tel. # (518) 587-Mi Phone: Work Phone/Fax: 519- 5(91— iy27 3 Directions to Site: Applicant. Tex Map p Pap 2 of 7 Site Development"bates: A �� AreaJType 4 gp'�. ° a o ed o c4ii.4 .) : an s A) BuildingFootprint(s) 1,320 11,230 13,690 B) Detached Garage 800 -0- -0- C) Accessory Structure(s) 340 -0- -0- D) Paved, gravel, or other 4,382 Gravel 61,470 paved 66,7s9 hard surfaced areas 907 Paved E) Porches/Decks NA NA NA F) Other NA NA NA Total Non -Permeable 7,749 72,700 80,449 (Sum A through F) Parcel Area 1 126,324 126,324 126,324 Percent Non -Permeable (Total Non Permeable/ Parcel Area) 6.1% 57.6% 63.7% setbd' Re uirement Location '-,Required a y 4 '- Proposed, ` _. r ... G _ Front (1) 75' 75' Front (2) (if corner) Shoreline Side Yard (1) 20' 20' Side Yard (2) 30' 30' Rear Yard (1) 50' 50' Rear Yard (2) Buffer/Travel Corridor 75' 75' Applicant: Tax Map ID Page 3 of 7 D & C Management Asso., Inc. 14 16 Deer Run Glinn�s'egvoort,�� N.Y. 12831 sAlf SAy 3 d% (SKA�u3�461 ' jz7ts5 EvzYelW..-tEvT. LwL.e , IA.,'vr'Fz74!-ttj J,2Ac-%Gt}7'rlr//VCr. This Page includes the A xthorization to Act as Agent Form, Engineering Fee Disclosure, Other Permit Responsibi. ities. and Agreement to provide the documentation required Complete the followin; if the OWNER of the property is not the same as the applicant: D 8 C Management Asao., Inc. OWNER'S AGENT FORM. Ganse6 Doer Run 12831 Owner: (Print Owner Name) designates: SATSA o (Print:lgentName) as agent regarding J Site Plan Le- Subdivision for Tax Map No.: Section — Block — I"t ^ 72, _2 _ Z SIGNATURE: X, _ � (Owner Signature) (Date) y127�S Complete the following; if the APPLICANT is unable to attend the meeting, or wishes to be represent(!d by another party: APPLICANT'S AGENT FORM Applicant: E 1 e Y elh— Vic 7 . L L .0 . (print Applicant Name) (ov��. nenf+C� La v r274 T'r cTJ.W jWLh'7Wr//VU- Wit_ -Agent Name designates N _ _ (p �g ) as agent regarding ✓ Site Plan ✓ Subdivision for Tax Map No. Section ^ Block J Lot 7�2• �z'2 SIGNATURE: X_ 4. (Applicant Signature) 4ti Enraneering Fee Discl osure: Applications may be referred to the Town consulting engineer for review of septic design, storm drainage, etc. as determined by the Planning Department. Fees for isngineering review services will be charged directly to the applicant. Fee for engineering review will not exceed $1,000.00 without notification to the applicl int. Please Note: Other Permits maybe required for construction or alteration activity subsequent to approval by the Planning Board. It is the applicant's responsibility to obtain any additional pet mits. Official Meeting Minuses Disclosure: It is the practice of Community Development Department to have a designated stenographer tape record the proceedings of meetings resulting from applicatio i, and that minutes transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy between such record and the handwritten minutes tal; en by the designated stenographer. the handwritten minutes chgII ha rlaamari the offic al record. I, the undersigned, have thoroughly read and understand the instructions for submission, agree to tl.e submission requirements and completed the checklist. Applicant: T Gc Map lD -7/. —.2 2- Page 5 of 7 Check/Initial The Applicable Box Please complete every checkbox Providedti ` ;NoE er I. GENERAL.'ested li , X A. Title, name, address of applicant and person _ _responsible for preparation of drawine X B. North arrow, Tax Map ID, date prepared and scale 1 in. = 40 ft.) X _(minimum _ C. Boundaries of the property plotted to scale, zoning boundag D. Location of principal structures and accessory X structures with exterior dimensions E. Location of site improvements including outdoor X storage areas, driveways (existing and proposed), _parking areas, etc._ F. Setbacks for all structures and improvements. X - — II. WATER & `SEWER A Location of on -site sewage disposal facilities, design X details, construction details, flow rates. and number of bedrooms served B. Location of water supply, (i.e., well) and septic on X adjoining lots with separation distances to existing _ o_ionr proposed on -site water sapper and septic. C. Separatdistances for proposed sewage disposal X system to well and waterbodies. D. Location and description of existing public or private water supply (well, lake, etc.). Method of securing public or private water, location, design, and construction of water supply including daily water usage. _ E. Percolation test location and results. X III. PARKING/PERMEABLEAREAS' }:�? A. Number of spaces required for project including X __calculation/justification. B. Number of existing parking spaces. number to be X removed, number to remain, and type of surfacing _material (e.g__gravel. paved). C. Provision for pedestrian and handicap access and X parking. D. Location and design details of ingress. egress, loading areas, and curbing. E. Delineation of existing permeable areas versus X proposed including character of ground cover (i.e., crass. wooded. etc.) -- ---------_----------- F. Location and character of buffer areas (existing and proposed). modification to buffer areas. including X __screening of storage and refuse areas_ G. Lighting: location and design of all existing or ght ro posed outdoor lighting Applicant: Tar Map ID Page 6 of 7 Check/Initial The Applicable Box Please complete every checkbox Provided Not Waiver IV. ADDITIONAL SITE DEVELOPMENT & Applicable Requested MISCELLANEOUS A. Location of on -site and adjacent watercourses: X streams, rivers, lakes, wetlands B. Location of proposed and existing, utility/energy distribution systems (gas, electric, solar, telephone, cable), include design and construction details. C. Location, design and construction of all existing and proposed site improvements including: drains, culverts, retaining walls, fences, fire & emergency zones and hydrants. D. Location and amount/portion of building area X proposed for office, manufacturing, retail sales, or other commercial activities E. Signage: location, size, type, design and setbacks. _.-_ADDITIONAL414QUIREMENT5._ , Other elements integral to the proposed development as considered necessary by the reviewing board. B. Identilication of any State and County permits required for the project's schedule C. Record of application for approval status of all necessary permits from State and County officials WAIVER REQUEST Applicant requests waivers from the following items as identified on the Checklist Reviewed by: Date Please complete this section with the assistance of staff PLEASE NOTE COMMERCIAL DEVELOPMENT ACTIVITIES TYPICALLY REQUIRE SUBMISSION OF: A. Landscaping and Planting Plan B. Stormwater Management Plan C. Grading Plan ::".: _..�^Y3"_.._.:':'.".. i:1 �.«.F.•i+'.ff: lrLs�.�. -.. `.. TR;Y:tiS .. '...,... .e :: A....: �,�,, . �.:. RSie i_n.. Applicant: Tax Map ID Page 7 of 7 • 0 �14•16-4 (1i97}-q SEOR PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART [—PROJECT INFORMATION (lb be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Everest Enterprises, LLC Queensbury Sleep Inn I. PROJECT LOCATION: Municipality Town of OueensbUry county Warren e. PRECISE LOCATION: (Street address and road intersections, Prominent landmarks, sta, w Provide map) East side of NYS Route 9, bounded by Sweet Road and Montray Road S. IS PROPOSED ACTION: 3 New O Expansion ❑ ModifkabWaMeratkm 6. DESCRIBE PROJECT BRIEFLY: Development of 82 unit Sleep Inn Hotel and parking. 7. AMOUNT OF LAND AFFECTED: 2.9 2.9 Initially acres Uron a" acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IS Yes Cl No If no, descrebe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑ Residential O Industrial tt Commercial O Agncukure O Pwk/FomVOpen Space. O Other Describe: Town of Queensbury - Highway Commercial - 1A (HC-lA) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Loin)? 0 Yes O No If yes, list ageniy(s) and permit/approvals Town Planning NYSDOT NYS.OPRHP - Approval 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? O Yes M No If yes, list agency name and permitlapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes O No N/A I CERTIFY THAT THE I FORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE, �f k.A Pj00 �� Date _/ `1 Applicant/Spor N a Signature If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11—ENVIRONMENTAL ASSESSMENT (To be completed by ADenev) A. DOES ACTION CEED ANV TYPE 1 THRESHOLD IN 6 NYCRR PART 617.4? ❑ Yes No If yes, coordinate the review onicass and use the FULL EAR. S. WI LL ACTIORTRCEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR PART 617.6? ❑ Yea P/ No If no a negative dedwatlon may be suoarseded by soother imoMd an"" C. COULD ACTON RESULT IN ANY ADVERSE EFFE9 ASSOCWTED WITH THE FOLLOWING: (Answers may be handwritten, it legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns; solid waste production W disposal; potential for erosion, drainageoro/rI flooding problems? Explain briefly: 1_ O C2. Aesthetic, �aalggricculltural. archawlogical, historic, or other natural or cultural resources; or community or neighborhood caracter Explain briefly: Y C3. Vegetation or famous, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: V Ca. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, sub" quam dervelopmem. cr related activities likely to be induced by the proposed action? Explain briefly: v C6. Long tens, short tam, cumulative. or other affects not identified in CI -CS? Explain briefly: C7. Other impacts (including charges In use of either quantity or type of energy)? Explain briefly: D. WILL THE PRWECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CFA? ❑ Yes No E IS THERE, OR THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yea No If yes, explain briefly PART 11—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse seect identified above, determine whe hor R Is wbsanbal. large. Important or otherwise sgniRram. Each effect should be assessed in connection with Its (a) a" (Le., urban or nsral): (b) probability of occurring; (c) duration: (d) ineveralbility: (a) geographic scope: and (f) magnitude. If necessary, add attachments or reference supporting materials. Enure that explanations contain sufficient detail to show that Sit relevant adverw impacts hew been Identified and adequately addressed. If question D of Part 11 was checked yes, the determination and sig- nificance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large and significant adverse impacts which may occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. 06 Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: • • CONTINENTAL LANDSCAPE ARCHITECTURE & PLANNING, P.C. 26 Computer Drive West Albany, W. 12205 ph: 518/458-9203 fax: 618/458-9206 clagold@aol.com DATE If 27- (�, TO: ATTN: 19 WE ARE SENDING: U Herewith ❑ Under Separate Cover FILE COPY QTY. DRAWING: DATE: DESCRIPTION: THESE ARE TRANSMITTED AS CHECKED BELOW, ❑ For Approval ❑ Approved as Submitted ❑ For Your Use ❑ Approved as Noted ❑ Resubmit _ Copies for Approval ❑ Submit _ Copies for Distribution ❑ As Requested ❑ Returned for Corrections ❑ For Review and Comment COPIES TO: oo.• 0 • Not Applicable FLOOR AREA RATIO WORKSHEET Any construction, addition or replacement of structures in the Waterfront Residential Zones (WR-lA & WR-3A) are subject to the Floor Area Ratio requirements as defined in Section 179-16 of the Town of Queensbury Zoning Ordinance. Floor Area Ratio (FAR) is the relationship of building size to lot size derived by dividing the total building square footage by the lot size in square feet, yielding a (percentage. The maximum allowable FAR is 22 percent. Please note that FAR requirements are separate and distinct from the permeable area requirements that may apply. ;Building square footage includes all floors of the primary structure, covered 1porches, and basements (when at least three (3) feet in height of one (1) wall is exposed and the space meets the living space requirements as defined in Section 711 and 712 of the NYS Building Code). Detached storage buildings greater than 100 sq. ft. and detached garages are so included in the FAR calculations. Building !square footage does not include: open decks, docks and that portion of covered I docks extending into the water, and one shed 100 sq. ft. or less. All additional sheds ''are included in the FAR calculation. Use/Location .Area(s` . ft.) Pr Primary House First Floor Second Floor Basement (living space) Covered or enclosed porches Covered decks Guest House Apartment Detached Garage(s) Shed (1 shed 100 sq. ft. or less exempt) Covered Dock or Boathouses (portion on land) Other (describe) A.) Total Building Sq. Footage B.) Lot Area in sq. ft. (Acres x 43,560 Floor Area Ratio = AB = Applicant: Tax Map ID Page 4 of 7 e „LLJ w ;. EIFS E . ON R i ; :.• 2 -MINIMUM. CLEARA� �EV.9 — 5 5/8 a -EIFS ua ;RST FLOOR ff 1 J.O•'_ d„ru _ 3'!0 XRONZW ALt1M_ LOUVER Yllt BIRD & IWECT..SCREEN NORTH ELEVATION SCALE 3/32" = V— O„ A - ES: 1. REFER TO SHEET A8.3 FOR E.I.F.S. DETAILS PAMELA\RESOLUTIONS\WASTEWATERSEWER\QUAKER ROAD DISTRICT EXT# 5 - Sleep Inn - Set Hearing - 7/28199 ORDER SETTING PUBLIC HEARING CONCERNING PROPOSED EXTENSION NO.5 TO CENTRAL QUEENSBURY QUAKER ROAD SEWER DISTRICT RESOLUTION NO. .1999 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, the Town Board of the Town of Queensbury wishes to establish an extension to the Central Queensbury Quaker Road Sewer District to be known as the Central Queensbury Quaker Road Sewer District Extension No. 5, and WHEREAS, Everest Enterprises, LLC (the "Developer") has agreed to make all necessary improvements and pay all the costs of such extension, and WHEREAS, a Map, Plan and Report has been prepared by Haanen Jenkin & Hutchins, LLC, engineers licensed by the State of New York regarding the proposed extension to the existing Central Queensbury Quaker Road Sewer District to serve the Ponderosa Restaurant and an 80 unit Sleep Inn Hotel to be constructed by the Developer located along Route 9 just north of the Ponderosa Restaurant, Queensbury, such area consisting of parcels bearing Tax Map No.'s: 71-2-2 and 71-2-14.2 as more specifically set forth and described in the Map, Plan and Report, and WHEREAS, the Map, Plan and Report has been filed in the Queensbury Town Clerk's Office and is available for public inspection, and WHEREAS, the Map, Plan and Report delineates the boundaries of the proposed sewer district extension, a general plan of the proposed sewer system, a report of the proposed sewer system and method of operation, and WHEREAS, the Town Board of the Town of Queensbury wishes to establish the proposed sewer extension in accordance with Article 12A of Town Law and consolidate the extension with the Central Queensbury Quaker Road Sewer District in accordance with Town Law §206A, and WHEREAS, Part I of an Environmental Assessment Form has been prepared and presented at this meeting and a coordinated SEQRA review is desired, NOW, THEREFORE, IT IS 1. The Town Board of the Town of Queensbury shall hold a public hearing and consider establishing the proposed extension to the Central Queensbury Quaker Road Sewer District previously described in this Resolution and to be known as the Central 2 Queensbury Quaker Road Sewer District Extension No. 5. 2. The boundaries of the proposed extension and benefitted areas of the Central Queensbury Quaker Road Sewer District are to be as follows: All that piece or parcel of land, situate in the Town of Queensbury, Warren County, New York, lying along the easterly side of NYS Route 9 and southerly of Sweet Road and being further bounded and described as follows: Beginning at a point in the easterly line of NYS Route 9 at the division line of lands N/F of V.W. Weeks (occupied by Gambles Bakery) to the north and lands of D&C Management Associates, Inc. to the south and runs thence along said division line S870-36"-30"E 234.86' to a point in the easterly line of the aforesaid VW - Weeks, thence along said easterly line N06°-58'-30"W 100.0' to a point in the southerly line of Sweet Road; thence along said southerly line S87°-36'-30"E 75.70' to a point in the westerly line of lands N/F of George and Donald Weeks; thence along said westerly line S060-5l'-00"E 200.0' to a point in the southerly line of the aforesaid George and Donald Weeks; thence along said southerly line S870-36'-30"E 208.0' to a point in the westerly line of Montray Road; thence along said westerly and northerly lines of Montray Road the following five courses S060-51'-00"E 153.80' to a point; thence S06°-08'-30"E 305.43' to a point of curvature; thence on a curve to the right of radius 204.90', a distance of 156.70' to a point of compound curvature; thence continuing on a curve to the right of radius 315.0' a distance of 321.94' to a point of tangency and N83°46'-00"W 84.70' of D'Angelo, thence along said easterly and northerly line of said D'Angelo the following two courses N06°-14'-00"E 250.0' to a point and N83°-46'-00"W 217.80' to a point in the easterly line of NYS Route 9; thence along said easterly line the following three courses N08°-22'-10"E 176.10' to a point; thence NOV- 13'-00"E 266.58' to a point and N060-20'-30"W 123.93' to the point or place of beginning, containing 8.85f acres of land. ALL THAT TRACT, PIECE OR PARCEL OF LAND, situate in the Town of Queensbury, Warren County, New York, lying along the easterly side of NYS Route No. 9, southerly of Sweet Road and being further bounded and described as follows: Beginning at a point in the easterly line of NYS Route No. 9 at the division line of lands N/F of V.W. Weeks (occupied by "Gambles Bakery") to the north and lands of D&C Management to the south, and runs thence easterly along said division line S870-36'-30"E, 234.96' to a point in the easterly line of the aforesaid V.W. Weeks; K thence along said easterly line N06°-58'-30"W, 100.0' to point in the southerly line of Sweet Road; thence along said southerly line S87°-36'-30"E, 75,70' to a point in the westerly line of lands N/F George Weeks and Donald Weeks; thence along said westerly line S-06°-51'-007, 200.0' to a point of intersection of the southerly fine of the aforementioned George Weeks and Donald Weeks; thence continuing southerly through lands of D&C Management S06°-51'-00"E, 285.0' to a point in the northerly fine of the Ponderosa Restaurant; thence along said northerly line N83046'-00"W, 349.34' to a point in the easterly line of NYS Route No. 9, thence along said easterly line the following two courses NOVAY-007, 234.19' to a point and N06°-20'-30"W, 123.93' to the point or place of beginning, containing 2.90t acres of land. The above described parcel is subject to two easements along the southerly line of the above described parcel. Easement Along Southerly Line of Lot No. I Beginning at a point in the easterly line of NYS Route No. 9 where it is intersected by the northerly line of the Ponderosa Restaurant parcel and runs thence along the easterly line of NYS Route No. 9 NOF-13'-00"E, 15.06' to a point, thence easterly and southerly through lands previously described (2.90f acres), S83°-46'- 00"E, 347.17' to a point and S06°-51'-00"E, 15.40' to a point in the northerly line of the Ponderosa Restaurant parcel; thence along said northerly fine N83°-46'- 00"W, 349.34' to the point or place of beginning. Being a 15' wide easement entirely within Lot #i Parcel. A 30 x 30 Easement to the Town of Queensbury Beginning at a point in the easterly line of NYS Route No. 9, said point being distant the following two courses from the division line of lands N/F of V.W. Weeks to the north (occupied by "Gambles Bakery") and lands of D&C Management to the south S06°-20'-30"E, 123.93' to a point and SO1°-13'-00"W, 211.66' to the point of beginning and runs thence the following three (3) courses through lands of the aforesaid Kapoor S83°-46'-00"E, 30.0' to a point; thence SOl°-13'-00"W, 30.12' to a point; thence N83°-46'-00"W to a point in the easterly line of NYS Route No. 9, thence along said easterly line NOl°-13'-00"E, 30.12' to the point or place of beginning, containing 0.026t acres of land. 3. The proposed improvements shall consist of the purchase and installation of an 8" gravity sewer crossing to an existing manhole located directly across Route 9. A new additional manhole will be installed on the east side of Route 9 at the terminus of the 4 8" gravity sewer which crosses the highway. The 8" gravity sewer and new manhole will be constructed in accordance with Queensbury standards for dedication to the Town upon completion. An additional 8" gravity sewer and new manhole will be constructed along the south boundary of parcel 71-2-2 as more specifically set forth in the Map, Plan and Report prepared by Haanen Jenkin & Hutchins, LLC and the cost shall also include a payment of the appropriate charge due the City of Glens Falls at the time of the initial hook-up. 4. All proposed construction shall be installed and paid for by the Developer (including the cost payable to the City at the time of initial hook-up) and shall be constructed and installed in full accordance with the Town of Queensbury's specifications, ordinances or local laws, and any State laws or regulations, and in accordance with approved plans and specifications and under competent engineering supervision. 5. The maximum amount proposed to be expended for these improvements will be approximately $37,500, plus a one time buy -in fee estimated to be $1.35 per gallon of average daily flow, which in this case would be $5,400. Such improvement costs shall be paid by the Developer and there shall be no cost to the Town of Queensbury or the Central Queensbury Quaker Road Sewer District for the proposed extension. The areas or properties that comprise the extension, however, will be subject to the same cost for operation, maintenance and capital improvements as in the Central Queensbury Quaker Road Sewer District. 6. The estimated cost of hook-up fees to the typical property will be $0. There are no one or two family homes in the extension, so their hook-up cost would be $0.00. The estimated annual cost of the extension to the properties will be $7,948 and approximately $10,410 for sewer rents, the total estimated annual cost is $18,258. Since there are none, the estimated annual cost for a one or two family home would be $0 for debt service and approximately $0 per year for sewer rents for a total estimated annual cost of $0. There shall be no one or two family homes within the extension: only a Ponderosa Restaurant and a proposed Sleep Inn Hotel. 7. In accordance with Town Law §206-a, all future expenses of the Central Queensbury Quaker Road Sewer District, including all extensions included heretofore or hereafter established, shall be a charge against the entire area of the district as extended. 8. The Map, Plan and Report describing the improvements and area involved and a detailed explanation of how the hook-up fees and the cost of the District to the typical property, and, if different, the typical one or two family home was computed are on file with the Town Clerk of the Town of Queensbury and available for public inspection. 9. The Town Board of the Town of Queensbury shall meet and hold a public hearing at the Queensbury Activities Center, 742 Bay Road, Queensbury at 7:00 p.m., on Monday, August 16'h, 1999 to consider the Map, Plan and Report and to hear all persons interested in the proposal and to take such other and further action as may be required or authorized by law. C 10. The Town Board will proceed with considering the extension and hold such public hearing only if the Developer executes an agreement concerning the extension in a form acceptable to Town Counsel prior to such hearing. 11. The Town Board of the Town of Queensbury hereby authorizes and directs the Queensbury Town Clerk to duly publish and post this Order not less than ten (10) days nor more than twenty (20) days before the public hearing date, as required by Town Law §209-d, and complete or arrange for the securing of two (2) Affidavits of Publication of Notice and two (2) Affidavits of Posting of Notice of the Public Hearing required hereby and to file a certified copy of this Order with the State Comptroller on or about the date of publication. 12. The Town of Queensbury Community Development Department is hereby requested to prepare a report on any environmental impacts that should be considered at the time a SEQRA review is conducted. 13. The Town Board hereby authorizes and directs the Community Development Department to send a copy of this Resolution, Part I of the Environmental Assessment Form presented at this meeting and a copy of the Map, Plan and Report to all potentially involved agencies and to the New York State Department of Environmental Conservation and New York State Department of Health together with all documentation to be sent out with a letter indicating that the Town Board is about to undertake 7 consideration of the project identified in this Resolution, that a coordinated SEQRA review with the Town Board of the Town of Queensbury as Lead Agency is desired and that a Lead Agency must be agreed upon within 30 days. Duly adopted this Zn day of August, 1999, by the following vote: AYES MOM ABSENT: 14_164 (12/97)—q SEOR PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART I —PROJECT INFORMATION (lb be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME EVEREST ENTERPRISES LLC Extension of Sewer District 3. PROJECT LOCATION: Municipality Town of QueenSb lry County Warr n a. PRECISE LOCATION: (Street address and road intersections. prominent landmarks, etc., or provide map) NYS Route 9, South of Intersection of Route 9 and Sweet Road 5. IS PROPOSED ACTION: Ektension of Central Queensbury Quaker Bd. So O New R Expansion o Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Addition of three parcels to sewer district 71-2-14.2 Ponderosa Restaurant (1.72 Acres) 71-2-2 Future Sleep Inn Motel and vacant lot (7.03 Acres) Subdivision underway) 7. AMOUNT OF LAND AFFECTED: Initially R _ 7 s acres Ultimately Ii . 7 5 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? X Yes ❑ No If no, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? O Residential ❑ Industrial vi Commercial ❑ Agriculture O Park/Forest/Open Space. ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Lowl)? O Yes ifl No It yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ❑ No If yes, list agency name and permit/approval Subdivision approval from Town of Queensbury Zoning variance (height) from Town of Queensbury 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMrr/APPROVAL REQUIRE MODIFICATION? ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AppliwnVSponsor Name Date A/ 1 1/ 9 9 Signature _ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment +h OVER PART II —ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617A? O Yes Yd No It yes, coordinate the review process and use the FULL EAR B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.6? ❑ Yes XX No it no, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. if legible) Ct. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal; potential for erosion, drainage or flooding problems? Explain briefly: NO C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood charactee) Explain briefly: NO C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: NO C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly. NO CS. Growth, subsequent development. cr related activities likely to be induced by the proposed action? Explain briefly: NO C6. Long term, short term, cumulative, or other effects not identified in CI -Cs? Explain briefly: NO C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: NO D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes F9 No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes N No If yes, explain briefly PART II —DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant Each effect should be assessed in connection with its (a) setting (Le., urban or ruraq; (b) probability of occurring; (c) duration; (d) Irreversibility; (a) geographic scope; and (1) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. If question D of Part 11 was checked yes, the determination and sig. nificance must evaluate the potential Impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large and significant adverse impacts which may occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: TOWN BOARD OF THE TOWN OF QUEENSBURY Name of Lead Agency Fred Champagne Town Supervisor Print or Type Name of esponsible officer in Lead A ency Tide of Responsible Officer 03 Sig re 01 Responsible & n Lead Agency Signature of Preparer (It different from responsible officer) Aucfust 1F 1Gg9 Date " me71-4 617.21 SEAR Appendix F State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non -Significance Project Number Date August 16, 1999 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Conservation Law. The Town Board of the Town of Queensbury as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Extension of Central Queensbury Quaker Road Sewer District - Ext. #5 SEOR Status: Type 1 ❑ Unlisted 91 Conditioned Negative Declaration: ❑ Yes E No Description of Action: Addition of three parcels to existing CQQR Sewer District. Location (include street address and the name of the municipality/county. A location map of appropriate scale is also recommended.) Tax Map Parcels: 71-2-14.2 - Ponderosa Restaurant 71-2-2 - Future Sleep Inn Motel and Vacant Lot Subdivision Underway Route 9, Queensbury, Warren County SEOR Negative Declaration Page 2 Reasons Supporting This Determination: (See 617.6(g) for requirements of this determination; see 617.6(h) for Conditioned Negative Declaration) If Conditioned Negative Declaration, provide on attachment the specific mitigation measures imposed. For Further Information: Contact Person: Fred Champagne, Town Supervisor Address: 742 )lay Road Queensbury, Ny 12804 Telephone Number. 518-761-8229 For Type I Actions and Conditioned Negative Declarations, a Copy of this Notice Sent to: Commissioner, Department of Environmental Conservation, 50 Wolf Road, Albany, New York 12233.=l Appropriate Regional Office of the Department of Environmental Conservation Office of the Chief Executive Officer of the political subdivision in which the action will be principally located. Applicant (if any) Other involved agencies (if any) -IS RESOLU nONS\NONSIGNMCANCLICQQRSD Sewer �st icl Exl #5 - S 6m --8/17/99 RESOLUTION ADOPTING SEQRA DETERMINATION OF NON - SIGNIFICANCE REGARDING EXTENSION NO.5 TO CENTRAL QUEENSBURY QUAKER ROAD SEWER DISTRICT RESOLUTION NO.: INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: 1999 WHEREAS, the Town Board ;ofh o of Queensbury wishes to establish an extension to the Central Queensbury Quaker Road strict to be known as the Central Queensbury Quaker Road Sewer District Extension No. 5_ WHEREAS, the Town of the Town of Queensbury is duly qualified to act as lead agency for com ance wl e a nvironmental Quality Review Act (SEQRA) which requires environmental re� ai ns un aken by local governments, and WHEREAS, the ftosed action is an unlisted action pursuant to the rules and regulations of SEQRA, NOW, THEREFORE, BE IT RESOLVED, that the Town Board after considering the proposed action, reviewing the Environmental Assessment Form and thoroughly analyzing the action for potential environmental concerns, determines that the action will not have a significant effect on the environment, and BE IT FURTHER, RESOLVED, that the Town Board hereby authorizes and directs the Town Supervisor to complete the Environmental Assessment Form by checking the box indicating that the proposed action will not result in any significant adverse impacts, and BE IT FURTHER RESOLVED, that the Town Board approves of a Negative Declaration and authorizes and directs the Town Clerk's Office to file any necessary documents in accordance with the provisions of the general regulations of the Department of Environmental Conservation. Duly adopted this 16s' day of August, 1999, by the following vote: NOES 00MQ` I • TOWN OF QUEENSBMY 742 Bay Road, Queensbury, NY 12804-5902 July 21, 1999 Everest Enterprises 21 Summerfield Lane L 518-761-8201 Saratoga Springs, NY 12866 Re: Site Plan Na 32-99 S To Whom It May Concem. On July 20, 1999 the STown of Queensbury Planning Board voted to approve Site Plan No. 32-99. your site plan approval is valid for one year from the date of adoption; failure to apply for a budding permit within one year will result in your approval becoming null and void. Prior to applying for a building permit please submit three (3) copies of the approved site plan to the Zoning Administrator for his signature. All conditions and modifications set forth in the attached resolution must be satisfied or in place prior to submitting for the Zoning Administrator's signature. In addition to the above the following may apply: Engineering Fees due upon receipt. Recreation Fees due with submission of Building Permit. If you have any questions regarding the above items, please contact the Planning Department at 761- 8220. Sincerely, Town Queensbury Chris Round Director of Community Development CR/pw cc: Peter Loyola HOME OF NATURAL BEAUTY ... A GOOD PLACE TO LIVE" SETTLED 1763 TOWN OF QUEENSBURY 742 Bay Road, Queensbury. NY 12804-5902 518-761-8201 Queensbury Planning Board - Record of Resolution Craig MacEwan, Chairman TO. Everest Enterprises, LLC 21 Summerfield Lane Saratoga Springs, NY 12866 DATE: July 20, 1999 RESOLVED: Sin ly, 7 Craig Mawan, C Cwpw cc: Peter Loyola Warren Co. Planning Board Site Plan Review Catherine LaBombard, Sem=y RE: Site Plan No. 32-99 Everest Enterprises, LLC Hotel Tax Map No. 71-2-2 "' See Attached Resolution "HOME OF NATURAL BEAUTY ... A GOOD PLACE TO LIVE' SETTLED 1763 L 20/99 DN TO APPROVE SITE PLAN NO 32 99 EVEREST ENTERPRISES. LL G, ....,.,..�.ced by Robert Vollaro who moved for its adoption, seconded by Larry Ringer In accordance with the proposal and the resolution drafted by Staff, and in addition to that, the elimination of the five parking spots on drawing dated May 26, 1999. In addition to the above, we want to discuss the proposed primary ingress/egress, that thereT be a right turn out, a left turn in, and a right turn in; right tum north, left turn coming south on Route 9, and right tam only going north on Route 9, right in. Duly adopted this 20d, day of July,1999, by the following vote: AYES: Mr. Ringer, Mr. Brewer, Mr. Paling, Ms. LaBombard, Mr. Vollaro, Mr. MacEwan NOES: NONE rJ V) % IV --. . MOTION TO APPROVE SITE PLAN NO. 32-99 EVEREST ENTERPRISES LLC , Introduced by Robert Vollaro who moved for its adoption, seconded by Larry Ringer: Whereas, the Town Planning Board is in receipt of Site Plan No. 32-99; and Whereas, the above mentioned application, received 4/99 consists of the following: Application with maps CLA-1, CLA-2, CLA-3 dated 5/26/99 / Maps 254251JI, 25425-D1, dated 4/26/99, Stormwater Management Report dated 5/99, Phase IA Archeological Sensitivity Assessment dated 5/99. Whereas, the above is supported with the following documentation: 6/24/99 — Staff Notes 6/3/99 — Warren Co. Planning Bd. 5/28/99 — Record of Meeting — L. Moore and P. Loyola (agent) 6/17/99 —Notice of Public Hearing 6/7/99 — Beautification Comm. comments 6. 6/2/99 — Transmittal of additional Stormwater Man. Report 7. 6/2/99 — Transmittal of items delivered to Rist Frost 8. 5/17/99 — Fax of Agenda and Staff notes to P. Loyola 9. 5/18/99 — Rendering of Sleep Inn 10. 5/18/99 — North Elevation 11. 6/18/99 — Rist Frost comments 12. 7/7/99 — Meeting notice letter 13. 6/25/99 — S. Sopcyyk from L. Moore 14. 6/24/99 — Rist Frost comments 15. 6/24/99 — P. Loyola to T. Center of Rist Frost 16. 6/28/99 - L. Moore from S. Sopcyyk 17. 7/14/99 - telephone conversation between L. Moore and P. Loyola Whereas, a public hearing was held on 6/24/99 concerning the above project; and Whereas, the Planning Board has determined that the proposal complies with the site plan requirements of the Code of the Town of Queensbury (Zoning); and Whereas, the Planning Board has considered the environmental factors found in the Code of the Town of Queensbury (Zoning); and Whereas, the requirements of the State Environmental Quality Review Act have been considered; and Therefore, Let It Be Resolved, as follows: The Town Planning Board, after considering the above, hereby moves to approve Site Plan No.32- 99, Everest Enterprises. ♦- 7 F='J ie applicant shall present three (3) copies of the above referenced approved plan to the Zoning iministrator for his signature. I The Zoning Administrator is hereby authorized to sign the above referenced plan. 4. The applicant agrees to the conditions set forth in this resolution. 5. The conditions shall be noted on the map. 6. The issuance of permits is conditioned on compliance and continued compliance with the Zoning Ordinance and site plan approval requirements. Duly adopted this 20th day of July 1999 by the following vote: AYES: Mr. Ringer, Mr. Brewer, Mr. paling, Mrs. LaBombard, Mr. Vollaro, Mr. MacEwan NOES: None ABSENT: None