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Bailey Investment Group II, LLC
_'� gOFFO(p- `L Glenn Goldsmith,President ����0 GOGy.` - Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski nx, P.O.Box 1179 Liz Gillooly P, • o! Southold,NY 11971 Elizabeth Peeples �l + �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Jeffrey Patanjo on behalf of BAILEY INVESTMENT GROUP II, LLC requests a Wetland Permit to remove existing 4'x30' fixed dock and construct in-place a new 4'x30' fixed dock that includes 4' wide landward steps up to fixed dock and 4' wide seaward steps down; and for a proposed 4'x20' long fixed "T" section off seaward end; all decking to be Thru-Flow; and to maintain existing 25' wide non-disturbance and 15' wide non-turf buffers. Located: 910 Glenn Road, Southold. SCTM# 1000-78-2-27 Type of 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: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples Glenn Goldsmith,President �o�� Co�y Town Hall Annex A.Nicholas Krupski,Vice President �. :'c . 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y • o�`� Southold,NY 11971 Elizabeth Peeples �Ol + �a Telephone,(631)765-1892 Fax(63.1)765-6641 Southold Town Board of Trustees Field'Inspection Report Date/Time: 0 -1 Completed in field by: L• GA tO BAILEY INVESTMENT GROUP II, LLC requests a Wetland Permit to remove existing 030' fixed dock and construct in-place a new 4'x30' fixed dock that includes 4' wide landward steps up to fixed dock and 4' wide seaward steps down; and for a proposed 4'x20' long fixed "T" section off seaward end; all decking to be Thru-Flow; and to maintain existing 25' wide non-disturbance and 15' wide non-turf buffers. Located: 910 Glenn Road, Southold. SCTM# 1000-78-2-27 Tv of area to be impacted: / TvSaltwater 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: ✓ Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: - C3 i 5 +Oe-6CA v7 v2 CA,Veix _ -- - oi-e- .Y� cA_')®o a •� 2 1.�e�c /C o py, `i i A� d+P vtlq—t-; 1" t- T- " o� 4vt" - CL ba 4 Present Were: J G. Goo smith J N. Kr ski E. Sep enoski . ✓L. Gillooly E. Peeples a Wne Neck Road`:" m Ile cz c ® Duster Ai �o J E e G ao" E E Qebrv(ewAvenue ROJECT... Dean! ti LOCATION. � `` LANDWARD EDGE OF TIDAL WETLANDS AS LOCATED BY ROBERT ANDERSON, SUFFOLK ENVIRONMENTAL eSOO - - �. .:, - JULY 21, 2022 / Sc G v / G\e��Rpad 8;to.E v - and Drive'. �O �L Glen Road P WTF01� 100' WETLANDS SETBACK 75' WETLANDS ec #2 N SETBACK \ I POOL ae`Paa �r' ,co .�, I Z� FILTER .I ¢ 'DW 2 , u) ` I� #3 DW PROPANE LOCATION MAP �" 1 WrF#4`a GRAVEL DRNEWAY N.T.S. T' WIDE ACCESS I\ POOL \\ W o DOCK n II \ WTF#5* \ 2 STORY WALK 's \ x \ FRAME r�r \ ram" HOUSE x WATER DEPTH REFERENCED TO MLW AS va s s+ \� rl \ BLUESTONE \ 9 GARAGE w �' o s #6 o zx PATIO \ _ SLATE MEASURED BY JOHN GERD HEIDECKER, L.S. st s \\ o mL _ / PORCH R[:AI:I8 o ` `\ 1DwI 1p k \ \ t \ ► 00 o -\ F#7 t WINDOW AC UNITS 2025 0 0 0\ I WELL Southold Town S 02'47'10" W 246.34' 10 Amrrj nf Tn iqtpp,.; _ 10 NOTES: PROPOSED REMOVE AND REPLACE EXISTING 30'LONG $ PROPOSED S 0 CCA PILES (TY .� 8 X 4'WIDE FIXED DOCK IN SAME LOCATION AS 1. LOT AREA: 29,348 S.F / 0.673 ACRES PROPOSED THRU-FLOW DECKING ON ENTIRE PIER EXISTING. ALL DECKING TO BE THRU-FLOW FOR 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PROPOSED 4 WIDE X 20 34' PROPOSED 4' WIDE X 30' LONGENTIRE LENGTH.SEE TYPICAL SECTION,THIS SHEET.FIXED PIER PECONIC SURVEYORS, PC 6 ' " 6 PROPOSED 4'WIDE X 20'LONG FIXED DOCK P.O. BOX 909 THRU-FLOW DECKING TSECTION WITH THRU-FLOW DECKING. 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 4 — _ _ _ • • _ 4 �� DATED: MARCH 25, 2024 (REVISION) _M.H.W. EL. 2.40t _ _ _ __ _ _ �o • 2 2 PROPERTY OWNER: BAILEY INVESTMENT GROUP II, LLC M.L.w EL .o.00t 298 CLARK ST., P.O. BOX 692 SCALE: 0 0 MILLDALE, CT 06467 Proposed Permit Plans 1"=30' —2 EXIS ING GRADE —2 ?; PROPOSED PLAN, DETAILS AND IDBA-T4-25 PREPARED BY: LOCATION MAP JEFFREY PATANJO —4 —4 P.O. BOX 27 910 GLENN ROAD FARMINGDALE, NY 11735 TOWN OF SOUTHOLD 631-487-5290 SUFFOLK COUNTY, NY TYPICAL SECTION JJPATANJO@GMAIL.COM TAX MAP NO. 1000-78-02-27 SHEET: N.T.S. 1 OF 1 i J. .._... Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York State Education Law. Copies of this survey map not HEIDECKER LAND SURVEYING bearing the land surveyor's inked or embossed seal shall not be considered to be a valid copy. SECTION 078.00—BLOCK 02.00—LOT 027.000 M c � x15 � ECEIVE A U G 8 2025 % x,o5 x,moos15 ' ' \ x °° x�1y x.�° G Southold Town \/ BDard of Truste-,s NOTES 1. FIELD WORK WAS CONDUCTED JUNE, 2025 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. NEP° 2. NORTH ARROW IS BASED UPON GPS OBSERVATIONS CONDUCTED BY HEIDECKER LAND SURVEYING, PLLC. 3. ELEVATIONS SHOWN REFERENCE MEAN LOW WATER (MLw) VERTICAL DATUM. ��.OF NEW 0 10 20 30 METERS 0 JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: BATHYMETRIC SURVEY SHED NO. FEET P.O. BOX 135 JUNE 26, 2025 I SECTION 78—BLOCK 2—TAX LOT 27 PROJ. NO. 0 20 40 60 $0 �F,�, ��� AQUEBOGUE, NEW YORK 11931 DRAWN BY: B.M. �O 050-�a' S �1 (631)-772-9604 CHK BY: J.H. 910 GELNN ROAD 25HLS31 FD LAND S TOWN OF SOUTHOLD CAD FILE: GRAPHIC SCALE 1" = 20' jheidecker®heideckerls.com SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK 25HLS31FP.DWG ---�-. . F.._ _ _ . II r:-, ,-.. ,� :r.e; .__, , _ .ALL: L0T COVERAGE CALCULAT"0'' .: SURVEY 'OF PROPERTY zT EX/STJNG HOUSE:& PORCH �2953 Sq Ft " A _'SOV.TLD P00L = 600 `:SIFT N PROPOSED PAT10 1079 SQ FT mn�p�T O �,rO T TRr />)T • - TOTAL PROPOSED COVERAGE 4832 Sq Ft 1 V I,1 Y �7. U 1. VL - . BUJLDABLE AREA ;OF LOT 13133 SQ FT /r r r�r v v LANDWARD: OF WETLANDS SUFFOL 'CiQV1il T l N.1. 13133/4632 0 200 or 20.T,1 - 1 V 76-02-27 - Q n - I SCALE 1' Lot Nos ore;.From.: Mop.Of West Greek : .JUNE 2,. 2022 Estates" Filed with the Seiiro/k Co CJerk;,', JULY`18, 2022 (PROP., HOUSE &,SEP 11C); ori. Aug 19; 1963-Flle No. 3848' . AUGUST 3, 2022 (FLAG WETLANDS) . , 22, 2022 (#evlslons Corrections)AUGUST SEP1E'MBER 7, �2022:: Revisions Per, Trustees) ` ,. I. ER 9,;° 0 o oc t II DECEMB 2 22 FoundatJ n L a Ion II II I ; . L Y, 3, 2023 (ONAL AS/B,,UIL T,S VEY) J JA NUARY 4, 2 24 (CERnFJCAT - S) MARCH 20, 2024'' PROPOSED =POOL;`PA TJO NO WELL.IMTNIN 150'' ) - OF SUBJECT PARCEL ' :MARCH 25, :'2024 (REVISION), . r--'' o„ UTILITY oAD CL EL'I0 &8¢ POLE' GL c� � � N l `� -� XCL .< STREET �„ . ,: ' �,�1! " ,• 9.9.,;:� TER EO d��" rs :. EL IN P 6'. E ohri , F!Y r-'" "--o,�/ E.- BBB CURB Fin �H�r.ti unurY 8 20 �. MTR t P o;v �+ R=129:83 100 00 a a C� Q . - Southold Town gg �' p`a J' V r''' dlru W e Board of,Trustees s , tV ,:�:M (S)=3 :DEEP i_ - 5 2 ? QV.",J: ati,M ., .. x8'DIA:LP'sfEX , . W e. 4 r- `c lP3 p4 `. `�j I Q - J ' LP' W 0 2 '.:'CRY a5 wALx fv�r .c°, i„WD, y SPQR N ° C 5 "'aF 23 0 1 �Recf:. 2 s �, - .8.: /: 6 cja ..."I , �J2.st°ar S€011C SYSTEM AS INSTALLED O � coR - , DW 9 6 1B 5 NAp �, D.2 BB FRIJAC - pj' FUJI.CLEAN'CEN 5 !A SEPTJC TANK I 4 sraFrr . A CURB o C . 5 8 FT DlA X 3 FT. DEEP PRECAST GATE FRAt1E HOUSE o(b ", $HEp N. d R f � ° CUR CO � ' CONCRETE LEA'CN/NG`R/NGS X ( (Frn Flr 212 213 1')., "' 0 4 5'E o 3 ', . COS .- -' 0-0-W, k; PROPAN SLA tE ; t FRAME O Q /L SCDHS REF No R-22 1594 s.2 z3 o PORCH ,� 20 SHED m r 9 SEPTIC L OCA TION`` z a . ~A •~B V k 3I 1 1 W COVo Q W) 100'-"r., N �� DW 31 S A 1T 22'. s K 6 POOL Q GAZEBO j' ST 8:0' °e ,`'. . LP 1 33' 33' POOOL.'' - co? FILTER PROPOSED t}0 E - . k BLUESTONE` 1-"1,_�.I,.�l-�-.._.�'.,i--,,:iI.I,,.:""Ii 11 Il�'-_-1I,I...:.�`_'.�;1,1,--II'.":I.:�I..I.,�`"I-1,.",,.,_--..:.,�.:��.I�..,I,."F IIl.-II-l,�'.,i_-I..!,:,"'7,..--1;i�i:....,t1.1��..,'_I�,,�.Z:.1,,I,.1 I"I I��.I.,-,....--..-�1-1'-.:I,,--.,I-�.IlI-I1.'.,.—".I...,,,.'"--I.,..44':1'.,,�t-I',.I-�-.�1.,;-.,I-,..I:1.�I.;I,�:1:.,."-1i�"�II r�LrX:� -- -" X ____X PA710 e} , - . SEPTJC DESIGN C0 wEt �i45 56.1 . <I g ME AL,FE BY GLMIS BERRY 6 1 ; 5 o N, �-%.",_I."1-I-.�z.,.�I.-c�-,.,-It�I i%iI.,...,",-.—�,�1�11I-��,Z;,.,"-..,I,!I� NYS UCENS£D %IRCNITECT - n LOr`'11 , 4r W 3' • . " �. W° 25' NONSIURBANCE/ ACCESS. CK: tp . -; . : , NON FER \�' O. TURF BUF o �. h Z. i5' NON„TURF . �•, MBER - ' - a \BUFFER 5 . RET.,WALL . TEST'HOLE;DATA : A , DON .p GEOSCrENCE ' . p OF' FE,,END os/�z/ th'. AM - - TOP-OF-BANK . MNWM, Fy7 4. E[ ass" EL5 3 - DARK.BROWN-LOAM OL.' M,, ,,`'• l 11 EL4: ' s wt 1. > F#6: A ;yy� - TOP 0 W�F,yS - LANDWARD-,EDGE'OF ; 1'; . ;1JDAL:4ERANDS AS WLFy2 ,,6 MN ATWA BROWN k7T SAND SM ;LOCA;JED:.BY,,RpgTj� W4F�11 3 ANDERSON, SUfFO PALE'6ROKlV F/NE SAND'SP ENVIRONMEIyTAL ' -ZY21:?0?2 ' 8' ... ,. 5 ...r" ... gpW E _ w' ST , . . , EY. 2 0 . PAWL£ A K "a . '. ; , 10,0. . ,BR 0 WN fJNE SAND SP er e WL 'FLAG !ys2�4 „ f7 Q' a REBAR' S StO� ��j w % aJ. '�� ly:' S78 B(JLKNEAD �0 -.1 b4E l F WA1FR.ENCouN1ERED NFLL: j,OT 2' '� 8 W SURFACE ' • a STAKE a eek Development �: .` + TEST,HOLE LOT• .M oY' 298 K O ,r' ' .;. 1 e .. Subdivision f. Flesh C1'. i ap o:=1 9t P,lP£ Su4°lk Co • a - *`I y ■ a MONUMENT , Cttf►+ �,:� unurY POLE' ;. . ` � . �b :. . ELEVATIONS &::GONTOUR:•L/NES ARE REFERENCED .TO"NA.VD.,88' CER.TIF/CATIONS Borley /Hues#meat Group /l, LL S L C NO 051 32 D1 G N..Y.S`.-LTC .NO. 49618 ANY`i4L7ERATION'OR ADQI7/ON•;TO THJS;SURVEY'ISA;VIOLA'TJON P,,econrc Abstract,tlnc �PECONIC:S- VEYORS,. P.0 OF;'SECTION,72690E:7NE,NEW,PORK,STATE• EOUCAT/gN;.LAW_ SEewbrt. TTt/e,Insurance:Company, EXCEPT AS"'PER;SECTION 7209;SUBOIVISJON,2: ALL cERnFrcAnoNs (631)_;765- 020`FAX (t31) 765 1797 HEREON;ARE VALIL?`FOR 'THIS;MAP,AND;COPIES„7HEREOF ONLY JF P 0 BOX 9Q9 SAID'MAP•,'OR..COPJES',BEAR TH£"7MPRESSEO'SEA'L OF'"7NE.SURVEYOR`.;;; "` ::1230 TRA VEL'ER STREET `� WHQSE S/GNATIJRE"APPEARS HEREON AREA ,`�9,3. ;!. 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O J +$4 sae$aC n<•c.., �."4 y,,., _.' .� t • c COUNTY OF SUFFOLK© rvvr.:e �Ecncr�ra; 02 ,.. _ Real Properr Ta:8e k.A y W ra+YwoK wage r a dOU1110LD E +nn�_— r e,p�., -- ,,,.uy y.._, r )rq('mx+Ona A�rr4.W n5 HNrI refTrBselw6TE M eti c uwfeWtE — pmaanwlt 0T8 p r Cantrell, Elizabeth From: jjpatanjo@gmail.com Sent: Tuesday, October 7, 2025 9:19 PM To: Cantrell, Elizabeth; Hobson,Thomas Subject: Postings & Mailings Good morning, Slight issue popped up regarding the following projects: Bailey Investment Group-910 Glen Road Southold Zukowsky—1235 Lupton Point Road—Mattituck I didn't receive the packets in my PO box until this morning; this doesn't leave me any time to head back out that way to post the property, stake as required or prepare the mailings. Based on this, I have no choice but to table these two applications due to lack of posting or mailing. I try not to bother you too much because I know you are swamped but these clients aren't too happy to say the least. In the future I'll check in more regularly to see if I should be expecting anything so I can plan accordingly. Let me know if there is any chance at all these can be on for the 15tn Thanks!Jeff Jeffrey Patanjo P.O. Box 27 Farmingdale, NY 11735 M: 631.487.5290 JJPatanjo@gmail.com ATTENTION:This email came from'an external source. Do not open attachments or click on links from unknown senders or unexpected emails.. ,� 1 i OFFICE LOCATION: ._. U4 �., MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 � Southold,NY 11971 � '�' ' (cor. Main Rd. &Youngs Ave.) Telephone:631765-1938 Southold,NY 11971 r •, y0 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: October 8, 2025 Re: LWRP Coastal Consistency Review BAILEY INVESTMENT GROUP II, SCTM# 1000-78-2-27 This application is to replace an existing 4'x30' fixed dock with a new 4'x30' fixed dock that includes 4' wide landward steps up to fixed dock and 4' wide seaward steps down; and for a proposed 4'x20' long fixed "T" section off seaward end; all decking to be Thru- Flow; and to maintain existing 25' wide non-disturbance and 15' wide non-turf buffers. Located: 910 Glenn Road, Southold. SCTM# 1000-78-2-27 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposal is INCONSISTENT with the LWRP. The proposal is to extend the dock's footprint by adding a 4' x 20' fixed "T" section, which is inconsistent with Policy Standard 9.4 Assure public access to public trust lands and navigable waters. The creek is very narrow at this location with less than 40' between the end of the existing dock and the structure on the opposite shore. Adding the "T" section extends the length of the structure into the creek by an additional six feet (survey of existing shows a 28' dock, proposed is at 34') The remainder of the project could be found consistent if the "T" section is not added, and the new dock, after construction, remains in the same footprint as the existing. The new design incorporates best.practices to protect the intertidal zone and meet LWRP policies including the following: Policy Standard 6.3 Protect and restore tidal and freshwater wetlands The catwalk Is elevated at least four feet above grade in,the intertidal zone and constructed with light penetrating open grate decking so as to not impede the potential growth of vegetation beneath it. This will replace the existing solid decking to minimize adverse impacts to the tidal wetlands. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. 2 3 Art Glenn Goldsmith,President Town Hall Annex �F u�UT ' ®� ©r 1 54375 Route 25 A.Nicholas Krupski,Vice President . �' P.O.Box 1179 Eric 5epenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples " dl► mod' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only (,, Coastal Erosion Permit Application H E `=" E � "' LIE i Wetland Permit Application 0 . Administrative Permit __Amendment/Transfer/Extension A U G 8 2025 Received Application:- Received Fee: S. Southold Town Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _Coordination:(date sent): 'LWRP Consistency Assessment Form Sent: .5 x� CAC Referral Sent: 1ASr Date of Inspection:_ �fl. o1S (f S�af Receipt of CAC Report: _Technical Review: _Public Hearing Held: D:ek Na �ce Resolution: 4 Owner(s) Legal Name of Property (as shown on Deed): Bailey Investment Group II, LLC c/o Peter DiClementi Mailing Address: 298 Clark St., P.O. Box 692, Milldale, CT 06467 Phone Number: 860-621-3818 Suffolk County Tax Map Number: 1000- 78-02-27 Property Location: 910 Glen Road-Southold See location map (If necessary,provide LILCO Pole 4, distance to cross streets, and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address: P.O. Box 27, Farmingdale, NY 11735 Phone Number: 631-487-5290 Email: ,1JPatanjo@gmail.com _ Se'` < . 1o1-231as `���z RE: BAILEY INVESTMENT GROUP II, LLC 910 GLEN-RD--SOUTHOLD, NY SUM No. 1000-78-02-27 PROJECT DESCRIPTION Project includes the removal and replacement of existing 4' wide x 30' long fixed dock with new dock in same location as existing and the addition of a proposed 4' wide x 20' long t-section on the seaward end of the existing dock. All decking to be thru-flow, -maintain existing 20'-wide non-disturbance-non4urf buffer and 1-6-wide-non-tuff-buffer. >ard of Trustees Applicat., GENERAL DATA Land Area(in square feet): 29,348 Area Zoning: Res Previous use of property: Res Intended use of property: _ Res Covenants and Restrictions on property? Yes _ _No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? E—Yes LNo 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 _✓ _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 No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date ❑✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? NoE Yes If yes,provide explanation: Project Description(use attachments if necessary): See attached -<)ard of Trustees Applicat: WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See attached _ Area of wetlands on lot: 2,113 square feet Percent coverage of lot: 7.1 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands:0 feet Does the project involve excavation or filling? ❑✓ No Yes If yes,how much material will be excavated? n1a cubic yards How much material will be filled? n/a cubic yards Depth of which material will be removed or deposited: n/a. feet Proposed slope throughout the area of operations: 1-5 Manner in which material will be removed or deposited: n/a 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 will be a positive effect on wetlands due to installation of thru-flow decking on new proposed dock. Short Environmental Assessment Form Part I -Project Information Instructions for Comaletin2 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 910 Glen Road Southold Name of Action or Project: 910 Glen Road -Southold Project Location(describe,and attach a location map): See location map. Brief Description of Proposed Action: See attached description Name of Applicant or Sponsor: Telephone:p 860-621-3818 Bailey Investment Group II,LLC c/o Peter DiClementi E-Mail: peter@beaconelec.com Address: 298 Clark St. City/PO: State: Zip Code: Milidale CT 06467 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 Z ❑ 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.673 acres b.Total acreage to be physically disturbed? o.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.673 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ 7 ❑ b. Consistent with the adopted comprehensive plan? ❑ 7 ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 17] ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? F-7 ❑ b. Are public transportation services available at or near the site of the proposed action? W1 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed 71 ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES 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? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the 21 State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? IZI- b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ a If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 40 sf-dock `t :U11 Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: [Z]Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional mWetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? Northern Long-eared Bat ❑ Z 16. Is the project site located in the 100 year flood plan? NO YES W1 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, Z ❑ a. Will storm water discharges flow to adjacent properties? F77 I ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? FZ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: Z ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: Z ❑ 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 7 Applicantlsponsor/nam r / F Date: Signature: Title: Gfh PRINT FORM Page 3 of 3 Part 2-hopmAnament r—,,,--AdAgocybmpwwbio for ootompiedSO d"' I Answer all of the following F: r the Project sponsor or responses been remonAtemmidering the sale and context offtsimposed=don?" No,or Moderate small to'Ryp it hwet way may fur' occur 1: Will die proposed action CMt0a Material 0610flittwith 90 ZWd land M jMft;rkDn1118 2. Will to proposed action molt in a change in the use or inteasky of we of land? 3. Will the proposed action impair the danacw or quality of the exb6g community?; 0 L 4. Will the proposed salon have an Impact en the environmental chararaerlatics,the*ed the establishment ofa Critical Environmental Area(CHA)? S. Win the Proposed action result In an adverse chew in the exbft level of traffic of dkO existing Infixuactwe 1br ow bona,biking or walkway? 6. Will the proposed action cam an increase In ft two of energy and it Ms to Incorporate reasopft avalt"an consomWon or renewable MMqgpwtmldW I 7. Will the proposed e0on impact e*dvW a Ob'to V ri"ftwa WsnPP ri W. b.public privaft wastewater treatment utilities? p L Will the proposed action Impair the character or quality of Important historic,are"Osifti, archiftemal or askft resources? 9. Will the Proposed OWM twult In as adverse change to natural Mounm(e4,wedainda, wateriwdim grotindweer.air qtmifty,flora and fhuna)?. 13 10. Will the proposed action result In an Increase in the potential for erosion,flooding 4r drainage 11. Will the proposed acdork creme a hazard to environmerit6i resources or human bealth? L Pant 3-D*nnbmtkn9fslpMmnm The Lead Agow is responsible fbr the claim] dl=9t Part& Forevey question in,Pint 2 that was answered"moderate to large impact may acaue",,or if there ig a need to explain why a particular alment of the otoposed action may or will not result in a significant adverse anviranmehW impact please complete Pot 3. Part 3 should,In sufficlant detail,Identify the Impact,laclafts any measures or design�hmems the have bum Included by the psoject sponsor to avoid or radars impats. Part 3 should also explain haw the lead 0gancy determined that the impact may or will not be s1pricam Eacb potmfW Impm sWd bo w=wd wWAkft its sitting,pwWfty ofamft dumdoninuveW&Uiiy geographic strops mWmagnitude. Also consider the potendut tier short-term,long-term and cumulative impacts. ii and sis bo any Supporting T6eXdk box if you have determined,b9sWii aMV 0 am the proposed 941an mq result to ere ur,tnctre+Potentially large or sigirificant adverse impacts and anLVVIYMMemal Impact AMWAM Is"wlro& f you hove deteminiA based on the irAMM1101,and analysis Wwvt.and tray Supporting documentation. C box I that the proposed or=will not result to any signifimt adverse environmental i"SM. 0 TOM of SCOW-oow of Tnuoss Name of Loa Agency Progdent la Print or Type Name of Responsible'-Officer in Lead Agency '"Ve of Rii*pongible Officer J. Signature of ResponsibleResponsibleOfficer'6 Lead AgencySignature ofpMpuer(if jiffmK from Responsible OIT,C�F) ' �EAF Mapper Summary VOW �,.day, July 21, 2025 8:14 PM Disclaimer: The EAF Mapper is a screening tool intended to assist —� T project sponsors and reviewing agencies in preparing an environmental � ��•i assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks.Although Ewa;2 6 78 '\71 the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources to 4 confirm data provided by the Mapper or to obtain data not provided by pit i) y 9 the Mapper. 8 2 22� t7a 2=23 eai►a itl , �fre 78=2 24 78 2 28 ( tnonr i 7$ 71 :.^^L-26 Qu t1 lVl `"'' ` Von `..+ ��* i I'w �l '.' ,.,- HDlldl ern :=ft0ahrj4 �� . ..n r fig rI'75 1;t76s 1 15r3 ®utroto - ' .x1crr �a ' 6 113 t a nY 76 1 '17+8' t 2':s 7s 9,:15 1 k} �Ar .r,4 :t ,pr ! 1 ✓ew r �. K.• y.i. �' erg ' ;e.d i1 CREgR4 .��Utyce '~srt,HcR[,; �`txi3i;,►.]�C��,�4 ap ttti�R �E'iU7,R hRCan Fstt'ly�an;t��€T�I,Et;l.� , l��a���s - -.r Gt=ir<a(i r, tong),E rt Nbrz'Ar,Esft t,'#'raiJ��1;fa� C1sc?`Qr�ers�#r�Ttt�t��pliQF�r��ta� nstl E1:aatf>�s;'i�� r�,r��i+��la 3�tr�v,et5�t�ana tr���t Iti1 EsiERitt*�tt1 �'�� +5 *S, r`P5 Part 1 /Question 7 [Critical Environmental Noi y Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local, New York State,and federal Regulated Waterbodies] wetlands and waterbodies is known to be incomplete. Refer to the EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Northern Long-eared Bat Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 and of Trustees ApplicatiL, .AFFIDAVIT Bailey InvestmentGroup II, LLC do Peter DiClementi BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/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. Si attire of Vroperty"61wrier Signature of Property Owner SWORN TO BEFORE ME THIS pl 3 rd DAY OF `� _ ,;20 �J Notary Public C Crum ssaon Expires 3/31/2027 - >ard of Trustees Applicator, AUTHORIZATION (Where the applicant is not the owner) I/We, Bailey Investment Group II, LLC c/o Peter DiClementi , owners of the property identified as SCTM# 10007 78-02-27 _in the town of Southold _ ,New York, hereby authorizes Jeffrey Patanjo to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town 7 Board of Trustees for this property. x Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS .. DAY OF ,NZI Notary Public Commission Expires 3/31/2027 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_mohibits conflicts of interest on the Part of town officers and emalovees.The Purpose of this form is to-Provide information which.can alert the,tQwn of Possible conflicts of interest and-allow-it to take whatever action is nedessarv'to avoid.same: YOUR NAME: DiClementi, Peter (Last name,first name,4tiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicatethe 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 personally(or through your.company,spouse,sibling,parent'.or child)have a•relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or empioyce_has even.a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 56/o of the shares. YES I1— NO Fy/1 _ 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): _,A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (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 3`d Submitted this day of 20 Signature _ Print Name ete iClementi Forrn TS 1 APPLICANT%AGENT/REPRESENTATIV TRANSACTIONAL DISCLOSURE>FORM The.Towri of Southold s Odde ofEthics arohi6rts coifttcts of#iterest on.the-part:of town'officersand emplo►+ees The pumose of this=form rs;to nrouide information uiFirch can�alert�tlie-town of=possible conBtets�f-tititerest and allow�t tn=take_whate�er action is ', necessacv fo_ayordtsame YOURNAMV . ::ei6ojq Jeffrey ' (Last name,.firstname;.ariddle initial,unless you are:applying rn fhe name of someoneelse;orother-entity,such-asa.companyaf so iridicatettteother person's orcompany'sname,) NAME OF APPLICATION: (Check'all that apply;) ., Tax grievance Building Vactance :Trustee.. Change of Zone Coastal Erosion Approval of.plat Mooring Exemption fcorn plat.orofficial map Planning: :.Other ... — . (If•'Othe � actviy)i t Do you personally(or.through your company,sp Ouse,.sibling,parent,or child)have a relationship with any officer or:employee of the.Town of Southold:"Relationship"includes by blood;marriage;or.business interest-"Business interest"means a business;. : including a partnership in which the townofficer or employee has even a partial ownership of(or;empioyment by).a corporation in which tlte:town officer or employee owns more than 5%.of the shares: YES If you,answered"YES cornplete,fhe balance:of this form and date and sign where indicated Name of person employed by the:Town of Southold »- "title ooposation 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: is(check all.that apply): A)the owner of greater than 5%of the shares of the corporate stock 0 of the applicant (when the.applicant is a corporation); .B)the Iegal.or beneficial owner of any.interest in a non-corporate entity,(wh&A the applicant is not:a:corporation); C)an officer;director,partr�er or employee of the applicant or. _D).the actual:applicant DESCRIPTION Or 12ELATIONSHIP 71. Submitted.this 68/04/42 Signature .. PrintNatne;:�e P,„a„tanlo Form TS l -hoard of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: _ J 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 , 20 Notary Public ,1 November 3, 2025 ' NOV __ ; 2025 Town of Southold Trustees south— ; €oUvs€ L[30(')I'cf of Trusteses Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: BAILEY INVESTMENT GROUP II, LLC 910 GLEN RD -SOUTHOLD, NY SCTM No. 1000-78-02-27 AFFIDAVIT OF MAILING Dear Trustees: Attached please find original Affidavit of Mailing and certified receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 27 Farmingdale, NY 11735 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: �` - I l t�. ��_� K�►�C t °f ll�z �� �' NAME: ADDRESS: b._ 1000-76-1-1 Villa Fernando A Villa Maria 2639 95th St East Elmhurst, NY 11369 1000-78-2-28 1000-78-2-18.2 Gorsky Angela F Jacques Peter Jr Gorsky Michael E 4079 Main Bayview Rd 19 Homestead Ave Southold, NY 11971 Garden City, NY 11530 1000-78-2-26 Zupicich Marc L Hurowitz Tonya 35 Chatfield Rd Bronxville, NY 10708 STATE OF NEW Y UK& COUNTY OF SU}FFOLKy residing at 1`'�U il Cy-,, '2.-7 being duly sworn, deposes and says that on the 3 day of �OJCry1�G/( 20 2— , 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 l�i✓Yl,c �' (�(el , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. j aj,101 S' n t e Sworn to before me this \`����� "'►���,,�� Day of NV � 20_2. _ ` y` �'� �� �i� STATE � OF NEW YORK NOTARY ___Pt1Bt.IC i = ... O1GE8418131 ^ \ y Pu lie ® A r q o r-q e �S�Li it;ral ai �anrltT t` f Y'�, ,I ., t� I Certified Mail'Fee r-� Certified Mail Fee ,-t-,-;c. t1r ru ....11 i,r, ,11 $ 19 $ Extra Services&Fee S(checkbox,add/ee ppr ate) Extra Services&Fees(check box,add fee a tiropQate) El Return Receipt Qrardcopy) $ $ ❑Return Receipt Qiardcopy) °t r I!1-- r ❑Return Receipt(electronic) $_ } y}'`— Postmark rq Return Receipt(electronic) $- -(-n -1:*--- poHenYe rk ❑Certified Mall Restricted Delivery $ Here ❑Cerlitled Mall Restricted Delivery $_`-�r,f-} �1ff.ry 1.,}"f--, ❑Adult Signature equi Rred $---�;i')--per-- [� Adult Signature Required $ d _Adult Signature Restricted Delivery$ El Adult Slgnature Restricted Delivery $ � Lj C J Postaget #" a (� C ostaae i n �t•La I.t f t,J 7't"1 ' t 1000-78-2- t$ e1.1 '0 1 ; m :`$t.fOOO-78-2-18.2 M -$G&6ky Angela F $ � C 7 Michael E �� o s Jacques Peter Jr Gorsky in 19 Homestead Ave a s 4079 Main Bayview Rd Garden City, NY 11530 �.. ------------......_ � -_------... Southold, NY 11971 Z :00 � 0 0 000 , 10 1 ,a 001•1• - N -B ' ® CO ®® t7r ?EI 3� l * r " F'('/1yt1 > s C� -- rq Certified Mail Fee ,5 r-j Certified Mall Fee $ tru F/l Extra Services&Fees(check box,add fee a a pro hate) " M Extra Services&Fees(checkbox,add lee d '3Propnate) ❑Return Receipt(hardcopy) $ „�-��-- ❑Return Receipt(hardcopy) $ I t i 111— d•"I tits Posti- ❑Return Receipt(electronic) $ ,.�.(.. Postmark ❑Return Receipt(electronic) $ I; Certified Mall Restricted Delivery $ - Hefe ❑ — ,"--,'-',.+f{-1 ❑Certified Mall Restricted Delivery $ t Here O ❑Adult Signature Required $..� •� ❑Adult Signature Required $ S3 (! - • ❑Adult Signature Restricted Delivery$ � ��.... E]Adult Signature Restricted Delivery$ _ O Postage i J Postage m jQ076-1-1 m , 1000-78-2-26 LaE Al`2' 6ich Marc L q ndo A Hurowitz Ton a ry s� Y C3St E 35 Chatfield Rd r` Bronxville, NY 10708 urst, NY 11369 1 . e a 1 10:0• - - 0 e 0 . a 0 01 1'1 Glenn Goldsmith, President �4-OfFat't Town Hall Annex A.Nicholas Krupski, vice President �.� 54375 Route 25 Eric Sepenoski P.O. Sox 1179 Liz GilloolySouthotd,NY 11971 Elizabeth Peeples j00 " Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of !1 BAILEY INVESTMENT CROUP 11, LLC _. COUNTY OF SUFFOLI " - STATE OF NEW YORK - AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DA F OR LATER LCICG-C-,'� ' -3 2t'C �a s t residing at/dba �(� ����� being duly swUrn, depose and say: That on the day of voeanb 202-,S I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November 12,2025. Dated: ll�j�12r' / (signabie) - Sworn to before me this `���`��,►L.�t3,E,q ''rr, !D day of l�� 20 � � ' OF NEW YORK NOTARY Pi1 W— ` y�tunea a,suna�r. t -. � � C11C,iE6�448t81 °� '� Pu lic ,,� ,. NOTICE OF HEARI '11G 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: BAILEY INVESTMENT GROUP II, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing 4'x30' fixed dock and construct in-place a new 4'x30' fixed dock that i-n-cludes 4' wide landward steps up to fixed dock and 4' wide seaward steps down; and for a proposed 4'x20' long fixed "T" section off seaward end; all decking to be Thru-Flow; and to maintain existing 25' wide non-disturbance and 15' wide non-turf buffers. Located: 910 Glenn Road, Southold. SCTM# 1000-78-2-27 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 ,NOTICE OF HEARING 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: BAILEY INVESTMENT GROUP II, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing 4'x30' fixed dock and construct in-place a new 4'x30' fixed dock that includes 4' wide landward steps up to fixed dock and 4' wide seaward steps down; and for a _proposed 4'x20' long fixed "T" section off seaward end; all decking to be Thru-Flow; and to maintain existing 25' wide non-disturbance and 15' wide non-turf buffers. Located: 910 Glenn Road, Southold. SCTM# 1000-78-2-27 TIME & DATE OF PUBLIC HEARING: Wednesday,, October 1% 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 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 si ign ficant beneficial and adverse effects_upon,the coastal area(which includes all of Southold Town). 1 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,details 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 SCTM# 78 -02 _27 PROJECT NAME 910 Glen Rd., Southold, NY 11971 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 appropriates 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: See attached Location of action: 910 Glen Rd., Southold, NY 11971 Site acreage: 0.673 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: Bailey Investment Group II,LLC c/o Peter DiClementi (b) Mailing address: 298 Clark St., P.O.Box 692,Milldale, CT 06467 (c) Telephone number: 8660-621-3818 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 LWRP Section III—Policies; Page 2 for evaluation criteria. n✓ 'Yes .❑ No ❑Not Applicable Project provides for a new dock making beneficial use of property. This work does not contribute to new development. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑✓ Not Applicable No effect. 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 ❑✓ Yes ❑ No❑ Not Applicable Project provides a new visually appealing dock on the subject property. 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 Z Not Applicable No Effect Attach-aildfional sheets 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 ❑ Yes ❑ No ONot Applicable No effect. Attach additional S eets 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 No effect Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWR.P Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes No 7 Not Applicable No effect. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWR.P Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑'.Yes ❑ No ❑✓ Not Applicable s No effect. 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 Project provides continued use ofwwaters and adjacent area by way.of new updated dock. Attach additional sheets if necessary ■ WORKING COAST POLICIES 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 effect 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 No effect. 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 No effect. 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 0 Not Applicable No effect. PREPARED BY J. Patanjo TITLE Agent DATE 07-15-25 August 4, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 DE CQ E 6 -� Southold, New York 11971 RE: BAILEY INVESTMENT GROUP II, LLC AUG 8 2025 910 GLEN RD-SOUTHOLD, NY SCTM No. 1000-78-02-27 SOUthold Town APPLICATION FOR PERMIT BoardofTrustees Dear Trustees: Attached please find four copies of proposed plans, application package, survey, check and photos for the proposed bulkhead replacement project. If you should have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly yours, q P4�1- Jeffrey Patanjo P.O. Box 27 Farmingdale, NY 11735