HomeMy WebLinkAbout845 Mill Creek, LLC Glenn Goldsmith, Presidents Town Hall Annex
A.Nicholas Krupski, Vice President ;; 54375 Route 25
Eric Sepenoski P.O. Box 1 179
Liz Gillooly �:� � Southold,NY 11971
Elizabeth Peeples ` Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time:,` ° Completed in field by: a
Cole Environmental Services on behalf of 845 MILL CREEK, LLC requests a Wetland
Permit for the existing 1,395sq.ft. (footprint) one-story dwelling and to construct a
213sq.ft. (approximately 30'x8') seaward deck; remove existing 253sq.ft. north deck and
construct a 12'x21.1' (253sq.ft.) screened porch in-place; reduce the second floor
footprint by 64sq.ft.; construct a proposed 12'x18' (216sq.ft.) carport with PV panels
landward of dwelling; reroute existing underground water line; remove existing asphalt
driveway and install a permeable driveway; install an 8'x12' (96sq.ft.) shed landward of
dwelling; and to install a 4' wide raised planting bed on south side of dwelling. Located:
845 Mill Creek Drive, Southold. SCTM# 1000-135-3-36.1
Typ f area to be impacted:
Saltwater Wetland Freshwater Wetland/ Sound Bay
Part of Town Code proposed work falls under: �Chapt. 275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: 1P Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.: ikcp
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Present Were: G. G,#smith N. Seenoski
L. p. Kr ski
Gillooly E. Peeples
SCTM:1000-135.-3-36.1 §280-15:ACCESSORY BUILDINGS AND STRUCTURES(FOR CM COVED MANHOLE ZALISHNICK-DRACHMAN
ZONE: R-40 LOTS BETWEEN 10,000 AND 19,999 SF) C.O. CLEAN OUT
CODE EXISTING PROPOSED COMMENTS REFERENCE HEIGHT F SIDE &REAR SETBACK F DB DISTRIBUTION BOX RESIDENCE
LOT INFORMATION: 18 5 ER EXPANSION RING
845 MILL CREEK DRIVE
LOT AREA(SF) 40,000 11,748.5 NO CHANGE NONCONFORMING §280 ATT.3:1 20 15 LR LEACHING RING SOUTHOLD,NY 11971
BUILDABLE AREA(SF) -- 10,863 NO CHANGE -- 1 22 20 T.H. TEST HOLE
LOT WIDTH (FT) 150 76.78 NO CHANGE NONCONFORMING U.P. UTILITY POLE
LOT LENGTH (FT) 175 139.00 NO CHANGE CONFORMS DIMENSIONAL DATA IS OBTAINED FROM SURVEY BY KENNETH W.M. WATER METER
EXISTING HOUSE AREA SF -- 1,395 NO CHANGE -- M.WOYCHUK LAND SURVEYING, PLLC DATED 10/26/2023, DBH DIAMETER @ BREAST HEIGHT
SIDE DECK(SF) 253 0 -- WIT+H OVERLAY OF PROPOSED WORK BY LACHAPELLE
SCREENED PORCH (SF) -- 0 253 -- ARC' IITECTURE PLLC,AND PARTIAL TREE IDENTIFICATION.
CARPORT SF -- 0 216 -- +
REAR DECK SF -- 0 213 -- + = CONCRETE FOOTING
SHED SF -- 0 96 --
++ CONCRETE WALL
TOTAL LOT COVERAGE SF 2,173 1,648 2,173 -- ++ PIER LINE
20% 15.17% 20.0% CONFORMS §280-124 ++� PER SURVEY , rn
SETBACKS PRIMARY STRUCT.:*
FRONT YARD 35 45 NO CHANGE CONFORMS §280-124 + i' \ ' TAX MAP NO.1000-135.336.1
SIDE YARD F 10 1 11.0 10.75 CONFORMS §280-124 ++ i' =o
BOTH SIDE YARDS F 25 30.6 30.35 CONFORMS §280-124 ++ 0 ZONE AE m # ISSUE/REVISION DATE
REAR YARD F 35 48.25 NO CHANGE CONFORMS §280-124 +++ Nam°p ,• ZONE X \ (EL 6) =1
.00 FILING SET 07.01.2025
GROSS SQUARE FOOTAGE:** + \ T
BASEMENT SF -- 0 NO CHANGE UNFINISHED N PROPOSED WOOD
FIRST FLOOR SF) -- 1395 NO CHANGE -- L ��C+ OR COMPOSITE
SECOND FLOOR SF -- 440 376 -- �p � DECK.(213 SF� 1
TOTAL HABITABLE SF -2 319 1835 1771 CONFORMS ��'s�-a 1^ CID
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DRAWN BY:J.LACHAPELLE
* §280-124: FOR LOTS LESS THAN 20,000 SF i 20 DBH O CHECKED BY:J.LACHAPELLE
Que
** REMOVE EXISTING 0 1�� ___ rcus palustris
§280-207: FOR LOTS BETWEEN 10,000 AND 19,999 SF DECK (253 SF) � �� I NOTE:THIS IS AN 11":17"SHEET
§280-208 PYRAMID LAW CONFORMANCE REQUIRED 'I i +i (PI OAK) O DRAWINGS MAY BE PRINTED NOT TO SCALE
PROPOSED SCREENED
PORCH(253 SF) „ A. �+� `� + C LaChapelle Architecture PLLC
PROPOSED ATTACHED CARPORT w/ P.O.Box 1251
PV PANELS (216 SF)-VIOLATES i ++ + �� I� o =
PRIMARY FRONTYARD SETBACK ���' \ 1 z I I -� Majake k; ch 11952
. \ l-�• + 1 111 , _ - O (646)251-5058 jakeQlachapellearchitecture.com
+ m
REMOVE ASPHALT Xr REROUTE w z
DRIVEWAY AND WATER
RECONFIGURE FOR 30; =+�' �w— 1� SUPPLY + 1 �i1 ' NI
CARPORT LOCATION; 2 ��\\� / 2 STORY + g.0 I Pp 2 DBH
USE PERMEABLE - �, ._ , FRAME + I� 01 Querc palustris�
SURFACE = �� / i�I 'l PI OAK
;r-o.:.. i:✓ + + ' ( ) UP 5 2025
DWELLING 1
Sri i 1+ (1,394 SF) 32
Southold Town � y
Board of Trustees
13'-6'� `12 0
m W.M. r - ,- -
CA)
— + RAISED
BILCO cn in +
PLANTING
35�0" , �'i HATC mi m C." ++ J
G w RUARYFROJV ARD I - ; 03 D o �+ BED I —
o� 3ETB \ o SITE PLAN
30"DBH
Quercus palustris
_ OUTDOOR PIN OAK 0 0 SHEET NO:
_ +
SITE PLAN Z\ — — 139.OU EXIST.200A ++ SHOWER ( ) PROJECT TRUE
O1 _ � S 83°00'00"W +++ (1O jTH NORTH ��
SCALE: 1/1'6�� — 1 -0�� PROPOSED SHED SERVICE
(96 SF) ++ SHEET 1 OF 1
ZALISHNICK-DRACHMAN
845 MILL CREEK DRIVE
SOUTHOLD,NY 11971
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# ISSUE/REVISION DATE
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CHECKED BYrJ.LACHAPELLE
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" Trustees Mattituck,NY 11952
REFRIG. (646)251-5058 jake@lachapeliearchitecture.com
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RETURN ; _____ _
LIMIT OF CATHEDRAL CEILING P.O.Box 1251
I Mattituck,NY 11952
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SCOPE NOTES 11 ,~ (646)251-5058 jake@lachapellearchitecture.com
1. RELOCATE LAUNDRY TO BASEMENT 8-12 xi
- - - - - - - - - _ f
2. INSTALL RADIANT UNDERFLOOR HEATING BATH 2 _ _ _ _ _ ( _ _ _ _ _ _ _ --_ _ _ _ --
UNDER NEW TILE FLOORING DN
3. INSTALL NEW 2-ZONE HEAT PUMP
DUCTED HVAC SYSTEM
4. INSTALL SKYLIGHTS CATHEDRAL CEILING
5. INSTALL NEW STORMWATER DRAINAGE
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LaChapelle Architecture PLLC
P.O.Box 1251
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Mattituck,NY 11952
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PROPOSED CARPORT NEW PARTITION # ISSUE/REVISION DATE
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FRAMING .00 FILING SET 04.15.2025
PLANTER
1 I DRAWN BY:J.LACHAPELLE
- - CHECKED BY:J.LACHAPELLE
- 60"x30" NOTE:THIS IS AN 11"x 17"SHEET
1 - - - DRAWINGS MAY BE PRINTED NOT TO SCALE
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LaChapelle Architecture PLLC
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P.O.Box 1251
s !' Mattituck,NY 11952
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BENCH, q F P 5 2025
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COAT PEGS
1 Southold Town
� 1 Board of Trustees
1 ARE D A R
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SEE A9 FOR FIRST FLOOR DOOR SWING REVERSED
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/ RESIDENCE
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/ (10.) SOUTHOLD,NY 11971
/ NORTH LOT LINE .
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PROPOSED CARPORT NEW PARTITION # ISSUE/REVISION DATE
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LaChapelle Architecture PLLC
J P.O.Box 1251
1 J Mattituck,NY 11952
1
1 BENCH,
S F P 5 2025 4 251-5058 jake@lachapellearchitecture.com
SHOE CUBBIES,
COAT PEGS SoutholdTown
Board of Trustees ARE D A R
--- - MATCH LINE REPLACE FRONT DOOR; MATCH LINE .
SEE A9 FOR FIRST FLOOR DOOR SWING REVERSED
&Al2 FOR CARPORT
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BEDROOM 1
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PROPOSED
DETACHED
CARPORT PLAN
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SCALE: 1 4 = 1 -0 �=
SHEET 7 OF 7
S.C.T.M. N0. DISTRICT: 1000 SECTION: 135 BLOCK: 3 LOT(S):36.1
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Southold Town-
Board of Trustees
l ,
FEMA MAP#36103C.0158H
EFFECTIVE 09/25/2009
THE WATER SUPPLY; WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
UPLAND AREA: 10,863 S.F. or 0.25 ACRES AND OR DATA OBTAINED FROM OTHERS
AREA: 11,748.5 -S.F. or 0.27 ACRES ELEVATION DATUM: NAVD88
UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING 7HE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO-MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER.IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUC-TURES.RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY 'OF NFL CERTIFIED TO: 845 MILL CREEK LLC;
MAP OF: P _,N M• w0 0 EMINENT ABSTRACT, INC.;
CD
FILED: 4-�
WESTCOR LAND TITLE INSURANCE COMPANY;
SITUATED AT: SOUTHOLD a
r � -
TOWN OF: SOUTHOLD a
KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFO.LK COUNTY, NEW YORK 20F . 050882 Professional Land Surveying and Design
I At IN, P.O. Bog 153 Aquebogue, New York 11931
=FILE # 144 SCALE: 1"=20' DATE: OCT. 26, 2023 PHONE (631)298-1588 FAX (631) 298-1588
N.Y.S. LISC. NO. 050882
irES
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631) 369-9445
Wetland Project Management
PHOTO SHEET
845 MILL CREEK DRIVE
SOUTHOLD, NY 11971
SCTM No.: 1000-135.00-03.00-036.001
PHOTO 1—AERIAL FROM ABOVE
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L F SUFFOLK SOUTHOLD N JW(2,) Ic- COUNTY 0 'ecT'O
Real Property Tax Service Agency y 5
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Town Hall Annex
Glenn Goldsmith,President r'f{�- ���� b 06];t�, `-�;:.
54375 Route 25
A. Nicholas Krupski,Vice President `"i `5 w
i kk P.O.Box 1179
Eric Sepenoski Via. Southold,New York 11971
Liz Gillooly C- , j Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
J }
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only
Coastal Erosion Permit Application
_X—Wetland Permit Application
Administrative Permit
Amendment/Transfer/Exte sio
Received Application: ' 2 -
Received Fee: $ 1.a,57Y _
_ Completed Application: ID �J
Incomplete:,
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
LWRP Consistency3Asss ment Form Sent: f0 � D1j�
CAC Referral Sent:Date of Inspection: IJ
Receipt of CAC Report: IUA. FFP 2025
]'
Technical Review:
--� —Public Hearing Held: 412d
Southold Town
Resolution: Board of Trustees
Owner(s) Legal Name of Property (as shown on Deed): 845 Mill Creek LLC
Mailing Address: 845 Mill Creek Drive,Southold, NY 11971
Phone Number: 347-432-4471
Suffolk County Tax Map Number: 1000 - 135.00-03.00-036.001
Property Location: 845 Mill Creek Drive, Southold, NY 11971
(If necessary, provide LILCO Pole 4, distance to cross streets, and location)
AGENT(If applicable): Cole Environmental Services
Mailing Address: 425 Montauk Hwy, East Quogue, NY 11942
631-369-9445 Info@ColeEnvironmentalServices.com
Phone Number: � Email:® _ _
Cf.ArC stn)`
1 o/3d� S
AS 425 Montauk Highway
' East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
845 Mill Creek LLC
845 Mill Creek Drive
Southold, NY 11971
SUM NO: 1000-135.00-03.00-036.001
Proiect Description
Proposed 213 square foot rear deck(approximately 30'x 8'). Removal of existing 253 square foot deck
on north side of house and construction of proposed 253 square foot screened porch(12'x 21T) in its
place. Proposed 216 square foot carport with PV panels in front yard (12'x 18'). Water line to be
rerouted. Removal of existing asphalt driveway and installation of new permeable driveway. Proposed
96 square foot shed in front yard (8'x 12'). Proposed 4' wide raised planting bed on south side of
house. Second floor footprint to be reduced by 64 square feet. Proposed footprint remains within
existing footprint.
www.ColeEnvironmenta[Services.com
3oa.rd of Trustees Applica: )n
GENERAL DATA
Land Area(in square feet): .11,748.5
Area Zoning: R-40
Previous use of property: Residential
Intended use of property: _Residential
Covenants and Restrictions on property? Yes _ _No
If"Yes", please provide a copy.
Will this project require a Building Permit as per Town Code? . 7 Yes _nNo
If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? =Yes _Z_No
If"Yes", please provide copy of decision.
his project re any demolition as per Town Code or as determined by the Building Dept.?
Yes _ 1Vo
Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No
Prior permits/approvals for site improvements:_
Agency Date
Southold Trustees 8/28/1986
❑ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No_a Yes
If yes, provide explanation: .
Project Description (use attachments if necessary): Please see attached project description.
Board of Trustees Applica )n
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: The purpose is for personal enjoyment and to use
the living space more efficiently.
Area of wetlands on lot: ±100 square feet
Percent coverage of lot: 15.17 % existing and 20% proposed
Closest distance between nearest existing structure and upland edge of wetlands: 38.9 feet
Closest distance between nearest proposed structure and upland edge of wetlands: +3 1 feet
Does the project involve excavation or filling? ❑✓ No Yes
If yes, how much material will be excavated? cubic yards
How much material will be filled? . cubic yards
Depth of which material will be removed or deposited: feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason.of such proposed operations (use attachments if appropriate):
There should be no effect on wetlands or tidal waters. The property is bulkheaded with
a concrete wall and is not drastically sloped. Silt fencing will be utilized as needed.
, - 7
617.20
Appendix B
Short Environmental Assessment Form
.-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 I 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:
845 Mill Creek-Addition
Project Location(describe,and attach a location map):
845 Mill Creek Drive, Southold, NY 11971
Brief Description of Proposed Action:
Please see attached project description.
Name of Applicant or Sponsor: Telephone: 631-369-9445
Cole Environmental Services E-Mail: info@ColeEnvironmentalServices.com
Address:
425 Montauk Hwy
City/PQ: State: Zip Code:
East Quogue NY 11942
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
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.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes, list agency(s)name and permit or approval:
1:1
-, Southold Building Department, Southold Planning Board ❑✓
3.a.Total acreage of the site of the proposed action? Q 27 acres
b.Total acreage to.be physically disturbed? 0.04 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0.27 . acres
: . Che l land us at occur on,adjoining an ar the propy d action.
Urban Rural(non-agriculture) Industrial Commercial ❑✓ Residential(suburban)
Forest ❑Agriculture MAquatic QOther(specify)'
Parkland
Page Y of 4
5.._Is the proposed action,' NO YES! N/A
a. A permitted use under the zoning regulations?
d ✓
b.Consistent with the adopted comprehensive plan?
6. Is the proposed action consistent with the predominant character of the existing built or natural _NO . .YES
landscape? ✓
7."is the 'ie of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO -.'YES-
' .
If Yes,identify: _PeQ_niQ[3ay anci_E�ly�Mn_ , Reg- atQry Tidal_Wetland Ares,
_Mill Creek _ Q .Q✓
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
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? ✓
9.Does the proposed action meet or exceed the state energy code requirements? NO
If the proposed action will exceed requirements,describe design features and technologies:
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water:,
11 Will the proposed action connect to existing wastewater utilities?
P P g iNO 'YES,
If No,describe method for providing wastewater treatment:_
11. a.'Does the site contain a structure#hat is listed on either the State or National Register of Historic NO ' YES`,
Places?
b. Is the proposed action located in an archeological sensitive area? Located in Archaeological ;
Buffer Areas ✓ ;
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain 'NO YES
wetlandsor 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?
,i
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres::.
14. __ .ratify the typical tbitat types that oc n,or are likely to be found on tf�roject site. Check all that apply:
Shoreline Forest Agricultural7grasslands Early mid-successional
✓ Wetland Urban ✓Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES '
by the State or Federal government as threatened or endangered?Bats,Loggerhead, Leatherback, Green
Turtle, Kemp's or Atlantic Ridley
16-Is the project siie 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? NO . .
If Yes, ^ ❑
a. Will storm water discharges flow to adjacent properties? WI
O ES
b.Will storm water discharges be directed to established conveyance systems ff an m drains)?
If Yes, briefly describe: ONO YES
New stomncater-drainage-to-beinstalted.
Page 2 of 4
, e
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond, waste lagoon, dam)?
If Yes,explain purpose and size:
19.Has the site of the proposed action or an adjoining property been the location of an active or closed .NO . YES ,
solid waste management facility?If Yes,describe:
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO .YES
completed)for hazardous waste?
If Yes,describe: ,
,
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
T KNOWLEDGE
Chris Cole, $/6/25 Applicant/sponsor name:- ole Environmental Services Date:
Signature:,
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all ofthe.following
questions in Part 2 using the information contained in Part 1 'and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
` 'small to large
impact impact
may may
4
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations? ❑`
2. W it l the proposed action result in a change in the use or intensity of use of land? ❑
3. Will the proposed.action impair the character or quality of the existing community?
j 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit, biking or walkway? ❑- ❑
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑
'reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing: a
a.public/private water supplies?
f
b.public/.private wastewater treatment utilities? ❑- ❑
_.
S. Will the proposed action impair the character or quality of important historic,archaeological,
architectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands,
waterbodies,groundwater,air quality,flora and fauna)? : 1 ❑.
- J
Page 3 of 4
1
No,or Moderate
small to large
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health? EJI
E J
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and
cumulative impacts.
i Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
' 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.
Town of Southold-Board of Trustees
a Name of Lead Agency - Date "
j President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer.
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
PRINT
_ .._ Page 4 of 4
loard of Trustees Applica'' �n
,AFFIDAVIT
Jordan Drachman on behalf of 845 Mill Creek LLC BEING DULY SWORN
DEPOSES AND AFFIRMS THAT 119/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF
GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
ignature of Property Owner Signature of Property Owner
SWORN TO BEFORE ME THIS `.b -DAY OF .. r 1 ;20. 2� _
- ary ublic Not MOIRA NEWMAN
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OINE6440268
Qualified in Queens C mL20
My Commission Expires: 2 io
Board of Trustees Applic� on
AUTHORIZATION
(Where the applicant is not the owner)
Jordan Drachman on behalf of 845 Mill Creek LLC
I/We,.. ,
owners of the property identified as SCTM# 1000- 135.00-03.00-036.001 in the town of
Southold ,New York, hereby authorizes
COLE ENVIRONMENTAL SERVICES, to act as my agent and handle all
necessary work involved with the application process for permit(s) from the Southold Town
Board of Trustees for this property.
roperty Owner's Signature Property Owner's Signature
r�
SWORN TO BEFORE ME THIS I �. ._ DAY OF: 1.24_ Z�
Notary Pu lic
MOIRA NEWMAN
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OINE6440268
Qualified in Queens C a;o
My Commission Expires: 2 6
APPLICANT/AGENT/REPRESENTATNE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold'§Code of Ethics proluli tszonflicts of interest on'ttie earl off officers anti emt�loyees 3 he:»ut Bose of
this-form:is to- rovideinformation which can alertthe town of co osMble nflicts of mterestandaliow it to take whateveraction is
necessary'to avoid same:
Jordan Drachman on behalf of 845 Mill Creek LLC
YOUR NAME:
(Last name,fast name,o»ddle initial,unless you are applying in;the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee X
Change of Zone Coastal Erosion
Approval ofplat Mooring
Exemption from plat or official map Planning
Other
(If"Other'',name the activity.)
Do you personnlly(or through your company;spouse,sibling,parent,or child)have a relationship avith any'officer or employee
of the'I ojvn:of Soutlioid? "Relationship"includes by blood,tgarriage,.or business interest°"Business interest"means:a business,
including a partnersUip,to.which the town officer or employee h even'a partial ownership:o[(or employment by,).a corporation
in which the town,O!Tcer:or.employee'o vns entire than 5%of the shares.
YES NO —I
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold_
Title or position of that person.,
Des cribe�tlie.relationship bctwcen yourself(the dppligi ntlagent/representative)and the town officer or employee.Either check
the appropriate line A)through'D)aadlor describe,;in tiiespace provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner'of greater'than 5%,of thesliares:of the.corporate stock of the applicant
(whenahe applicant is a corporation);
legaror'beneficial owner,of ony interest in a,
in entity(when the
applicant is.not„a corporation),
G)an;officer,d�rector,;partneq or:employee:oEtheapplicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this I f—day of 20 of
Signature
Print e
Form TS 1
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The-.Town ofSouthold's.Code.of Ethics prohibits conflicts of interest on-the oarCoftown officers and employees.The purpose of
this formls to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same:
YOUR NAME: Co e', CAriIT C•
(Last name,first name,ipiddle initial,unless you are applying iri..the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",name the activity.)
Do you persbnally(orthrough your company,spouse,sibling,parent;or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"include's by blood,:marriage,or business"interest;"Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial.ownership of(or employment by)a corporation
in which the town.ofiicer or employee owns more thon.5%of.the shares.
YES �. NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold,
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
fjA)the owner of greater than S%o of the shares of the corporate stock of the applicant,
E[ (when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity.(when_the
applicant is not a corporation);
_ C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted t i day of SC(J66er- 20 2S
Signature_ r _
Print Name. r; e2- C e
Fortn TS I
Board of Trustees Application
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#:
NAME: ADDRESS:
3
STATE OF NEW YORK
COUNTY OF SUFFOLK
residing at
being duly sworn, deposes and says that on
the day of , 20 , deponent mailed a true copy of the
Notice set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite their respective names; that the addresses set opposite the
names of said persons are the address of said persons as shown on the current assessment roll of
the Town of Southold; that said Notices were mailed at the United States Post Office located at
that said Notices were mailed to
each of said persons by CERTIFIED MAIL/RETURN RECEIPT.
Signature
Sworn to before me this
Day of 120
Notary Public
I 'NG
NUTICEL.' Oi�
HEAmil
NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the
Town Hall, 53095 Main Road, Southold, New York, concerning this property.
OWNER(S) OF RECORD: 845 MILL CREEK, LLC
SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 1,395sq.ft.
(footprint) one-story dwelling and to construct a 213sq.ft. (approximately 30'x8')
seaward deck; remove existing 253sq.ft. north deck and construct a 12'x21.1'
(-253sq.ft.) screened porch in-place; reduce the seco-nd_ floor footprint by 64sq.ft.;
construct a proposed 12'x18' (216sq.ft.) carport with PV panels landward of dwelling;
reroute existing underground water line; remove existing asphalt driveway and install
a permeable driveway; install an 8'x12' (96sq.ft.) shed landward of dwelling; and-to
install a 4' wide raised planting bed on south side of dwelling. Located: 845 Mill Creek
Drive, Southold. SCTM# 1000-135-3-36.1
TIME & DATE OF PUBLIC HEARING: Wednesday, November 12, 2025 —
at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town
file(s) which are available online at www.Southoldtownny.gov and/or in the Trustee Office until to the day
of the hearing during normal business days between the hours of 8 a.m. and 4 p.m.
BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892
E
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will ,be evaluated as to its siificant
beneficial and adverse effects upon the,coastal area(which includes all of Southold Town).
3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listing both supporting and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions,.it shall not.be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTAV 1000 -135.-3 :36.1
PROJECT NAME 845 Mill Creek-Addition
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital ❑
construction,planning activity, agency regulation, land transaction) ❑
(b) Financial assistance(e.g.grant, loan,subsidy)
(c) Permit, approval, license,certification:
Nature and extent of action:
-Please see attached project description.
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
845 Mill Creek LLC
845 Mill Creek Drive
Southold, NY 11971
SUM NO: 1000-135.00-03.00-036.001
Protect Description
Proposed 213 square foot rear deck(approximately 30'x 8'). Removal of existing 253 square foot deck
on north side of house and construction of proposed 253 square foot screened porch (12'x 21.1') in its
place. Proposed 216 square foot carport with PV panels in front yard (12'x 18'). Water line to be
rerouted. Removal of existing asphalt driveway and installation of new permeable driveway. Proposed
96 square foot shed in front yard (8'x 12'). Proposed 4'wide raised planting bed on south side of
house.' Second floor footprint to be reduced by 64 square feet. Proposed footprint remains within
existing footprint.
www.ColeEnvironmentalServices.com
i
i
i
Location of action: 845 Mill Creek Drive, Southold, NY 11971
Site acreage: 0.27 acres(11,748.5 s.f.)
Present land use: Residential
Present zoning classification: R-40 _
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: .Cole Environmental Services on behalf of 845 Mill Creek LLC
(b) Mailing address: 425 Montauk Hwy, East Quogue, NY 11942
(c) Telephone number: 631-369-9445
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes ❑✓ No❑ If yes, which state or federal agency? NYSDEC
C. Evaluate the project to the following policies by analyzing how the project will further support or
not support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST-POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LV RP Section III—Policies; Page 2 for evaluation
criteria.
❑�/ Yes No Not Applicable
Proposed construction is in keeping with the character of the community and maximizes distance to the wetlands to the greatest extent possible.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
R LWRP Section III—Policies Pages 3 through 6 for evaluation criteria
0 Yes ❑ No ❑ Not Applicable
Proposed addition is modest and keeps the footprint of the existing residence. No excavaty,.. proposed.
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
W Yes ❑ No❑ Not Applicable
Proposed construction is in keeping with the character of the community and maximizes distance to the wetlands to the greatest extent possible.
-- -
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages S through 16 for evaluation criteria
❑✓ Yes ❑ No ] Not Applicable
The existing concrete wall protects the property from erosion and flooding.
Attach additional sfieets if necessary -
Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
W1. Yes ❑ No ❑Not Applicable
New stormwater drainage system to be installed.
Attach-additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
❑ Yes ❑No 7 Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the,Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
® Yes ❑No Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑.Yes ❑ No ❑✓ Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation
criteria.
Ye❑ No ✓❑ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLIC:ir,a
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III• -Policies; Pages 47 through 56 for evaluation criteria.
❑Yes ❑ No ❑✓ Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III—;Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No❑✓ Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages
62 through 65 for evaluation criteria.
❑Yes ❑ No❑✓ Not Applicable
I
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; Pages 65 through 68 for evaluation criteria.
Yes ❑ No Not Applicable
PREPARED BY Chris Cole TITLE Agent DATE 8/6/25
1. ___ y__ I � i • _
I!
-= 425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
i
Wetland Project Management
i
Town of Southold
Board of Trustees
54375 Main Road
P.O. Box 1179 fl
SS05�01d
�Y E
Southold, NY 11971
Re:845 Mill Creek-Addition2025
845 Mill Creek LLC
845 Mill Creek Drive, wn
ees
Southold, NY 11971
SCTM: 1000-135.00-03.00-036.001
To whom it may concern,
Client seeks to renovate the existing residence for personal enjoyment and to use the living space more
efficiently.
Please find the enclosed items:
1. Application fee of$1,250.00(Check#1203)
2. 4x Application with attached project description
3. 4x SEAF Form with attached project description
4. 4x Affidavit,Authorization, &Applicant!Transactional Disclosure Form (1 orginal, 3 copies)
5. 4x Operating Agreement
6. 4x Agent Transactional Disclosure Form (1 orginal, 3 copies)
7. 4x LWRP Consistency Assessment Form.with attached project description
8. 4x Survey by Kenneth M. Woychuk of Professional Land Surveying dated 10/26/23
9. 4x Site Plan by Jake LaChapelle of LaChapelle Architecture PLLC dated 7/1/25
10. 4x Photo sheet
Should you need anything further, please do not hesitate to contact us.
Sincerely,
Summer Looney
Info@ColeEnvironmentalServices.com
Cole Environmental Services, Inc.
www.ColeEnvironmentalServices.com