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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury
www.ryebrook.org
TRUSTEES BUILDING& FIRE
Susan R. Epstein INSPECTOR
Stephanie J. Fischer Michael J. Izzo
David M. Heiser
Jason A. Klein
CERTIFICATE OF COMPLIANCE
February 10,2022
Robert O'Neill&Melissa O'Neill
4 Loch Lane
Rye Brook,New York 10573
Re: 4 Loch Lane, Rye Brook,New York 10573
Parcel ID#: 136.21-1-34
As per the Certification letter from Northeast Environmental Inc. dated January 31,2022, the removal of an
under-ground oil tank and installation of a two new above-ground oil tanks under Mechanical Permit#22-003
issued on 1/6/2022 has been satisfactorily completed.
Sincerely,
Michael J. Izzo
Building&Fire Inspector
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1982 BUILDING DEPARTMENT
YOC
'ILDNG INSPECTOR
SISTANTBUILDING INSPECTOR VILLAGE OFRYEBROOK
ODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAX (914) 939-5801
www jyebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : 1. c. c_V\ �-aw- DATE: -2- 1 k U 1 L
PERMIT# Ai W ZI-O03 ISSUED: 1 Z�- SECT: ` YO 2�BLOCK: LOT:
LOCATION: SQV�..'1 OCCUPANCY:xzD�
❑ VIOLATION NOTED THE WORK IS... /^ACCEPTED ❑ REJECTED/REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS
❑ L.P.GAS
0- FUEL TANK S50
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
E BRC�jk
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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.tyebrook.org
- - - - -- - - - - -
- - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - -
ADDRESS : t q DATE: �� c
PERMIT# ISSUED: SECT: BLOCK: LOT:
LOCATION: ' '! � v�� 0 OCCUPANCY:
VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJEPTkD/REINSPECTION
❑ SITE INSPECTION ` tt REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION )C\
❑ NATURAL GAS �� 1 L. C�t V� t u
11 L.P.GAS
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION /� ��-^
❑ FINAL V� CY(W-
❑ OTHER
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f BUILPop DEPARTMENT r- j L .�
VIL OF RYE BROOK V
938 KING ET RYE BRo(,NY 10573 BAN - 6 2022
(914)939-0668 FAX(9.1 39-5801
"'Ww.rVelbroolure VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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#: Wc:��-003
JAN - 5 2022
Approval Date: II Permit Fee: $ �1—U
Approval Signature: 4 Other:
Disapproved:
(fees are non-refimdable)
REQUIREMENTS 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: $185.00 per ik.
5. Dig Safely New York# (dial 811): 01 D,- oO() - 2!
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.
Application dated, 12-23-2021 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 subject fuel 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 Tvt)e: Installation Removal AbandonmentD Above Ground Buried in Ground
1. Address: 4 LOCH LANE SBL: 136.21-1-34 Zone: R-25
2. Property Owner&Address: ROBERT O'NEIL L.
Phone#: Cell#: 917-418-5341 email: RPONEILL@GMAIL.COM
3. Contractor&Address: Northeast Environmental Inc 225 Valley Place Mamaroneck NY 10543
Phone#: 914-777-1930 Cell#: email: DMONACO@NEENVIRO.COM
4. Applicant: Northeast Environmental Inc 225 Valley Place Mamaroneck NY 10543
Phone#: 914-777-1930 Cell#: email: DMONACO@NEENVIRO.COM
5. Indicate Fuel Type:Fuel Oil Fv L.P. Gas( )•Gasolin`�' Other( ):
6. Number and Ca aci of each Tank: REMOVE A 550 GALLON UST IN FRONT YARD. INSTALL
P tY
TWO (2) 138-GAL AST's IN SUB-LEVEL OF RESIDENCE
7. Exact Location(s)of each Tank: UST LOCATED IN FRONT YARD; ASTs LOCATED IN SUB LEVEL
r
6/1 12020
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
DWAYNE MONACO ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the
ROBERT O'NEIL for the legal owner and is duly authorized to make and file this
application. (indicate architect,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.
rx
Sworn to before me this Z Sworn to beforeme this
day of /)e c e—�� ,20 21 day of 20
L� 61
Sigriatur e of Property Owner S' afore of Applicant
fc-aelc ? d^4 E,LL DWAYNE MONAC
Print Name of Property Owner Print Name A tc t
of N ary Public
George Skurja Jr Nota NIKKi MAUER,q
Notary PUNK,State of Conneciicul Rfc
eg Strad Dine State Of New Yo
Qualified No.01t3A6171381
My Commission E)pres 11,'3(33t2024 CO a West he ter
This applicatio e proper y compete In its entirety anct rr� OMO RZ;145MId signature(s)
of the legal owner(s) 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.
2
6/l/2020
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NORTHEAST FEB -- 7 2022
. E.W.0NMENTALiNC. VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
225 Valley Place
Nbrnotoneck•New York 10543
Phone:(914)777-1930
Fox 1914)777-1928
January 31, 2022
Michael Izzo - Code Enforcement Officer
Village of Rye Brook
938 King Street
Rye Brook, New York 10573
RE: 4 Loch Lane
Permit#: MP 22-003
Dear Mr. Izzo:
This letter is to inform you that the work at the above referenced site is complete.
WORK COMPLETED: Excavated, cut, cleaned and disposed of one (1) 550-
gallon UST and associated piping. Once the tank was removed, one (1)composite
CP-51 soil sample was extracted from the excavation;the excavation was then
backfilled to a rough grade. This sample was then brought to a NYS certified
laboratory and analyzed according to DEC protocol. The analytical results are
attached and shown to be within NYS DEC guidance. Installed two(2) 138-Gallon
ASTs in the rear storage room.
DATE COMPLETED: January 27. 2022
Enclosed, please find copies of all paperwork requested by your office.
NEE's work was performed with its best present judgment and level of effort
consistent with professional standards and in compliance with all applicable Federal, State,
-Le I ordinances and regulations.
r P ase feel free to contact meat(914) 777-1930 with any questions or concerns.
Sincerel ,
Dw yne J. Monaco
.c.
Enc.
Haz-Mat Spill Response■ Soil Remediotion- Mold Remediation• Transporting• Tanks Installed/Removed
www.northeastenvironmentol.com
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NORTHEAST ENVIRONMENTAL,INC. NYS DEC #3A-500
225 Valley Place EPA#NYR-000083766
Mamaroneck, NY 10543 CT HW#763 Manifest Number
1-877-574-TANK (8265) • Fax 914-777-1928
www.northeastenvironmental.com 9000
NAME: DATE:
GENERATOR/LOCATION BILL TO(IF DIFFERENT FROM LOCATION)
NAME NAME
B�IMINT101ry OIILINE ETAONSITE INFOFiMAT10it➢ATTENMNLINE
�I IFOU- .. .. ....�. . '� .
t1Cp ADDREN
STATE ZIP Of Ty ZIP
L PURCHASE ORDER NUMBER PHONE NUMBER PURCHASE ORDER NUMBER
WRY.s.e=....s.,�M.M .-'
TILL&IN TIME OUT
.. -01
DRIVERS •
CMG v j 0 ")j" ,
SECTIONSERVICE
WASTE CODE DESCRIPTION DRUMS GALLONS UNIT PRICE PRICE TAX LINE TOTAL
1993 USED OIL REMOVAL
1993 OILY WATER DISPOSAL
1325 SLUDGE DISPOSAL
1203 GASOLINE/WATER
DRUM DISPOSAL(NON-HAZ)
DRUM DISPOSAL(HAZ)
TANK CLEANING
VACUUM SERVICE
TRUCK HOURLY RATE
TRANSPORTATION
r
Terms-Net CONDITIONALLY TOTAL
15 DB s EXEMPT SMALL
QUANTITY GENERATOR CHARGE MY ACCOUNT FOR THIS
GENERATOR WARRANTS AND REPRESENTS THAT THE MATERIALS CERTIFICATION TRANSACTION UNLESS OTHERWISE
PROVIDED NORTHEAST ENVIRONMENTAL HEREUNDER HAVE NOT INDICATED IN THE PAYMENT SECTION.
BEEN MIXED COMBINED OR OTHERWISE BLENDED IN ANY 1 aertlly that this generator INVOICED REFLECTING CHANGES TO
QUANTITY WITH MATERIALS CONTAINING POLYCHLORINATED generates less than IDO liograms CUSTOMER ARE SUBJECT TO AN) of hazardous waste par month,as INTEREST RATE OF THE LESSER OF 1-112%PER MONTH 16%
• �IOHFMN�YtLIS VHASTE UNDER APPLICABLE LAWS NCLUDING BU dettnetl In 40 C.F.R.281 and does PER ANNUM))OR THE MAXIMUM RATE ALLOWED BY LAW ON(ANY
TLIMITED Tnot accumulate more iltan 1,666 INVOICESTF}AT ARE NOT PAID WITHIN 16 DAYS.IN THE EVENT OF
EMIFY AND HOLD NORTHEAST ENVIRONMENTAL HARMLESS kilograms of such waste during DEFAULT,NORTHEAST ENVIRONMENTAL INC.SHALL BE ENTITLED
FOR ANY DAMAGES,COSTS,ATTORNEY'S FEES,ETC.ARISING the month TO RECOVER COSTS OF COLLECTION,INCLUDING REASONABLE
OUT OF OR IN ANY WAY RELATED TO A BREACH OF-THE ABOVE ATTORNEY'S FEES.INITIAL
WARRANTY BY THE GENERATOR.
Generator ceri that the waste is ❑ussdoll GENERATOR'S SIGNATURE PAYMENT RECEIVED SECTION
❑oily water ❑ Other NON CONDITIONALLY CASH❑ TOTAL RECEIVED
DESCRIPTION EXEMPT LARGE ate«
In accordance the NAAC.7:26-12.1at Seq.Noy lheastErMionmenlal QUANTITY GENERATOR
has the required permits to accept the above described waste, CERTIFICATION In accordance with NJAC7;26-6,76♦40 CPR PART 279,Northeast
Ernl onmen I no9fled ha US EPA o1 It's used od management acaYitim
P 3INT NAIAE TITLE DexO CDT r
Test Results NAI
SIGNATURE DATE D
GENE A7OR(CUSTOMER PPM A E DA
NOR FAST ENVIRONMENTAL REPRESENTATIVE
i
i
III OF IN 11
PAYMENT RECEIPT
Pascap co, Inc.
4250 Boston Road
Bronx, NY 10475
(718)325-7200 (914)725-3300
FACILITY ID NO. 7003010 SCP
NYC DCA License#0437184-0764024
Recelpt: 1318281 Date: 01/28/2022
Customer: 1242 Time. 08:35
NORTHEAST ENVIRONMENTAL
225 Valley Place
MAMARONECK,NY 10543
TlCket: 3105164 Weigh In: 01/28/2022 08:33
Operator: 9 Weigh Out: oII28/2022 08:35
Commodity Gross Tare Net Price TOTAL$
ST TANK TO 10200 9480 720 9.250/CW I
---------------------------.............
Ticket Total
#of Tickets: 1
Paid by EZCash Totai Paid
Rounded to nearest $2,00
Technical Report
prepared for:
Northeast Environmental Inc.
225 Valley Place
Mamaroneck NY, 10543
Attention: Mr. Dwayne Monaco
Report Date: 02/07/2022
Client Project ID: ONeil 4 Loch Lane Rye Brook NY
York Project (SDG) No.: 22B0006
c
CT Ccrt.Na.P14-0723 Ncw Jusey Cen.No.CT005 and NY037 Now York Cert.Nos.10954 and 12058 PA CCrt.No.68-04440
8
120 RESEARCH DRIVE ST RAT FORD,CT 06615 t 132-02 891h AVENUE RICHMOND HILL,NY 11418
www.YORKLAB.ccm (203)325-1371 FAX(203)357.0166 ClienlServlces@yorklah.com
l Page 1 of 8
Report Date: 02/07/2022
Client Project 1D: ONeil 4 Loch Lane Rye Brook NY
York Project (SDG)No.: 22B0006
Northeast Environmental Inc.
225 Valley Place
Mamaroneck NY, 10543
Attention: Mr. Dwayne Monaco
Purpose and Results
This report contains the analytical data for the santple(s) identified on the attached cliain-of-custody received in our laboratory on
February 01,2022 and listed below. The project was identified as your project: ONeil 4 Loch Lane Rye Brook NY.
The analyses were conducted utilizing appropriate EPA, Standard Methods, and ASTM methods as detailed in the data summary
tables.
All samples were received in proper condition meeting the customary acceptance requirements for environmental samples except
those indicated under the Sample and Analysis Qualifiers section of this report.
All analyses met the method and laboratory standard operating procedure requirements except as indicated by any data flags,the
meaning of which are explained in the Sample and Data Qualifiers Relating to This Work Order section of this report and case
narrative if applicable.
The results of the analyses, which are all reported on dry weight basis (soils) unless otherwise noted, arc detailed in the following
pages.
Please contact Client Services at 203.325.1371 with any questions regarding this report.
York Sample ID Client Sample ID Nlatris Dare Collected Date Received
22B0006-01 Gxcavatiion Soil 01/27/2022 02/01/2022
General Notes for York Project (SDG) No.: 22B0006
I. The RLs and MDLs (Reporting Limit and Method Detection Limit respectively) reported arc adjusted for any dilution necessary duc to
the levels of target and/or non-target analytes and matrix interference. The RL(REPORTING LIMIT) is based upon the lowest
standard utilized for the calibration where applicable.
2. Samples are retained for a period of thirty days after submittal of report,unless other arrangements are made.
3. York's liability for the above data is limited to the dollar value paid to York for the referenced project.
4. This report shall not be reproduced without the written approval of York Analytical Laboratories,Inc.
5. All analyses conducted met method or Laboratory SOP requirements. See the Sample and Data Qualifiers Section for further
information.
6. It is noted that no analyses reported herein were subcontracted to another laboratory,unless noted in Elie report.
7. This report reflects results that relate only to the samples submitted on the anached chain-of-custody form(s)received by York.
8. Analyses conducted at York Analytical Laboratories, Inc. Stratford, CT are indicated by NY Celt. No. 10854; those conducted at York
Anlytical Laboratories,Inc.,Richmond Bill,NY are indicated by NY Cert.No. 12058.
Approved By: (&L Y Date: 02/07/2022
Cassie L.Mosher
Laboratory Manager
t •
Page 2 of 8
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O t
Sample Inforins►tion
Client Sanwic ID; E3:cavatilon York Sanmle 1D: 22B0006-01
York Proico(SDG)No. Client Proieet 1D Matadi Collection Dale(rinic Date Received
22B0006 ONei14 Loch Lane Rye Brook NY Soil January 27,2022 3:00 pin 02/01/2022
Volatile Oreanics.CP-51(formerly STARS)List Loa-in Notes: VOA•CONT SaHlDle Notes:
Sample Prep3red by NleOtod:EPA 5035A
RcM,,d to Dalefrime Daten"ime
CAS No. Parameter Resuil Flag Unite LOWINIUL LOQ Dilution Referenee6lelhad Prepared Analyzed Anslysi
95.63-6 1,2,4-Trinwthyibcnzcnc ND WO-adry 2.9 5.8 1 EPA8260C 02AM2022WOO 02AM202212:20 UNIT
Ccnifw.tians: CTD01LNELAC-NY10854,NELAC NV12058,NJDEP,PADEP
ID&67.9 1,21,5-Trimethylbenzcne ND uWkSdy 2.9 5.8 1 EPA 8360C 024U202209:00 02AM20)21220 0NIT
Cerir"tions: CTDOH,NELAC-NY10354NELAC-NYI 2058,14JDERPADEP
71.43-2 Hewcne ND uVkg dry 2,9 3.8 1 EPA8260C DZAM202209:00 01IM/WZ212-20 UNIT
C-cnir-tiom: CR/OH.NELAC-NY 10854,NELAC-NYI 205"MEP,PA➢EP
IM-41-4 Ethyl Benzene ND uglkg dry 29 5.9 1 EPAS260C 024WO22 MOO 02AW202I 1220 UNIT
Ccnifaa6em: C1DOH,NEIAC-NY10854,NELAC-NYI 20SB,NJDEP,PA➢EP
99-92-9 lsopropylben2cne ND ugAgdry 2.9 5.9 1 EPA9160C OZAM02209.1w o2A4/202212:20 UNIT
Ceni€katlom: CTDOI 1,NELA(NYIOS54,NELAC-NYI2053,M)DEPPADEP
1634-044 Methyl lean-butyl cihcr(MTRE) ND ug/kgdry 19 5.9 1 EPAS260C 01041202209.0E 01D4702212:20 UNIT
Ccnir-,i-: CTDO]I,NELAC-NY 10854,NELAC-NYI 2058,NJDEPPADEP
91-20-3 Naphlhatene ND u"dry 2.9 12 1 EPA 8260C 01041202209:00 OZIW02212:20 UNIT
Certifi-ians: NELAC-NYIN54,NELAC-NY12056NJDEP,PADEP
104-51-3 n-Eutylbenzene ND ug/kg dry 2.9 5.9 1 FTA 8260C 07.o"n09:00 01441fm212:20 UNIT
Cenir-tinu: CTDDII,NELAC-NY I0854,NELAC-NY12058NJDEP,PADFP
103.65.1 n-Propylbenzene ND ug/l:g dry 2.9 5.9 1 EPA 8260C 01OM202209:00 01MUM 1220 UNIT
Ce,ireadrnu: CMi,NELAC-NY10SS4NELAC-NY1205"JDrP,PA13EP
95.47.E 0-Xyiena ND ug/kg dry 2.9 5.8 1 EPA 8260C 01041202209.00 02,04/202112:20 UNIT
Cm5eatiom: CTDOH,NELAC-NY 10354NELAC-NY12058,PADEP
179601-23-1 p-&in-Xylenes ND ug,'kg dry 2.9 5.8 1 EPA 826DC 02.Vv202209.-W OM1202212:20 UNIT
Cenir.,wiom: CTDOII,NELA.C'44Y10854,NELAC-NY12058,PA2)EP
99-87-6 p-Isopropyltoluene ND uWlk&dry 2,9 5.8 1 EPAS260C OLO47202209-W 0104n02212:20 UNIT
Ccmr-6-: CT D014,NELAC-NY10154NELAC.NY1205SN1DEP,PADEP
135.98.8 scc-Butytbcnzcn0 ND ,p/kg dry 2.9 5.8 1 EPA8260C 01D412022 MOO 01041202212:20 BAR
Cenir-+tim. CTD0H,NELAC-NVi08S4,NFLAC-NYI'2058,NJDEPPADEP
9&06.6 leA-Rulylbenzene ND ugAg dry 2.9 5.9 1 EPA 9260C 0107R02209'.00 02041202212:20 EMT
Cenakatitms: CfDOH,NELAC.NYlOB54,NEI.AC-NY12058,NJDEP,PADEP
101.18.3 Tolvene ND ug/kg dry 2.9 5A 1 EPA 9260C 010V202209.00 0XWM212:20 SNIT
Ceniflcaums! CTDOH,NELAC-NY 1D8S4,NEI.AC-NY 12058,NJDEP,PADEP
1330.20.7 Xylenes,Total ND uogdry 29 5.8 1 EPA8260C 01'0,MZ209.00 02d41202212:20 UNIT
Cenirxatiom: C7DOH,NELAC-NY10854,NELAC-NY 12058N1DEP
Surrogni0 Recoveries Result Acceptance Range
1706"7-0 Slrnagule:SURR: 06.6% 77-125
1.2-DTrh1oroeOwn e-d4
2017.26-5 Surrogate:SURR:Tohaene-d8 99.6% 85-120
460.004 Sar2agrte:SURR: 103% 76-130
p-8>9nrofl naabcrvene
Semi-Volatiles,CP-51(farinerlY STARS)List Lae-in Notes: VOA-CONT Sample Notes:
Sample Prepared by Ntetbod:E1'A 354E SVGA
ltcpated to Date/rime Datefrime
CAS No. Parameter Result 11ag U11115 LOUAIDL LOQ DBullon Reference Nleibod Prepared Analyzed Analyst
120 RESEARCH DRIVE STRATFORD,CT M615 0 132.02 891h AVENUE RICHMOND HILL,NY 11418
vnvw.YORKLAB.eam (203)325-1371 FAX(203)357-0166 ClientServices Page 3 of 8
1
Sample Information
Client Sample ID: Gxcavatlion York Smnple ID: 22B0006-01
York PrQject(SDC3)No, Clicnt Project ID Matrix Coilcclion Date7Timc Date Received
22130006 ONO 4 Laeh Lanc Rye Brook NY Soil January 27,2022 3:00 pm 02/01/2022
Scmi-Volatllcs.CP-51(formerly S`rARS)List Log-in Notes: VOA-CONT Sam le Notes:
Samplc Prepamil by Method:EPA 3546 S VOA
Rcpoecdio DAle/Time Datell-ime
CAS No. Parameter Result Flag Units LODIMUL LOQ Dilution Reference lilethed Prepared. Anatyzcd Analyst
83.324 Acenaphthenc ND ugrkg dry 48 96 2 EPA 9270D 02r031202207:38 OZNM2213:37 Kit
Cmifhari— CT)0H,NELSC-NY10854,NJDEPPADEP
208.96.8 Acenaphlhylene ND ugdrg dry 48 96 2 EPA8270D 024.)1202207:51 OZ04202213:37 Kit
Ccnifirarions: CM0U,NELAC-NY10854,NJ0EPPPADEP
120.12-7 Anthrocena ND ugrkgdry 48 96 2 EPA 9270D OZ13J202207:58 OLO-tr207213:37 KH
C mifmri— CTDOII,NELAC-NY10354.NJDEP,PADEP
56-55,3 Ben2.0(0)anthraccric ND ugA:g dry 48 96 2 EPA 8270D 02N3J202207:58 O2,041202213:37 KH
Cemrraliom: CTM t,NELAC-NY108544JJDEP,PADEP
50-32-9 Bcnzo(a)pyrcnc NO ugAg dry 48 96 2 EPA8270D Ob03R02207:58 OLVI202213:37 Kit
Certiacidw3: LRDOILNFLAC-NV10834,NIDEP,PADEP
205.".2 Henzo(b)fluorawhone ND ugAg dry 48 96 2 EPA 8210D 02AYN2207:58 0241 2213:37 KH
Cenirkariom: CIDOII.NEl.AC.NY10854.NMFP,PADEP
19134.2 Benzo(g,h,t)perylcnc ND ug/kg dry 48 96 2 EPA 9270D OZ1031202207:59 02,047203213:37 Kit
Ccnifrcariom- CCDOII,NELAC-NY10854,NJDEP,PADEP
207-08.9 BCr1Z0(k)f1a0ramhcoc ND ug/kg dry 48 96 2 EPA 9270D OZ03002207:59 02,04f202211:37 KII
Cendiicatiom: (TDOH,NELAC-NY 10854,NJDEPPADEP
219.01.9 Chryscnc ND ug/kg dry 48 96 2 EPA 9270D OZI 202207:58 M0112022 I1:37 Kit
C<nefiroGerts: CTDOIT,NEfAC.NY10854,N3DEP,PADEP
53.70-3 Dibcnzc(aj))amhraccnc ND ugh&dry 48 96 2 EPA8270D 02Wf202207:58 02N-rr202211:37 KH
Cenitki i m: CTDOlf,NELAC.N)'10854,NJDEP,PADEP
206-44-0 Fluoranthene ND uP/kg dry 48 96 2 EPA 827DD 02,1D3fM2207:59 0220N2@213,37 KH
Cenitlnrlom: CTDOi I,NELAC-NYIOJ54,NJDEPPADEP
96.73.7 Fluorene ND uah8 dry 48 96 2 EPA 82701) 02,'03fM2207:39 02N4J202213:37 KH
Ccitilkation: NCLAC-KY10854,NJDEPPADEP
193.39.5 Indcno(1,2,3-cd)pyrcnc ND nplgdry 48 96 7 EPA 9270D 02,11134202207:59 02,D41202213:37 Kit
Certification: 4LTWJI,14FLkC•NYIO834.NJUEPPADEP
91.20-3 Naphihalenc ND ugrYg dry 48 96 2 EPA 827DD 0MIX2207:58 02,D46102213:37 Kit
Cmifrcafi a. CTUOII,NEIACa4Y10854,NJDEP,PAUEP
85.01-8 Phennnihicnc ND ug7kgdry 48 96 2 EPA$270D 02MR207207.59 02,D4r20221337 KH
Ccdir—tiom: LTDOILNELAC-NY10854,NJDEP,PADEP -
129-00.0 Pyrcnc ND vWkS dry 48 96 2 EPA 8270D OZD312022 07:53 IIIAL=11:37 KH
Ccniras6— =0H,NELAC-NY1(1854,N)DEP,PAI7EP _
Surrogate Recoveries Result Acceptance Range
4165-60-0 Srmngate:SURR:A'A)nbenzene-d5 62.3% 11-108
321.60-8 Srrrmgnre:SURR:1-F1umv61phenyl 39.0% 11-113
1718.31.0 ,Srrrrogale:SURR:Vorphenyl-.d14 66.2% 14-116
Total Solids LoQ-ln Notes: NrOA-CONY Sample Notes:
sample Ncpmd by kinhod:%Solids Prep
3lcaonrd ro Daterrime Date/Time
CAS No. Parameter Resull FInK Units LOQ Dilution Reference Method Prepared Anslyied Analyst
solids i%Solids 85.8 0.100 1 Sh12540G 02,9212022 11:56 02,9V2022 13:52 VR
Cenillnuimu: CTD01I
120 RESEARCH DRIVE STRATFORD,CT 06615 O 132-02 1391h AVENUE RICHMOND HILL,NY 11418
Nv w.YORKLAB.corn (203)325.1371 FAX(203)357-0186 ClienlServlces Page 4 of�
Volatile Analysis Sample Containers
Lab ID Client Sample ID Volatile Sample Container
22B0006-01 Excaval6on 2 oz.WM Cicar Glass Cool to 4°C
120 RESEARCH DRIVE STRATFORD,CT 06616 ■ 132.02 891h AVENUE RICHMOND H1LL,NY 11418
www.YORKLAB.com (203)325.1371 FAX(203)357-0166 ClientServices4- page 5 of$
Sample and Data Quallflers Relating to This Work Order
VOA-CONT Nan-Compliant-the cantainer(s)provided by the client for soil volatiles do nol ineet the requirements of EPA S W846-5035A.
Results reported below 200 ug/kg may be biased low due to samples not being collected according to EPA SW846 5035A
requirements.
CCV-E The value reported is ESTIMA"I'ED. The value is estimated due to its behavior during continuing calibrntion verification(>20%
Difference for average Rf or>20%Drift for quadratic fit).
Definitions and Other itixplanations
• Analyte is not ecrtified or the state of the samples origination does not offer certif cation for the Anslyte.
NO NOT OETECTED-the analytc is not detected at the Reported to Icvcl(LOQ/11I.or LOD/MD1.)
RL REPORTING LIMIT-the minimum reportable value based upon the lowest point in the analyze calibration curve.
LOQ LIMIT OF QUANTITATION-the minimum concentration of a target nnalyte that can be reported within a specified degree oftonfidcnee. This is the lowest
point in an analytic calibration curve thnt has been subjected to all steps of the processingfanalysis and verified to meet defined criteria.This is based upon
NELAC 2009 Standards and applies to all analyses.
LOD LIMIT OF DETECTION-a vcrifued estimate of the minimum concentration of a substance in a given matrix that an analytical process can reliably detect.
This is based upon NELAC 2009 Standards and applies to all analyses conducted under the auspices of EPA SW-846.
MDL METHOD DETECTION LIMIT- a statistically derived estimate of the minimum amount of a substance an analytical system can reliably detect with a 99%
confidence that the concentration of the substance is greater than zero. This is based upon 40 CFR Part 136 Appendix B and applies only to EPA 600 and 200
series rncthods.
Reported to This indicates that the data for a particular analysis is reported to citiher the LOD/MDL,or the LOQIRL. In cases where the"Reported to"is located above the
LODIMDL,any value between this and the LOQ represems an estimated value which is "J"flagged accordingly.This applies to volatile and semi-volatile
largat compounds only.
NR Not reported
RPO Relative Percent Difference
Wel The data has been reported on an as-received(wct weighl)basis
Low Bias Low Dios nag indicates that the recovery of the flagged analyze is below the laboratory or regulatory lower control limit The data riser should take note
that this analyze may be biased low but should evaluate multiple lines of evidence including the LCS and site-specific MSIMSD data to dmw bias
conclusions. In cases where no sile-specific MSIMSD was requested,only the LCS data can be used to evaluate such bias.
High Bias High Bias Dag indicntes that the recovery of the flagged nnalyte is above the laboratory or regulatory upper control limb.The data user should take
note that this analytic may be biased high but should evaluate multiple lines of evidence including the LCS and site-specific MSIMSD data to draw bias
conclusions. In cases where no site-specific MSIMSD was requested,only the LCS data can be used to evaluate such bias.
Non-Dir. Non dir.flag(Non-Directional Bias)indicates that the Relative Percent Difference(RPD)(a measure of precision)among the MS and MSD data is
outside the laboratory or regulatory control limit. This alerts the data user where the MS and MSD are from site-specific samples that the RFD is high due to
either non-homogeneous distribution of target analyze between the MSIMSD or indicates poor reproducibility For other reasons.
If EPA SW-946 method 8270 is included herein it is noted that the target compound N-nilrosodiphenylamine(NDPA)decomposes in the gas chromatographic inlet and
cannot be separated from diphenylaminc(DPA). These results could actually represent 1001/.DPA,1001/6NDPA or soma combination of the two. For this reason,York
reports the combined result for n-nitrosodiphenylamine and diphenylaminc for either of these compounds as a combined concentration as Dpphenylemine.
If Total PCBs are detected and the target araclors reported are"Not detected", the Total PCB value is reported due to the presence of cillner or both Aroclors 1262 and 1268
which are non-target aroclars for sonic regulatory listi=.
2-chloroethylvinyl ether readily breaks down wider acidic conditions. Samples that arc acid preserved,including standards will exhibit breakdown.The data user Should
take note.
Ccrtifteadon for pH is no longer offered by NYDOH FLAP.
Semi-Volatile and Volatile analyses are reported dawn to the LODIMDL,with values between the LODIMDL and the LOQ being'7"anRged as estimated results.
120 RESEARCH DRIVE STRATFORD,CT 06615 ■ 132-0280thAVENUE RICHMOND HILL,NY 11418
www.YORKLAE.com (203)325.1371 FAX(203)357-0166 CllenlServlces4 Page 6 of 8
For analyses by EPA SW-846-82701),the Limit orQumuitation(LOQ)reponcd for beusldlne 3s boxed upon dw lowest standard used for calibration and is not a verified
LOQ duc to this compound's propensity for oxidative losses during cxtraction/concentration procedures and non-reproducible chromatographic perfomsance.
120 RESEARCH DRIVE STRATFORO,CT 06615 ■ 132.02 80th AVENUE RICHMOND HILL,NY 11418
vnvw-YORKLAB.com (203)325-1371 FAX(203)357.0166 CllentServlces Page 7 of 8
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Page 8 of 8
Ago CERTIFICATE OF LIABILITY INSURANCE DATE( DIYYlY)
os/2012o/zozl
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(les)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 NAME: Ashlea Tarkaziki5
PF Northeast Brokerage Inc PHONE (845)223-8107 FAX (845 227-8816
IAIC. AIC No):
)
1035 Route 82 E-MAIL atarkazikis@pfnortheast.com
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC R
Hopewell Junction NY 12533 INSURERA: Great Divide Insurance Company 25224
INSURED
INSURER B
Northeast Environmental,Inc. INSURER C:
225 Valley Place
INSURER D
INSURER E:
Mamaroneck NY 10543 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2152012759 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 CONTRACTOR OTHER DOCUMENT VI TH 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 DDL SUOR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMfDDNYYY) (MMIDDNYYYI LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE Fx_]OCCUR PREMISES I Ea occurrence $ 100,000
X Contractual Liability MED EXP(Any oneperson) $ 25,000
A ECP01530828-19 06/11/2021 06/11/2022 PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000.000
X POLICY JET LOG PRODUCTS-COMP/OPAGG $ 2,000,000
OTHER Professional Liability s 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1.000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
A OWNED SCHEDULED BAP1530830 06/11/2021 06/11/2022 BODILY INJURY(Per acudent) $
AUTOS ONLY AUTOS
X HIRED V NON-OWNED PROPERTY DAMAGE $.
AUTOS ONLY /� AUTOS ONLY Per accident
$
UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000
A XJ EXCESSUAS CLAIMS-MADE FFX1530829-19 06/11/2021 06111/2022 AGGREGATE $ 5,000,000
DED I X RETENTION $ 10000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETOWPARTNER/EXECUTIVE ❑ N/A E L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached If more space Is required)
Provided it is required by written contract,the following are named as additional insured as respects general liability with regard to work being performed by
the insured under form ECP1004 08/16:Village of Rye Brook
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
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
STATE OF NEW YORK
WORKERS' COMPENSATION BOARD
CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured
(914)777-1930
Northeast Environmental Inc
225 Valley Place lc.NYS Unemployment Insurance Employer
Mamaroneck,NY 10543 Registration Number of Insured
Work Location of Insured (Only required if coverage is Id.Federal Employer Identification Number of Insured
specifically limited to certain locations in New York State, i.e., a or Social Security Number
Wrap-Up Policy) 133965670
2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier
Coverage(Entity Being Listed as the Certificate Holder) American Fire&Casualty Co.
Village of Rye Brook 3b.Policy Number of entity listed in box"1a"
938 King Street XWA57980680
Rye Brook,NY 10573
3c. Policy effective period
_6/29/21 to 6/29/22
3d. The Proprietor,Partners or Executive Officers are
included. (Only check box if all partners/officers included)
X all excluded or certain partners/officers excluded.
This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"la" for workers'
compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item
3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent
will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2".
The Insurance Carrier will also notify the above certificate holder within 10 days IFa policy is canceled due to nonpayment of premiums
or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the
coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year
after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c",
whichever is earlier.
Please Note: Upon the cancellation of the workers'compensation policy indicated on this form,if the business continues to be
named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a
new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the
mandatory coverage requirements of the New York State Workers' Compensation Law.
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced
above and that the named insured has the coverage as depicted on this form.
Approved by: Joseph W.Pires
(Print name of authorized representative or licensed agent of insurance carrier)
w/004
Approved by: 1 5/21/21
(Signature) (Date)
Title: President—PF Northeast Brokerage Inc.
Telephone Number of authorized representative or licensed agent of insurance carrier: (845)223-8107
Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT
authorized to issue it.
C-105.2(9-07) www.wcb.state.ny.us
Laura Petersen
From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com>
Sent: Monday,January 3, 2022 1:17 PM
To: Mike Izzo
Subject: Message from Dig Safely New York, Inc. (DSNY)
****REGULAR****
DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 01/03/2022 13:15
To: VIL RYE BROOK PRIMARY Transmitted: 01/03/2022 13:16 00001
Ticket: 01032-000-840-00 Type: Regular Previous Ticket:
------------------------------------------------------------------------------
State: NY County: WESTCHESTER Place: RYE BROOK
Addr: From: 4 To: Name: LOCH LN
Cross: From: To: Name:
Offset:
------------------------------------------------------------------------------
Locate: FRONT OF PROPERTY
NearSt: KING ST & RT 120A
Means of Excavation: BACKHOE 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- 01/06/2022 Depth of excavation: 30 FEET Site dimensions:
Length 25 FEET Width 25 FEET Start Date and Time: 01/06/2022 07:00 Must Start By:
01/21/2022
------------------------------------------------------------------------------
Contact Name: NIKKI BARNABA
Company: NORTHEAST ENVIRONMENTAL INC
Addrl: 225 VALLEY PL Addr2:
City: MAMARONECK State: NY Zip: 10543
Phone: 914-777-1930 Fax:
Email: nmadera@neenviro.com a�-
Field Contact: NIKKI BARNABA
Alt Phone: 914-777-1930 Email: nmadera@neenviro.com
Working for: ROBERT O'NEILL /`7l— 0 ► /Ve
------------------------------------------------------------------------------
Comments: Lookup Type: PARCEL
------------------------------------------------------------------------------
co,�
Members: ALTICE USA CONED le `f' Q
MCI SUEZ WTR WESTCHESTER
VIL RYE BROOK WESTCHESTER CTY SWR
_ fzan/L �e a�'Q l
�Or(2CPIVeCV