HomeMy WebLinkAboutMP21-151VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR
Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury
www.ryebrook.or¢
TRUSTEES BUILDING & FIRE
Susan R. Epstein INSPECTOR
StephanieJ. Fischer Michael J. Izzo
David M Heiser
Jason A. Klein
CERTIFICATE OF COMPLIANCE
January 12, 2022
MAD Real Properties LLC
10 Talcott Road
Rye Brook, New York 10573
Re: 10 Talcott Road, Rye Brook, New York 10573
Parcel ID#: 135.49-1-14
As per the Certification letter from Barrier Contracting LLC dated December 29, 2021, the abandonment of
an underground oil tank under Mechanical Permit #21-151 issued on 10/19/2021 has been satisfactorily
completed.
Sincerely,
MichaelJ.Izzo
Building & Fire Inspector
/tg
r❑yBUILDING INSPECTOR
L] ASSISTANT BUILDING INSPECTOR
❑ CODE ENFORCEMENT OFFICER
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET • RYE BROOK, NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
-------------------- INSPECTION REPORT --------------------
�l
I \t
ADDRESS: V �- V� ��A DATE: \\\ L
PERMIT#��,' C I ISSUED:SECT: BLOCK: LOT:
LOCATION: OCCUPANCY:
VIOLATION NOTED
SITE INSPECTION
FOOTING
FOOTING DRAINAGE
FOUNDATION
UNDERGROUND PLUMBING
ROUGH PLUMBING
ROUGH FRAMING
INSULATION
NATURAL GAS
L.P. GAS
FUEL TANK
FIRE SPRINKLER -
FINAL PLUMBING
CROSS CONNECTION -
FINAL
OTHER
THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION
REQUIRED
NOTES ON INSPECTION:
61DIRO< BUILDING DEPARTMENT
,❑ BBUILDING INSPECTOR
j�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.tyebrook.org
-------------------- INSPECTION REPORT --------------------
ADDRESS : �-+� V ` `= V� / DATE:
PERMIT#y -X ` ` ISSUED: �I - JECT:' �1' ^� BLOCK: ( LOT:
LOCATION:
❑ VIOLATION NOTED
J
SITE INSPECTION
FOOTING
FOOTING DRAINAGE
FOUNDATION
UNDERGROUND PLUMBING
ROUGH PLUMBING
ROUGH FRAMING
INSULATION
NATURAL GAS
L.P. GAS
FUEL TANK
FIRE SPRINKLER
FINAL PLUMBING
CROSS CONNECTION
FINAL
OTHER
THE WORK IS...
OCCUPANCY: Z_(U
❑ ACCyranD ❑ REJECTED/REINSPECTION
REQUIRED
NOTES ON INSPECTION:
PyE BR�k
cu �
BUILDING DEPARTMENT
❑ BUILDING INSPECTOR
ASSISTANT BUILDING INSPECTOR
/�I/❑ CODE ENFORCEMENT OFFICER
VILLAGE OF RYE BROOK
938 KING STREET • RYE BROOK, NY 10573
(914) 939-0668 FAX (914) 939-5801
www.ryebrook.org
-------------------- INSPECTION REPORT --------------------
ADDRESS : 1 I �I CAS (C) � t �� \ DATE: 1 2 I � I � f
PERMIT# ` \ ` ISSUED: I V14CT: BLOCK: LOT:
LOCATION:
VIOLATION NOTEb `"�" i+s� ❑ ACCEPTED
SITE INSPECTION
FOOTING
FOOTING DRAINAGE
FOUNDATION
UNDERGROUND PLUMBING
ROUGH PLUMBING
ROUGH FRAMING
INSULATION
NATURAL GAS
L.P. GASH
FUEL TANK
OCCUPANCY: t I
.g.riEIECTED/REINSPECTION
REQUIRED
NOTES ON INSPECTION:
FIRE SPRINKLER
FINAL PLUMBING _ n 11 C v\
CROSS CONNECTION �'� �� C� -Y
FINAL
rI
Ln
H
N N N ta y o 0 s
W
' O.
w a C„y
o � � w � fs,
O� O �_ 2 C p, O to 1'
Nt X -- X cd
^ , �
i
16.
F--I W Q100
W "
c7gto
m a c a
ABM ►--� � � � v ; c .� � � b � � � '
� w
ICI W
W ' X 'y C w
d QQ w OF v � 0 o
o as
kii
r3 Z Fr C z4w ." vvd
00
BUILI}ING.DEPARTMENT OCT 18 2021
VILE OF RYE-:BROOK
938 KING ET RYE BR40K,NY 10573 VILLAGE OF f:r'E BROOK
014) -0668 BUILDING DEPARTMENT
www.r Vi rookar!
Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank
(*Storage Tanks in excess of 1,100 gallons require registration with the County of/Westchester)/FOR OFFICE USE ONLY: PERMIT#: / —! ,5
Approval Date: OCT 1 2 21 Permit Fee: S !
Approval Signature: Other:
Disapproved:
trees one nnn-refuedable)
####ttt###t#tit###t*tt*ttttt**#***t*****#*###t#t##*i**##*#***t*t*t#itii###t*#*tt#t*#*Rt#tti*ti•i#i*##**#
MUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE:
1. Application Completed by Bonded, Licensed Contractor.
2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder)
3.Your contractor's valid proof of workers compensation insurance.
(Form#C 105.2 or Form#U26.3 /or NY State Workers Compensation Waiver)
4. Fee per Tank: Removal, Abandonment,or Installation: S 185.00 per Tank r.!
5. Dig Safely New York#(dial 811): 1 V / _I_- b 6 1 `b �T_
6. inspection by Building Department for removal/abandonment and/or installation.
7. Submit all Manifests& Reports(after work has been completed).
8. Certificate of Compliance will be provided when all requirements are fulfilled.
#•RRRRRR#*#*****R+tt#*i**#,r#,r******#**w**###t,rr#,ew**s�+rr*tt**tti#*ttt****t**t#t***tttttttttt***tt*t#*#*
Application dated, 10 1$ 10,()•L) ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to
remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree
that the su�uel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State&
Federal laws,codes,rules and regulations.
Indicate Permit Type: Installation ( ) • Removal O Abandonment(,41 Above Ground { )•Buried in Ground ( )
I. Address: L 4�0,l SBL: 15,s.q Q / - Zone:
/Y!2. Property Owner&Address: 40 %41
.6 /C C a FF t+A o u//I'1/A /*::'I
Phone#: Cell#:9Zijf�ft—/91J'Z email: em I/I o OWa7—mo bgv0E 10 6wf.oswA
3. Contractor&Address: T 4/
Phone#: Cell#: / email: FLAlNE t�, ��tCRrE7p_ CV_i`9
4, Applicant: N (
Phone#: Cell#: -7 email: 61,61fye c b�t,e,21c-ii'. CoM
5. Indicate Fuel Type:Fuel Oil&, •L.P.Gas( )•Gasoline( )•Other( ):
6. Number and Capacity of each Tank: 350 LIST - 113A1vaIrn/ In/ ,Oc.+9 C E
7. Enact Location(s)of each Tank: t1b - R QqK_93 ACr_ 0 F KO U S 6 _(�$t-Z7 S_!CETC
t
8/12/2021
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
r nn:I'tn Li!N- NW r o� ,being duly sworn,deposes and states that he/she is the applicant above named,
(print twne of individual signing as the applicant)
and forth states t(s)he is the legal owner of the property to which this application pertains,or that(s)he is the
for the legal owner and is duly authorized to make and file this
application.(indicate a hitect,contractor,agent!attorney,etc.)
That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use
conducted at the above captioned property will be in conformance with the details as set forth and contained in this
application and in any accompanying approved plans and specifications,as well as in accordance with the New York State
Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances
and regulations.
Sworn to before the this Sworn to before me this
<114 HERYL ANNE MORREALE G�nS ]
day of ,20 \,NOTARY PUBLIC-STATE OF NEW YORKdayof .20 J
No.01 M06350937
Qualified in Westchester County I
My Commission Expires 11-2 1-20 �I 7
Sign lure of Pr -rty Owner Si ature of Appl t
Print Name of Pr9kerty Owner JOY E CAROZZA Print Name of Applicant
NOTARY PUBLIC-STATE OF NEW YORK
No.01 CA6291400 0(11
Nora P ic Qualified In Dutchess County Notary BGblic
J) My Commission Expires 10-15.2021
This application must be properly completed in its entirety and must include the notarized
signature(s) of the legal owners) of the subject property, and the applicant of record in the spaces
provided. Any application not properly completed in its entirety and/or not properly signed shall be
deemed null and void and will be returned to the applicant.
6
(
2
8112/2021
ITT
t�
CPO
93 0
JAN 11 2022
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
Barrier Contracting,
P.O. Box 385
Tarrytown, New York 10591
December 29, 2021
Village of Rye Brook Building Department
938 King Street
Rye, New York 10573
Att: Michael J. Izzo
Re: MAD Real Properties, LLC.
10 Talcott Road
Rye Brook, New York 10573
Dear Mr. Izzo:
Barrier applied for and received a permit # MP 21-151 from the Rye Brook Building Department
to abandon in place a 550 gallon below ground heating oil located at the above address.
Barrier cut open the tank and removed tank bottom sludge to a 55 gallon containment drum to
be removed to Allstate ORC., a licensed waste removal company. When Barrier cut into the
bottom of the tank in an attempt to remove a section to expose the soil below the tank water
entered the tank under pressure. Barrier called Suez Water Westchester to investigate as
Barrier was concerned that we may have cut a water line which turned out not to be the case
as we encounter ground water. Barrier cut a section up from the bottom of the tank at a 5:00
o'clock position to expose the soil beneath so that Barrier could take a soil sample and was
inspected by the Rye Brook Building with no evidence of oil spills. The sample was sent to
Phoenix Environmental Laboratories and came back Not Detected for all petroleum compounds.
The tank was recycled to Brookfield Resource Management, Inc., a copy of which receipt is
attached.
Thank you for your attention to this matter and please close the permit.
Sincerely,
Wayne Je rs, Jr.
President
Phone 914-760-2090
• • •
PIAMIMIMJJKilll:lla a::G(� W I'; the 1r,ISe•IR00111'riPnA•NMeMrlrvn•nrMMin Inn IIanM 51dIM
J
Z
NON -HAZARDOUS iMmaar.�ll`Mnryy, 1!pe lol 1. E.W-y tlaNanse PNen a. Waa Tmki.0 Number
WASTE MANIFEST LrTtl.'�`b{ySO 6; 1_..I •y�C'�'"�IZt,.._.
GMarulp; SIN Aaalaaa Id W.ml man aas ar4AMs1
. .+n'n•'Jr,'•4amr rnt M.ry Mupm pll C•I C_
�{
.�f Y'.IN'a 1YyM� a� 1' •F aC
ni �.-y7a.ls. f •. 7 L.
.. ..-atr. aa:.m veme.xnf S:a aa,fiat (•a'�EL ___.
�il� Lr^J1.,falr; Al
----{Z�aCIlve-•� .:cr.4.n,a.-.rk J. SttILS
n� I
L9ySC
US EPA ID Run"
_ ---
._--IUS EPA w 1W6m
1
—.. _.—. Us EPA w Nlxrlper
10. CpYaNle 11. Tow 1 12 uMl
Type O11arAaY M.Na
q �M 3160C P
IY:a'aaylip ^suutows arV A001iaW Mamaboo
416 t✓ 31%R•t )1a.<• �1wwaARaNPl:.1 1 4t,61rd 64`f. A. ye 1I t6-rw-ce+ fiGl sx l
yQ 5 fA yaSav vt>♦1 51-. TA.�L��C , 1 Iss t GMNixZt Q R. Paek ser.. I I l C�k vt e e D
u.a., ,".tLhd,l,y r 5y E�LfS P..C� Ossrn.n1 , L46y vlt.c,�G.a it cyf 4Qtt is at..� d
i_ A c . ,C 62.11 _
14 GENERATOR'SOFFEROR'S CERTIFICATION: 1 "10, deCare Val the cant" a1 ptis xnRpnment are fully and xcaralef, dmrM above by me proper stuppetp wne and are _NsfdNd. pecllapsll.
�dr.P: a^::c4ea: a!d'db and ale In aN respKi6 m proper pomdan In, oanspon xCpOlnp IO appMtdde euelaal0ldl IN vtgnal WyemrMnlal repuaws
sP••na;Tldad Name —_— ggrattrrc ON Y.
► %act- wA�+•^ —. _. .L—_A-- (A.Gwd...— _ C - 1 lG1 __[K t
rte.vma Y•Ip^Ienls ElImpon do US
❑ Eew OWo US. Pan at Wtpy:aait. —
m..
¢ 1E !'xso/r 4++awNdrrcra or RtReIM N MNanaN _
r_------ —_ ygnatwe MrnN DFy Year
2 •BnslaMe• • PMvtHTyTW d Name
S "10(k a tAAJl_✓_ 1
e
m mond, Day rear
':aawoner2 P•+INOTypp rdama SlpaAxe
1d Dw"&" plltuboa $pxe ❑ 0 1ypo ❑ R,a e ❑ Penal Re,"m ❑ Fpa P.W Wl
MaNeH wWerce Number _._ __._.___
-r. «,erase Fec.ay Ip DeMremn U.S EPA ID NaaOM
J
w - t A4NNN DeY YeU
'v: all✓e 1 MaaNro sxpy rn DpprdKKl
a
i
in
W
C
�1B 006g1eW I" party or OpWAp UwNaapm ulreceall al in,y atayalad M bte mend" ee,,, as naW1 a Ore 1;.
Sumu.
L
PrrpaTyped Nerve _— __
L
11979 (flw. sroi)
DESIGNATED FACILITY TO GENERATOR
PH0F4ATIXk0'z._)J
Environmental Laboratories. lrtc•.
Sunday, December 12, 2021
Attn: Mr. Wayne Jeffers Jr.
Barrier Contracting
P.O. Box 385
Tarrytown NY 10591
Project ID: 10 TALCOT
SDG ID: GCJ91998
Sample ID#s: CJ91998
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,
(4 AUL
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
LIT Lab Registration #CT00007
NH Lab Registration #213693-A,B
VT Lab Registration #VT11301
587 East Middle Turnpike P.O. Box 370, Manchester, CT 06W
Telephone (860) 645-1102 Fax (860) 645-0823
Page 7 of i 1
No ACCO N0,ry,
PHOENIX z
Environmental Laboratories, Inc. NY # 11301
587 East Middle Turnpike, P.O.Box 370, Manchester, CT 06045
Tel. (860) 645-1102 Fax (860) 645-0823
SDG Comments
December 12, 2021
SDG I.D.: GCJ91998
CJ91998 - Client provided soil jar for volatile analysis. Phoenix prepared sample per method 5035.
Peas 2ar1
Environmental Laboratories, Inc.
587 East Middle Tumpike, P.O.Box 370, Manchester, CT 06045
Tel. (860) 645-1102 Fax (860) 645-0823
Sample Id Cross Reference
December 12, 2021
Project ID: 10 TALCOT
Client Id
UNDER TANK
1�a ttj ACCO.9
` yo
e !
U
U I
a x
NY # 11301
SDG I.D.: GCJ91998
CJ91998 ISOIL
Pepe 3 o/ 11
;I
e -i N tq�
m g g X A �m m m P^ O
c 4a iY x� m�� Xi3 gm PP d m m
CyC w m m m m m
O a N m ' O
m m
3 m• 2� m m� 10 � m 2 f/!
p
m m m m (p D
N
J
S 8 a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
r r r r r r r r r r r r r r r
N+ N N N N N N N+ N N++ N N
f.J N fJ W fJ W Lf (J W N fJ W N N 4f 41
e 4i t-
a a a a a a a a a a a a a a a a
V V
O
V
O
V
y y y
y y
y y
yC y
y y y y
y
y y
y
y
O
O
m
m
�
<
G
�
NN mNQq�
N@Qm
!NJ()
mNQQ2'
Igym�l CN@Q�o N QmN��
N�N
0 0
0
o
O
QQm
O
go
0 0
N
e e
e
e
l)
ll I) n
y
O
m
n_0
-D
F
r
3
m
D
m
e
x
3
m
O
C
£�
o
N•
Z
(D
O
y
(a
O
7
/N�
CD
N
n
y�
N O
D�
Z O
a
A
c
�A
r
rC
c
�
m
Q
y
O
Ov
c
5
c
-t
in
0
y
n
m
o
0- co D
m m
g
ao
lll�
o mm 3
1
9 x
o
O
cn m
n�
m
CA7
m
m
m
3
m
�
Ocn
O
CD
7 v
v
rn
m
ca
x G%
N
q v
�
A
co wto
v
O
m
00
mm
m 3 �
c 3
- I =
al
o
oQ
x
mV0
�m O
CA
m
w()0
oWQ�•
N
Project ID: 10 TALCOT
Client ID: UNDER TANK
Phoenix I.D.: CJ91998
RL/
Parameter Result PQL Units Dilution Date/Time By Reference
Semivo lati les-STARS/C P-51
Acenaphthene
NO
Acenaphthylene
NO
Anthraoene
NO
Benz(a)anthracene
NO
Benzo(a)pyrene
NO
Benzo(b)fluoranthene
NO
Benzo(ghi)perylene
NO
Benzo(k)fluoranthene
NO
Chrysene
NO
Dibenz(a,h)anthracene
NO
Fluoranthene
ND
Fluorene
ND
Indeno(1,2,3-cd)pyrene
ND
Naphthalene.
ND
Phenanthrene
ND
Pyrene
ND
QA1QC Surrogates
% 2-Fluorobiphenyl
75
• Nitrobenzene-d5
73
%Terphenyl-d14
88
270
ug/Kg
1
12/08121
WB
SW8270D
270
ug/Kg
1
12/08/21
WS
SW8270D
270
ug/Kg
1
1210821
WB
SW8270D
270
ug1Kg
1
12/08/21
WB
SW8270D
270
ug/K9
1
1210821
WB
SW8270D
270
ug/Kg
1
1210821
WB
SW8270D
270
ug/Kg
1
12/08/21
WS
SWa270D
270
ug/Kg
1
12I0821
WB
SW8270D
270
ug/Kg
1
12MMI
WB
SW8270D
270
ug/Kg
1
1210821
WB
SW8270D
270
ug/Kg
1
12108/21
WB
SW8270D
270
ug/Kg
1
12/0821
WB
SW8270D
270
ug/Kg
1
12/0821
WB
SW8270D
270
ug/Kg
1
12/08121
WB
SW8270D
270
ug/K9
1
1210821
WB
SW8270D
270
ug/Kg
1
12/08/21
WB
SW8270D
%
1
12/08/21
WB
30 - 130 %
%
1
12/08/21
WB
30 - 130 %
%
1
1210821
W B
30 - 130 %
RL/PQL=Reporting/Practical Quantitation Level (Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RL/PQL
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:
Volatile Comment
L flag signifies that this sample was not collected in accordance with EPA method 5035. NELAC requires the laboratory to qualify
the volatile soil data as biased low.
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.
ZY1111iller, Laboratory Director
December 12, 2021
Reviewed and Released by: Ethan Lee, Project Manager
Ver 1
Page 5 of 11
m
0
rn
U
C7
0
cn
N
Y
f0
no
12
* a E
¢:n
cr �rE
J
Y J
m Q
Y
m
z z z z z z z z z z r'NZ< za Q'"
Z Z � m vi
z z z Z Z z z z - z$ z n Z w�2 a
r z z 2 Z 2 z Z z z n z n z r m A
N Q W N m IA O W n Uf O N m n m N O n O
�'1 m w h 0 C7 tG N O C1 N m O O
10 to VI 17 O th n O N O N OI t7 m O lh Q
m n W W m W n W m W m m n n m m n n cD
E E
E E E E E
W N m O O. pa W W m m m W m m n n O n O Oi
Of Q Q w O W O O Ol
O a O O m^^ 0 0 0 0$ O
m
rn rn
o+ �
U Z3
� o
N (y
W O)
U �
C e4i Z o 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N N N N N N N N N N N N N N N N m ----- N- N -- N-- --
6 p
m O ❑ O❑❑❑❑❑❑ O O O O O O❑❑ m n m m O O O❑❑❑ O❑❑ a O❑❑❑ '� m
(n z z z Z Z z z Z Z Z Z Z Z Z z Z W n W U) z Z Z Z z Z z Z Z Z Z Z Z z Z o+ m
I U
Oe pp >
Y J
ch
0 3 W
m E L C b y I T T N C d H
m £ L_2@ L_@@ O yk Q
m V££ c n b W E �i e c c m E E E= s
L G _
Li C 6 6 q b '6 Q Y O N Cb €
p ICI
as s S N v L �. ? g N Z r aa O N t7 fi O 6 e x b St m❑ r
d a8mmm❑❑wLL zaR R R d> �w N E�zWWW 2 6 6
daJ�ra ae ae ae
QA/QC Data
SDG I.D.: GCJ91998
Blk LCS LCSD LCS MS MSD MS Rec RPD
Parameter Blank RL % % RPD % % RPD Limits Limits
Comment:
The MSD is not reported for this LL and batch.
Additional 8260 criteria: 10% of LCS/LCSD compounds can be outside of acceptance omen as long as recovery is 40-160%, 25160% for
Chloroethane-HL and Trichlorofluoromethane-HL.
m = This parameter is outside laboratory MS/MSD specified recovery limits.
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
MS Dup - Matrix Spike Duplicate
NC - No Criteria
Inff- Interference
'�Z'/ AOL
Phyllis hiller, Laboratory Director
Dece ber 12, 2021
Page 7 of 11
Sunday, December 12, 2021
Criteria: None
Stale: NV
SampNo Acode
— No Data to Display "'
Sample Criteria Exceedances Report
GCJ91998 - BARRIER
Phoenix Analyte Criteria
RL Analysis
Result RL Criteria Criteria Units
Phoenix Laboratories does not assume responsibility for the data contained in this exceedance report. It is provided as an additional tool to Identify requested criteria exceedences. All efforts are
made to ensure the accuracy of the data (obtained from appropnate agencies). A lack of exceedenc , information does not necessarily suggest conformance to the criteria. It is ultimately the site
professional's responsibility to determine appropriate compliance.
Page 8 of 11
PHOEIIIX
U _
Environmental Laboratories, Inc. NY # 11301
567 East Middle Tumplhe, P.O.Box 370, Manchester, CT 08045
Tel. (860) 645.1102 Fax (880) 645-0823
Analysis Comments
December 12, 2021 SDG I.D.: GCJ91998
The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or
ONOC Report: None.
Pepe 9 a 11
O ri ACCCg0
PHOP1 SIX O I �'� 'Nc�
e i
U
U I
Environmental Laboratories, Inc. NY # 11301
587 East Middle Turnpike, P.O.Box 370, Manchester, CT 06045
TeL (860) 645-1102 Fax (860) 645-0823
NY Temperature Narration
December 12, 2021
SDG [.D.: GCJ91998
The samples in this delivery group were received at 23°C.
(Note acceptance criteria for relevant matrices is above fm=g up to 6°C)
Par 10d 1f
Tara Gerardi /U /(t IC077 KOU
From:
Tara Gerardi
Sent:
Monday, October 4, 2021 12:08 PM
To:
elaine@barrier.com
Cc:
emilio@matteodevelopment.com
Subject:
Tank Permit
Importance: High
Good afternoon,
Our office received a tank abandonment pertnit application. This application is incomplete and missing
information.
1. The contractor must sign and notarize as applicant on page 2 of the application.
2. Contractors liability insurance, the Village Of Rye Brook must be the certificate holder
3. Contractors workers compensation on a NYS Board form or waiver.
4. Fee of $185.00 payable to the Village Of Rye Brook
5. #7 on the application is not completed.
Please advise if you would like this application mailed back. We must have the original, signed and sealed
application with both signatures on it.
Thank you.
Tara A Gerardi
Secretary - Planning Board;
Zoning Board of .Appeals &
.Architectura(Review Board
'Village of Rye Brook
938 Xing Street
Rye Brook, New York io573
Office (914) 939-0668
George Latimer
it
Westchester County Executive �/��j�lt�, '.���'•e,.inT�
James Maisano
Director, Consumer Protection
Department of Consumer Protection
Home Improvement License
BARRIER CONTRACTING LLC
PO BOX 385
TARRYTOWN, NY- 10591
This license is issued in accordance with Article XVI of the Westchester County
Consumer Protection Code and is valid only upon presence of the official department seal.
License Number
WC-24609-H11
Y
rt
a
a
C
M
Date of Expiration
11 /15/2021
®GOES
/', BARRCON-01
KVMITE
�1018/2021
A� CERTIFICATE OF LIABILITY INSURANCE
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(iss) 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 endorseme s .
PRODUCER
C ACT
EPIC Insurance Brokers
73 Troy Road
East Greenbush, NY 12061
P,y"�"N,, Ed; 518 479-72" FaAc. No:518 479-7251
INSURE $ AFFORDING COVERAGE
NNCP
INSURERA: Great Divide Insurance Co
25224
INSURED
INSURERB:S0I9CtIV9Ins Co of South Carolina
19259
INSURERC:
BARRIER CONTRACTING, LLC
INSURER D:
PO BOX 385
TARRYTOWN, NY 10591
INSURERE:
NSURERF:
COVFRA(:FR CFRTIFICATF NIIMRFR- REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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.
INSR
TYPE OF INSURANCE
ADDL
POLICY NUMBER
POLICY ftEFF
POLICY EXP
LIMIT
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
ECP2003971-20
10114/2021
10/14/2022
EACH OCCURRENCE
1'000'�Q
DAMAGE TO RENTED
S 100,000
MED EXP (Any one per
5,000
PERSONAL 8 ADV INJURY
1,000,0
GEN'L AGGREGATE pLRIM�IT� APPLI SPER.
POLICY�JECT LOC
OTHER:
GENERAL AGGREGATE
2,000,000
PROD CTS-COMP/OPAGG
2,000,000
S
AUTOMOBILE
X
LIABILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY AUTO ONLY
824311819
12/20/2020
12/20/2021
COMBINED SINGLE LIMIT
1,000,000
BODILY INJURY Per
BODILY
BOpDILY INJURY Per ecddent
rP ()PE d n AMAGE
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROP EIMT66O�ERRR EXCTNEIVE CUTIVE ❑
III+TICetory In NH)
rc yes, dsm under
DESCRIPTION OF OPERATIONS W.
MIA
PER OTH-
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
A
Professional Liab.
ECP2003971-20
10/14/2021
10/14/2022
LIMIT - $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES JACORD 101, AdEMaMI Reau" Sdr+dul% may M M1ae N more pace Is rpeksC)
VILLAGE OF RYE BROOK
938 KING STREET
RYE BROOK, NY 10573
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (201 W03) QP 1989-21115 ACORD CORPORA I ION. All n9Me NHMTNBO.
The ACORD name and Pogo are registered marks of ACORD
//'-1\
NYSIF
New York State Insurance Fund WESTCHESTER ONE, 44 SOUTH BROADWAY, 10TH FLOOR, WHITE PLAINS, NY 106014411
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
A A A A A A 452562229
BARRIER CONTRACTING LLC
PO BOX 385
TARRYTOWN NY 10591
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER
CERTIFICATE HOLDER
BARRIER CONTRACTING LLC
VILLAGE OF RYE BROOK
PO BOX 385
938 KING STREET
TARRYTOWN NY 10591
RYE BROOK NY 10573
POLICY NUMBER
CERTIFICATE NUMBER
POLICY PERIOD
DATE
W2161 632-1
1 966407
09/15/2021 TO 09/15/2022
9/27/2021
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2161632-1, 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://WWW.NYSIF.COM/CERTICERTVAL.ASP. THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY.
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
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 518349011
U-26.3
Laura Petersen
From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com>
Sent: Friday, October 15, 2021 11:44 AM
To: Mike Izzo
Subject: Message from Dig Safely New York, Inc. (DSNY)
****REGULAR****
DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 10/15/2021 11:43
To: VIL RYE BROOK PRIMARY Transmitted: 10/15/2021 11:44 00002
Ticket: 10151.001-024-00 Type: Regular Previous Ticket:
--------------------- ---------------------------------------------------------
State: NY County: WESTCHESTER Place: RYE BROOK
Addr: From:10 To: Name: TALCOTT RD
Cross: From: To: Name:
Offset:
--------------------- ---------------------------------------------------------
Locate: ENTIRE PROPERTY
NearSt: LINCOLN AVE & BONWIT RD
Means of Excavation: MINI EXCAVATOR Blasting: N
Site marked with white: N
Boring/Directional Drilling: N
Within 25ft of Edge of Road: N
Work Type: OIL TANK WORK
Estimated Work Complete Date: 10/20/2021 Depth of excavation: 8 FEET Site dimensions:
Length 8 FEET Width 8 FEET Start Date and Time: 10/20/2021 09:00 Must Start By: 11/03/2021
--------------------•---.............-----------------------------------------
Contact Name: WAYNE JEFFERS
Company: BARRIER CONTRACTING LLC
Addrl: PO BOX 385 Addr2:
City: TARRYTOWN State: NY Zip: 10591
Phone:914-760-2090 Fax:
Email: waynejr@barrier.com
Field Contact: WAYNE JEFFERS
Alt Phone: 914-760-2090 Email: waynejr@barrier.com
Working for: MAD REAL PROPERTIES
-------------------------------------- ---------- ------------------------------
Comments: Lookup Type: PARCEL
------------------------------------------------------------------------------
Members: ALTICE USA BELL-VALHALLA / WSCHSTR
CONED SUEZ WTR WESTCHESTER
VIL RYE BROOK WESTCHESTER CTY SWR
1