The URL can be used to link to this page

Home My WebLink About2012, ~.~ RESOLUTION 2012-359 ADOPTED DOC ID: 7794 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2012-359 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 24, 2012: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott A. Russell to execute the NoticefRenewal Application/Permit in connection with the State Pollutant Discharge Elimination System (SPDES) permit regarding the Fishers Island Wastewater Treatment Facili ,ty, which is required by the NYS Department of Environmental Conservation under the terms of our SPDES Permit #NY-019- 9214, subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER: William Ruland, Councilman AYES: Ruland, Talbot, Doherty, Krupski Jr., Evans, Russell ENGINEERED SOLUTIONS LAND STRUCTURES WATER Apdl 9, 2012 Mr. Scott Russell Southold Town Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: NYDEC SPDES Permit Renewal - Fishers Island VWVTF DTC Project No. 12-173-400 Dear Supervisor Russell: DTC prepared the attached renewal form for SPDES Permit Number NY0199214 based on our field records and self evaluation considerations provided by NYDEC. Please sign where indicated, and forward the completed form to the following address: NYSDEC - Division of Environmental Permits Bureau of Environmental Analysis 625 Broadway Albany, NY 12233-1750 The SPDES Permit Renewal Form must be received by NYDEC on or b~fore May 4, 2012. Sincerely, Michael D. Errickson Divemified Technology Consultants, Inc. Enclosure: SPDES Renewal Application NY0199214 File The Honorable Louisa Evans (with enclosure) APR 11 2gT2 TOWN ATTORNEY'S OFFICE TOWN OF SOUTHOLD 2321 WHITNEY AVENUE SUITE 301 HAMDEN CT 06518 203 239 4200 PH 203 234 7376 FAX 91-20-5 (5/97) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION State Pellutant Discharge Elimination System (SPDES) NOTICE / RENEWAL APPLICATION / PERMIT Please read ALL instructions on the back before completing this application form. Please TYPE or PRINT clearly in ink. PermiUee Contact Name, Title, Address Facility and SPDES Permit information SOUTHOLD (T) SCOTT RUSSELL PO BOX 1179 SOUTHOLD NY 11971 Name: SOUTHOLD (T) FISHERS ISLAND WWTF Ind. Code: 4952 County: SUFFOLK DEC No.: 1-4738-00526/00001 SPDESNo.: NY 019 9214 Expiration Date: 10/31/2012 Application DueBy: 05/04/2012 Are these name(s) & address(es) correct? if not, please write corrections above. The State Polkrtant Discharge Elimination System Permit for the facility referenced above expires on the date indicated. You are required by law to file a complete renewal application at least 180 days prior to expiration of your current permit. Note the "Application Due By" date above. CAUTION: This short application form and attached questionnaire are the only forms acceptable for permit renewal. Sign Part 2 below and mail only this form and the completed questionnaire using the enclosed envelope. Effective April 1, 1994 the Department no longer assesses SPDES application fees. If there are changes to your discharge, or to operations affecting the discharge, then in addition to this renewal application, you must also submit a separate permit modification application to the Regional Permit Administrator for the DEC region in which the facility is located, as required by your current permit. See the reverse side of this page for instructions on filing a modification request. CERTIFICATION: I hereby affirm that under penalty of perjury that the information provided on this form and all attachments submitted herewith is true to the best of my know~edge and belie[ False statements made herein ars punishable as a Class A misdemeanor pursuant to section 210.45 of the Penal Law. Scott~ussell Southold Town Supervisor SignatUre v Date Effective Date: __/__ / __ Expiration Date: __ I__ I__ Permit Administrator Address: NYSDEC - Division of Environmental Permits Bureau of Environmental Analysis 625 Broadway, Albany, NY 12233-1750 Signature 'Date This permit together with the previous valid permit for this facility issued __ / __/__ and subsequent modifications constitute authorization to discharge wastewater in accordance with all terms, conditions and limitations specified in the previously issued valid permit, modifications thereof or issued as part of this permit, including any special er general conditions attached hereto. Nothing in this permit shall be deemed to waive the Department's authority to initiate a modification of this permit on the grounds specified in 6NYCRR §621.14, 6NYCRR §754.4 or 6NYCRR §757.1 existing at the fime this permit is issued or which adse thereafter. Attachments: General Conditions dated / 9!-20-5g h EW '¥ORF STATE DEPARTMENT OF EN'ViRONMENTAL CONSERVATION DEC:, Number: .].~ -_AZ3¢_- 00526 i0000 ~PDESNumber: NY 0199214 SPDES RENEWAL APPLICATION QUESTIONNAIRE THIS PAGE MUST BE COMPLETED AND RETURNED WITH YOUR COMPLETED APPLICATION Please TYPE er PRINT nearly using adequate pressure to make ALL copies iegible. Keep a copy for your records: 1. Has the SPDES permit for your facility been modified in the past 5 years [] YES ' [] NO Dischargers who use, manufacture, store, handle or discharge toxic or hazardous pollutants are subject to Industrial Best Management Practices (BMP) plan requirements for toxic or hazardous substances. A BMP plan prevents or minimizes the potential for release of pollutants to receiving waters from such ancillary industrial activities, including material storage areas; plant site runoff; in-plant transfer; process and material storage areas; loading and unloading operations, and sludge and waste disposal areas. Does your facility conduct ancillary activities as described above, which are not covered by BMP requirements in your current permit? [] YES [] NO % Please indicate which of the following best describes the situation at your facility: [] None of the concerns on the "Self Evaluation List" seem to apply to my facility at this time and I will not be applying for a modification of the SPDES permit in the foreseeable future. [] Yes, some of the items on the "Self Evaluation. List" have led me to believe that the permit for this facility needs to be modified. I already have a complete modification application pending with the Department. Yes, some of the items on the "Self Evaluation List" have led me to believe that the SPDES permit f~r this facility may need to be Modified. Ihave requested the appropriate forms by phone OR I have completed and attached the "Request For SPDES Application Forms" (included in this renewal package) to allow me to submit a permittee-initiated Modification application. See The "Request For SPDES Application Forms" page for a toll free 800 number. The items on the "Self Evaluation List" have left me unable to conclude whether my permit ~eeds to be modified at this time. I am rePorting the following general concerns about my permit: DISTRIBUTION: Regional Water Engineer Regional Permit Administrator Central Office (BWP)