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Home My WebLink About2013 ANNUAL REPORT This Transfer Station Annual Report is for the year of operation from January 01, 2013 to December 31, 2013 SECTION 1 — FACILITY INFORMATION FACILITY NAME: Southold Town Transfer Station 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 list of NYS Planning Units can be found at the end of this report). NYSDEC 1 Town of Southold REGION #: 360 PERMIT#: DATE ISSUED: DATE EXPIRES: NYS DEC ACTIVITY CODE OR 10-31-1997 REGISTRATION NUMBER: 52T92R(MSW)/52R09R(C&D) FACILITY CONTACT: CONTACT PHONE NUMBER: CONTACT FAX NUMBER: James Bunchuckj public 631-734-7685 631-734-7976 ❑private CONTACT EMAIL ADDRESS: jbunchuck@town.southold.ny.us OWNER NAME: OWNER PHONE NUMBER: OWNER FAX NUMBER: Town of Southold 631-765-1800 631-765-6145 OWNER ADDRESS: OWNER CITY: STATE: ZIP CODE: 53095 Main Rd. Southold NY 11971 OPERATOR NAME: same as owner OPERATOR PHONE NUMBER: OPERATOR FAX NUMBER: F]public ❑private OPERATOR EMAIL ADDRESS: e.neville@town.southold.ny.us Preferred address to receive correspondence: ❑ Facility location address ❑ Owner address Other(provide): PO Box 962, Cutchogue, NY 11935 {Preferred email address: C4 contact ❑ Operator ❑Other(provide): Did you operate in 2013? 0 Yes; Complete this form. ❑ 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.nV.gov/chemical/52706.html . REPRINTED (01/14) / © ® g , , , , \ � 0 ` ' G 04 C-4 ~ » 2 3 2 O z R ± CD , m 0 , 7 L � E R O Z O O a *? - m g e , © , $ y / � o C/) S •® E W / U / ° WLU / � § % % E R « O 0 ƒ U) ) 2 U) $ ? 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M LU W 0 C C w w OH v � (n L NJ a Q 3 � � � EZz < < U Q C w m v m v I � 0 U W o a' y U) ° L <n v) n z �, rnm -a a ) m cnwww � �K � � o LL .c ULU)- a � � � � wHm 1LL O 0 (L CL 0- Z z OU O0 w ( 2 @ > 0 § J a 3 /§ � � ■ / /k 5 6 F • . 0 Om % § 0 \ 2 E J p / 7 W o 0 /2 Cl. \ \ » » y ( ƒ 0 \ § / § k ag § 0 \ \ •§ ® 2 \ / / ) % \ k 0 / / \ % o$ cu D CL oZ / / 0 ƒ 3 | / \ 2 7 \ la) \ / O O_ '\ 9 ƒ $ W % ® E / § Cl. \ 5 0 5 o k m 0 ^ 73 0 \ 2 s e 0 5 ° 5 2 = e -02 E 2 2 @ § .0 .> E E 0 cu \ B E e 0 k 3 E 2 % § 0 / .g u \ ° ± § 2 ° _ $ e 2 ® q '\ / CL / $ * % m I m o # \ \ ) / \ ƒ O / _ = 0 0 2 \ ƒ 7 ƒ 0 \ \ 7R ± @ 0 § 2 \ / % # G ¥ / / S 0 / 0 / ± ƒ SECTION 7 - COST ESTIMATES AND FINANCIAL ASSURANCE DOCUMENTS Are there req�ired cost estimates and financial assurance documents for closure? ❑Yes ft(No If yes, attach additional sheets reflecting annual adjustments for inflation and any changes to the Closure Plan? SECTION 8 — PROBLEMS Were any problems encountered during the reporting period (e.g., specific occurrences which have led to changes in facility procedures)? ❑Yes dNo 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 MN 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 M No If yes, attach additional sheets identifying the reporting requirements with their respective responses. REPRINTED (01/14) SECTION 11 - SIGNATURE AND DATE BY OWNER OR OPERATOR Owner or Operator must sign, date and submit one completed form with an original signature to the appropriate Regional Office (See attachment for Regional Office 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: swpermit@gw.dec.state.ny.us 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. April 2, 2014 Signature Date James Bunchuck Solid Waste Coordinator_ Name (Print or Type) Title (Print or Type) ibunchuck6d�town.southold.ny.us Email (Print or Type) 6155 Cox Lane/PO Box 962 Cutchogue Address City NY 11935 ( 631 ) 734 - 7685 State and Zip Phone Number ATTACHMENTS: YES NO (Please check appropriate line) REPRINTED (01/14)