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Home My WebLink AboutMS4 Final 2016 Annual Report 32586 3297`Ia MS4 ,annual e port ��e CC form for period ending March 9,121 0 ➢ 11 6 SPDES ID This cover page must be completed by the report preparer. [N IY 1 R 1 2 1 0 1 A 1 5 1 2 1-4 Joint reports require only one cover page. Choose one: This report is being submitted on behalfof an individual MS4. Fill in SPDES ID in upper right hand corner. (Name of MS4 1 _ ( 1 f f I 'r' 0 W1.N ol - �..... 1S1OIU T1 1.01L„1D� 1....... OR This report is being submitted on behalf of a Single Entity (Per Part II.E of GP-0-10-002) Name of S wrtl,le Eii l ily ],_1 OR This is a joint report being submitted on behalfof a coalition. Provide SPDES ID of each permitted MS4 included in this report. Use page 2 if needed. Name of Coalition ................ I' ] F ___] � ► � � hl' 111 1 ”........ n "'' .. ... � .1I..........1 � 1 _� � Q �.. 111 [ ............ I- I t F SPD1S ID SPDES ID p SPDES ID �N Y R �.21 0 .A 'L-,1 INIY .R� 20..1Aw 1 �N �Y �R 1 211 0 A 9 1 SPDES ID SPDES ID SPDES ID NIY R 210 .A V 1N Y[R12 O. A 1 NGYIR 2 0 1 SPDES ID SPDES ID SPDES ID IN1Y 86.21 01.A "I I NIYI'�]_2L0 AlJ -I, I IN �Y]� R 2 0 1 SPDES IDSPDES ID SPDES ID �N .Y RI.2 0 IA]'' � . I N] Y I'R 1 2 0]A � H.............I 1N1Y 1 1 R 2 0 A SPDES ID SPDES ID SPDES ID INJYJR [210]'A � 1 1YVI12 CA1 [ 1I 1 I N I Y11 IAl 1 I I SPDES ID SPDES ID SPDES ID �NIY Rl_2 01A1 I Y I R 2 O�'A . 1 I 1NIY 2 0I 1 Cover Page I of 2 971.4631.978 MS4 Annual e hEt yLE M MCC form for period ending March 9,1:� 2 ..0 1 .61 Provide SPDES ID of each permitted MS4 included in this report. SPD.ESID!,, „ I SPDESID � SPDESID NIY� R,40]A �NY1. 2 [ AJN-�Y�R] 2lOI A I . SPDESID SPDESID SPDESID � N] � �.YR` ...._2 O �A 1 , N4Y �R.12JOIAJ 1 9 1 IN YVR 21.0 A] SPES ID SPDES IDII SPDES IDr I N,� Y 2,., 0 �A � I! �N_� Y [R-I2 [ 0.IAlI �_I .I N � RI2] 0-1 � SPDESID SPDESID SPDESID NI....Y] 1� ....2 0�A N YllR 2 [0 �A _.I [N � Y �R 21„O" A. SPDES ID SPDES ID SPDES ID i _ R tl f N .Y. R ._2� 0. 9 N j Y �R.I 2 1 0_�A N 1 Y 2 1 A SPDES ID I SPDES ID SPDES Il i f � N�.Y�...R ..2 O �A � , I.... I �ND Y R 2 O. A �NI YIR,l2 �, ,.l l I SPDES ID SPDES ID SPDES ID R N., Y,�..R.�.,2 l 0 .A N Y ..]-2" [—]A N Y R 2-[0-1 A SPDES I SPDES I SPDES ID lNY.� R.� 2..I 0„1..A .... lN-1-Y �R.l2I-O]A V N� YI 2 � a.�AI SPDESID SPDESID SPDESID ll I I l _ 1 f N Y R -2 0 I.._A 1 1 FN Y � ._.� 2 .�A I ,,,.,�.,.,,,� . ,� �._N 1 y_ ” 6. A SPDES I SPDESID SPDES ID l [ '] l l N�.Y R.,�...-2 0 A �l J N_..� Y R 2 ! 0.�P' f- j NY.� 2 I .. .. _. SPDESID SPDESID SPDESID I N .._Y� R'121 O1.A 1 1. �N1Y [R � O �A 4 N � Y@ 12FJA .,.. SPDESID SPDESID l � SPDESIDl oo Y R . 2 � 0 AI l I �N.,,u,Y,IR.. 2I VA �N[Y]'R]"2-1-0.-1-A � SPDESID SPDESIDII ( SPDESID lNl..Y1.R1_-? � 01 J J N.'k R-1 21 ]A� [N] YIRI 2..........1—0�A N ,. �. ,,,, I ..... SPDESID (I SPDESID SPDESID �N Y R 2 0 �A 1 V N.�Y R � 21 IN.-I R� 2� 0�. I SPDESIDI �I SPDESID - ] SPDESID N1_ lR� ..2 ] 0 � �N � R [ 0-X N[Y R 21 O �ALI . SPDESID I C SPDESID SPDESID � N . 12J0 Al l I N R � 2 , 0.1A � N[YlRJ2� AJ.......... U SPDESID SPDESID �� SPDES ID CAN� RJ2l 10IAjNIYIR ' 20 � ] NJYIRI2 SPDESID SPIES ID SPDESID l IN� Y � I� 21 0 I I 1 N I Y R {i 2 � 0_lAj � �NIY R 2 0 A Cover Page 2 of 2 38.55151783 ii isnce Certification(MCC) Form MCC form for period ending arc , 2 4 0 1 0 6 1 SPDES II7 Marne of ` 1I TOWN of souTr-OLD u N Y I R 2 0 �'A 5 1-2 4 Each MS4 must submit an MCC form. Section a rc i Indicate whether this MCC form is being submitted to certify endorsement or acceptance of: Annual Report for a single MS4 O A Single Entity(Per Part II.E of GP-0-10-002) O A Joint Report Joint reports may be submitted by permittees with legally binding agreements. namex) If Joint 1tejgt enter coalition s ............... � � I � � � � Ll. .......1 -1 J.......Fl" . 1 111 1" 1 1 I ISI 11 [ .. 1.. .111111 _iL11II1LI1I.- .......... 11 ..... 11 MCC Page I 5 690,5 B 15 87 MS4unici ),M Co �Aiance Certification 'Mt:"(�, l; l��t`�)r MCC form for period ending March 9, 21 01 1 � 6 1 SPDES ID Name of MS'h TOWN of SOUTHOLo �N [Y R 2 0 A S 2 4 Section 2 - Contact Information Important Instructions - Please Read Contact information must be provided for each of the following positions as indicated below: 1. Principal Executive Officer, Chief Elected Official or other qualified individual (per GP-0-08-002 Part VI.J). 2. Duly Authorized Representative(Information for this contact must only be submitted if a Duly Authorized Representative is signing this form) 3. The Local Stormwater Public Contact (required per GP-0-08-002 Part VII.A.2.c& Part VIII.A.2.c)w 4. The Stormwater Management Program (SWMP) Coordinator(Individual responsible for coordination/implementation of SWMP). 5. Report Preparer (Consultants may provide company name in the space provided). A separate sheet must be submitted for each position listed above unless more than one position is filled by the same individual. If one individual fills multiple roles, provide the contact information once and check all positions that apply to that individual. If a new Duly Authorized Representative is signing this report,their contact information must be provided and a signature authorization form, signed by the Principal Executive Officer or Chief Elected Official must be attached. For each contact, select all that apply: Principal Executive Officer/Chief Elected Official Duly Authorized Representative O Local Stormwater Public Contact O Stormwater Management Program (SWMP) Coordinator O Report Preparer FirstNael I �R�U [S � S [E LastNae S-1C0Th .. L1LI J. a .. 1 ... Title 1SJ�UP EIRIVC els 2u � Address 15 3 01915 IR ® lul! t . e 1251 I U 1 11 j I 1 1[cily State ziP S] I u.1tIh.1o11 1 d 1 1 LI. 1 N 1 Y 1C1 9 entail I` S. C 01 �� IT_1 IRIU oma. s E LIL T olw..N1 " Fs10Iu T x O L D1 N YI IU s. Phone Cout _ 4 6 3_ 7 6 5 - 1 8 819 SLUIF .IF' 10 .LIQ I 1 1 MCC Page 2 5690581587 4 Municipal Com L)Iiance CertificatLogLM(-,' "�y Form MCC form for period ending March 9, 2 0 1 ] 6 II �N � SPID Name of M,��/11 TOWN Or Sa"}l1T OLD Y �R 1 2 0 A]''s l 2 � 4 Section 2 - Contact Information Important Instructions - Please Read Contact information must be provided for each of the following positions as indicated below: 1. Principal Executive Officer, Chief Elected Official or other qualified individual (per GP-0-08-002 Part VI.J). 2. Duly Authorized Representative (Information for this contact must only be submitted if a Duly Authorized Representative is signing this form) 3. The Local Stormwater Public Contact (required per GP-0-08-002 Part VII.A.2.c & Part VIII.A.2.c). 4. The Stormwater Management Program (SWMP) Coordinator(Individual responsible for coordination/implementation of SWMP). 5. Report Preparer (Consultants may provide company name in the space provided). A separate sheet must be submitted for each position listed above unless more than one position is filled by the same individual. If one individual fills multiple roles, provide the contact information once and check all positions that apply to that individual. If a new Duly Authorized Representative is signing this report, their contact information must be provided and a signature authorization form, signed by the Principal Executive Officer or Chief Elected Official must be attached. For each contact, select all that apply: O Principal Executive Officer/Chief Elected Official O Duly Authorized Representative Local Stormwater Public Contact Stormwater Management Program (SWMP) Coordinator Report Preparer First N fame MI Last Name J.�A f M. E 5. A� R I[ C.�,H] T Ef"R 1 Title I11 "I'll" I l f SIPII' �®1R1M W �A �TIELR M AIN [ G � E] R I 1 I J I 1 Address l 3] �.....f f '...� 1 M]A I.�N 1 �R,� O] ID]' .A .. F� I J . .... tL IC �U1 'V'.,H..1 ® L1D �I I_ I I 1 . � NtY 1 1 [ 91 7 .l _ � j 1 Wail ll J�A �M I [ E] R � 1'" C.IH � T � � R� @ � T 0 WNI '] S-J0JU T H O � L D JN � Yj , IU ' . Phone6 _ 1 _ i_�j, �. 1 a . F�u 0 I'�I�t�kpty ( - N 71 6 I U � F�F O � L { MCC Page 2 5690581587 Municipal Compliance Certification( ) For CC form for period ending March 9,� 2 1, 0 1 1 SPIRES ID Name of1 tie. TOWN OF N R �? ® �i � 2 (4,. [ ! lj1 Section - Contact Information Important Instructions - Please Read Contact information must be provided for each of the following positions as indicated below: 1. Principal Executive Officer, Chief Elected Official or other qualified individual (per GP-0-08-002 Part VI.J). 2. Duly Authorized Representative (Information for this contact must only be submitted if a Duly Authorized Representative is signing this form) 3. The Local Stormwater Public Contact (required per GP-0-08-002 Part VII.A.2.c & Part VIII.A.2.c). 4. The Stormwater Management Program (SWMP) Coordinator(Individual responsible for coordination/implementation of SWMP). 5. Report Preparer (Consultants may provide company name in the space provided). A separate sheet must be submitted for each position listed above unless more than one position is filled by the same individual. If one individual fills multiple roles,provide the contact information once and check all positions that apply to that individual. If a new Duly Authorized Representative is signing this report, their contact information must be provided and a signature authorization form, signed by the Principal Executive Officer or Chief Elected Official must be attached. For each contact, select all that apply: O Principal Executive Officer/Chief Elected Official O Duly Authorized Representative Local Stormwater Public Contact Stormwater Management Program (SWMP) Coordinator Report Preparer FirstNarneMI Last Narne [ ll N[ I � :IH A...... E �L [ l [ ......... . Ml � CJOI L L � I CN1 ' [ 1. 1 I Title T10W11N I I E IN G " Ij"N E ['E' I R [ I Il [ [ 1 [ Address 5 [ 31 9 ' Im,FA I. N � 1R9 ® A � D [ ! I [ I 1 1 CityState Z4) [S 1 ®1 TJ T [H]-0 L D [ _ [ G 9 LN]Y [11 1 � 9 7 [ eMail �y M_�I C [ [A [ E L.L CIO L Ld I N[ S � @ T _]WIN 0 U [T IE Q L D �N � Y .1 Phone l I C®aaNy l I 3 1. 7l6I5 -' � 4) 1 CSI0 � S U[ F O .L T� [ I [ _ MCC Pate 2 4643023765 MS4 Municit)al Compliance Certification (MCC) or MCC for for period ending March 9, 2 0 1. SPIDESID Name of MS`11 TOWN OF SOUTHOLD N Y JR].21 0 1 A [S] 2 � 4 ........... ...... ..... Section 3 - Partner Information Did your MS4 work witli partners/coalition to complete some or all permit requirements during this reporting period? 0 Yes 0 No If Yes, complete information below. Submit a separate sheet for each partner. Information provided in other formats will not be accepted. If your MS4 cooperated with a coalition, submit one sheet with the name of the coalition. It is not necessary to include a separate sheet for each MS4 in the coalition. If No, proceed to Section 4 - Certification Statement. Partner/CoalitionName Cl1-7--, ']............I ' ",,... , ILCI I � I: � C � Cl � � � � ...... ..... 11, Partner/Coalition Name(con't) SPDES Partner ID-if jpp I jc�tble N . ...-1 � '] 1 ... .IYJR ' 2 Address State ZITP I................................... ............ ------ �... ....... .......... ------------------------- Wail � I � CCC [ � I � ll................. ..............I_ flJ � :f � � � � � C � C=-- SIC...... ......... Phone Legally Binding Agreement in accordance 0 1 with GP-0-08-002 Part IV.G.? 0 Yes 0 No What tasks/responsibilities are shared with this partner (e.g. MM1 School Programs or Multiple Tasks)? ................. .............. ............ 0 MM1 OM2p1 1[ I1U1C _ �[ � � C, 0 31 � 1IC I1 C [lfC � � 1fl �[ C �fIfC C, 11 0 MM4 • MM5 lC........11' • MM6 111 [ lC_ I -T 't I C1 1 � Additional tasks/responsibilities 0 Watershed Improvement Strategy Best Management Practices required for M 4 in impaired watersheds included in GP-0-08-002 Part IX, MCC Page 3 3165331518 icial Comliance Certification(MCC) ) For MCC form for period ending March 92l 0 l 6 SPDES ID Name of MS4.TOWN or souTHOLD N �Y �R 2. 0 � "' Section 4 - Certification Statement "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." This form must be signed by either a principal executive officer or ranking elected official, or duly authorized representative of that person as described in GP-0-08-002 Part VI.J. FirstNarne Kill Last Name del ® TL � aI � U � I11 J � TitIVU P [�E I .�lnj�t�t1l.11 of n dividua➢ I anip�;a c [""t..........I " Date Send completed form and any attachments to the DEC Central Office at: S4 Permit Coordinator Division of Water 4th Floor 625 Broadway Albany,New York 12233-3505 MCC Page 4 1100364151 Annual ReDort For This report is being submitted for the reporting period ending March 9, 2 0 V 1 � 61 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID bk"InL SPDES ID Name of M54/Coaliti all ,WN O S I I rRIJL � N � Y[R. � 2 � O �A 5 2 4 Water Quality Trends The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s are contributed to this report? 1 1. Has this /Coalition produced any reports documenting water quality trends related to stor water? If not, answer No and proceed to Minimum Control Measure One. O Yes No If Yes, choose one of the following O Report(s) attached to the annual report O Web Page(s) where report(s) is/are provided below Please provide specific address of page where report(s) can be accessed- not home page. L ............ LLI1III, 1�191 � L...... I .......... I111__ II1JI � [111 � l 'I'"] 1 1 I 1 1--" 1 URL El 1 1 []," 'J"]---I [ A. .1 I ....... I t I II JIB URL I � JJ . F I1' 11111 JIl11lJIl � 1 11 1 I L n11G � JI � I JI ' URL 1 I1 11111 C11 1 . L1 f 111 t ' I 'J'-- I 1 I1 J_1 11J L � 1 IJ1 Ll I' 11IflI 1 IIr Water Quality Trends Page I of I 4286299954 Annual Report For This report is being submitted for the Perio ending arch 9' . . y o 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID VV Name of M84/CwlIition TOWN of SOUTHOLC7 �NJYj R 12 Mil,tinium Controle s re 1. P(iblic Education an tre c h The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? 1. Targeted Public Education and Outreach Best Management Practices Check all topics that were included in Education and Outreach during this reporting period: Construction Sites Pesticide and Fertilizer Application General Stormwater Management Information 0 Pet Waste Management O Household Hazardous Waste Disposal O Recycling Illicit Discharge Detection and Elimination O Riparian Corridor rotection/ estoration O Infrastructure Maintenance O Trash Management O Smart Growth O Vehicle Washing O Storm Drain Marking O Water Conservation O Green Infrastructure/Better Site Design/Low Impact Development O Wetland Protection O Other: O None � ... �:�Eher. � I � JT 1. 1 Specific2. audiences targeted i this reporting period: Public Employees 0 Contractors Residential 0 Developers O Businesses 0 General Public O Restaurants O Industries O Other: O Agricultural Other MCM 1 Page 1 of 4 7870299956 Annual [ ort or This report is being submitted for the reporting period ending March 9,11 2 l 0 1 1 1 6.. If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDESID OWN Or sotj,rtto[_.r� N Y R 1-2FOAName ofMS4/Coalitio111,5"] 2 3. What strategies did your MS4/Coalition use to achieve education and outreach goals during this reporting period? Check all that apply: O Construction Site Operators Trained #Trained 1 O Direct Mailings #Mailings O Kiosks or Other Displays #Locations O List-Serves #In List O Mailing List #In List O Newspaper Ads or Articles #Days Run J I O Public Events/Presentations #Attendees � � CI : TI O School Program #Attendees L.I . .L1 . O TV Spot/Program #Days Run • Printed Materials: Total#Distributed 1 5 1_ ! I ] Locations (e t" m)n-in°ic town offices,9ca�sh) TI°Iw_Lni JOI i] f C � I J, � L.T I........... I� III I..............1 1 �l I J I I 1 I L l [ I... I I C1 O Other: I IIII............ .... I I F"', 17"'1 1 [ • Web Page: Provide specific web addresses -not home page. Continue on next page if additional space is needed. U12L 1 I, I P I / /] 2 4 3 8 1'2 . 8 2 ' 2 8 2 0 4 0 / w ': b l i �n �k � 1 / 10.1 / Ie d oc � / 4 � 7 8I - 12 1 :/ B a,.I � 1,=1 �� I, � � 0 0 flea 2I0 E3 oual � t1 � 2I0IHIe[Ia � dl a Ipd [ 1 I L...........I _ � 11 11 I I C URL 214] ' � 8 2 8I • 2 2 :81 ' ; 01410 / Iw o b � .l.. � n kI / I dI�JI �� 41� 7 21 210 / � I1 :� if196 J 0lal1 n 2 03 o � � 1 J'% [2 1 0 1 P u m I p] 0Utl Ip d MCM 1 Page 2 of 4 0'104299955 Annual Renort For This report is being submitted for the reporting period ending March 9,� 2 0 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name ofMS4/Coalilionl TOWN of SOUTIIOLD q N Y R. 2 1 0 A 5 2-_4 3. Web Page con't.: Provide specific web addresses - not home page. urzL t pl 1 % / 1241 . 3181 � 2I � q . 12 8I � a 41oI_�lw Ib �1. llgngk FhIt I o % Ce] d oqc] 4 7 . 8 12 1. 212 / fiBI s 1 C1 1 ° 1 � 0 � 1210I_ [o,I, 21.,0 I'D"]" C_ h1a...... r �ga �_�:1 � g0....1ZIo1n � : dpld._Lf q..... l . u:. _@ URL 1 1h: t. t �p...:q � / f2141 I3� 8 � 281 .`.... � � �-P � : q 210 4 „0 � w� � bq1 i � n� Ic� [/ [ O � e d101C /� 41 7 $ 1 ° 81 / 181 I �1 � [ � q 1p1 i1n Ia1 fl Ig1g1 .. q9 11 CCCC . I1 I1 1qD URL 1hgtltjpq / I ?J4 _13181 ' 121_gl 12181 .J121 � 14 � � I /Iw] e1bg1li] n kq I �� aC � gel � 1c1 / 1417881 1.11. 91 / I I � V1-iln� gl a1 � C ° 1D1i 1tq= lpjd f L L- —I J, I -I...........L] URL h t, t„ 3 8 2_.....8 2 a 4 0 1 1 [ p q %..� I2141 l l C 1. 1 1 1 1 � 1w eCb1 1l1� nq k e1d oC � 4 � 7181217I_ 91, d, [0F[Ipi nCt10 � 2 0 s1o1u1rgC� q ag2C � � p1 �1111�u t iq ®1n � pLdCf1 C 1 1 1 I 1 1 I l l httP 24 3,,, 8........ 28 221,81 : 12014go..I..... . w ..,eb111n� k� 1 Cll . . 2 oq / 1e1d" o1Cl /_ 1718 2q6� / S [efp1� t. [flC] ® 1X011- y1 1 ] Imq q I � ° qui lcltloF oCSlheq �tq 1p1dif1' 1 1 1 1 1 p 1 N URI, _ ghgtlt [p 1 � 1 / 1 _j4 13 18.1 1, 2.18C a � 212181 1 ® 1 / wl ibl llln�kl 01 / k � ,,,Jdq,.®,1C . 417,18 219 [8q: / �S �' o � ultlh o111d 0�2 0 [CjoInjsgejr .l vaF. t[i.. o1-n 012.... .......10 A.gIe,..LnCd1 � . 1p1di L C . q 1 1 1 0 1 URL hjt t �p Al / / 214 3 8 12118 , 2 8 � ^ . 2 ° 4q 01 / w o1b 1 i n k. / 10 / Ie:Id oJC / 417.18. 21. 91 1�q � 1e1 ® 12 01S _Clo _0 p1 _� 12 OIo 2 0 P e t o 2 0 P o o p p d f MCM I Page 3 of 4 6932504403 Annual Renort Form This report is being submitted for the reporting period ending March 9,� 2 � 0 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of MS4/Coalition TC)WN of SOUTH 011 D [N� Y R 2 � 0 �A 5 9 2 4 4. Evaluating Progress Toward Measurable Goals MCM 1 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Storwater Management Program Plan (SPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period. I. Track and report on the education/outreach activities performed for the general public and target audience including number of people attended, amount of materials distributed, etc; 2. Track and report all training activities; and 3. Track and report where educational brochures are available and how many are distributed. B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable Goal. Information above tracked and reported as part of this annual report. How any times was this observation measured or evaluated in this reporting period? (ex.: D. Has your MS4 made progress toward this Measurable Goal during this reporting period? Yes 0 No E. Is your MS4 on schedule to meet the deadline set forth in the ? 0 Yes 0 No F. Briefly summarize the stor water activities planned to meet the goals of this MCM during the next reporting cycle (including an implementation schedule). ......... Continue to implement the educational program as per the SWPP. MCM I Page 4 of 4 4961183103 MS4 Annual Report Form This report is being submitted for the reporting period ending March 9,� 21 0 1 1� 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank,. of_. s SPDES ID TOWN Name of MS4/Coalition , .e.... _ou�rt-�ot.o N I Y R a 2 0 a '7] 2 4 Minimum Control Measure 2. Public Involvement/Particination The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report`? 1. What opportunities were provided for public participation in implementation, development, evaluation and improvement of the Stormwater Management Program (SWMP) Plan during this reporting period? Check all that apply: O Cleanup Events #Events p Comments on SWMP Received #Comments J 0 O Community Hotlines Phone# _ I L I I .. Phone# ( � � � _.�,.. _ �.. Phone# U.......... Phone# ( �..,.. ... _ � � �.. I FL], Phone# ( � .. Phone# ( Phone# ( Phone# ( �.,. � � _ Phone# ( ,,,..., „ ,,, _......... Phone# ., .IJ Phone# ( ------I F ]A O Community Meetings #Attendees O Plantings Sq.Ft. O Storm Drain Markings #Drains O Stakeholder Meetings #Attendees V O Volunteer Monitoring #Events O Other: f ) f f _1p 2. Was public notice of availability oft is annual ort and Sor water Management Program (SWMP) Plan provided? 0 Yes O No O List-Serve #In List O Newspaper Advertising #Days Run O TV/Radio Notices # Days Run Other:f ca w � n t oj rjd IW10' IrIkI � e �.s- S 0 n Web Page URL: Enter URL(s) on the following two pages. MCM 2 Page 1 of 6 L II �i i I M, M „ 6 I J 37141.83108 MS4 Annual Report Form This report is being submitted for the reporting period ending March 9, 2 1 0 1 1 1 6 If submitting this form as part of ajoint report on behalf of a coalition leave SPDES ID blank. SPDES ID L TOWN OF SOUTHOLD N Y �R 0'_�A 5 2 4 Name of MS4/Coalition 2. URL(s) con't.: Please provide specific address(es) where notices can be accessed - not home page. UFJ- I I U I 1 -1,-- L] t' .1 T I� I I I .... ...... URL —11 "J" 1, —1 F I -I I- I" J I -I I -I . I"- "1 1.............. IJ I I I J I— I I 1 11" 1. 1.- ] 1 1 1, 1--t-, t" '1 11 1, 1 1 1, '1 .... ....... , 1,1 1 1 1 1 171 1 "'1 1—"- 1 —1 1 1 1 - 1 1 -1 -1 1. 1 1 . .... URL ........... ............ ..... ......I.......... I . ...... .......... .......... .............. URL I I""", I- I I -J t- I FI 1-1 1 11............. .. ......... ....................................... ............. URL I.......... ...... FFI 1-1 - 1 1 -1 URL HHHH.......... 1-1 171 1 , 1 1—] 1 1 1 '1 1-, -'1 1 1 1 1 H I I I..........-L [ � -J FF1 � 1 1 1, '1 �-- � I I I I' -FI I I I I ' "I [-,-]...... 1 '1' 1 1 1 1- ] 1 'J"L] I I- 1 ..... -,,,I I I- 1 1 1-, 1 URL I- 'I t I -I ''I L MCM 2 11age 3 of 6 5441172015 MS4 Annual Report Form___ This report is being submitted fort the reporting period ending March 9, 0 1 l 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank,. SPDESID A ro11 t.r� N Y R 2 0 5 2 4 Name of MS4/Coalitiolll oe sour[[oV 3. Where cant the public access copies oft is annual report, Stormwater Management Program SWMP) Plan and submit comments on those documents? Enter address/contact info and select radio button to indicate which document is available and whether comments may be submitted at that location. Submit additional pages as needed. MS4/Coalition Office 0 Annual Report 0 SWMP Plan 0 Comments ]"1111111 '1- -1 1 ] -� 11 [-- J'R I--.- Aaldl-ess C5 31 �� I �� 4�1 �l l �� II -1II 121 ; 0 I 1 l l � l l C t' ty %gyp IS 0 �` h1 ImID I I 1j ...... l dN. YQ C_l 1l9� 7111 C l Phone l � 6.,..31. � 7I ..6.J5.S � 181 0 01 O Library O Annual Report O SWMP Plan O Comments Address C :1 __ � I I . C I l � 1 J J t I -U I''-I. I 1 1 11 1 City Z' 1 l 1 l IFlCl-- _ _CL"'II 1I .l Il .......1! Phone ( [..........I............I..........1 ) F1 17] F, I O Other O Annual Report O SWMP Plan O Comments Address l C I � 11L 1T � .1 � � l ci't N ' _ _ 11- lCC1l. � lC � I X11 ......... J IC . Phone (1-1- I ) I...............I........... ......H. I I F1 Web Page URL: 0 Annual Report M, SWMP Plan O Comments Chlt t1p1 µ / C / CWlw , wl js. ® uEtlhIo11 [d1t o w-nCn]yl � olv Cn� dle_IXG [a [SIPx ? IN zSJ6N l I ll l 1I I l C I1I Cu11 V' [[ l C1IE � lI IL [ lC1 E [ Please provide specific address of page where report can be accessed - not home page. eMail l 0 Comments �m � i clh �. [e Im1 [clo� 1l1 i n s � �� t � calw n ol.0 Q, hl0 1 cI � " In yl " u S.1 1 1 , I 1 I l l I MC;M 2 Page 4 of 6 0614183104 Annual ReDort For This report is being submitted fort the reporting period ending March 9,� 2 01.1 61 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of MS4/Coalrtionl TOWN OF SOUTHOLD N Y �'R'j 2 1 0 �A'�' 5 2 4.a. If this report was made available on the internet,what date was it posted? Leave blank if this report was not posted on the internet. � 0 � 51 / 1217] / � 2 � 0 E... 6 4.b. For how many days was/will this report be posted? 9 .,9 9 If submitting a report for single MS4, answer 5.a.. If submitting a joint report, answer 5.b.. 5.a. Was an Annual Report public meeting held in this reporting period? O Yes 6 No If Yes, what was the date of the meeting? 1 V i1 1 I I I ) If No, is one planned? O Yells 9 No 5.b. Was an Annual Report public meeting held for all MS4s contributing to this report during this reporting period? O Yes 0 No If No, is one planned for each? O Yes 4 No 6. Were comments received during this reporting period? O Yes 0 No If Yes, attach comments, responses and changes made to S WMP in response to comments to this report. CM 2 Page 5 of 6 2013032775 Annual e ort Form This report is being submitted fort e reporting period ending March , ..2 1 0 L 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name ofMS4/CoalytmorA��TOWN or SOUTHOLD �N Y I R 2 0 1 A� '�� 2 � 4 7. Evaluating Progress Toward Measurable Goals MCM 2 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified int the SWMPP int is reporting period. . ......... 1. Number of storm drains marked 2. Number of SWMPP related meetings and attendees 3. Number of public comments received on the annual report 4. Number of volunteers trained to take water quality samples 5. Number of public comments received on the SWMPP .... ........ B. Briefly summarize the observations that indicated a overall effectiveness oft is Measurable Goal. 1. No storm drains identified that needed to be marked. 2. No meetings held. 3. No comments received on annual report. 4. No volunteers received DEC sampling training as the East Setauket lab is understaffed. 5. No public comments received on SWMPP. C. How any times wast is observation esre or evaluated int is reporting period? QIII . a paP'r,*s,/Jmr1.i.e:tpant:slF meet..) D. Has your MS4 made progress toward this measurable goal during this reporting period? ,0 Yes O No E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP? 0 Yes O No F. Briefly summarize the stor water activities planned to meet the goals oft is MCM during e next reporting cycle (including an implementation schedule). Continue to implement the public involvement/participation program as per the SWMPP. MCM 2 Page 6 of 6 7368169291 8169291 Annual Reriort For This report is being submitted for the reporting period ending March 9, 2 � 0 l 61 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDI ES ID Name ofMS4/CoaldCl n TOWN Or SOUTHOLL} N Y I R 2 0 IA 5 12 4 Minimum Control Measure 3. Illicit Discharae Detection and Elimination The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? 1. Enter the number and approx. percent of outfalls ae : 7 15 l 0 0 2. How many ofthese outfalls have been screened for dry weather discharges during this reporting period (outfall reconnaissance inventory)? 7 5 .a. hat types of generating sites/sewersheds were targeted for inspection during this reporting period? O auto Itecyclers O Landscaping (Irrigation) O Building Maintenance O Marinas O Churches O Metal Plateing Operations O Commercial Carwashes O Outdoor Fluid Storage O Commercial Laundry/Dry Cleaners O Parking Lot Maintenance O Construction Vehicle Washouts O Printing O Cross-Connections O Residential Carwashing O Distribution Centers O Restaurants O Food Processing Facilities O Schools and Universities O Garbage"Truck Washouts O Septic Maintenance O Hospitals O Swimming Pools O Improper RV Waste Disposal O Vehicle Fueling O Industrial Process Water O Vehicle Maint./Repair Shops O Other: O None I I'' � I I � I I ILII [ II I • Sewersheds: IR g U l t i e I d I IM DII, SIe w e r S hI e � d MCM 3 Page 1 of 4 595.3169299 MS4 Annual Report Form This report is being submitted for the reporting period ending March 9, 2 0 1 � 6 1 If submitting this farm as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of MS4/Coal ationTOWN OF sou'mOLD C N 1..Y I R� 2 � 0�A u 5 2 [4_ 3AWhat types of illicit discharges have been found during is reporting perio ? O Broken Lines From Sanitary Sewer O Industrial Connections O Cross Connections O Inow/Infiltration O Failing Septic Systems O Pump Station Failure O Floor Drains Connected To Storm Sewers O Sanitary Sewer Overflows O Illegal Dumping O Straight Pipe Sewer Discharges O Other: 0 None u - I F 1 1 , 1 ] 11 t. f L I 4. How many illicit discharges/potential illegal connections have been detected during this reporting period? 0 [.J_�I . 5. How many illicit discharges have been confirmed during this reporting period? 0 1 _. 6. How many illicit discharges/illegal connections have been eliminated during this reporting period? 0.,V 7. Has the storm sewershed mappingbeen completed in this reporting period? 0 Yes O No If No, approximately what percent was completed in this reporting period? I o 8. Is the above information available in GIS? Yes O No Is this information available on the web? 9 Yes O No If Yes, provide UL(s): Please provide specific address of page where map(s) can be accessed - not home page. URL hltjtlpl : % 1b � 1t1 . l y 11J1LR Z 7IP t U J_ _JI 1I' 1 LI � 1' II1 � 11 � 1IC � 1 URL I t II � 1 C 1 _1 1II1 rMCM 3 Page 2 of 4 58201.69292 S Annual eot For This report is being submitted for the reporting period ending March 9,1 0 ..1 16 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES I Name of MSVCoaliti(.,a TOWN OF SO U'I C 9OLD I CN Y R 2 0 1 A 1 °.a 2� 4[1 8. UL(s) co 't.: Please provide specific address of page where map(s) can be accessed - not home page Ll I � � C C [ I C C � 1 _ F [ [ URL 1 =1 lC C [[ C 1C [ 117 III _111 IC1ClI 1 � I� IC � 11 _ln SCC— � ICC � � C1 [� I ................ ... ...... [ I Fl- 1 F1111111...... .......... I ........... _11]........... . � [__r .......... . .......0 URI, 11 CI1 � I [ CCI -CCCC � [: 11 � CC N [ �1 � 1C I1lC C I �......... .. T .1CI � C1CI 11 � 1C �............ C _ C �1 � 1[ � 1 SCC C [ l URL C [ 1II1I' CC . [ 1 .....I........1yC1 � I1Ia 1Q [ [ 1II' I11 [ � IJ1111 I 0I1 11CC I— F- I'' I C [ J-1 1 I 11111i I i C, [ I C 9. Has an IDDE law beenadopted for each a iio al MS4 and/or ave IDDE procedures been approved for all non-traditional MS4s contributing tot is report? 0 Yes O No .If Yes, has every traditionalcontributing to this report certified a s law is equivalent o the NYS Model IDDE Law? Yes O No O NT 1.What percentstaff in relevant positions and departments has receive training? 1_, 0 1 0 MCM 3 Page 3 of 4 9126383899 IVIS4 Annual �;tely.:iirt Form ' � � 61 This report is being submitted for the reporting period ending March 920 L , If submitting this form as part of ajoint report on behalf of a coalition leave SPDES ID blank. SPDES ID OWN OF SOUTHOLD- JN] Y � R] 2 ` 0-1 A 1 5 12-[4 1 Name of MS4/Coalifion[T .......... 12.Evaluating Progress Toward Measurable Goals MCM 3 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan (SPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period. ..................... ........... 11 -. ..... I.Number and percent of regulated outfalls mapped; 2. Number of illicit discharges detected and eliminated; 3. Percent of outfalls for which an outfall reconnaissance inventory has been performed 4. Percent of regulated MS4 system mapped; 5. Training sessions held and number and percent of staff trained; 6. Number of public information'and outreach activities conducted including number of attendees and informational brochures distributed, etc. ..... ............. ... 1 1-11 .................... "-,- ...... ...... ....... ............... B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable Goal. ........... ......... .. ................................ ........... ..... ........................ ................................. ........... For items 1-2 see information included on this annual report above. 3 -An outfall reconnaissance inventory was performed for 100% of outfalls during this period, 4 - 100% of MS4 system mapped. 5 -No training sessions held. All relevant staff have already received training. 6 -No activities conducted. ........................... —, ...... ...... C. How any times was this observation measured or evaluated in this reporting period? D. Has your MS4 made progress toward this measurable goal during this reporting period? * Yes 0 No E. Is your MS4 on schedule to meet the deadline set forth in the SWMPP? * Yes 0 No F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during the next reporting cycle (including animplementation schedule). Continue to implement the IDDE program as per the SWMPP. W."M 3, Page 4 of 4 5624056356 MS4 Annual eort Form This report is being submitted for the reporting period ending arch , 2 0I 6 C If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDESID Name of MS4/Coalition TOWN OF SOUT..£01"ts �I N �Y I2 1 2 1 0 �A , 5 � 2 � 4 � Minimumontrol Measures 4 a Construction Site and Post-ConstructionControl The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? la.Has each MS4 contributing to this report adopted a law, ordinance or other regulatory mechanism that provides equivalent protection to the NYS SPDES General Permit for for water Discharges from Construction Activities? V Yes O No lb.Has each Town, City /or Village contributing to this report documented that the law is equivalent to a NYSDEC Sample Local Law for Stormwater Management and Erosion and Sediment Control through either an attorney cerfification or using the NYSDEC Gap AnalysisWorkbook? Yes O No O NT If Yes, Towns, Cities and Villages provide date of equivalent NYS Sample Local Law. O 09/2004 03/2006 O NT 2. Does your /Coalition have a SWPPP review procedure in place? 0 Yes O No 3. How many Construction Stormwater Pollution Prevention Plans ( s) have been reviewed in this reporting period? I 0 '] 4. Does your /Coalition have a mechanismfor receipt and consideration of public comments related to construction s? 0 Yes O No O NT If Yes, how many public comments were received during this reporting period? I N 5. Does your /Coalition provide education and training for contractors about the local SWPPP process? 0 Yes O No MCM 4/5 Page 1 of 2 3951056.357 6. Identify is oft e following types of enforcement actions you used during the reporting periodfor construction activities, indicate the number of actions, or note those for which you do of have authority: O Notices of Violation # a O No Authority O Stop Work Orders # O No Authority O Criminal Actions # O No Authority O Termination of Contracts # O No Authority O Administrative Fines # O No Authority O Civil Penalties # j ( O No Authority O Administrative Orders # f 1 O No Authority ............. O Enforcement Actions or Sanctions # O Other # I U O No Authority MCM 4!S .Page 2 of 2 9445612573 Annual ReDort Form This report is being submitted for the Per'o ending arch 9'� 2 01 6 � If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of MS4/Coalitic�ri Tow11 N oe sOIJTHOLD N I Y 1 R � 2 0 l A 5 2 1 4 h Minimum o rol Measure 4. Construction Site Stormwater Runoff Control The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? 1. How many construction projects have been authorized for disturbances of one acre or ore during this reporting period? 0 2. How many construction projects disturbing at least one acre were active in your jurisdiction during this reporting period? 0 3. What percent of active construction sites were inspected during this reporting period? O NT % 4. What percent of active construction sites were inspected more than once? O NT "J" ['"] o/® 5. Do all inspectors working on behalf of the MS4s contributing to this report use the NYS Construction Stormwater InspectionManual? O Yes 0 No O NT 6. Does your /Coalition provide public access to Stormwater Pollution Prevention Plans ( s) of construction projects that are subject to MS4 review and approval? Yes O No O NT If your MS4 is Non-Traditional, are SWPPPs of construction projects made available for public review? O Yes O No If Yes, use the following page to identify location(s) where SWPPPs can be accessed. MCM 4 Page I of 3 V482169883 Annual ReDort For This report is being submitted for the reporting period ending March 9,1 2 0 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name ofMS4/Coalition TOWN fir'SOUTHOL[3 � N ) Y R� 2 0 A I 511�' 2 � 4 � 6. con't.: Submit additional pages as needed. NIS4/C;oalition Office l0 � IF I �-CI C I0 � F ITI 1-1 NCGCI NEI IR I l� Address � 3 � 0 915 M ,4A'] I � 0JA D [ �.. l ® U.[T .. OIL..�D N Y Z1] 1 pE 1 .9 17 .1 1 ... N Phone 6 613..1 1.� 71 6 51 1I 51 6 � 0 O Library Address � [ �- I I I-, I L 1"' 1 ................. City _ _................ Zile .. L-L] -1,-,- ",-�,- _ I 1............_... C C[ _ II] J Phone c 1 9. O Other Address City z"I I - CC . Phone / .. f 1 1. .11 JIL O Web Page URL(s): Please provide specific address where S PPPs can be accessed - not home page. URL II � 1 IC ITI I J ,] II' I LCII- 'I I III 1I II . URL C M 4 Page 2 of 3 79:.35007876 MS4 Annual Resort Form This report is being submitted for the reporting period ending March 9,1..2 1 01 1.J 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES I Name of MS,4/0oidtitu TOWN OF SOUTHOLD 1 N Y R c 2 0 A 5 1 2 1 4 7. Evaluating Progress Toward Measurable Goals MCM Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan(SWMPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period. ..... ........ ..... . 1. Number of SPs reviewed 2. Number of complaints received and the number and type of enforcement actions 3. Percent of active construction sites inspected once 4. Percent of active construction sites inspected more than once 5. Number of training events attended by Town personnel and the number of people trained. B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable Goal. For 1-4 see information included above. 5 - There were no active construction sites to be inspected. 6 - One person trained during this reporting period. C. How many times was this observation measured or evaluated in this reporting period? L11 � J,11 'S"Urex t.r.... IpdrL dr,,Ipant-V vent:..a1 D. Has your MS4 made progress toward this measurable goal during this reporting period? Yes O No E. Is your MS4 on schedule to meetthe deadline set forth in the S ? Yes O No F. Briefly summarize the stormwater activities planned to meet the goals oft is MCM during e next reporting cycle (including an implementation schedule). Continue to implement Construction Site Runoff Control MCM as per the SWMPP.. MCM 4 Page 3 of 3 104 8 11925 1. MS4 Annual ReDort or This report is being submitted for the reporting period ending March 9, 2 1 0 1. � 6'� If submitting this form as part of ajoint report on behalf of a coalition leave SPDES ID blank. SPDES ID TOOFSOUTHOLD N I y R 121 0 �A � S_j Name of SVCoahlion 2 M � WN Minimum Control Measure 5. Post-Construction for ter Manaaement The information in this section is being reported (check one): * On behalf of an individual MS4 * On behalf of a coalition How many MS4s contributed to this report? 1. How any and what type of post-construction stormwater management practices has your MS4/Coalition inventoried,inspected and maintained in this reporting period? # # #Times Inventoried Inspections Maintained • Alternative Practices .............. • Filter Systems [A I 1 -1 "I • Infiltration Basins 1 1..2....1 2 1 • Open Channels • Ponds ......:..� V 0 Wetlands _:: 1 11 1 �. 1 71 1 7 V� Other 2. Do you use an electronic tool (e.g. GIS, database, spreadsheet) to track post-construction BMPs, inspections and maintanance? 0 Yes 9 No 3. What types of non-structural practices have been used to implement Low Impact Development/Better Site Design/Green Infrastructure principles? • Building Codes * Municipal Comprehensive Plans • Overlay Districts 0 Open Space Preservation Program • Zoning 0 Local Law or Ordinance • None 0 Land Use Regulation/Zoning • Watershed Plans 0 Other Comprehensive Plan • Other: MCM 5 Page I of') 9091119257 Annual Report For This report is being submitted for the reporting period ending arch 9,� 0 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank, SPDES ID NaGOWN OF SOUTHOLD N ..Y� R 0 1a 5 2 Name of lv3"��R lt�"carr N i 9 i<aN'1 III a.Are the MS4s contributing to this report involved in a regional/watershed wide planning effort? Yes O No 4b.Does the MS4 have a banking and credit system for stor water management practices? O Yes A No c. Do the SWMP Plans for each MS4 contributing to this report include a protocol for evaluation and approval of banking and credit of alternative siting of a star water management practice? O Yes No d.How many star water management practices have been implemented as part of this system in this reporting period? 1, 5. What percent of municipal officials staff responsible for program implementation attended training on Low I pace Development(LID),Better Site Design (BSD) and other Green Infrastructure principles in this reporting period? 0 % MCM 5 Page 2 of 3 1..6::1.07:1.16;3;..32 Annual eort Form This report is being submitted for the reporting period ending March 9,� 2 0 1 51 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of kMr'(oaIiflon TOWN OF SOUTHOLD � NJY] R� 2 � 0 �A �5 � 214 � 6. Evaluating Progress Toward Measurable Goals MCM 5 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan (SWMPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified in the SWMPP in this reporting period. 1. Document the number of SWPPPs reviewed. 2. Document the number and type of enforcement actions. 3. Document the number and type of post-construction stormwater management practices inventoried, inspected and/or maintained. B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable Goal. For 1-3 see information included in this annual report. C. How many times was this observation measured or evaluated int is reporting period? � 171 [ 1 (ex.a samples/participants/events) D. Has your MS4 made progress toward this measurable goal during this reporting period? Yes O No E. Is your MS4 on schedule to meet the deadline set forth in the ? Yes 0 No F. Briefly summarize the stormwater activities planned to meet the goals oft is MCM during the next reporting cycle (including an implementation schedule). Continue to implement Post-Construction Stormwater Management MCM as per the SWMPP. MCM 5 Page 3 of 3 68941.34836 MS4 Annual Report For This report is being submitted for the reporting period ending March 9,� 21 0 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of MS4/Coalitioill.TOWN OF SOUT&IOLD # Y � R] 2 � 01A 1 5 1 2 �4.. Minimum Control Measure 6. Stormwater Management for MUniCiDal Gioerations The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? 1. Choose/list each municipal operation/facility that contributes or may potentially contribute Pollutants of Concern to the MS4 system. For each operation/facility indicate whether the operation/facility has been addressed in the S 's/Coalition's Stormwater Management rogra (S ) Plan and whether a self-assessment has been performed during the reporting period. A self-assessment is performed to: 1) determine the sources of pollutants potentially generated by the per ittee's operations and facilities; 2) evaluate the effectiveness of existing programs and 3) identify the municipal operations and facilities that will be addressed by the pollution prevention and good housekeeping program, if it's not done already. Self-Assessment ..... vv ttdt�.��trrwM�a� a I�vilyr�l+'�r��ilit�^ performed within the past 3 t� craalion/At°t:ir�it °/l��acilit Addressed in SW P? ILIMrs Street Maintenance..................................................... 4 Yes O No 0 Yes O No Bridge Maintenance.................................................... O Yes 0 No O Yes * No Winter Road Maintenance.......................................... V Yes O No .,,................. 0 Yes O No Salt Storage................................................................. O Yes 0 No .................... O Yes 0 No Solid Waste Management........................................... O Yes 0 No .................... O Yes 0 No New Municipal Construction and Land Disturbance.. 0 Yes O No ..................... 0. Yes O No Right of Way Maintenance...................................... Yes O No ,-1-I, Yes O No Marine Operations......................... O Yes 9 No O Yes 0 No Hydrologic Habitat Modification....a..................... ..... O Yes 0 No ,....,...,...,...,.... O Yes * No Parks and Open Space................................................. 0 Yes O No ........... Yes 0 No Municipal Building....................... O Yes No O Yes 0 No Stormwater System Maintenance—, ......... ......... 0 Yes O No 10 Yes O No Vehicle and Fleet Maintenance.............. O Yes * No O Yes 0 No Other.... ......... O Yes O No O Yes O No MCM 6 Page I of') 6445134838 Annual _Report---or This report is being submitted for the reporting period ending arc , 2 l 0 1� 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of S4/Coalitir�a� `OWN OF SOUL IIOLD N I Y R 2 0 A 5i 2 4 2. Provide the following information o t municipal operations good housekeeping programs: O Parking Lots Swept (Number of acres X Number of times swept) # Acres P Streets Swept (Number of miles X Number of times swept) # Miles ➢ 1 5 Catch Basins Inspected and Cleaned Where Necessary # 7 Post Construction Control Stormwater Management Practices # 2 Inspected and Cleaned Where Necessary O Phosphorus Applied In Chemical Fertilizer #Lbs. I O Nitrogen Applied In Chemical Fertilizer #Lbs. I O Pesticide/Herbicide Applied # Acres , (Number of acres to which pesticide/herbicide was applied X Number of times applied to the nearest tenth.) 3. How any stor water management trainings have been providedo municipale ploy es duringthis reporting period? 0 4. What as the date oft the last training? 0 3 0 4 .2 0 1 1 5_ 5. How many municipal employees have been trained int is reporting period? 0 6. What percent of municipale loyees in relevant positions and departments receive stor water management training? 8j 31% MCM 6 Page 2 of .3 7123078468 MS4 Annual Report Form This report is being submitted for the reporting period ending March 9, 0 � 11 6 1 If submitting this form as part of ajoint report on behalf of a coalition leave SPDES ID blank. SPDESID TOWN oF so�.i'moi,D N � Y J_R �....2 0]A] 5 � 2 4 Name ofMS4X"'Mfilk)n� 7. Evaluating Progress Toward Measurable Goals MCM 6 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan (SWMPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified inthe SWMPP inthis reporting period. L Acres of parking lots swept 2. Miles of streets swept 3. Number of catch basins inspected and/or cleaned 4. Number of post-construction control stormwater management practices inspected and/or cleaned .......................... .......... ... ...... ................ ... B. Briefly summarize the observations that indicated the overall effectiveness oft is Measurable Goal. ..................................... ........... ........... ....................... . .... For 1-4 see information included in this annual report above, ................... ... C. How any times was this observation measured or evaluated inthis reporting period? D. Has your MS4 made progress toward this measurable goal during this reporting period? 0 Yes 0 No E. Is your MS4 on schedule to meet the deadline set forth inthe SWMPP? 0 Yes 0 No F. Briefly summarize the stormwater activities planned to meet the goals of this MCM during the next reporting cycle (including animplementation schedule). .......... ...... Continue to implement Stormwater Management for Municipal Operations Program as per the SWMPP. MCM 6 Page 3 of'3 71-23078468 Annual erForm This report is being submitted for the reporting period ending arch 9, 2l ®l 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name ofMS4/Coalidon I Y � R 1 2 � 0 �A 2 IJ 4 _ P 7. Evaluating Progress Toward Measurable Goals MCM 6 Use this page to report on your progress and project plans toward achieving measurable goals identified in your Stormwater Management Program Plan(SPP), including requirements in Part III.C.1. Submit additional pages as needed. A. Briefly summarize the Measurable Goal identified int e SWMPP in this reporting period. 5. Pounds of phosphorus and nitrogen applied in chemical fertilizer 6. Acres of pesticides/herbicides applied 7. Number of municipal operations and facilities assessed as part of MCM6 8. Number of new practices/policies implemented 9. Training sessions held and number and percent of staff trained B. Briefly summarize the observations that indicated the overall effectiveness of this Measurable Goal. --- ........ ........... ......__..... ....... For 5-6 and 9 see information included in this annual report above. 7 - Six municipal operations/facilities assessed. 8 -No new practices/policies implemented. C. How any times wast is observation esre or evaluated in this reporting period? I r � 1I D. Has your MS4 made progress toward this measurable goal during this reportingperiod? U Yes O No E. Is your MS4 on schedule to meet the deadline set forth in the S ? 110 Yes O No F. Briefly summarize the stor water activities planned to meet the goals of this MCM during the next reporting cycle (including an implementation schedule). Continue to implement Stormwater Management for Municipal Operations Program as per the SWMPP. MCM 6 Page 3 of 3 6327042251 Annual Report For This report is being submitted for the reporting period ending March 9,� 0 s. 1 6 If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name cf'1VIS4/�oalitittll TOWN oke St�)11"1"11OLD N Y R] 2 � ® A � S 1 2 4 . Additional Watershed prove e tr te2y BestManaLyement Practices The information in this section is being reported (check one): On behalf of an individual MS4 O On behalf of a coalition How many MS4s contributed to this report? [ _1 MS4s must answer the questions or check A as indicated in the table below. MS4 nrcrrintinnAnswrr Chrrk NA worn.,,.._.,,. NYC EOH Watershed ....... ..... ........ Traditional Land Use 1,2,3,4,5,6,7a-d,8a,8b,9 10,11,12 Phosphorus ..... Traditional Non-Land Use 1,2,3,4,7a d,8a,8b,9 5110,11,12 Phosphorus ................, ................ Non-Traditional 1,2,77a d,8a,8b,9 3,4,5,10,11,12 Phosphorus ......... ....... .... . Onondaga Lake Watershed d ...... Traditional Land Use 1,6,7a d,8a,9 2,3A5,8b,10,11,12 Phosphorus Traditional Non-Land Use 1,6,7a-d,8a,9 2,3,4,5,8b,10,11,12 Phosphorus Non-Traditional1,6,7a-d,8a,9 2,3A.5'.8b,10,1 I'J2 Phosphorus C reenwood Lake Wat,:.., ®.. _ _ . arched - - - Traditional Land Use 1,4,6,7a-d,8a,9 2,3,5,8 b,10,11,12 Phosphorus Traditional Non-Land Use 1,4,6,7a-d,8a,9 2,3,5,8 b,10,11,12 Phosphorus ...... _.... ......... ...._ Non-Traditional 1.4.6.7x-d.8a.9 23.5.86.10.11.12 Phosphorus Oyster Bay _ . ....,,,, Traditional Land Use 1.4.7a-d.9.10.11.12 2.3.5.6.8a.8b Pathogens ..... ........ . ._. ..... .. Traditional Non-Land Use 1.4.7a-d.9.10.11.12 23.5.6.8a_8b Pathogens m.." .... Non-Traditional 1,4.7a-d.9 2.3,4.5.8a.8b.10.11.12 Pathogens ----- ., _ PeconicEstuary �.� m ,_,,._ - :.. e_ _ _ _ _...... Traditional Land Use 1.4.7a-d.8a.9.10.11.12 2.3,5.6.8b Pathogens and Nitrogen Traditional Non-Land Use 1,4.7a-d.8a.9.10.11,12 2,3,5.6.86 Pathogens and Nitrogen Non-Traditional 1,4,7a-d,8a,9,. . ._. 5,86,1Q11,12 1'atl7ogens and Nitrogen Oseawana Lake Watershed - ......... _... ...... Traditional Land Use 1.4,6,7a-d,8a.9 2,3,5,86,10.11,12 Phosphorus Traditional Non-Land Use lA6.7a-d,8a.9 23,5.8b.10,11,12 Phosphorus Non-Traditional 1 4.6 7a-d Ra 9 23S_Rh 10 1 1.1-2 Phosnhorus .... _. .,,— __ �_, �a�w.., _w . r �_.. 11 Ll 27 Embavments - ........ ........ Traditional Land Ike 1 2 3 4 7a-d 9 10 1 1.12_ 5 6 Ra29h Pathogens _1_11 z11 Traditional Non-Land Use 1,2,3,4,7a-d,9,10,11,12 5 6,8a,86 Pathogens TJnn=Craditinnal 1 2;3„4 7,� d 9. 5(Ra Rh 10 11 12 Pathogens 1. Does your MS4/Coalition have an education progra addressing i cts o phosphorus/nitrogen/pathogens on waterbodies? 0 Yes O No O N/A ® Has % of the MS4/Coalition conveyance system ee mapped in GIS? Yes O No O N/A If N/A, go to question 3, If No, estimate what percentage of the conveyance system has been mapped so far. 1 % Estimate what percentage was mapped in this reporting period. Additional BMPs Page I of 3 2244042255 Annual eport Form This report is being submitted for the reporting period ending March 9, 2 1 o 1 1 1 6 a If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDESID Name of Mit/Coahtion rotors OF 501LJTH01..A) 1 �N J YJ R 9 2 OJAI ' � .2 4.I 3. Does your /Coalition have a Stor water Conveyance System (infrastructure) Inspection and Maintenance Plan Program? Yes O No O N/A . Estimate the percentage of on-site wastewater treatment systems that have been inspected and maintained or rehabilitated as necessary int is reporting period? 11 1 p.. % 5. Has your /Coalition developed a program that provides protection equivalent to the General Permit for Stor water Discharges from Construction Activities (GP-0-08-001) to reduce pollutants in stor water runoff from construction activities that disturb five thousand square feet or ore? O Yes O No 0 N/A 6. Has your /Coalition developed a program to addresspost-construction stor water runoff from new development and redevelopment projects that disturb greater than or equal to one acre that provides equivalent protection tote NYS DEC SPDES General Permit for Stormwater Discharges from Construction Activities (GP-0-08-001), inc i the New York State Stormwater Design Manual EnhancedPhosphorus Removal Standards? O Yes O No 10 N/A 7a.Does your MS4/Coalition have a retrofitting program to reduce erosion or phosphorus/nitrogen/pathogenloading? Yes O No O N/A 7b.How any projects have been sited int is reporting period? I � 8 2 7c.What percent of the projects included in 7b have been completed int is reportingperiod? 7d.What percent of projects planned in previous years have been completed? 1 0 % 9 0 No Projects Planned s your /Coalition developed and implemented turf management practices and procedures policy that addresses proper fertilizer application on municipally owned lands? O Yes O No 0 N/A s your /Coalition developed and implemented a turf management practices and procedures policy that addresses proper disposal of grass clippings and leaves from municipally owned lands? O Yes O No 0 N/A Additional BMPs Page 2 of 3 2404042253 Annual Report Form This report is being submitted for the reporting period ending March 9,� 2 0 .1 1 6 f If submitting this form as part of a joint report on behalf of a coalition leave SPDES ID blank. SPDES ID Name of lOQS4/C oall pa��a TOWN OF SOUL HOLD k N Y R 2 0 A 5 2L4 9. Has your /Coalition developed and implemented a program of native planting? V Yes O No O N/A 10.Has your /Coalition enacted a local law prohibiting pet waste on municipal properties and prohibiting goose feeding? Yes O No O N/A 11.Does your /Coalition have a pet waste bag program? O Yes 0 No O N/A 12.Does your /Coalition have a program to manage goose populations? O Yes 0 No O N/A Additional BMPs Page 3 of 3