HomeMy WebLinkAbout2022 of soar
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Town of Southold
Department of Solid Waste
PO Box 962
6155 Cox Lane
Cutchogue, NY 11935
PRIVATE
TRANSFER STATION/RECYCLING CENTER
ANNUAL REPORT
Submit this Annual Report no later than March 1 of the year following the reporting year.
Reporting of the information indicated on this Transfer Station Annual Report form is required pursuant to Section
233-6 of the Southold Town Code. Failure to provide the information requested is a violation of the Southold Town
Code. Timely submission of a properly completed form is required to stay in compliance with your facility's local
and State permit conditions.
Completed forms should be sent to the address above.
Initial
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ANNUAL REPORT
This Transfer Station Annual Report is for the calendar year 2022
SECTION 1 — FACILITY INFORMATION
FACILITY NAME:
t
FACILITY LOCATION ADDRESS: J FACILITY CIT STATE: ZIP CODE:
0 bmm-e—ro- C.A+C 00 L4 NY C) 515
FACILITY TOWN: FACILITY COUNTY: FACILITY PHONENUMBER:
Southold Suffolk (�31-G� D" m$
FACILITY NYS PLANNING UNIT: Town of Southold NYSDEC
REGION#: 1
DEC PART 360 PERMIT#: DATE ISS6EDj DATE EXPIRES: NYS DEC ACTIVITY CODE OR
REGISTRATION NUMBER:
FACILITY CONTACT: CONTACT PHONE NUMBER: CONTACT FAX NUMBER:
CONTACT EMAIL ADDRESS: �5�
OWNER NAME: OWNER PHONE NUMBER: OWNER FAX NUMBER:
OWNER ADDRESS: OWNER CITY: STATE: ZIP CODE:
1�r Wl�i-t tt rv�l� N'l 1/�1 SZ
OPERATOR NAME'Psame as owner OPERATOR PHONE NUMBER: OPERATOR FAX NUMBER:
OPERATOR EMAIL ADDRESS:
a.
Preferred address to receive correspondence: Facility location address ❑ Owner address
Other(provide):
Preferred email address: Contact ❑Operator
❑Other(provide): �/��5�✓�✓� L �j�S r�
Did you operate in 2019? Yes; Complete this form.
No; Complete and submit Sections 1 and 10.
3 of 1
SECTION 2 — COMMERCIAL SERVICE BASE (WITHIN SOUTHOLD TOWN)
Provide the number and container capacity by volume (i.e., total capacity of container(s) typically provided to the location) of all commercial and
multi-unit residential stops located within the Town of Southold.
#of Commercial accounts: ; Capacity: ; #Multi-unit Residential Accounts: : Capacity
SECTION 3 — INCOMING WASTE RECEIVED
3.1 AMOUNT
Provide the TOTAL TONS and TRUCK COUNTS of solid waste received per quarter in the chart below. Include all waste received. DO NOT REPORT IN CUBIC YARDS!
[The values shown below were obtained by: (check one)J Scale Weight Estimated]
Type of Solid Waste Ist Quarter 2"d Quarter 3.d Quarter 4"' Quarter TOTAL
Jan—March Aril-June Jul —Sept) Oct-Dec
Tons Truck Count Tons Truck Count Tons Truck Count Tons Truck Count Tons Truck
Count
Construction&Demolition(CD)
Debris ��15� 1072� A�DL9 g5 31`Ila
Mixed Municipal Solid Waste(MSW)
(Residential,Institutional&
Commercial)
Source-Separated Recyc/ab/es*
Glass
Plastic
Paper
Cardboard L?)lt B"t 0 ��� .ZUL l
Metals
Co-mingled/Single Stream
Recyclables
Total Tons Received I �1c6 �cb�zj \��UlP tl�cl5�
Z1 G
*i.e., recyclables received at facility already separated from the waste stream. Show recyclables'recovered from incoming waste, if any, in Section 4.
Initial
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J'
3.2 SERVICE AREA ORIGIN BY LOCATION
Does the facility receive waste materials or recyclables originating from outside the Town of Southold?
Yes (indicate amounts below for all origins that apply in TONS). No .
Waste Originating From Within Southold Town
Tons
MSW
C&D
Recyclables (source-separated)
Waste Originating From Outside Of Southold Town
Suffolk County:
Amount Amount Other
Town of origin Amount MSW Amount C&D Recvclables (specify)
Babylon
Brookhaven
East Hampton
Huntington
Islip
Riverhead
Shelter Island
Smithtown
Southampton
Nassau County:
Hempstead
North Hempstead
Oyster Bay
Other New York State(specify location):
Town of origin
OUTSIDE NEW YORK STATE(specify state):
(When added,totals should match those in Section 3.1)
Initial,.
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3.3 SERVICE AREA ORIGIN BY FACILITY TYPE
For each type of solid waste listed below, indicate how much (if any)was received by your facility from another Solid
Waste Management facility (i.e., transfer station or processing facility) and how much was received via Direct Haul (i.e.,
waste hauled directly to your facility that did NOT go through another facility first), along with the corresponding
State/County/Town as applicable. . [Use additional sheets if waste was received from more than 4 different facilities or
Direct Haul locations.]
TYPE OF
SOLID FACILITY FROM WHICH IT WAS RECEIVED (Name) TONS
WASTE OR"Direct Haul" STATE COUNTY TOWN RECEIVED
Facility 1:
Facility 2: NIA f fjv, I Ub UO
Facility 3:
Facility 4: ----
C&D
Direct Haul 1� (c6S
Direct Haul:
Direct Haul:
Direct Haul:
Facility 1:
Facility 2:
Facility 3:
Facility 4:
MSW
rect H Z�l0�'l
Direct Haul
Direct Haul:
Direct Haul:
Facility 1:
Facility 2: Lin b
Facility 3:
Source- Facility 4:
separated
recyclables Direct Haul:
irect Haul
Direct Haul:
Direct Haul:
Initial
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Facility 1: jr
Co-mingled/ Facility 2:
Single
Stream Direct Haul:
Recyclables
Direct Haul:
Facility 1:
Facility 2:
Other
(specify) Direct Haul:
Direct Haul:
TOTAL;RECEIVEU(tons):`;
(When added,totals should match those in Section 3.1)
SECTION 4— MATERIAL RECOVERED FROM WASTE RECEIVED
Type of Solid Waste Is'Quarter 2nd Quarter 3rd Quarter 4'h Quarter TOTAL
Recovered Jan—March Aril -June) Jul —Sept) Oct-Dec
Aggregate&Concrete 14p�
Wood&Wood Chips
Recyclables Recovered
from waste
Glass
Plastic t�� y_ 01
Paper
Cardboard 3 DZ
Metals 013, " �' LL00
Other(Specify)
Total Tons Recovered in t�'y�' �- �/�4 5 07 r
Initial �' .
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SECTION 5 - OUTGOING WASTE REMOVED
5.1 Amounts of Waste Removed
Provide the TOTAL TONS and TRUCK COUNTS of solid waste removed from your facility per quarter in the chart below. Include all waste removed. DO NOT
REPORT IN CUBIC YARDS!
[The values shown below were obtained by: (check one) Scale Weight Estimated]
Type of Solid Waste 1st Quarter 2"d Quarter 31d Quarter 41h Quarter TOTAL
Jan--March) Aril-June Jul —Sept) Oct-Dec
Tons Truck Count Tons Truck Count Tons Truck Count Tons Truck Count Tons Truck
Count
Non-Recyclable Construction&
Demolition(CD)Debris 4��I rj��lk 51Q�3 1a5� �(R(aD
Non-Recyclable Mixed Municipal
Solid Waste(MSW)(Residential,
Institutional&Commercial)
Recyclab/es*
Glass
Plastic �'7 L1 O�
Paper �1
Cardboard 13291 \bb4 IIA�4 1�$ i 4D2S
Metals cj�Oj
Clean Wood
Co-mingled/Single Stream
Recyclables*
Other(specify) y" vjDILlts •
C1, LA
Total Removed
*(All, whether source-separated or recovered from waste streams)
Initial
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5 2 Destination Of Outgoing Materials After Processing/Transfer
DISPOSAL, TRANSFER, OR RECYCLING
MATERIAL DESTINATIONS STATE COUNTY TOWN TONS
NOW — „�
RECYCLALBE
MSW
NOW �rU �1�►n �� Svkf-kV,
RECYCLABLE
C&D
Aggregate & .u1*0 VjLj
Concrete
Cil � CG,�T�/✓ 2
Wood &Wood
Chips
Glass
Plastic ������ v����' •
t�}
Paper
Cardboard (N er als— y0
Metals 01,me 5,kff.'(L'- Lbravv''A
U SlA f l Shy 341
Clean Wood
Other(Specify)
TOTAL OUTGOING l$ '
Initial r) '.
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SECTION 6 - UNAUTHORIZED SOLID WASTE
Has this facility received any violations or summonses from any governmental, municipal, or other agency during the
reporting year?
❑Yes 0 No If yes, give information below.
Date Received issuing Agency Contact Person Type of Violation
Has unauthorized solid waste been received at the facility during the reporting period?
❑Yes K2No If yes, give information below for each incident (attach additional sheets if necessary):
Date Received TKE2 Received Date Disposed Disposal Method & Location
Radiation Monitoring
Does your facility use a fixed radiation monitor? Yes _)S_ No
Does your facility use a portable radiation monitor? Yes. '-P No
If the radiation monitors have been triggered give information below for each incident:
Received Removed
Reading Disposal
Date Time Hauler Origin Status Date Time
Initial
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SECTION 7 — PROBLEMS
Were any problems encountered during the reporting period (e.g., specific occurrences which have led to changes in
facility procedures)?
❑Yes Cp No If yes, attach additional sheets identifying each problem and the methods for resolution of the
.problem.
SECTION 7 — CHANGES
Were there any changes from approved reports; plans, specifications, and permit conditions?
❑Yes Q4 No If yes, attach additional sheets identifying changes with a justification for each change.
SECTION 9 - PERMIT/CONSENT ORDER REPORTING REQUIREMENTS
Are there any additional permit/consent order reporting requirements not covered by the previous sections of this
form?
❑Yes E2M If yes, attach additional sheets identifying the reporting requirements with their respective
responses.
SECTION 10 - SIGNATURE AND DATE BY OWNER OR OPERATOR
NOTE: Owner or Operator must initial each page where indicated, sign, date and submit one completed form with an
original signature to:
Town of Southold
Department of Solid Waste
PO Box 962
Cutchogue, New York 11935
I hereby affirm that information provided on this form and attached statements and exhibits is true to the best of my
knowledge and belief.
J[(UtZ�>
i ature Date
' b�S
Name (Print or Type) Title (Print or Type)
r-Ijo�51�1
Email (Print or Type)
�-
Address City
State and Zip Phone Number
Initial_.