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�PJEWYORK Department of PERMITTED TRANSFER FACILITY ANNUAL REPORT STATCOF Environmental ( Y 9 p ) OPPORTUNITY If you need assistance filling out this farm lease email swmfannualreport(u�dec.nV.dov or call 518-402-8678. Conservation Complete and submit this form by March 1, 2022. This annual report is for the year of operation from January 01, 2021 to December 31, 2021 SECTION 1 - GENERAL INFORMATION FACILITY INFORMATION FACILITY NAME: Town of Southold Transfer Station FACILITY LOCATION ADDRESS: FACILITY CITY: STATE: ZJP CODE: 6155 Cox Lane Cutcho ue NY 11935 FACILITY TOWN: FACILITY COUNTY: FACILITY PHONE NUMBER: Southold Suffolk 631 -734-7685 FACILITY NYS PLANNING UNIT: (Alist crYNYS,P Innincp,.11,t�,its cr�n be tf21.ind at the end of this report). NYSDEC Southold(Town)(except Fishers Island) REGION#: 1 360 PERMIT M(Refer to DEC DATE ISSUED: DATE EXPIRES: NYS DEC ACTIVITY CODE OR perrrrrit) REGISTRATION NUMBER: (Re fcar to 1 -4738-0296' 06/22/202 06/21 /202E DEC r'er€pit) 52TP0265/52PP0265 FACILITY CONTACT: M, public CONTACT PHONE CONTACT FAX NUMBER: James Bunchuck private NUMBER:31 734-7685 631 -734-7976 CONTACT EMAIL ADDRESS: imb _southoldtownny.gov OWNER INFORMATION OWNER NAME: OWNER PHONE NUMBER: OWNER FAX NUMBER: Town of Southold 631 -765-1889 631 -765-1823 OWNER ADDRESS: OWNER CITY: STATE: ZIP CODE: 53095 Main Road Southold NY 11971 OWNER CONTACT: OWNER CONTACT EMAIL ADDRESS: Supervisor Scott Russiscottr(o),southoldtownny.gov OPERATOR INFORMATION OPERATOR NAME: 0 same as owner 1E public private PREFERENCES Preferred address to receive correspondence: 177 Facilityiocation address E Owneraddress Other(provide): PO Box 962 Cutcho ue NY 11935 Preferred email address: !� FaciiityContact 171 Ownercontact ©Other(provide): Preferred individual to receive correspondence: E Facility contact F-I Owner Contact E Other(provide): Did you operate in 2021? In Yes; Complete this form. L"t.' No; Complete and submit Sections 1 and 11. If you no longer plan to operate and wish to relinquish your permit/registration associated with this solid waste management activity,also complete the"Inactive Solid Waste Management Facility or Activity Notification Form"located at: http://www.dec.ny.gov/chemical/52706.btml . REPRINTED (12/21) SECTION 2 - SOLID WASTE RECEIVED Please provide the tonnages of solid waste received Include all waste received. Report Recyclable Materials in Section 5. DO NOT REPORT IN CUBIC YARDS! Specify the methods used to measure the quantities disposed and the percentages measured by each method: ioo % Scale Weight % Estimated %Truck Count % Other(Specify: ) Type of Solid Waste January February March April May June July (tons) (tons) (tons) (tons) (tons) (tons) (tons) Asbestos Construction& Dem olition(C&D) Debris 293 167 447 388 281 308 531 Industrial Waste (Including Industrial Process Sludges) Mixed Municipal Solid 836 602 803 877 1046 1083 1290 Waste(MSW) (Residential,Institutional &Commercial) Oil/Gas Drilling Waste Petroleum Contaminated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste Emergency Authorization Waste (Storm Debris) Other(specify) Total Tons Received 1129 769 1250 1265 1327 11391 1821 If the solid waste type is not listed, use one of the"Other' lines and fill in the name of the waste. If more "Other" lines are needed, cross out an unused type and fill in the other solid waste name. If still more "Other' lines are needed, attach another copy of this page, cross out an unused type, and fill in the other solid waste name. REPRINTED(12/21) SECTION 2 - SOLID WASTE RECEIVED (continued) Tip Type of Solid Waste Fee -August September [-:: October November December Total Year Daily Avg. ($/ton) (tons) (tons) (tons) (tons) Asbestos (tons) (tons) (tons) Construction& Demolition(C&D) Debris 120 317 346 326 419 294 4117 12 Industrial Waste (Including Industrial Process Sludges) Mixed Municipal Solid 90-13 1143 1044 865 928 Waste(MSW) 810 11327 32 (Residential,Institutional 0 &Commercial) Oil/Gas Drilling Waste i Petroleum Contaminated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste Emergency Authorization Waste (Storm Debris) Other(specify) Total Tons Received 1460 1390 1191 1347 1104 1544444 If the solid waste type is not listed, use one of the"Other' lines and fill in the name of the waste. If more "Other" lines are needed, cross out an unused type and fill in the other solid waste name. If still more "Other' lines are needed, attach another copy of this page, cross out an unused type, and fill in the other solid waste name. REPRINTED(12/21) SECTION 3-SERVICE AREA OF SOLID WASTE RECEIVED Please identify where the waste is coming from The total tons received reported below should equal the total tons received in Section 2 (Solid Waste Received). DO NOT REPORT IN CUBIC YARDS! • If the waste WAS received from another solid waste management facility, please write in the name and address of the facility along with the appro nate state, county and planning unit/municipality. p • If the waste WAS PHOT received from another solid waste management facility, please write in"Direct Haul'along with the appropriate state,county and planning unit/municipality where the waste was generated. Specify transport method,list type of material(s)and percentages of total waste transported by each: 100 % Road: Waste Type(s): % Rail: Waste Type(s): %Water: Waste Type(s): % Other(specify: ): Waste Type(s): SERVICE AREA OF SOLID WASTE RECEIVED(where the waste iscoming from) SERVICE SERVICE SERVICE AREA SOLID WASTE MANAGEMENT FACILITY FROM AREA AREA NYS PLANNING TYPE OF SOLID WHICH IT WAS RECEIVED (Name&Address) STATE OR COUNTY OR UNIT WASTE OR "Direct Haul" COUNTRY PROVINCE (NYS iSee aRa ntl��ttof TONS RECEIVED Asbestos Construction & Demolition (C&D) Direct Haul ENY Suffolk County Southold(Town)(except F 4117 Debris Industrial Waste (Including Industrial _. Process Sludges) REPRINTED(12/21) SERVICE AREA OF SOLID WASTE RECEIVED(where the,,waste is coming frotmi SERVICE SERVICE SERVICE AREA SOLID WASTE MANAGEMENT FACILITY FROM AREA AREA NYS PLANNING TYPE OF SOLID WHICH IT WAS RECEIVED (Name&Address) STATE OR COUNTY OR UNIT WASTE OR "Direct Haul" COUNTRY PROVINCE (NYS Planhinc�.ed LlnttofTONS RECEIVED Municipal Solid Waste (MSW) (Residential, Direct Haul Institutional & NY Suffolk County Southold(Town)(except F 11327 Commercial) FOH/Gasg Waste Petroleum Contaminated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste (TRMW)* Emergency Authorization Waste (Storm Debris) Other(specify) TOTAL RECEIVED(tons): 15444 *List generators that provide you Certificates of Treatment forms and quantities of TRMW from each If the solid waste type is not listed, use one of the"Other' lines and fill in the name of the waste. If more "Other' lines are needed, cross out an unused type and fill in the other solid waste name. If still more "Other" lines are needed, attach another copy of this page, cross out an unused type, and fill in the other solid waste narne. REPRINTED(12/21) SECTION 4 - TRANSFER OR DISPOSAL DESTINATION Please identify destination of waste Please only include waste sent off-site for disposal or further transfer prior to disposal. Exclude Recyclable Material amounts reported in Section 5. DO NOT REPORT IN CUBIC YARDS! • If the waste is being sent to another facility for transfer or processing prior to disposal (e.g.Transfer facility or C&D debris handling and recovery facility), please identify name, address,corresponding State/Country,County/Province, and Destination Planning Unit of the transfer destination and the amount of waste transferred in the"Amount to Transfer Destination"column. • If the waste is being sent to a landfill or combustor, please identify the name, address, corresponding State/Country, County/Province,and Destination Planning Unit of the disposal destination and the amount of waste being sent for disposal in the"Amount to Disposal Destination"column. Specify transport method, list type of material(s)and percentages of total waste transported by each: 100 % Road: Waste Type(s): % Rail: Waste Type(s): Water: Waste Type(s): % Other(specify: ): Waste Type(s): TRANSFER OR DISPOSAL DESTINATION DESTINATION AMOUNT TO AMOUNT TO SOLID WASTE MANAGEMENT FACILITY TO DESTINATION DESTINATION NYS PLANNING UNIT TRANSFER DISPOSAL TOTAL TYPE OF SOLID WHICH IT WAS SENT STATE OR COUNTY OR (See Attached List of DESTINATION DESTINATION YEAR WASTE (Name&Address) COUNTRY PROVINCE NYS ?iannin�unit (TONS) (TONS) (TONS) Asbestos Town of Brookhaven Landfill Construction& 360 Horseblock Rd. Brookhaven NY Suffolk County Brookhaven Town 2512 2512 Demolition(C&D) Debris Mattituck Environmental Services 560 Commerce Rd. Cutcho ue I NY Suffolk County Southold(Town)(except 1605 1605 Industrial Waste (Including Industrial Process Sludges) REPRINTED(12/21) 7717� 1777 TRANSFER OR DISPOSAL DESTINATION DESTINATION AMOUNT TO AMOUNT TO SOLID WASTE MANAGEMENT FACILITY TO DESTINATION DESTINATION NYS PLANNING UNIT TRANSFER DISPOSAL TOTAL =TYPEOF WHICH ITWAS SENT STATE OR COUNTY OR (See Attached List of DESTINATION DESTINATION YEAR Name&Address COUNTRY PROVINCE NYS Pla_nninq Units TONS ONS ONS Municipal Solid Waste(MSW) (Residential, Town of Babylon WTE Facility C _ Institutional& Commercial) 125 Gleam St., West Babylon, NY NY Suffolk County Babylon(Town) 11327 Oil/Gas Drilling Waste Petroleum Contaminated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste Emergency Authorization Waste(Storm Debris) Other(specify) TOTAL SENT(tons): 15444 If the waste type is not listed, use one of the"Other" lines and fill in the name of the material. If more "Other" lines are needed, cross out an unused type and fill in the other waste name. If still more "Other" lines are needed, attached another copy of this page, cross out an unused type, and fill in the other waste name. REPRINTED(12/21) SECTION 5— PERMITTED TRANSFER FACILITY RECYCLABLE & RECOVERED MATERIALS Is your faciIity also a permitted or registered Re cyclablesHandling&Recovery Facility? 0 Yes; Complete Section 5 for material recovered from the mixed solid waste stream. Complete a Recyclables Handling& Recovery Facility (RHRF)form for material received as source separated. The RHRF form is located at: http://www.dec.ny.gov/chemical/52706.html . EJ No; Complete Section 5 for material recovered from the mixed solid waste stream and for material received as source separated. A. Service Area of Recyclable Material Received Please identify where the recyclable materials are coming from DO NOT REPORT IN CUBIC YARDS! • If the materials WERE received from another solid waste management facility, please write in the name and address of the facility along with the appropriate state, county and planning unit/municipality. • If the materials WERE NOT received from another solid waste management facility, please write in"Direct Haul"along with the appropriate state, county and planning unit/municipality where the recyclables were generated. SERVICE AREA OF RECYCLABLE MATERIAL RECEIVED (where the material is coming from) SOLID WASTE MANAGEMENT FACILITY FROM SERVICE SERVICE AREA SERVICE AREA NYS MATERIAL WHICH IT WAS RECEIVED (Name &Address) AREA COUNTY OR PLANNING UNIT OR "Direct Haul" STATE OR PROVINCE (See Attached List of TONS RECEIVED COUNTRY NYS Planning Units Commingled MANURE - Direct Haul NY Suffolk County Southold Town (except Fis 382 Containers (metal,glass,plastic) Direct Haul metal plastic - NO GLASS NY iSuffolk County Southold(Town)(except Fis 303 Commingled Paper Direct Haul (mixed paper and cardboard) NY Suffolk County Southold(Town)(excer)t Fis 1123 (all grades) SCRAP METAL - Direct Haul NY Suffolk County Southold Town)(except Fis421 Single Stream(total) TEXTILES - Direct Haul NY Suffolk County Southold Town (except Fis 101 INDUSTRIAL SHRINK WRAP PLASTIC (marine s NY Suffolk County Southold(Town)(ex-- tFis 53 Brush, Branches, LEAVES - Direct Haul NY Suffolk County Southold Town (except Fis 5950 Trees, &Stumps BRUSH BRANCHES STUMPS - Direct Haul NY Suffolk County Southold(Town)(except Fis 8798 Food Scraps Direct Haul (Brewery Waste) INY Suffolk County Southold(Town)(except Fid 132 Yard Waste E-WASTE - Direct Haul INY Suffolk County Southold Town (except Fis 53 (curbside) VEHICLE BATTERIES - Direct Haul NY Suffolk CoLintv Southold Town)(except Fi5 Other(specify) WASTE OIL - Direct Haul NY Suffolk County Southold Town (except Fi31 Glass Containers Direct Haul NY Suffolk County Southold Town (except Fi 320 TOTAL RECEIVED(tons): 17672 If the material type is not listed, use one of the"Other" lines and fill in the name of the material. If more "Other" lines are needed, cross out an unused type and fill in the other materials name. If still more "Other"lines are needed, attached another copy of this page, cross out an unused type, and fill in the other materials name. REPRINTED(12/21) SECTION 5- PERMITTED TRANSFER FACILITY RECYCLABLE & RECOVERED MATERIALS (continued) B. Material Recovered Please identify destination of recovered materials. Indicate the name of the facility, address, corresponding State/Country, County/Province, Destination Planning Unit/Municipality and the amount of material transferred. DO NOT REPORT IN CUBIC YARDS! Specify transport method,listtype of material(s)and percentages of total waste transported by each: 100 % Road: Material(s): % Rail: Material(s): % Water: Material(s): % Other(specify: ):Material(s): PAPER RECOVERED DESTINATION NYS RECOVERED DESTINATION DESTINATION PLANNING UNIT TONS DESTINATION STATE OR COUNTY OR RECOVERED (See Attached List of MATERIAL (Name&Address) COUNTRY PROVINCE NYS Piann€nr iinih (out of facility) Commingled Paper Mattituck Environmental Services, 560 Commerce Rd.. NY Suffolk County Southold Town exce tFish 1123 (all grades) Corrugated Cardboard Junk Mail Magazines Newspaper Office Paper Paperboard/ Boxboard Other Paper(specify) TOTAL PAPER RECOVERED(tons): 1123 If the material type is not listed, use one of the "Other' lines and fill in the name of the material. If more "Other" lines are needed, cross out an unused type and fill in the other materials name. If still more "Other"lines are needed, attached another copy of this page, cross out an unused type, and fill in the other materials name. REPRINTED(12/21) SECTION 5— PERMITTED TRANSFER FACILITY RECYCLABLE & RECOVERED MATERIALS (continued) B. Material Recovered GLASS RECOVERED DESTINATION DESTINATION DESTINATION NYS TONSPLANNING UNIT RECOVERED RECOVERED DESTINATION STATE OR COUNTY OR (See Attached List of MATERIALName &-Address COUNTRY PROVINCE NYS Elanninq Units. (out of facility) Container Glass Town of Brookhaven Landfill, 360 Horseblock Rd., Bi NY Suffolk CountySouthold Town (except Fis 222 Town of Southold Transfer Station, 6155 Cox Lal NY Suffolk County Southold(Town)(except Fis 98 Industrial Scrap Glass Other Glass(specify) I TOTAL GLASS RECOVERED(tons): 320 METAL RECOVERED DESTINATION DESTINATION DESTINATION NYSPLANNING UNITONS T RECOVERED DESTINATION STATE OR COUNTY OR (See Attached List T RECOVERED MATERIAL Name &Address COUNTRY PROVINCE of NYS P!snnint units out of facili Aluminum Foil/Trays Bulk Metal (from MSW) PK Metals, Coram NY NY Suffolk CountyBrookhaven(Town) 421 Bulk Metal (from CD debris) Enameled Appliances/ Included in bulk metal White Goods Industrial Scrap Metal Tin &Aluminum Containers Other Metal (specify) TOTAL METAL RECOVERED(tons): 421 If the material type is not listed, use one of the "Other' lines and fill in the name of the material. If more "Other' lines are needed, cross out an unused type and fill in the other materials name. If still more "Other"lines are needed, attached another copy of this page, cross out an unused type, and fill in the other materials name. REPRINTED(12/21) SECTION 5— PERMITTED TRANSFER FACILITY RECYCLABLE & RECOVERED MATERIALS (continued) B. Material Recovered PLASTIC,RECOVERED DESTINATION DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION PLANNING UNIT STATE OR COUNTY OR RECOVERED MATERIAL (Name&Address) COUNTRY PROVINCE (See Attached List of NYS f'lanninq units (out of facility) Commingled Plastic (#1-#7) PET(plastic#1) HDPE(plastic#2) Other Rigid Plastics (#3-#7) Industrial Scrap Plastic Plastic Film&Bags Other Plastics(specify) Industrial Shrink Wrarwy Paper Stock, 619 Dickens St., Westbury, NY NY Suffolk County North Hempstead SWMA 38 TOTAL PLASTIC RECOVERED(tons): 38 MISCELLANEOUS MATERIAL RECOVERED DESTINATION NYS RECOVERED DESTINATION DESTINATION PLANNING UNIT TONS DESTINATION STATE OR COUNTY OR RECOVERED (See Attached List of MATERIAL Name &Address COUNTRY PROVINCE NYS ELudag�i out of facility) Electronics AHRC of Nassau Count NY Nassau County Hempstead(Town) 53 Textiles Big Brothers-Big Sisters INY Suffolk County Smithtown(Town) 38 St. Vincent de Paul NY Suffolk County Hempstead(Town) 63 Other(specify) Waste Oil, Strebel's Laundry, Westhampton NY Suffolk County Southampton(Town) 31 Vehicle Batteries InterstattPgftery, Bohemia NY Suffolk County Islip Resource Recovery Age 5 TOTAL MISCELLANEOUS MATERIAL RECOVERED(tons):-187- If tons): 187If the material type is not listed, use one of the "Other"lines and fill in the name of the material. If more "Other" lines are needed, cross out an unused type and fill in the other materials name. If still more "Other"lines are needed, attached another copy of this page, cross out an unused type, and fill in the other materials name. REPRINTED(12/21) SECTION 5— PERMITTED TRANSFER FACILITY RECYCLABLE & RECOVERED MATERIALS (continued) B. Material Recovered MIXED MATERIAL RECOVERED DESTINATION NYS RECOVERED DESTINATION DESTINATION PLANNING UNIT TONS DESTINATION STATE OR COUNTY OR RECOVERED (See Attached List of MIXED MATERIAL Name&Address COUNTRY PROVINCE NYS Plannlnunits out of facility) Commingled Mattituck Environmental Services, 560 Commerce Ri NY Suffolk County Southold(Town)(except Fis 303 Containers (metal,glass,plastic) Commingled Paper& Containers Single Stream (total) Other(specify) TOTAL MIXED MATERIAL RECOVERED(tons): 303 ORGANIC MATERIAL RECOVERED DESTINATION DESTINATION DESTINATION NYSpLANNING UNIT TONS RECOVERED DESTINATION STATE OR COUNTY OR RECOVERED (See Attached List of MATERIAL (Name&Address) COUNTRY PROVINCE NYS Pipnninc_grits (out of facility) Brush, Branches, Southold Town Compost Facility, 6155 Cox Lane, Cutcl NY Suffolk Count Southold(Town)(except Fis 8798 Trees, &Stumps LEAVES: Southold Town Compost Facility, Cutcl NY Suffolk County Southold(Town)(except Fis 5950 Food Scraps Brewery Waste- Southold Town Compost Facility, C1 NY Suffolk County Southold(Town)(exceptlj32 Yard Waste (curbside) Other(specify) TOTAL ORGANIC MATERIAL RECOVERED (tons): 14880 If the material type is not listed, use one of the "Other'lines and fill in the name of the material. If more "Other' lines are needed, cross out an unused type and fill in the other materials name. If still more "Other"lines are needed, attached another copy of this page, cross out an unused type, and fill in the other materials name. REPRINTED(12/21) SECTION 6- UNAUTHORIZED SOLID WASTE Has unauthorized solid waste been received at the facility during the reporting period? ❑Yes ❑■ No If yes, give information below for each incident(attach additional sheets if necessary): Date Received T pe Received Date Disposed Disposal Method & Location Radiation Monitoring Does your facility use a fixed radiation monitor? Yes I — No Identify Manufacturer and Model of fixed unit. Does your facility use a portable radiation monitor? I J Yes ; _!_ No Identify Manufacturer and Model of fixed unit. If the radiation monitors have been triggered give information below for each incident: Received Removed Incident Truck Reading Disposal Number Date Time Hauler Origin Number Status Date Time SECTION 7 - COST ESTIMATES AND FINANCIAL ASSURANCE DOCUMENTS Are there required cost estimates and financial assurance documents for closure? ❑Yes V No If yes, attach additional sheets reflecting annual adjustments for inflation and any changes to the Closure Plan? REPRINTED(12/21) SECTION 8 — PROBLEMS Were any problems encountered during the reporting period (e.g.,specific occurrences which have led to changes in facility procedures)? ❑Yes ❑■ No If yes, attach additional sheets identifying each problem and the methods for resolution of the problem. SECTION 9 —CHANGES Were there any changes from approved reports, plans, specifications, and permit conditions? ❑Yes X No If yes, attach additional sheets identifying changes with a justification for each change. SECTION 10 - PERMIT/CONSENT ORDER REPORTING REQUIREMENTS Are there any additional permit/consent order reporting requirements not covered by the previous sections of this form? ❑Yes R No If yes, attach additional sheets identifying the reporting requirements with their respective responses. SECTION 11 - SIGNATURE AND DATE BY OWNER OR OPERATOR Owner or Operator must sign, date and submit one completed form to the appropriate Regional Office (See attachment for Regional Office addresses, email addresses and Materials Management Contacts). The Owner or Operator must also submit one copy by email,fax or mail to: New York State Department of Environmental Conservation Division of Materials Management Bureau of Solid Waste Management 625 Broadway Albany, New York 12233-7260 Fax 518-402-9041 Email address: SWMFannualreport@dec.ny.gov I certify, under penalty of law, that the data and other information identified in this report have been prepared under my direction and supervision in compliance with a system designed to ensure that qualified personnel properly and accurately gather and evaluate this information. I am aware that any false statement I make in such report is punishable pursuant to section 71-2703(2)of the Environmental Conservation Law and section 210.45 of the Penal Law. January 14 . . Signature �_ Date f James Bunchuck Solid Waste C (63) 73.7685 Name (Print or Type) Title (Print or Type) Phone Number PO Box 962 Cutchogue NY 1193E Address City State and Zip iimb(c.southoldtownny.gov Email (Print or Type) ATTACHMENTS: F YES F_01\10 (Please check appropriate line) REPRINTED(12/21)