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Home My WebLink About2017 Clear Form PERMITTED TRANSFER STATION ANNUAL REPORT (If you need assistance filling out this form please email swmfannualreoort@dec.ny.gov or call 518-402-8678.) Complete and submit this form by March 1, 2018. This annual report is for the year of operation from January 01, 2017 to December 31, 2017 SECTION 1 — GENERAL INFORMATION FACILITY INFORMATION FACILITY NAME: Southold Town Municipal Solid Waste Facility FACILITY LOCATION ADDRESS: FACILITY CITY: STATE: ZIP CODE: 6155 Cox Lane Cutchogue NY 11935 FACILITY TOWN: FACILITY COUNTY: FACILITY PHONE NUMBER: Southold Suffolk 631-734-7685 FACILITY NYS PLANNING UNIT:(A€dr t:r.>t Y,.,P€sasanis1 Eln+Ps can be found at the enfi of this rf qso t). NYSDEC Town of Southold REGION#: 1 360 PERMIT M(Rafertx DEC DATE ISSUED: DATE EXPIRES: NYS DEC ACTIVITY CODE OR porni t) REGISTRATION NUMBER:(Refert.c 52T92 12/03/2015 12/02/2020 DEG tw=ennit) FACILITY CONTACT: n public CONTACT PHONE CONTACT FAX NUMBER: James Bunchuck F-1 private 3UMB4 7685 631 -734-7976 CONTACT EMAIL ADDRESS:jimb@southoldtownny.gov OWNER INFORMATION OWNER NAME: OWNER PHONE NUMBER: OWNER FAX NUMBER: Town of Southold 631-765-1889 1631-765-1823 OWNERADDRESS: OWNER CITY: STATE: ZIP CODE: 53095 Main Rd/PO Box 1179 Southold 7NY 11971 OWNER CONTACT: OWNER CONTACT EMAIL ADDRESS: Supervisor Scott Russell scottr@southoldtownny.gov OPERATOR INFORMATION OPERATOR NAME: sarne asowner E public private PREFERENCES Preferred address to receive correspondence: C Facility location address Owneraddress I7 Other(provide): Southold Town DSW, PO Box 962, Cutchogue, NY 11935 Preferred email address: l• Facilitycontact OwnerContact Il Other(provide): Preferred individual to receive correspondence. 111 Facility contact Owner Contact IM Other(provide): Did you operate in 2017? 0- Yes; Complete this form. I!=`1No; 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.ciov/chemical/52706.htMI . REPRINTED (12/17) 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: +00 %Scale Weight %Estimated %Truck Count %Other(Specify: ) Type of Solid Waste January February March April May JuneJuly (tons) (tons) (tons) (tons) (tons) (tons) (tons) Asbestos Construction& Demolition(C&D)Debris 141 192 183 287 269 216 232 Industrial Waste (Including Industrial Process Sludges) Mixed Municipal o i Waste(MSW) 559 399 581 581 818 790 1068 (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 1700 1591 1764 868 1087 11006 1300 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(12/17) SECTION 2-SOLID WASTE RECEIVED (continued) Tip Type of Solid Waste Fee August September October November December Total Year Dally Avg. ($/ton) (tons) (tons) (tons) (tons) (tons) (tons) (tons) Asbestos Construction& Demolitlon(C&D)Debris 120 317 222 226 214 147 2646 8 Industrial Waste (Including Industrial Process Sludges) Mixed Municipal Solid Waste(MSW) 85- 1249 1055 791 788 578 9257 26 (Residential,Institutional 130 &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 1566 1277 1017 11002 725 111903 34 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(12/17) 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 appropriate state,county and planning unit/municipality. • If the waste WAS 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 waste was generated. Specify transport method,list type ofmaterial(s)and percentages of total waste transported by each: 100 oho 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 is coining from) SERVICE SERVICE SERVICE AREA NYS PLANNING SOLID WASTE MANAGEMENT FACILITY FROM AREA AREA UNIT TYPE OF SOLID WHICH IT WAS RECEIVED(Name&Address) STATE OR COUNTY OR (See Attached List of WASTE OR"Direct Maul' COUNTRY PROVINCE NYs t'taltLting_VritUr TONS RECEIVED Asbestos Direct Haul NY Suffolk County Southold(Town)(except F 2646 Construction& Demolition(C&D) Debris Industrial Waste (Including Industrial Process Sludges) REPRINTED(12/17) SERVICE+AREA OF SOLID WASTE RECEIVED(where the waste,is cominguom)" SERVICE SERVICE SERVICE AREA NYS PLANNING SOLID Name WASTE MANAGEMENT FACILITY FROM AREA AREA TYPE OF SOLID WHICH IT WAS RECEIVED &Address) STATE OR COUNTY OR UNIT ( (See Attached List of WASTE OR"Direct Haul" COUNTRY PROVINCE NYS Pianninc units TONS RECEIVED Municipal Solid Waste(MSW) Direct Haul NY Suffolk County Southold(Town)(except F 9257 (Residential, Institutional& Commercial) Oil/Gas Drilling Waste Petroleum Contaminated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste (TRMW)* Emergency Authorization Waste (Storm Debris) Other(specify) TOTAL RECEIVED(tons): ___________.,. 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.V 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(12/17) 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 YARDSI • If the waste is being sent to another facility for transfer or processing prior to disposal(e.g.Transfer station or C&D debris processing facility),please identify name,address,corresponding State/Country,County/Province,and Destination Planning Unit of the transfer destination and the amount ofwaste 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"Amountto 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 NYSp4�ndWUDis (TONS) (TONS) (TONS) i i I i Asbestos i Town of Brookhaven Landfill NY Tompkins County Brookhaven(Town) 2646 2646 Construction& 350 Horseblock Rd Demolition(C&D) Debris Brookhaven, NY 11719 I Industrial Waste (Including Industrial Process Sludges) REPRINTED(12/17) TRANSFER OR DISPOSALDESTINATION 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 Planning Units TONS TONS TONS Municipal Solid Waste(MSW) Town of Babylon WTE Facility(Covanta) NY Suffolk County Babylon(Town) 9257 9257 (Residential, Institutional& 125 Gleam St.,West Babylon, NY 11704 Commercial) Oil/Gas Drilling Waste Petroleum Contam Inated Soil Sewage Treatment Plant Sludge Treated Regulated Medical Waste Emergency Authorization Waste(Storm Debris) Other(specify) TOTAL SENT(tons): 11903 If the waste type is not listed, use one of the"Other"lines and fill in the name of the material. K 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 w aste name.REPRINTED(12/17) SECTION 5—PERMITTED TRANSFER STATION RECYCLABLE & RECOVERED MATERIALS Is your facility also a permitted or registered Re cyclablesHandling&Recovery Facility? ❑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: httr)://www.dec.ny.gov/chemical/52706.html . El 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 YARDSI • 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. I SERVICE AREA OF RECYCLABLE MATERIAL RECEIVED(Where the materla!)s comm 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 RECOV ED COUNTRY NYS 11Iannir1S,tlt nit>: Commingled Containers (metal,glass,plastic) Commingled Paper (all grades) Single Stream(total) Direct Haul NY Suffolk County Southold(Town)(except Fi: 2843 Brh,Bra nches, Direct Haul NY Suffolk County Southold(Town)(except Fi: 6350 Treesus ,&Stumps Food Scraps Yard Waste (curbside) Other( pecify) Leaves Direct Haul NY Suffolk County Southold(Town)(except Fi: 4612 TOTAL RECEIVED(tons): ,1-5 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(12/17) SECTION 5—PERMITTED TRANSFER STATION 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 YARDSI Specify transport method,list type 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 DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIT RECOVERED MATERIAL (See Attached List of (Name&Address) COUNTRY PROVINCE NYS I>L��S�iug< nits (out offacility) Commingled Paper Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stneam (all grades) Corrugated Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Cardboard Junk Mail Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Greenstream Magazines MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Greenstream Newspaper MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included In single stream Office Paper Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Paperboard/ Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Boxboard Other Paper(specify) Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream TOTAL PAPER RECOVERED(tons): 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(12/17) SECTION 5—PERMITTED TRANSFER STATION RECYCLABLE &RECOVERED MATERIALS (continued) B. Material Recovered GLASS;RECOVERED;: DESTINATION DESTINATION E A TONS PLANNING UNIT RECOVERED RECOVERED DESTINATION STATE OR COUNTY OR (See Attached List of MATERIAL Name&Address COUNTRY PROVINCE NYS Pusruninr units (out offacility) [Container Glass Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Industrial Scrap Glass lass(specify) TOTAL GLASS RECOVERED(tons): METAL RECOVERED DESTINATION DESTINATION DESTINATION NF TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIRECOVERED (See Attached List MATERIAL Name&Address COUNTRY PROVINCE NYS Plannin. t nits out of facility) Aluminum Foil/Trays Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Bulk Metal(from MSW) PK Metals,Coram NY NY Suffolk County Brookhaven(Town) 243 Gershow Recycling, Medford,NY INN 95 Bulk Metal(from CD debris) Enameled Appliances/ included in bulk metal White Goods F dustrial Scrap Metal Tin&Aluminum Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Containers Other Metal(specify) TOTAL METAL RECOVERED(tons): 338 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(12/17) SECTION 5—PERMITTED TRANSFER STATION RECYCLABLE&RECOVERED MATERIALS (continued) B. Material Recovered PLASTIC RECOVERED DESTINATION DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIT RECOVERED ( MATERIAL (Name&Address) COUNTRY PROVINCE See Attached List of NYS f�lanr'inra Units (out of facility) Commingled Plastic Greenstream MRF,Brookhaven LF NY I Suffolk County Brookhaven(Town) I Included in single stream (#1-#7)PET — -- Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream (plastic#1) Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream HDPE(plastic#z) __ ____L --------_...__. Other Rigid Plastics Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) Included in single stream Industrial Scrap Plastic Plastic Film&Bags Other Plastics(specify) Industrial shrink wrap Westbury Paper Stock NY Nassau County North Hempstead SWMA 64 TOTAL PLASTIC RECOVERED(tons): MISCELLANEOUS MATERIAL RECOVERED DESTINATION DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIT RECOVERED (See Attached List of MATERIAL Name&Address COUNTRY PROVINCE NYS.t>,La7tuaiaua_Uaa.if,t out oftacilit Electronics AHRC of Nassau County,Freeport NY Nassau County Hempstead(Town) 82 Big Brothers-Big Sisters,Southampton NY Suffolk County Southampton(Town) 79 Textiles St.Vincent de Paul,West Hempstead INY INassau County Hempstead(Town) 47 Other ispacIty) Waste Oil,Strebels Laundry,Westhampton NY I Suffolk County Southampton(Town) 47 Vehicle Batteries,Interstate Battery,Bohemia I NY I Suffolk County Hempstead(Town) 5 TOTAL MISCELLANEOUS MATERIAL RECOVERED(tons): _2M.___„ 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(12/17) SECTION 5—PERMITTED TRANSFER STATION RECYCLABLE & RECOVERED MATERIALS (continued) B. Material Recovered MIXED MATERIAL RECOVERED DESTINATION DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIT RECOVERED (See Attached List of MIXED MATERIAL Name&Address COUNTRY PROVINCE NYS Plannin units out I!YL— Commingledmingled Containers (metal,glass,plastic) Commingled Paper& Containers Greenstream MRF,Brookhaven LF NY Suffolk County Brookhaven(Town) 2843 ESingletream Othe r(specify) Re-use(residential materials exchange facility) NY Suffolk County Southold(Town)(except Fi; 100 TOTAL MIXED MATERIAL RECOVERED(tons): 2943 ORGANIC MATERIAL RECOVERED DESTINATION DESTINATION DESTINATION NYS TONS RECOVERED DESTINATION STATE OR COUNTY OR PLANNING UNIT RECOVERED MATERIAL (See Attached List of (Name COUNTRY PROVINCE NYs,f'.1.ftttitztt...Sl.,tl.ts (out ofracility) Brush,Branches, Southold Town Compost Facility,6155 Cox Lane,Culchogue NY I Suffolk County Southold(Town)(except Fi! 6350 Trees,&Stumps Food Scraps Yard Waste (curbside) Other(specify) Southold Town Compost Facility,6155 Cox Lane,Cutchogue NY Suffolk County Southold(Town)(except Fi: 4612 Leaves TOTAL ORGANIC MATERIAL RECOVERED(tons): 10962 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(12/17) SECTION 6—UNAUTHORIZED SOLID WASTE Has unauthorized solid waste been received at the facility during the reporting period? ❑Yes IN No If yes,give information below for each incident(attach additional sheets if necessary): Date Received I Type Received I Date Disposed Disposal Method&Location Radiation Monitoring Does your facility use a fixed radiation monitor? Yes 1 0 No Identify Manufacturer and Model of fixed unit. Does your facility use a portable radiation monitor? 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 ® No If yes,attach additional sheets reflecting annual adjustments for inflation and any changes to the Closure Plan? REPRINTED(12/17) 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 X 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 the completed form by email or mail to the appropriate Regional Office (See attachment for Regional Office email & mailing addresses and Solid Waste 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 Permitting and Planning 625 Broadway Albany, New York 12233-7260 Fax 518-402-9041 Email address: SWMFannualreport@dec.ny.gov I hereby affirm under penalty of perjury that information provided on this form and attached statements and exhibits was prepared by me or under my supervision and direction and is true to the best of my knowledge and belief, and that I have the authority to sign this report form pursuant to 6 NYCRR Part 360. 1 am aware that any false statement made herein is punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. 02/14/2018 Signature Date James Bunchuck Solid Waste Coordinator (631 7347685 Name (Print or Type) Title (Print or Type) Phone Number PO Box 962 Cutchogue NY 11935 Address City State and Zip jimb@southoldtownny.gov Email (Print or Type) ATTACHMENTS: F YES F ' ! NO (Please check appropriate line) REPRINTED(12/17)