HomeMy WebLinkAboutMS4 Draft 2021 Annual Report 3258632975
MS4 Annual Retort Cover Pate
MCC form for period ending March 9, 2 0 2 1
SPDESID
This cover page must be completed by the report preparer. N Y R 2 0 A -5 2 4
Joint reports require only one cover page.
Choose one:
®This report is being submitted on behalf of an individual MS4.
Fill in SPDES ID in upper right hand corner.
Name of MS4
T O W N O F S O U T H O L D
OR ,
O This report is being submitted on behalf of a Single Entity
(Per Part II.E of GP-0-10-002)
Name of Single Entity
OR
O This is a ,point report being submitted on behalf of a coalition.
Provide SPDES ID of each permitted MS4 included in this report. Use page 2 if needed.
Name of Coalition
SPDES ID SPDES ID SPDESID
N Y R 2 O A I N Y R 2 01A N Y R 2 O A
SPDESID SPDESID SPDESID
N Y R 2 0 A I N Y R 1 2 0 A �m N Y R 2 0 A
SPDESID SPDES ID SPDESID
N Y R 2 O A I N Y R 1 2 01AF—M I N Y I R 1 2 O 1 A
SPDES ID SPDESID SPDESID
N I Y R 2 O A I I N Y R 2 O A N Y R 2 O A
SPDES ID SPDESID SPDESID
N I Y R 2 O 1 A N I Y I R 1 2 OTAT—M N Y R 2 O A
SPDESID SPDES ID SPDES ID
N Y R 2 O A N Y I R 2 0 1 N I Y I R 1 2 O A
Cover Page 1 of 2 I
9714632978
MS4 Annual Report Cover Page
MCC form for period ending March 9, 2TOT2 1
Provide SPDES ID of each permitted MS4 included in this report.
SPDESID SPDESID SPDESID
N Y R 2 O A N Y R 1 2 OjA= I N I Y R 1 2 O A
SPDES ID SPDESID SPDESID
N Y R 2 O A N Y A R 2 0 N Y R 2 O A
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N Y R 2 O A INIY �R1210]:= N Y R 2 FOFAI
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N Y R 2 O A I I I I N I Y I R 1 2 O:A= N Y R 2 O A
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Cover Page 2 of 2
3855151783
MS4 Municipal Compliance Certification(MCC) Form
MCC form for period ending March 9,F2 F01 2 1
SPDES ID
Name of MS4 Town OF SOUTHOLD N Y R 2 0 A 5 2 4
Each MS4 must submit an MCC form.
Section 1 e MCC Identification Page
Indicate whether this MCC form is being submitted to certify endorsement or acceptance of:
0 An Annual Report for a single MS4
O A Single Entity(Per Part II.E of GP-0-10-002)
O A Joint Report
Joint reports may be submitted by permittees with legally binding agreements.
If Joint Report,enter coalition name:
MCC Page 1
5690581587
MS4 Municipal Compliance Certification(MCC) ]Form
MCC form for period ending March 9,F2 FO 2 1
SPDESID
Name of MS4
TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
Section 2 - Contact Information
Important Instructions-Please Read
Contact information must be provided for each of the following positions as indicated below:
1. Principal Executive Officer, Chief Elected Official or other qualified individual (per
GP-0-08-002 Part VI.J).
2. Duly Authorized Representative(Information for this contact must only be submitted if a Duly
Authorized Representative is signing this form)
3. The Local Stormwater Public Contact(required per GP-0-08-002 Part VH.A.2.c&Part VIII.A.2.c).
4. The Stormwater Management Program (SWMP) Coordinator(Individual responsible for
coordination/implementation of SWMP).
5. Report Preparer(Consultants may provide company name in the space provided).
A separate sheet must be submitted for each position listed above unless more than one position is
filled by the same individual. If one individual fills multiple roles,provide the contact information
once and check all positions that apply to that individual.
If a new Duly Authorized Representative is signing this report,their contact information must be
provided and a signature authorization form, signed by the Principal Executive Officer or Chief
Elected Official must be attached.
For each contact, select all that apply:
. Principal Executive Officer/Chief Elected Official
* Duly Authorized Representative
O Local Stormwater Public Contact
O Stormwater Management Program (SWMP) Coordinator
O Report Preparer
First Name MI Last Name
S C O T T R U S S E L L
Title
S U P E R V I S O R
Address
5 1 3 0 9 5 R I o I u I t I e 1 2 1 5
Cit State Zi
-F-F]IS o u t h o l d N Y 1 1 9 7 1 — �
eMail
S C O T T R U S S E L L@ T O w N S O U T H O L D N Y U S
Phone Count
( 6 3 1 ) 7 6 5 — 1 8 8 9 1 S U F F O L K
L MCC Page 2
F5690581587
MS4 Municipal Compliance Certification(MCC) Form
MCC form for period ending March 9,F2 TOT2 1
SPDES ID
Name of MS4
TOWN OF SOUTHOLD I N Y R 2 0 A 5 2 4
Section 2 - Contact Information
Important Instructions-Please Read
Contact information must be provided for each of the following positions as indicated below:
1. Principal Executive Officer, Chief Elected Official or other qualified individual (per
GP-0-08-002 Part VI.J).
2. Duly Authorized Representative(Information for this contact must only be submitted if a Duly
Authorized Representative is signing this form)
3. The Local Stormwater Public Contact(required per GP-0-08-002 Part VII.A.2.c&Part VIII.A.2.c).
4. The Stormwater Management Program (SWMP) Coordinator(Individual responsible for
coordination/implementation of SWMP).
5. Report Preparer(Consultants may provide company name in the space provided).
A separate sheet must be submitted for each position listed above unless more than one position is
filled by the same individual.If one individual fills multiple roles, provide the contact information
once and check all positions that apply to that individual.
If a new Duly Authorized Representative is signing this report,their contact information must be
provided and a signature authorization form, signed by the Pfincipal Executive Officer or Chief
Elected Official must be attached.
For each contact, select all that apply:
O Principal Executive Officer/Chief Elected Official
O Duly Authorized Representative
* Local Stormwater Public Contact
* Stormwater Management Program (SWMP) Coordinator
*Report Preparer
First Name MI Last Name
M I C H A E L I I I I I ❑M C O L L I N S
Title
T O W N E N G I N E E R
Address
5 3 0 9 5 M A I N R O A D
CitX State zip
S O U T H O L D N Y 1 1 9 7 1 — 1 I I
eMail
M I C H A E L C O L L I N S@ T O W N S O U T H O L D . N Y
Phone Count
S U F F O L K
MCC Page 2
4643023765
MS4 Municipal Compliance Certification (MCC) Form
MCC form for period ending March 9, 2 02 1
SPDES ID
Name of MS4 Town of SOUTHOLD N Y R 1 2 0 A I 5 2 4
Section 3 - Partner Information
Did your MS4 work with partners/coalition to complete some or all permit requirements during this reporting
period? O Yes ®No
If Yes, complete information below.
Submit a separate sheet for each partner.Information provided in other formats will not be
accepted. If your MS4 cooperated with a coalition, submit one sheet with the name of the
coalition.,It is not necessary to include a separate sheet for each MS4 in the coalition.
If No, proceed to Section 4- Certification Statement.
Partner/Coal itionNam e
Partner/Coalition Name con't. SPDES Partner ID-If applicable
N Y R 2 0
Address
Cit State Zi
m
eMail
Phone Legally Binding Agreement in accordance -
� � with GP-0-08-002 Part IV.G.? O Yes O No,
What tasks/responsibilities are shared with this partner (e.g. MMI School Programs or Multiple Tasks)?
O MMl
O MM2
O MM3
O MM4
O MM5
O MM6
Additional tasks/responsibilities
O Watershed Improvement Strategy Best Management Practices required for MS4s in impaired
watersheds included in GP-0-08-002 Part IX.
MCC Page 3
3165331518
MS4 Municipal Compliance Certification(MCC) Form
MCC form for period ending March 9,F2 02 1
SPDESID
Name of MS4
TOWN OF SOUTHOLD FNI YI R 2 1 0 1 A 5 2 4
Section 4 - Certification Statement
"I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is,,the best of my knowledge and belief,true, accurate, and complete. I am
aware that there are significant ppnalties'.for submitting false information, including the possibility of
fine and imprisonment for knowing violations."
This form must be signed by either a principal executive officer or ranking elected official, or duly
authorized representative of that person as described in GP-0-08-002 Part VI.J.
First Name MI Last Name
S C O T T R U S S E L L
Title (Clearl rint title of individual signin re ort
S U P E R V I S O R
Signature
Date
m / m
Send completed form and any attachments to the DEC Central Office at:
MS4 Permit Coordinator
Division of Water
4th Floor
625 Broadway
Albany,New York 12233-3505
MCC Page 4
F1100364151
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
Water Quality Trends
The information in this section is being reported (check one):
® On behalf of an individual MS4
O On behalf of a coalition
How many MS4s are'contributed to this',report?,
1. Has this MS4/Coalition produced any reports documenting water quality trends
related to stormwater?If not,answer No and proceed to Minimum Control Measure
One. O Yes ®No
If Yes, choose one of the following
O Report(s) attached to the annual report
O Web Page(s) where report(s) is/are provided below
Please provide specific address of page where report(s)can be accessed-not home page.
URL
URL
URL
URL
Water Quality Trends Page 1 of 1
F4286299954
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
Minimum Control Measure 1. Public Education and Outreach
The information in this section is being reported (check one)-
* On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report? EM
1. Targeted Public Education and Outreach Best Management Practices
Check all topics that were included in Education and-Outreach during this reporting period:
® Construction Sites ® Pesticide and Fertilizer Application
® General Stormwater Management Information ®Pet Waste Management
O Household Hazardous Waste Disposal O Recycling
*Illicit Discharge Detection and Elimination O Riparian Corridor Protection/Restoration
O Infrastructure Maintenance O Trash Management
O Smart Growth O Vehicle Washing
O Storm Drain Marking O Water Conservation
O Green InfrastructureBetter Site Design/Low Impact Development O Wetland Protection
O Other: O None
Other
2. Specific audiences targeted during this reporting period:
8 Public Employees 0 Contractors
O Residential ® Developers
O Businesses 7 General Public
O Restaurants O Industries
O Other: O Agricultural
Other
MCM 1 Page 1 of 4
L
J
7870299956
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a j oint report on behalf of a coalition leave SPDES ID blank.
SPDESID
Name ofMS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 1 5 1 2 4
3. What strategies did your MS4/Coalition use to achieve education and outreach goals during
this reporting period? Check all that apply:
O Construction Site Operators Trained #Trained
O Direct Mailings #Mailings
O Kiosks or Other Displays #Locations
O List-Serves #In List
O Mailing List #In List
O Newspaper Ads or Articles #Days Run
O Public Events/Presentations #Attendees
O School Program #Attendees
O TV Spot/Program #Days Run
e Printed Materials: Total#Distributed 1 1 1 3
Locations (e.g.libraries,town offices,kiosks)
T o w n O f f i c e s
O Other:
® Web Page: Provide specific web addresses-not home page. Continue on next page if additional space is
needed.
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 0 4 0 / w e b l i n k
/ 0 / e d o c / 4 7 8 2 2 1 / B a s i c s % 2 0 o f o 2 0 B o a
t o 2 0 H e a d s p d f
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 0 4 0 / w e b l
/ 0 / e d o c / 4 7 8 2 2 0 / B a s i c s o 2 0 o f % 2 0 B o a
t % 2 0 P u m p o u t p d f
MCM I Page 2 of 4
F0704299955
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 1 0 1 A 5 2 4
3. Web Page con't.: Provide specific web addresses-not,home page.
URL
h I t I t I p / / 2 4 3 8 2 8 2 1 2 1 8 2 '0 1 4 0 / w e b
/ 0 / e d o c / 4 7 8 2 2 2 / B a s i c s a 2 0 o f % 2 0 N o
2 0 D i s c h a r g e % 2 0 Z o n e s'` p d .f
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 ,0 4 0 / w e •b l
/ 0 / e d o c / 4 7 8 2 1 8 / B a y s. c a p ,i n g p d f
URL
h I t I t I p / / 2 1 4 1 3 8 2 8 2 28 . 2 1 0 4 1 0 / w I e I b 1 l i n k
/ 0 / e d o c / 4 7 8 2 1 9 / M o v i n g o 2 0 D i r t . p d f
I � 11 � T[
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 0 4 0 / w e b 1'
/ 0 / e d o c / 4 7 8 2 7 9 / N o n p o i n t o 2 0 S o u r c e
0 2 0 P o l l u t i o n p d f
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 0 4 0 / w e b l
/ 0 / e d o c / 4 7 8 2 9 6 / S e p t i c o 2 0 S y s t e m s o
2 0 F a c t % 2 0 S h e e t p d f
URL
h t t p / / 2 4 3 8 2 8 2 2 8 2 0 4 0 / w e b l i n k
/ 0 / e d o c / 4 7 8 2 9 8 / S o u t h o l d % 2 0 C o n s e r
v a t i o n a 2 0 A g ,,e n d a p d f
URL
h t t p / / 2 4 3 8 - . 2 8 2 2 8 2 0 4 0 / w e b l i n k
/ 0 / e d o c / 4 7 8 2 9 7 / T h e % 2 0 S c o o p o 2 0 o n o
2 0 P e t % 2. 0 P o o p . p d f
MCM 1 Page 3 of 4
6932504403
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
4. Evaluating Progress Toward Measurable Goals MCM 1
Use this page to report on your progress and project plans toward achieving measurable goals
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.1. Submit additional pages as needed.
A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period.
1.Track and report on the education/outreach activities performed for the general public and target
audience including number of people attended, amount of materials distributed, etc;
2. Track and report all training activities; and
3.Track and report where educational brochures are available and how many are distributed.
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
Information above tracked and reported as part of this annual report.
C. How many times was this observation measured or evaluated in this reporting period?
(ex.: samples/participants/events)
A Has your MS4 made progress toward this Measurable Goal during this reporting period?
® Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP? 0 Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle (including an implementation schedule).
Continue to implement the educational program as per the SWMPP.
L MCM 1 Page 4 of 4
4961183103
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES M blank.
SPDESID
Name of MS4/Coalition TOWN of SOUTHOLD N I Y I R 1 2 1 0 1 A 5 2 4
Minimum Control Measure 2. Public Involvement/Participation
The information in this section is being reported (check one):
0 On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report?
1. What opportunities were provided for public participation in implementation,
development,evaluation and improvement of the Stormwater Management Program
(SWMP)Plan during this reporting period? Check all that apply:
O Cleanup Events #Events
®,Comments on S WMP Received #Comments 0
O Community Hotlines Phone# ( � )
Phone# ( - Phone# ( � � F - �
Phone# ( FM ) - Phone#
Phone# ( - Phone#
Phone# - Phone#
Phone# - Phone#
O Community Meetings #Attendees
O Plantings Sq.Ft.
O Storm Drain Markings #Drains
O Stakeholder Meetings #Attendees
O Volunteer Monitoring #Events
O Other:
2. Was public notice of availability of this annual report and Stormwater Management
Program (SWMP)Plan provided? s Yes O No
O List-Serve #In List
O Newspaper Advertising #Days Run
O TV/Radio Notices #Days Run
O Other:
a Web Page URL: Enter URL(s)on the following two pages.
MCM 2 Page I of 6
1693183102
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 1 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
2. URL(s) con't.:
Please provide specific address(es)where notice(s) can be accessed-not home page.
URL
h t t p / / www s o u t h o l d t o w n n y g o v / 5 6
7 / S t o r m w a t e r - M a n a g e m e n t - P r o g r a m
LM ,
URL
URL
URL
URL
H111 1111 1 111 111 H 111 111111
URL
MCM 2 Page 2 of 6
3714183108
MS4 Annual Retort Form
This report is being submitted for the reporting period ending March 9, 2 1 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDESID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y I R 1 2 1 0 1 A 1 5 1 2 1 4
2. URL(s) con't.:
Please provide specific address(es)where notices can be accessed -not home page.
URL
URL
URL
URL
URL
URL
URL
MCM 2 Page 3 of 6
5441172015
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a j oint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name ofMS4/Coalition TOWN OF SOUTHOLD NY R 2 0 A 5 2 4
3. Where can the public access copies of this annual report, Stormwater Management
Program SWMP)Plan and submit comments on those documents?
Enter address/contact info and select radio button to indicate which document is available and
whether comments may be submitted at that location. Submit additional pages as needed.
®MS4/Coalition Office ® Annual Report 0 SWMP Plan ® Comments
Department
T O W N C L E R K
Address
5 1 3 0 9 5 1 R 1 O U I T I E 1 2 1 5
City Zi
S O U T H O L D I I I I N Y 1 1 9 7 1 - �
Phone
6 3 1 7 6 5 - 1 8 0 0
O LibraryO Annual Report O SWMP Plan O Comments
Adress
City Zi
FTI -
Phone
O Other O Annual Report O SWMP Plan O Comments
Address
City Zi
M Ll
-
Phone
® Web Page URL: 6 Annual Report ® SWMP Plan O Comments
h t t p / / www s o u t h o l d t o w n n y g o v / 5
6 7 / S t o r m w a t e r - M a n a g e m e n t - P r o g r a
m
Please provide specific address of page where report can be accessed-not home page.
® eMail V Comments
m i c h a e l C o l l i n s@ t o w n S o u t h o l d n
y u s
MCM 2 Page 4 of 6
0614183104
1VMS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N I Y I R 1 2 1 0 A 5 F2 4
4.a.If this report was made available on the internet,what date was it posted?
Leave blank if this report was not posted on the internet. 0 3 / M15
4.b.For how many days was/will this report be posted? 9 9 9
If submitting a report for single MS4, answer 5.a.. If submitting a joint report, answer 5.b..
5.a.Was an Annual Report public meeting held in this reporting period? O Yes 0 No
If Yes,what was the date of the meeting? m / m / FFM
If No, is one planned? O Yes 0 No
5.b.Was an Annual Report public meeting held for all MS4s contributing to this report during
this reporting period? O Yes ®No
If No, is one planned for each? O Yes 1 No
6. Were comments received during this reporting period? O Yes ®No
If Yes,attach comments,responses and changes made to
SWMP in response to comments to this report.
MCM 2 Page 5 of 6
2013032775
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition Town OF SOUTHOLD N Y R 2 0 A 5 2 4
7. Evaluating Progress Toward Measurable Goals MCM 2
Use this page to report on your progress and project plans toward achieving measurable goals
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.I. Submit additional pages as needed.
A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period.
1.Number of SWMPP related'meetings and attendees
2.Number of public comments received on the annual report
3.Number of public comments received on the SWMPP
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
1.No meetings held.
2.No comments received on annual report.
3.No public comments received on SWMPP.
C. How many times was this observation measured or evaluated in this reporting period?
(ex.: samples/participants/events)
A Has your MS4 made progress toward this measurable goal during this reporting period?
0 Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP?
® Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle (including an implementation schedule).
Continue to implement the public involvement/participation program as per the SWMPP.
MCM 2 Page 6 of 6
7368169291
M54 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name ofMS4/Coalition TOWN of SOUTHOLD N I Y I R 2 0 A 5 2 4
Minimum Control Measure 3. Illicit Discharge Detection and Elimination
The information in this section is being reported (check one):
0 On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report?
1. Enter the number and approx. percent of outfalls mapped: 3 9 # 1 0 0
2< )Flow many of these outfalls have been screened for day weather discharges during this
reporting period (outfall reconnaissance inventory)?
3.a.What types of generating sites/sewersheds were targeted for inspection during this
reporting period?
O Auto Recyclers O Landscaping (Irrigation)
O Building Maintenance O Marinas
O Churches O Metal Plateing Operations
O Commercial Carwashes O Outdoor Fluid Storage
O Commercial Laundry/Dry Cleaners O Parking Lot Maintenance
O Construction Vehicle Washouts O Printing
O Cross-Connections O Residential Carwashing
O Distribution Centers O Restaurants
O Food Processing Facilities O Schools and Universities
O Garbage Truck Washouts O Septic Maintenance
O Hospitals O Swimming Pools
O Improper RV Waste Disposal O Vehicle Fueling
O Industrial Process Water O Vehicle Maint./Repair Shops
O Other: O None
• Sewersheds:
R e g u l a t e d U r b a n i z e d S e w e r s h e d s
MCM 3 Page 1 of 4
5953169299
MS4 Annual Retort Form
This report is being submitted for the reporting period ending March 9, 2UO2_111
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2141
3.b.What types of illicit discharges have been found during this reporting period?
O Broken Lines From Sanitary Sewer O Industrial Connections
O Cross Connections O Inflow/Infiltration
O Failing Septic Systems O Pump.Station Failure
O Floor Drains Connected To Storm Sewers O Sanitary Sewer Overflows
O Illegal Dumping O Straight Pipe Sewer Discharges
O Other: 0 None
4. How many illicit discharges/potential illegal connections have been detected during this
reporting period?
5. How many illicit discharges have been confirmed during this reporting period? �0
6. How many illicit discharges/illegal connections have been eliminated during this reporting
period? =p
7. Has the storm sewershed mapping been completed in this reporting period? 0 Yes O No
If No, approximately what percent was completed in this reporting period?
8. Is the above information available in GIS? (W Yes O No
Is this information available on the web? Yes O No
If Yes, provide URL(s):
Please provide specific address of page where map(s) can be accessed-not home page.
UU
h t t p / / b i t ly / 1 1 k R Z 7 P
URL
MCM 3 Page 2 of 4
5820169292
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,L2 0 1 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDESID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
8. URL(s) con't.:
Please provide specific address of page where map(s) can be accessed-not home page
URL
TTI
URL
URL
URL
URL
9. Has an IDDE law been adopted for each traditional MS4 and/or have IDDE procedures been
approved for all non-traditional MS4s contributing to this report? 0 Yes O No
10.If Yes, has every traditional MS4 contributing to this report certified that this law is
equivalent to the NYS Model IDDE Law? 0 Yes O No O NT
11.What percent of staff in relevant positions and departments has received IDDE training?
1 0 0
L MCM 3 Page 3 of 4
9126383899
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 1 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
12.Evaluating Progress Toward Measurable Goals MCM 3
Use this page to report on your progress and project plans toward achieving measurable goals
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.I. Submit additional pages as needed. '
A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period.
1.Number and percent of regulated outfalls mapped;2.Number of illicit discharges detected and
eliminated; 3.Percent of outfalls for which an outfall reconnaissance inventory has been performed
4.Percent of regulated MS4 system mapped; 5. Training sessions held and number and percent of
staff trained; 6.Number of public information and outreach activities conducted including number of
attendees and informational brochures distributed,etc.
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
For items 1-2 see information included on this annual report above.
3 -An outfall reconnaissance inventory was performed for 21% of.outfalls during this period.
4- 100%of MS4 system mapped.
5 -All relevant staff have received training.
6 -No activities conducted.
C. How many times was this observation measured or evaluated in this reporting period?
(ex.* samples/part.icapants/events)
D. Has your MS4 made progress toward this measurable goal during this reporting period?
0 Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP?
® Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle (including an implementation schedule).
Continue to implement the IDDE program as per the SWMPP.
MCM-3 Page 4 of 4
5624056356
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,L21 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name ofMS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
Minimum Control Measures 4 and 5.
Construction Site and Post-Construction Control
The information in this section is being reported (check one):
O On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report? ;
la.Has each MS4 contributing to this report adopted a law,ordinance or other regulatory
mechanism that provides equivalent protection to the NYS,SPDES General Permit for
Stormwater Discharges from Construction Activities? 0 Yes O No
1b.Has each Town,City and/or Village contributing to this report documented that the law is
equivalent to a NYSDEC Sample Local Law for Stormwater Management and Erosion and
Sediment Control through either an attorney cerfification or using the NYSDEC Gap
Analysis Workbook? O Yes O No O NT
If Yes,Towns, Cities and Villages provide date of equivalent NYS Sample Local Law.
O 09/2004 ® 03/2006, O NT
2. Does your MS4/Coalition have a SWPPP review procedure in place? ®Yes O No
3. How many Construction Stormwater Pollution Prevention Plans(SWPPPs) have been
reviewed in this reporting period? FMO
4. Does your MS4/Coalition have a mechanism for receipt and consideration of public
comments related to construction SWPPPs? a Yes o No o NT
If Yes,how many public comments were received during this reporting period?
5. Does your MS4/Coalition provide education and training for contractors about the local
SWPPP process? 0 Yes O No
I MCM 4/5 Page 1 of 2
3951056357
6. Identify which of the following types of enforcement actions you used during the reporting
period for construction activities,indicate the number of actions, or note those for which you
do not have authority:
O Notices of Violation # O No Authority
O Stop Work Orders # O No Authority
O Criminal Actions # O No Authority
O Termination of Contracts # O No Authority
O Administrative Fines # O No Authority
O Civil Penalties # O No Authority
O Administrative Orders # O No Authority
O Enforcement Actions or Sanctions #
O Other 4 # O No Authority
MCM 4/5 Page 2 of 2
F9445612573
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,L2 1 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition Town of SOUTHOLD N I Y R 2 1 0 1 A 1 5 1 2
Minimum Control Measure 4. Construction Site Stormwater Runoff Control
The information in this section is being reported (check one):
® On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report?
1. How many construction projects have been authorized for disturbances of one acre or more
during this reporting period? �p
2. How many construction projects disturbing at least one acre were active in your jurisdiction
during this reporting period? �p
3. What percent of active construction sites were inspected during this reporting period? O NT
4. What percent of active construction sites were inspected more than once? O NT
5. Do all inspectors working on behalf of the MS4s contributing to this report use the NYS
Construction Stormwater Inspection Manual? O Yes ®No O NT
6. Does your MS4/Coalition provide public access to Stormwater Pollution Prevention Plans
(SWPPPs) of construction projects that are subject to MS4 review and approval?
0 Yes O No O NT
If your MS4 is Non-Traditional,are SWPPPs of construction projects made available for
public review? O Yes O No
If Yes, use the following page to identify location(s)where SWPPPs can be accessed.
MCM 4 Page 1 of 3
7482169883
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name ofMS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2141
6. con't.:
Submit additional pages as needed.
® MS4/Coalition Office
Department
O F F I C E O F T H E E N G I N E E R
Address
5 131,0 1 9151 M A I N R O A D
Cit Zi
S O U T H O L D I I I I I .N Y 1 1 '9 7 1 — �
Phone
O Library
Address
City Zi
Phone
O Other
Address
City Zi
m
Phone
O Web Page URL(s): Please provide specific address where SWPPPs can be accessed-not home page.
URL
URL
MCM 4 Page 2 of 3
7935007876
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,L2-1 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
7. Evaluating Progress Toward Measurable'Goals MCM 4
Use this page to report on your progress and project plans toward achieving measurable goals -
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.1. Submit additional pages as needed.
A. Briefly summarize the Measurable Goal identified in the SNVMPP in this reporting period.
1.Number of SWPPPs reviewed
2.Number of complaints received and the number and type of enforcement actions
3.Percent of active construction sites inspected once
4. Percent of active construction sites inspected more than once
5.Number of training events attended by Town personnel and the number of people trained.
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
For 1-4 see information included above.
5 -No Town personnel trained during this reporting period.
C. How many times was this observation measured or evaluated in this reporting period?
(ex.: samples/participants/events)
A Has your MS4 made progress toward this measurable goal during this reporting period?
®Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP?
0 Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle(including an implementation schedule).
Continue to implement Construction Site Runoff Control MCM as per the SWMPP.
MCM 4 Page 3 of 3
1046119251
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 1 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDESID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
Minimum Control Measure 5. Post-Construction Stormwater Management
The information in this section is being reported (check one):
® On behalf of an individual MS4
O On behalf of a coalition
How many MS4s contributed to this report?
1. Flow many and what type of post-construction stormwater management practices has your "
MS4/Coalition inventoried,inspected and maintained in this reporting period?
# # #Times
Inventoried Inspections Maintained
O Alternative Practices
O Filter Systems
O Infiltration Basins
O Open Channels
O Ponds
O Wetlands
O Other
2. Do you use an electronic tool (e.g. GIS, database,spreadsheet)to track post-construction
BMPs,inspections and maintanance? O Yes ®No
3. What types of non-structural practices have been used to implement Low Impact
Development/Better Site Design/Green Infrastructure principles?
O Building Codes 0 Municipal Comprehensive Plans
O Overlay Districts 0 Open Space Preservation Program
•Zoning O Local Law or Ordinance
O None 0 Land Use Regulation/Zoning
O Watershed Plans O Other Comprehensive Plan
O Other:
MCM 5 Page 1 of 3
9091119257
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,[22 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition Town OF SOUTHOLD N Y R 2 0 A I .5f 2 4
4a.Are the MS4s contributing to this report involved in a regional/watershed wide planning effort?
®Yes O No
4b.Does the MS4 have a banking and credit system for stormwater management practices?
O Yes ®No
4c. Do the SWMP Plans for each MS4 contributing to this report include a protocol for evaluation
and approval of banking and credit of alternative siting of a stormwater management practice?
O Yes ®No
4d.How many stormwater management practices have been implemented as part of this system in this
reporting period?
0
5. What percent of municipal officials/MS4 staff responsible for program implementation attended
training on Low Impace Development(LID),Better Site Design(BSD)and other Green
Infrastructure principles in this reporting period?
MCM 5 Page 2 of 3
1610116332
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9,L2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID _
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
6. Evaluating Progress Toward Measurable Goals MCM 5
Use this page to report on your progress and project plans toward achieving measurable goals ,
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.1. Submit additional pages as needed.
A. Briefly summarize the Measurable Goal identified in the SVVMPP in this reporting period.
1. Document the number of SWPPPs reviewed.
,2. Document the number and type of enforcement actions.
3.Document the number and type of post-construction stormwater management practices
inventoried, inspected and/or maintained.
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
For 1-3 see information included in this annual report.
C. How many times was this observation measured or evaluated in this reporting period?
(ex.: samples/part.icapants/events)
D. Has your MS4 made progress toward this measurable goal during this reporting period?
®Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the S`VMPP?
0 Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle (including an implementation schedule).
Continue to implement Post-Construction Stormwater Management MCM as per the SWMPP.
MCM 5 Page 3 of 3
6894134836
MS4 Annual Report-Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R2 0 A 1 5 1 2 1 4
Minimum Control Measure 6. Stormwater Management f6r Municipal Operations
The information in this section is being reported (check orie):
® On behalf of an individual MS4
O On behalf of a coalition
"How many MS4s contributed:to this report?
1. Choose/list each municipal operation/facility that contributes or may potentially contribute
Pollutants of Concern to tlic MS4 system. For each'operation/facility indicate whether the
operation/facility has been addressed in the MS41s/Coalition'9 Stormwater Management
Program(SWMP)Plan and whether a self-assessment has been performed during the
reporting period. A self-assessment is performed to: 1) determine the sources of pollutants
potentially generated by the permittee's operations and facilities;'2) evaluate the
effectiveness of existing programs and 3) identify the municipal operations and facilities
that will be addressed by the pollution prevention and good housekeeping program,if•it's
not done already.
Self-Asses sm6nt
O pe ration/Ac tivity/Fa cility
performed within the past 3
Operation/Activity/Facility Addressed in SWMP? ey ars?
Street Maintenance...................................................... 0 Yes O No .................... O Yes O No
Bridge Maintenance.................................................... O Yes 0 No .................... O Yes 0 No
Winter Road Maintenance..........:............................... 0 Yes O No .................... 0 Yes O No
SaltStorage................................................................. O Yes 0 No .................... O Yes 0 No
Solid Waste Management........................................... O Yes 0 No .................... O Yes 0 No
New Municipal Construction and Land Disturbance.. O Yes O No .................... O Yes *No
Right of Way Maintenance......................................... 0 Yes O No ..................... O Yes O No
Marine ..............
Operations................................. ....... O Yes 0 No .................... O Yes ®No
.
Hydrologic Habitat Modification................................ O Yes 0 No .................... O Yes 0 No
Parks and Open"Space................................................. O Yes 0 No .................... O Yes 0 No
Municipal Building..................................................... O Yes 0 No .................... O Yes 0 No
Stormwater System Maintenance................................ 0 Yes O No .................... 0 Yes O No
Vehicle'and Fleet Maintenance................................... O Yes 0 No ......,,,;.......... O Yes O No
Other........................................................................... O Yes O No .......... O Yes O No
MCM 6 Page 1 of 3
6445134838
MS4 Anfival Report Form
This report is being submitted for the reporting period ending March 9, 2 1 0 2 1 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID _
Name ofMS4/Coalition TOWN OF SOUTHOLD N Y R 2 01 A�5 2 4
:,2. Provide the following information about municipal operations good housekeeping programs:
O Parking Lots Swept (Number of acres X Number of times swept) #Acres
0 Streets Swept (Number of miles X Number of times swept) # Miles I 1 1 4
O Catch Basins Inspected and Cleaned Where Necessary
O Post Construction Control Stormwater Management Practices #
Inspected and Cleaned Where Necessary
•O Phosphorus Applied In Chemical Fertilizer #Lbs.
O Nitrogen Applied In Chemical Fertilizer #Lbs.
O Pesticide/Herbicide Applied #Acres .❑
(Number of acres to which pesticide/herbicide was applied X Number of
times applied to the nearest tenth.)
3. How many stormwater management trainings have been provided to municipal employees
during this reporting period? p
4. What was the date of the last training? m m
5. glow many municipal employees have been trained in this reporting period? �0
6. What percent of municipal employees in relevant positions and departments receive
stormwater management training? �p
MCM 6 Page 2 of 3
7123078468
MS4 Annual Report Form
This report is being submitted for the reporting period ending March 9, 2 0 2 1
If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank.
SPDES ID
Name of MS4/Coalition TOWN OF SOUTHOLD N Y R 2 0 A 5 2 4
7. Evaluating Progress Toward Measurable Goals MCM 6
Use this page to report on your progress and project plans toward achieving measurable goals
identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part
III.C.1. Submit additional pages as needed.
A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period.
1.Miles of streets swept
2.Number of catch basins inspected and/or cleaned .
3. Training sessions held and number and percent of staff trained
4.Number of municipal operations and facilities assessed as part of MCM6
B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable
Goal.
For 1-3 see information included in this annual report above.
4-'No municipal operations or facilities assessed this year.
C. How many times was this observation measured or evaluated in this reporting period?
11
(ex.: samples/participants/events)
D. Has your MS4 made progress toward this measurable goal during this reporting period?
0 Yes O No
E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP?
0 Yes O No
F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during
the next reporting cycle (including an implementation schedule).
Continue to implement Stormwater Management for Municipal Operations Program as per the
SWMPP.
MCM 6 Page 3 of 3