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PP19-039
BRCl,� Village of Rye Brook ° � Public Works and Engineering Department jJ 4 �O� 938 KING STREET•RYE BROOK,NY 10573 i7 9t32, (914)939-0753 Fax(914)939-0242 INSPECTION REPORT Address:_�FZ Date: Name Location: Permit#: Phone: Email: Work being Inspected: 1 A0*' y,�, 2 151A /�— Work Inspected is: 11 c pte Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge e ss- Fail Violation 245 Wetlands Pass Fail Violation Other: ss Fail Violation Notes: Diagram: Signature