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HomeMy WebLinkAboutMP21-138 �E L� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.iyebrook.org TRUSTEES BUILDING&FIRE Susan R. Epstein INSPECTOR Stephanie J.Fischer Michael J.Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 15,2021 Richard Curtis 103 Brush Hollow Close Rye Brook,New York 10573 Re: 103 Brush Hollow Close, Rye Brook,New York 10573 Parcel ID#: 129.84-2-92 As per the Certification letter from Innov8tive Environmental Services Inc. dated November 12, 2021, the removal of an underground oil tank and installation of a new underground oil tank under Mechanical Permit #21-138 issued on 9/27/2021 has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector Ag �e�R�k Q4 2� W 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - ADDRESS : `-'� l ' U1 rW (. U(P DATE: 1 ` PERMIT ISSUED: j ' �{1 # � - � ,��-� I . SECT: � BLOCK: � LOT: LOCATION: t (--•4 \�r` •x i 4 �CCUPANCY• ❑ VIOLATION NOTED THE WORD IS... ACCEPTED REJECTED,/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING FOOTING DRAINAGE FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL G73�� S ❑ L.P.GAS FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑, CROSS CONNECTION FINAL OTHER z,kE BRA 8V BUILDING DEPARTMENT ❑gUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK /11 CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - -- - -- - - - INSPECTION REPORT - - - - - - - - - - --- - - - - - - - ADDRESS:_ q `✓S{ C'���" DATE: �©y PERMIT# 1 ISSUED: 1 ECT: � 4LOCK: LOT: LOCATION: \1 C U OCCUPANCY: S ❑ VIOLATION NOTED THE WORK IS... 0 ACCEPTED D RE CTEDI REINSPECTION ❑ SITE INSPECTION � � 0 REQUIRED ❑ FOOTING W\ l t'1 \` ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION❑ NATURAL GAS Q �y� �+, oa u l 04 ❑ L.P.GAS FUEL TANK �1 ❑ FIRE SPRINKLER ' ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL S 1 ❑ OTHER oNi �landTan� 9 count on our products, trust in our people. W. storage tanks aAt Ar Ai 0 0 protected underground storage tanks HT-1047 PRODUCT DETAILS ACT 100-U0 polyurethane coating ACT-100-Ua Features Tank Isolation with Nylon technology meets or surpasses all current + UL-58 and UL-1746 compliant UL standards.The ACT-100-Ug is as + Must pass a 15,000 volt Bushings - No Cathodic rugged as the STI-Fe tank but does not spark test before shipment protection Required require cathodic protection with anodes + No cathodic protection or monitoring. monitoring required + Available in single or double-wall Performance tests prove that the 70 mil + STIO standard 10-year thick ACT-1 00-U"'coating is far superior limited warranty A 70 mil(min)coating to Fiberglass Reinforced polyester(FRP) • 30-year limited warranty is available is applied to the steel grit-blasted tank surface coatings and much more resistant to incidental damage. JL-Listed Steel Primary Tank 10 i»_u gauge to.375" thick. 814.893.5701 1 highlandtank.com act-1 00-u tank sizing • - HT-1047 Tank-Top Sump Manway Extension Flanged Isolation Spool ACT-100-Uie Full coupling Flanged Fitting Protected Steel Half Coupling Manway Outer Tank Interior NPT Fitting Lifting Lugs Tank om Steel Lining Inner Tank Double-Wall Interstitial Monitoring Pipe Polyester Hold-Down Strap ' Compartment Internal Access Ladder Diameter(Inside) I Length(Inside) Volume Tank Dimensions Gallons Diameter Length ACT-100-UO Features Tank Steel Thickness 240 T-2" 4-0" • UL-58 and UL-1746 compliant Tank thickness is in accordance with 300 3'-2" 5'-0" Is Provides 70 mils dielectric UL standards and is based on the ___ 500 4'-0" 5'-5" polyurethane protection Roark formula allowing for 60" of 1,000 4'-0' 1U-9" overburden. Please contact Highland 1,000 5'-4' 6'-0" Is Cured films are free of pores 1,500 5'-4" 9'-0" • Must pass a 15,000 volt spark test if deeper burial depths are required. � 2,000 5'-4' 12'-0' before shipment 2,500 5'-4" 15'-0" Environmentally Friendly 3,000 5'-4" 18'-0" • Strong,flexible and resistant to Unlike polyester/fiberglass composite 4,000 5'-4" 24'-0' impact,abrasion and corrosion 4,000 6'-0' 19'-0" tanks which utilize amines, styrenes • No cathodic protection 4,000 8'-0' 10'-8" and other hazardous materials in monitoring required 5,000 6'-0' 23'-10" production, the ACT-100-U coating 5,000 8'-0" 13'-4" • STI standard 10-year resin uses none of these materials 6,000 6'-0" 28'-8' limited warranty and is environmentally friendly. 6,000 8'-0' 16'-0" • Extended 30-year limited warranty 8,000 10'-0" 14'-0" is available The polyurethane coating, in its 8,000 8'-0" 21'-4" cured state, is not an environmentally 10,000 101-0" 17'-0" 10,000 8'-0" 26'-8" Flexible Designs regulated material and can be 12,000 10'-0' 20'-6" • Volumes from 240-50,000 gallons disposed of as non-hazardous 12,000 8'-0" 32'-0" • Custom sizes available material, complimenting your 15,000 10'-0" 25'-6" • Multi-product storage compartments environmental programs. 16,000 8'-0" 40'-0" 20,000 10'-0" 34'-0 20,000 10'-6" 31 A" 25,000 10'-0" 42'-6" 25,000 10'-6' 38"-9" 30,000 10'-0" 51'-2" 30,000 10'-6' 46'-6' 40,000 12'-0' 471-6" 50,000 12'-0" 59'-6' aNV Manheim,PA Greensboro,NC Friedens,PA Mancelona,MI a ru Highland Tank 4535 Elizabethtown Road 2700 Patterson Street 1510 Stoystown Road 9517 Lake Street Manheim,PA 17545-9410 Greensboro,NC 27407-2317 Friedens,PA 1 5541-740 2 Mancelona,MI 49659-7%8 4F G.t 717.664.0600 336.218.0801 814-443,6800 231.587.8412 Stoystown,PA Watervliet,NY Lebanon,PA Clarkston,MI One Highland Road 958 19th Street 2225 Chestnut Street 4701 White Lake Road Stoystown,PA 15563-0338 Watervliet,NY 12189-1752 Lebanon,PA 17042-2504 Clarkston,MI 48346-2554 814.893.5701 518,273.0801 717.664.0602 248.625.8700 FIRGUI tYMADEWAMEWrCA V Highland Tank-HT-1047-0712020 N O U a 3; o z t S Z py O ` O II7 m Ol 0 . II, � Q /t -- — —i --- -- - ---- - V O Q co O in 00 Q Q1 V � ` 0 co v 0 V� C N m 43 W (n IO C 41 fU � E c c v un o > M cn c : w - r � wl�dd a ONEaiino l NOGHS 3h� Jo 3E)VIIIA o = M � i h ZE - — - - D COIF ` NOV 12 2021 E OF RYE N N Qv, �TY I BIUILDIING LL DE ARTMGEN ENVIRONMENTAL SERVICES INC . November 12, 2021 Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 RE: Richard Curtis 103 Brush Hollow Close Rye Brook, New York 10573 Permit: MP 21-138 To Whom It May Concern, This letter is regarding the work performed at 103 Brush Hollow Close, Rye Brook, New York in accordance with permit#MP 21-138. Innov8tive Environmental Services (IES) was contracted by Richard Curtist to remove (1) 275 Gal Underground Storage Tank (UST)from the rear of the property and install (1) 300 Gal UST in the same location. IES began the install and removal process on November 5, 2021. IES pumped 31 gallons of waste oil and sludge out of the underground tank. A liquid waste manifest is attached for your viewing. The underground storage tank was then cut and cleaned in accordance with DEC regulations.The tank was found to be free of any breaches or contaminants, and the subsurface soil was not impacted by any petroleum. A copy of the soil analysis is attached for your review. An inspection was performed by the Village of Rye Brook building inspector, where it was determined that the scope of work was completed in accordance with the current regulations. The tank was then removed from the premises and recycled at Brookfield Resource Management, Elmsford, NY.A scrap tank ticket is attached for your viewing. At this time, IES is requesting closure of permit#MP 20-075. Please advise if any additional information is required. Thank you, Donnie Feeney Innov8tive Environmental Services Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla NY 10595 service(c�innov8enviro.com 1 (914) 449-6608 www.innov8enviro.com Q [ECENIE � NOV 12 2021 PHOaIT,17t...,-, VILLAGE OF RYE BROOK Environmental Laboratories. Inc. BUILDING DEPARTMENT Wednesday, November 10, 2021 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 103 BRUSH HOLLOW CLOSE RYE BROOK SDG ID: GCJ73340 Sample ID#s: CJ73340 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, UL Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration #63 ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)64"823 Page 1 of 10 C �1y ACCO D PHO w 9 F cQ Environmental Laboratories, Inc. wYi�so� 587 East Middle Tumpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference November 10, 2021 SDG I.D.: GCJ73340 Project ID: 103 BRUSH HOLLOW CLOSE RYE BROOK Client Id Lab Id Matrix BOTTOM CJ73340 SOIL Page 2 of 10 C t5 4CCp90 PHOLlix�� A yc^ U Environmental Laboratories, Inc. a 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel. (860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Donnie Feenex Innov8tive Environmental Services November 10, 2021 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 11/05/21 10:30 Location Code: INNOVAT Received by: CID 11108/21 15:29 Rush Request: Standard Analyzed by: see "By"below P.O.#. Laboratory Data SDG ID: GCJ73340 Phoenix ID: CJ73340 Project ID: 103 BRUSH HOLLOW CLOSE RYE BROOK Client ID: BOTTOM RLI Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 86 % 11/08/21 Q SW846-%Solid Soil Extraction for SVGA PAH Completed 11/08/21 I/L SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C 1,3,5-Trimethylbenzene ND 0.58 ug/Kg 1 11/09/21 JLi SW8260C Benzene ND 1.2 uglKg 1 11/09121 JLI SW8260C Ethylbenzene ND 1.2 ug/Kg 1 11/09121 JLI SW8260C Isopropylbenzene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C m&p-Xylene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C Naphthaiene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C n-Butylbenzene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C n-Propylbenzene ND 0.58 ug/Kg 1 11/09/21 Al SW8260C o-Xylene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C p-Isopropyltoluene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C sec-Butylbenzene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C tert-Butylbenzene ND 0.58 ug/Kg 1 11/09/21 JLI SW8260C Toluene ND 1.2 ug/Kg 1 11/09121 JLI SW8260C Total Xylenes ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C QAIQC Surro ates % 1,2-Dich1orobenzene-d4 99 % 1 11/09121 JLI 70-130% % Bromofiuorobenzene 96 % 1 11/09/21 JLI 70-130% • Dibromofluoromethane 97 % 1 11/09/21 JLI 70-130% •Toluene-d8 100 % 1 11/09/21 JLI 70-130% Ver 1 Page 3 of 10 Project ID: 103 BRUSH HOLLOW CLOSE RYE BROOK Phoenix I.D.: CJ73340 Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARSICP-51 Acenaphthene ND 270 ug/Kg 1 11/09/21 WB SW8270D Acenaphthylene ND 270 ug/Kg 1 11109/21 WB SW8270D Anthracene ND 270 ug/Kg 1 11/09/21 WB SW8270D Benz(a)anthracene ND 270 ugfKg 1 11/09/21 WB SW8270D Benzo(a)pyrene ND 270 ug1Kg 1 11/09/21 WB SW8270D Benzo(b)fluoranthene ND 270 ugfKg 1 11/09121 WB SW8270D Benzo(ghi)perylene ND 270 ug/Kg 1 11/09/21 WB SW8270D Benzo(k)fluoranthene ND 270 ugfKg 1 11/09/21 WB SW8270D Chrysene ND 270 ugfKg 1 11/09/21 WB SW8270D Dibenz(a,h)anthracene ND 270 ugfKg 1 11/09/21 WB SW8270D Fluoranthene ND 270 ugfKg 1 11/09/21 WB SW8270D Fluorene ND 270 ug/Kg 1 11/09/21 WB SW82700 Indeno(1,2,3-cd)pyrene ND 270 ug/Kg 1 11/09/21 WB SW8270D Naphthalene ND 270 ugfKg 1 11/09/21 WB SW8270D Phenanthrene ND 270 ug1Kg 1 11/09/21 WB SW8270D Pyrene ND 270 ug1Kg 1 11109/21 WB SW8270D 9&QC Surrogates %2-Fluorobiphenyl 80 % 1 11/09/21 WB 30-130% % Nitrobenzene-d5 83 % 1 11/09/21 WB 30-130% %Terphenyl-d14 66 % 1 11/09/21 WB 30-130% RLJPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates: Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. ?V1 P hiller, laboratory Director November 10, 2021 Reviewed and Released by: Rashmi Makol, Project Manager ver 1 Page 4 of 1G is r. C 0 a PHOE VIX -�nll' Environmental Laboratories, Inc. 1 d 587 East Middle Turnpike, P.O.Box 370, Manchester,CT 06045 NY# 11301 QA/QC Report Tel. (860)645-1102 Fax(860)645-0823 November 10, 2021 QA/QC Data SDG I.D.: GCJ73340 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % RPD % % RPD Limits Limits QA/QC Batch 599833 (uglkg),QC Sample No: CJ73312(CJ73340) Polynuclear Aromatic HC - Soil Acenaphthene ND 230 82 89 8.2 83 85 2.4 30-130 30 Acenaphthylene ND 23C 74 81 9.0 75 78 3.9 40-140 30 Anthracene ND 230 83 89 7.0 86 83 3.6 40-140 30 Benz(a)anth race ne ND 230 81 91 11.6 86 84 2.4 40-140 30 Benzo(a)pyrene ND 230 79 88 10.8 85 82 3.6 40-140 30 Benzo(b)fluoranthene ND 230 82 91 10.4 85 81 4.8 40-140 30 Benzo(ghi)perylene ND 230 97 106 8.9 105 102 2.9 40-140 30 Benzo(k)fluoranthene ND 230 76 82 7.6 79 78 1.3 40-140 30 Chrysene ND 230 81 91 11.6 87 84 3.5 40-140 30 Dibenz(a,h)anthracene ND 230 86 91 6.6 92 94 2.2 40-140 30 Fluoranthene ND 230 84 87 3.5 90 84 6.9 40-140 30 Fluorene ND 230 79 85 7.3 82 84 2.4 40-140 30 indeno(1,2,3-cd)pyrene ND 230 96 105 9.0 104 99 4.9 40-140 30 Naphthalene ND 230 69 74 7.0 72 71 1.4 40-140 30 Phenanthrene NO 230 83 89 7.0 86 83 3.6 40-140 30 Pyrene ND 230 75 76 1.3 81 74 9.0 30-130 30 %2-Fluorobiphenyl 79 % 68 73 7A 70 69 1.4 30-130 30 %Nitrobenzene-d5 72 % 75 83 10.1 74 80 7.8 3o-130 30 %Terphenyl-d14 87 % 90 91 1.1 100 91 9.4 30-130 30 QA/QC Batch 600128(uglkg), QC Sample No: CJ72758(CJ73340) V©latiles - Soil (Low Level) 1,2,4-Trimethylbenzene ND 1.0 107 108 0.9 89 89 0.0 70-130 30 1,3,5-Trimethylbenzene ND 1.0 108 110 1.8 92 91 1.1 70-130 30 Benzene ND 1.0 104 110 5.6 100 103 3.0 70-130 30 Ethylbenzene ND 1.0 108 111 2.7 97 97 0.0 70-130 30 Isopropylbenzene ND 1.0 106 109 2.8 91 89 2.2 7o-13o 30 m&p-Xyk:ne ND 2.0 108 111 2.7 97 98 1.0 70-130 30 Methyl 1-butyi ether(MTBE) ND 1.0 98 106 7.8 99 99 0.0 70-130 30 Naphthalene ND 5.0 103 110 6.6 94 95 1.1 70-130 30 n-Butylbenzene ND 1.0 118 115 2.6 84 82 2.4 70-130 30 n-Propylbenzene ND 1.0 109 110 0.9 91 90 1.1 70-130 30 o-Xylene ND 2.0 104 107 2.8 96 95 1,0 70-130 30 p-lsopropyltoluene ND 1.0 110 110 0.0 89 89 0.0 70-130 30 sec-Butylbenzene ND 1.0 111 112 0.9 73 90 20.9 70-130 30 tert-Butyibenzene ND 1.0 106 110 3.7 90 86 4.5 70-130 30 Toluene ND 1.0 103 109 5.7 97 98 1.0 70-130 30 % 1,2-dichlorobenzene-d4 99 % 101 100 1.0 100 101 1.0 70-130 30 %Bromofluorobenzene 96 % 101 101 0.0 105 108 2.8 70-130 30 %Dibromofluoromethane 98 % 99 98 1.0 98 96 2.1 70-130 30 Toluene-d8 99 % 100 100 0.0 100 100 0.0 70-130 30 Page 5 of 10 QAIQC Data SDG I.D.: GCJ73340 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: Additional 8260 criteria: 10%of LCSILCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%,25-160%for Chloroethane-HL and Trichlorofluoromethane-HL. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD - Relative Percent Difference LCS- Laboratory Control Sample LCSD-Laboratory Control Sample Duplicate MS- Matrix Spike hiller, Laboratory Director MS Dup-Matrix Spike Duplicate Phyllis' yll ber 10, 2021 NC- No Criteria Intf- Interference Page 6 of f 6 \4 � \� (§ \f )\ �� o k) \ )\ 0 )f � \\ ƒE � ) �) / pIm ) t § ; C \\ 72 � § ) � 2 § U ¥ c « > $ z \\ x \ o .. /Q � k }\ U §\ @ 7� k L) \� 22§ } \ƒ \co E ( u / \\/ \ � , o (�) 0 ®2 : )\j ; T § t « \ R ` % > f » f{ ( } ) z « 0 M Co } k 0 k z k*\ 2 ; EEC vG tiN ACC( D PHOEVIT t. co LF v Environmental Laboratories, Inc. NY# T�3o� 587 East Middle Turnpike, P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments November 10, 2021 SDG I.D.: GCJ73340 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QAIQC Report; None. Page 8 0(7 o PHOENIX jg;h�. �N ACC0R� U Environmental Laboratories, Inc. NY#t�30� 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(960)64"823 NY Temperature Narration November 10, 2021 SDG 1.D.: GCJ73340 The samples in this delivery group were received at I.M. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) page 9 of 10 bo O zz 1st * a a -• pp a 4J t f — c I �r�lyOa�� a Ll ICY El El L 0 Ui I?"OA vir O�i � °- an °E �°� z dfn '� 'fi'� il❑❑❑ ❑ ❑ ❑ ❑ .9 0 Q ro m O © N IX Z E U E sin U m U Cy ❑ ❑ ❑ u LLJ ❑ = Q � � d w A ellto L� a m Its `° za� 0 � r a � Lt. _❑❑❑ ❑❑ � oz z U o U. U d o O m ci. � u o Q W o x ac Z fl . W w 2 a c p y o U (� m !1 tY Co Cl c m LU z z _ k _ _ d -r U ¢� 7 m Z Eww �z - I Q # Zn W ~ x a w ci C'I c ° 4 °'n ❑ ❑ ❑ ❑_ ffi a ii 1! I r3 r�i c a Ec _ v) `�b t o m C c z N 0 Yam i Z, g b 0 cr � a� 5wo 8 � a Phoenix Environmental Laboratories, Inc. 587 East Middle Turnpike P.O.Box 370 Lab Sample Id CJ73340 Manchester,CT 06040 Collection Date 11/05/2021 (860)645 1102 Client Id BOTTOM Matrix SOIL SDG:GCJ73340 NY Project:103 BRUSH HOLLOW CLOSE RYE BROOK CAS Units CP-51 Soil-Gas/Fuel OR Result RL Miscellaneous/Inorganics Percent Solid PHNX-PCTSOLID % 86 Semivolatiles-STARS/0-51-SW8270D Acenaphthene 83-32-9 ug/Kg 2000D <270 270 Acenaphthylene 208-96-8 ug/Kg 100000 <270 270 Anthracene 120-12-7 ug/Kg 100000 <270 270 Benz(a)anthracene 56-55-3 ug/Kg 1000 <270 270 Benzo(a)pyrene 50-32-8 ug/Kg 1000 <270 270 Benzo(b)fluoranthene 205-99-2 ug/Kg 1000 <270 270 Benzo(ghi)perylene 191-24-2 ug/Kg 100000 <270 270 Benzo(k)fluoranthene 207-08-9 ug/Kg B00 <270 270 Chrysene 218-01-9 ug/Kg 1000 <270 270 Dibenz(a,h)anthracene 53-70-3 ug/Kg 330 <270 270 Fluoranthene 206-44-C ug/Kg 100000 <270 270 Fluorene 86-73-7 ug/Kg 30000 <270 270 Indeno(1,2,3-cd)pyrene 193-39-5 ug/Kg 500 <270 270 Naphthalene 91-20-3 ug/Kg 12000 <270 270 Phenanthrene 85-01-8 ug/Kg 100000 <270 27C Pyrene 129-00-0 ug/Kg 100000 <270 270 Volatiles-STARS/CP-51-SW826M 1,2,4-Trim ethyl benzene 95-63-6 ug/Kg 3600 <0.58 0.58 1,3,5-Trimethylbenzene 108-67-8 ug/Kg 8400 <0.58 0.58 Benzene 71-43-2 ug/Kg 60 <1.2 1.2 Ethylbenzene 100-41-4 ug/Kg 1000 <1.2 1.2 Isopropylbenzene 98-82-8 ug/Kg 2300 <0.58 0.58 m&p-Xylene 179601-23-1 ug/Kg <1.2 1.2 Methyl t-Butyl Ether(MTSE) 1634-04-4 ug/Kg 930 <0.58 0.58 n-Butylbenzene 104-51-8 ug/Kg 12000 <0.58 0.58 n-Propylbenzene 103-65-1 ug/Kg 3900 <0.58 0-58 Naphthalene 91-20-3 ug/Kg 12000 <0.58 0.58 o-Xylene 95-47-6 ug/Kg <1.2 1.2 p-Isopropyltoluene 99-97-6 ug/Kg 10000 <0.58 0.58 sec-Butylbenzene 135-98-8 ug/Kg 11000 <0.58 0.58 tert-Butyl benzene 98-06-6 ug/Kg 5900 <0.58 0.58 Toluene 108-88-3 ug/Kg 700 <1.2 1.2 Total Xylenes 1330-20-7 ug/Kg 260 <1.2 1.2 Result Detected RL Exceeds Criteria Result Exceeds Criteria D CECC �W NOV 12 2021 DD VILLAGE OF RYE BROOK t BUILDING DEPARTMENT U E� V NON-HAZARDOUS WASTE MANIF NOV 12 2Q21 F'kase print or type (Form designed for use on elite(12 pitchy typewdter) NON-HAZARDOUS 1.Generator's US EPA 10 No. WASTE MANIFEST =MCAGE ©F RY41BI .baatf 1 IGenerators Name and MasElg Address CIb3`t�'�Ubti► �sltaw C:kca_ ♦.Generators Phone 8.Transporter 1 CamPany Name 9. J US EPA tD NranbeP InnovBtive Environmental Services N Y R 0 0 0 2 3 8 2 1 0 A aisle Tranaportiro to 9.Transporter 1 Phone 914-4 4 9-6 6 0 8 7,Transporter 2 Company Name 8. US EPA ID Number C.State 7renaporler'e ID D.Transporter 2 Phone Water Works g.Designated Facility Name and Site Address 10, US EPA 10 Number E.State Facility's 1D 77 Stewart Ave NYD966908085 Newburgh, NY F.Facilty's Phone 845-561-4111 11.WASTE DESMPTION 12. Containers 13. 14. Total unit a No. Type Quantity WtNd. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon G b E N E R c. A T 0 W R d. t- G_Additlonsl Dsscrodons For Met•riafs.Listed Above N M.MMMM Codas for Wastes Lsted Above 0 G f4Y 15.Spedaf Mandkrlg Inatnrctions and A&I'tionsf Information 2 Z Approval O Z 1e.GENERATORS CERTIFICATION:I hereby dray ghat the contents of 0M shipmem tue fuM and aeeuratery described and are in as reapeota in proper condibon I&MUMPort The mate described on this manliest are not sub f lect la ederat hazardous waste regulations. Pnoted(Typed Name Date Donald Feeney - AS Agent for +w«,lm Day rear TH 17 Tramporter 1 Ar#.wMadpeerrent«Receipt of Materials A Printed/Typed Nama Date S Sean Penel�:�����Signature Arorrih Day Year P R.. 1S.Tnnsporler 2 Ad-owledgemeni of Receipt of Materials T P,.'Ped Name Date E Signature R Mono Day Year F 10.019 rspancy Indication Spade A C I 20.FaeYhy Owner or Operator;Certaoetion of recapt of the waste ff*WUIs covered by this mardfesi.exc ept as noted in item 19- i Y Pr�led/rypad Name Si9nattue +uonfn flat Year D NOV 12 2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 1J PAYMENrRE �V ��lprBro 100() etd Re source Mane9e amont Street merzt }L Elmsford N. 10523 914-592-5250 RecefPt:1708171 Cust0rner:e98Q2 Date:11/8/2Q21 INNC3©LL1lV�ENVIRONMENTAL 3 392 C rlme:7 2 59 AM wALH MBUS AVE ID Number NY 7QS95 Ticket.774504, Operator:Ctana p Waigh in.,11/g r1021 7:2()'4 4 p 10 W'149h aut:11'82121 7-32:47 AM Commodity `. =:®•- �.. Tanks Graff YTere n - 15.720 Net - 13.6$0 Price TOTAL, --_ 1446 6 651)6,C4'V et 8N3.76 No.of T ts: Tick icke 7 Total: -- --- -- Aayrrient Metlt9r$:EZCasi, E 65.78 zCa81�Paid: - Round A S96 00 rats!pafc�._ S024 e Nricin ho `erg contact info 9rn}ation urs and on the web check ue out @brook fieldsc rap.Co. Join Brookfield Scrap on facebook tWebuyacrap N ,\ f N °e O y' 1 W LO ;4 c � . L J �I •~ ofW 11' UJ UJ Q o h1 CO W -j > O �+ y �ptectivh a. (' ti ►.. 4-4 J 0 Q n -0 `aw �41 } J 1 G co o c- — o co cz cr l d.•,' LMQ v z j � 4 { ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDlYYYY) 0211212021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement- A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER -CONTACT EVita Dermanis NAME: Mt Pleasant Capacity Agency LLC PHDNE (914)205-7682 FAX (914)205-7682 AJC No ERt: A1C,No P O Box 1689 E-MAIL Evita Dermanis@mtpcap.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC y Pearl River NY 10965 INSURERA: Century Surety Company INSURED INSURER B: Progressive Casualty Insurance 24260 Innov8tive Environmental Services Inc. INSURER C: 392 Columbus Ave INSURER D: INSURER E: Valhalla NY 10595 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2121266175 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXP LTR TYPE OF INSURANCE 1N$D WVD POLICY NUMBER MMIDDY F MMID LIMITS X COMMERCIAL GENERAL LIABILITY CNCE $ 1,000,000 EACH OC URRE CLAIMS-MADE ©OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) S 5,000 A CCP948922 02/14/2021 0211412022 PERSONAL&ADVINJURY $ 1,000.000 GEN'LAGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $ 3,000.000 X POLICY E]PRO- ❑ 3,000.000 JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) S B OWNED SCHEDULED 01666398-1 01/1512021 01115/2022 BODILY INJURY(Per amdent) S AUTOSONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY IPer accident Uninsured Motorist s 1,000,000 UMBRELLA LIAB '""rr•"••`•"R'r OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIM&MADE AGGREGATE $ DED I I RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y f N --[STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVF N J A E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yas,describe under OESCRIPTION OF OPERATIONS below E_L DISEASE-POLICY LIMIT $ Pollution Liability A CCP948922 0211412021 0211412022 Each Claim $1,000,000 Aggregate $1,000.000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 I ` O 1986-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New York State insurance Fund WESTCHESTER ONE.44 SOUTH BROADWAY, LOTH FLOOR.WHITE PLAINS,NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 91 � ""^"^^ 824703808 BT." j INNOV8TIVF ENVIRONMENTAL SERVICES INC i 392 COLUMBUS AVENUE _ VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER iNNOV8TIVE ENVIRONMENTAL VILLAGE.OF RYE BROOK SERVICES INC 938 KING STREET 392 COLUMBUS AVENUE RYE BROOK NY 10573 VALHALLA NY 10595 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2455 047-7 441760 10/02/2020 TO 10/02/2021 9130/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2455 347-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK EXCEPT AS INDICATED BELOW, AND. WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:NWWW.NYSIF.COMICERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DONALD FEENEY VICE PRESIDENT FRANK MORACO INNOV8TIVE ENVIRONMENTAL SERVICES 20F2 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRFCTOR,fNSURANCE FUND UNDERWRITING VALIDATION NUMBER 949737100 U-26.3 Laura Petersen From: Dig Safely New York Exactix <tickets@ exactix.d igsafelynewyo rk.com> Sent: Thursday, October 14, 2021 1:13 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from, DSNY for: VIL RYE BROOK Taken: 10/14/2021 13:11 To: VIL RYE BROOK PRIMARY Transmitted: 10/14/2021 13:12 00002 Ticket: 10141-001-515-00 Type: Regular Previous Ticket: 09221-002-677-00 ------------------------------------------------------------------------------ State: NY County- WESTCHESTER Place: RYE BROOK Addr: From: 103 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name: Offset: Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 10/19/2021 Depth of excavation: Site dimensions: Start Date and Time: 10/19/2021 07:00 Must Start By: 11/02/2021 --------------- -------------------------------------------------------------- Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addr1: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER -------------------------- --------------------------------------------------- Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/WSCHSTR : CON-ED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK I Laura Petersen From: Dig Safely New York Exactix <tickets@ exactix.d i gsafelynewyork.co m> Sent: Wednesday, September 22, 2021 5:23 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**' DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 09/22/2021 17:22 To: VIL RYE BROOK PRIMARY Transmitted: 09/22/2021 17:23 00002 Ticket: 09221-002-677-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 103 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 09/27/2021 Depth of excavation: Site dimensions: Start Date and Time: 09/27/2021 07:00 Must Start By: 10/12/2021 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ----------------------------------------------------------------- ------------ Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA. BELL-VALHA.LLA/ WSCHSTR : CON-ED SUEZ WTR WESTCHESTER : TEN GAS-HDS VLY VIL RYE BROOD i Laura Petersen From: Dig Safely New York Exactix <ticketsOa exactix.digsafelynewyork.com> Sent: Wednesday, October 27, 2021 11:11 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DENY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 10/27/2021 11:09 To: VIL RYE BROOK PRIMARY Transmitted: 10/27/2021 11:10 00027 Ticket: 10271-001-098-00 Type: Regular Previous Ticket: 10141-001-515-00 State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 103 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name- Offset: Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 11/01/2021 Depth of excavation: Site dimensions: Start Date and Time: 11/01/2021 07:00 Must Start By: 11/16/2021 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email- service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK 1