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HomeMy WebLinkAboutMP23-001 DR O 1 L � VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.acbrook.org, TRUSTEES ACTING BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 24,2023 Elizabeth Grill&Joan Grill 138 Brush Hollow Crescent Rye Brook,New York 10573 Re: 138 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-122 As per the Certification letter from Innov8tive Environmental Services Inc.dated January 24,2023,the removal of an under-ground oil tank and installation of a new above-ground oil tank under Mechanical Permit#23-001 issued on 1/3/2023 has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to oe Bkj� BUILDING DEPARTMENT ILDING 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 ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 1 '1'� �\V(� \� l ,UI'ui-) C(( �A E: I1ZU1rlo2�3 PERMIT# �~ ISSUED: I �27�;ECT: BLOCK: LOT: LOCATION: OCCUPANCY: ` ❑ VIOLATION NOTED THE WORK IS... ,ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ® [I ROUGH FRAMING CX� ❑ INSULATION ❑ NATURAL GAS l ►�`lJ J L l i.� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION �f FINAL ❑ OTHER QyE 4RC�� cu � �c BUILDING DEPARTMENT ❑B ILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ` ✓� � �S`� 1 I ' O W ��IATE� ' / I `-� f PERMIT# l ISSUED: I 2✓SEC BLOCK: LOT: LOCATION: ()J° 1 ` `� t �T� rj � ' ' I i Jv - 2 I OCCUPANCY' ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED 0 REJECTED/REINSPECTION ❑ SITE INSPECTION/ ' N (`o - REQUIRED ❑ FOOTING bi ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING I( ❑ INSULATION I c), ❑ NATURAL GAS p L.P. GAS Y-j f [}�UEL TANK Z �t ) ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER a a Q N 72 A cn o �. y0 a W IL 00 Z A i+ �. v ~' 00 W � q Gov ca v O oW000c � A ° , c v o *C � o - 10 Mj Z O W V W oo o � ra W O �wj W W U ° o (h HOn v p v O 1■+i F�-i cri V O tWis `n o -o 60 cn s F 14 ti � c V A U W W z � Is w� 00 � way o � � a � x ° zzb � � � w z � � o 04 0 A a M Z A 0d :" � b BUII. MENT D IE � v F VIL OK �q� 3 2023 938 KINGtl ,NY 10573 (914)9 }' 39-5801 � VILLAGE OF RYE BROOK o rg BUILDING DEPARTMENT Application for Permit to Remove, Abandon and/or Install Fuel Storaze Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT #: 8Z.-)-3-001 Approval Date: JAN 23 Permit Fee: Approval Signature: Other: Disapproved: (fees ate non-refundable) 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#C105.2 or Form#U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal, Abandonment, or Installation: $185.00 per Tank. 5. Dig Safely New York#(dial 811): 12292-000-480 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. /,�*,�*�x**,�***,�*�**,�*�*�,�*x*,�,�*,�*,�,�,r�*���*�******,�*****�*xxx*�xx�xx�xx� :xxxx� :;*: ****,� Application dated, /— 3—Z) , 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 Ty2ee: Installation •Removal(x)•Abandonment( )/Above Ground (x) • Upried in Ground (x) I. Address: 138 Brush Hollow Crescent,Rye Brook SBL: 129.76-1-122 Zone: pub 2. Property Owner&Address: Elizabeth Grill 138 Brush Hollow Crescent, Rye Brook Phone#. 914-481-5259 Cell#: 646-321-6130 email: lizgrill@yahoo.com 3. Contractor&Address: Innov8tive Environmental Services 392 Columbus Avenue Valhalla,NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 4. Applicant: Innov8tive Environmental Services 392 Columbus Avenue Valhalla,NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 5. Indicate Fuel Type: Fuel OilW.L.P. Gas( )•Gasoline( )•Other( }: 6. Number and Capacity of each Tank: Removal of(1)300 Gal UST and Installation of(1)275 Gal AST 7. Exact Location(s)of each Tank: Removal from back yard, installation in storage space at back of home. t 6/1/2020 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Donald Feeney ,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)hc is the legal owner of the property to which this application pertains,or that(s)he is the contractor for the legal owner and is duly authorized to make and file this application.(indicate architect,contractor,agent,attumey,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 me this Sworn to before me this day of bQCe-m4Ic> l� ZZ day of�hEY" ,20 !� Signature 4 Property Owner Signature of Appli t u� r?�-(� Donald Feeney rint Name of Property Owner P i t Name of Applicant Mo C1 Notary Public ftyc S iW�Ysp No }pi(Inr sejldx3 uolsslwwoC t3tate of New'York ur1oC�etseyotseM ul pet}�lerr IME613o833 oil stchester Coun M®N 10 ate gioN ires July 5,2 a3AM 3NIHON This application must c its entirety and must me u e the notarized 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. NORINI MmR Notary Public,state of New York uc.No.01 ME6130833 Qualified in Westchester Cov Commission Expires July 25,205 2 6/1/2020 v s Roth's state-of-the art double-wall tanks are the bestyou can find, • More for the environment • More for your safety • More quality • More than 4 million installed • -NEW 30-YEAR PRODUCT WARRANTY- Follow the links below for more information, Overview Characteristics Specifications Dimensions for individual tanks Tank Model DWT DWT DWT DWT DWT 400L 620L 1000L 1000LH 1500L Norn.Capacity USgal 110(400) 165(620) 275(1000) 275(1000) 400(1500) (Ilters) Length inches(cm) 29(74) 29(74) 43(110) 51 (130) 64(163) Width inches(cm) 28(72) 28(72) 28(72) 30(76) 30(77) Height inches(cm) 44(112) 61 (155) 61 (155) 54(137) 68(173) Min.Height Req'd inches 49(125) 66(168) 66(168) 60(152) 76(193) (cm) Tank Weight Ibs.(kg) 106(48) 132(60) 167(76) 208(94) 333(151) Shipping Weight Ibs.(kg) 115(52) 143(65) 185(84) 230(104) 358(162) Dimensions for grouped tanks Tank Model DWT 400L DWT 620L DWT 1000L DWT 1000LH DWT 1500L 2Tanks 29x60 29x60 43x60 51x63 64x63 (side by side) (74x152) (74x152) (110x234) (130x160) (163x 160) 3 Tanks 29x92 29x92 43x92 51 x96 64x96 (side by side) (74 X 234) (74 X 234) (110x234) (130x244) (163x244) 4Tanks 29x 124 29x 124 43x 124 51 X129 NIA (side by side) (74x315) (74x315) (110 X 315) (130 X 329) STanks 29x156 29x156 43x 156 51X162 (side by side) (74 X 397) (74 X 397) (110 X 397) (130x411) NIA 2Tanks NIA NIA 28x90 NIA NIA end to end 72 X 229 i 1 c U N N U 3 o } o z -C Y ` O m m 0 M > O dL 1( . � U I o o 00o o 1.000 > � � o 00 v v m = 0 M i i _V) vLn o > rn � aLn o w � } __ Q) E z 1N3 U1 WdM JNlalina 00 o �° NOMJ8 3,k2l JO 30V-nln 'o � N � m > £ZOZ £ - Ndf 173'/z Ivy Hill Crescent Rye Brook, NY 10573 914-939-2440 December 28, 2022 D E � v E ID Elizabeth Grill JAN - 3 2023 138 Brush Hollow Crescent VILLAGE OF RYE BROOK Rye Brook, NY 10573 4 BUILDING DEPARTMENT Re: Oil Tank Replacement Dear Elizabeth Grill, The Architecture and Grounds Committee (A&G) has reviewed and approved your application for the above named work. This project requires a permit from The Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G. Work on the project may not begin until you receive written notice of receipt of your permit from A&G. This will be used as a test case for the use of the matting. If any damage should occur while the matting is being used as a ground protection, you as the homeowner are financially responsible. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction. the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Ashlee Adragna Property Manager R C� �U I I JAN 242023 N N OV454T I V E' VILLAGE OF RYE BROOK BUILDING DEPARTMENT ENVIRONMENTAL SERVICES INC . - -- January 24, 2023 Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 RE: Liz Grill 138 Brush Hollow Crescent Rye Brook, New York Permit: MP 23-001 To Whom It May Concern, This letter is regarding the work performed at 138 Brush Hollow Crescent, Rye Brook, New York in accordance with permit#MP 23-001. Innov8tive Environmental Services (IES)was contracted by Elizabeth Grill to remove(1) 300 Gal Underground Storage Tank(UST)from the rear of the property and install (1) 275 Gal AST in the storage shed at the rear of the home. IES began the installation and removal process on January 13, 2023. IES pumped 29 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 23-001. Please advise if any additional information is required. Thank you, Y_ Donnie Feeney Innov8tive Environmental Services Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla NY 10595 service innov8enviro.com 1 (914) 449-6608 www.innov8enviro.com NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1.Generator's US EPA ID No. Mari f� Sill WASTE MANIFEST °o"' t i n i i 3.Generator's Name and Mailing Address JAN 24 E 4.Gerleratars Phone VI LLAGE OF RYE RROOK 5.Transporter 1 Company Name 8. US EPA ID Number A.6t-t-Rk4646kWQ DEPARTMENT Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 B.Transported Phone 914-449-660 7.Transporter 2 Company Name 8. US EPA ID Number C.State Transporters ID D.Transporter 2 Phone 9.Designated I-acility Name and Site Address 10. US EPA ID Number E.State Facility's ID F.Facility's Phone 11.WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No. Type Quantity WI.Nol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon G b. E N E R A T O W R d I— N G Additional Descriptions for Materials Listed Above H.Handing Codes for Wastes Listed Above O N�N Ii '] 1S.Special Handling Instructions and Aaddlonal IM°rfrO&W ZApproval O Z 16.GENERATOR'S CERT8=ICATION:I hereby tartly that ttre contents t this t ere fulty and accurately described and are in all respects h proper condition for transport.The materials described of this manliest era not subJBCI to federal ha7araous waste regulations Date Printed/Typed Name Sgnature Month Day Year T 17.Transporter 1 Aclutowledgement of Receipt of Materials A PrinledrTyped Name Sgreturo Date $ MonN Day Year P O 18.Transporter 2 Acknowledgement of Receipt of Materials R Date Printed/Typed Name E Sigreture Month Day Year R F 19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator:Certification of receipt of the waste materials covered by this manifest,except as noted in item 19. L 1 Data T Priltedrryped Name Sigratwe Y Month Day Year RFcEE [E D JAN 2 4 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT PAYMENT RECEIPT ALc-lBrookfield Resource Manageme,�t 100 Lamont Street Elmsford, NY 10523 914-592-5250 Recelpt:1779504 Date:1/16/2023 Customer:69802 Time:3 50-50 PM INNOVATIVE ENVIRONMENTAL. 392 COLUMBUS AVE VALHALLA, NY 10595 ID Number: Ticket:1825779 Weigh In:1/16/2023 3:40'59 PM Operator.Diane D Weigh Out:1/16/202315048 PM Commodity Gross Tare Net Price TOTAL$ Tanks 11.600 10.220 1.380 2.2300/CW 30.77 ---------------------------------- Ticket Total: gp,» No.of Tickets-1 EZCash Paid: $31.06 Payment Method:EZCash Round Amt. $0.23 Total Paid: $31 0 For current Pricing,hours and cu,ntact information check ujj out on the web @brookfielducrap.com Join Brookfield Scrap un Facebook Lwebuyscrap �A' JAN 2 4 2023 I'H ENIX � VILLAGE OF RYE BROOK Environmental Laboratories. Inc. BUILDING DEPARTMENT Thursday, January 19, 2023 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 138 BRUSH HOLLOW CRES, RYE BROOK SDG ID: GCN24586 Sample ID#s: CN24586 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, Ak)L 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 VT Lab Registration #VT11301 NH Lab Registration #213693-A,B 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 1 of 10 N ACC0'? PHOE VIX ` Environmental Laboratories, Inc. 1 NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference January 19, 2023 SDG I.D.: GCN24586 Project ID: 138 BRUSH HOLLOW CRES, RYE BROOK Client Id Lab Id Matrix BOTTOM CN24586 SOIL Page 2 o110 PHO�IX . a N ACC0,90 Q � 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 Feeney Innov8tive Environmental Services January 19, 2023 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 01/13/23 13:00 Location Code: INNOVAT Received by: CP 01/17/23 15:57 Rush Request: Standard Analyzed by: see "By" below P.O.#: Laborato SDG ID: GCN24586 _ Data Phoenix ID: CN24586 Project ID: 138 BRUSH HOLLOW CRES, RYE BROOK Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 89 % 01/17/23 AL SW846-%Solid Soil Extraction for SVOA PAH Completed 01/18/23 MO/F SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C 1,3,5-Trimethylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C Benzene ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C Ethylbenzene ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C Isopropylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C m&p-Xylene ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C Naphthalene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C n-Butylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C n-Propylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C o-Xylene ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C p-Isopropyltoluene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C sec-Butylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C tert-Butylbenzene ND 0.63 ug/Kg 1 01/18/23 JLI SW8260C Toluene ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C Total Xylenes ND 1.3 ug/Kg 1 01/18/23 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 96 % 1 01/18/23 JLI 70-130% %Bromofluorobenzene 98 % 1 01/18/23 JLI 70-130% %Dibromofluoromethane 97 % 1 01/18/23 JLI 70-130% %Toluene-d8 95 % 1 01/18/23 JLI 70-130% Ver 1 Page 3 o/10 Project ID: 138 BRUSH HOLLOW CRES, RYE BROOK Phoenix I.D.: CN24586 Client ID: BOTTOM RU Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene ND 260 ug/Kg 1 01/19/23 WB SW8270D Acenaphthylene ND 260 ug/Kg 1 01/19/23 WB SW8270D Anthracene ND 260 ug/Kg 1 01/19/23 WB SW8270D Benz(a)anthracene ND 260 ug/Kg 1 01/19/23 WB SW8270D Benzo(a)pyrene ND 260 ug/Kg 1 01/19/23 WB SW8270D Benzo(b)fluoranthene ND 260 ug/Kg 1 01/19/23 WB SW8270D Benzo(ghi)perylene ND 260 ug/Kg 1 01/19/23 WB SW8270D Benzo(k)fluoranthene ND 260 ug/Kg 1 01/19/23 WB SW8270D Chrysene ND 260 ug/Kg 1 01/19/23 WB SW8270D Dibenz(a,h)anthracene ND 260 ug/Kg 1 01/19/23 WB SW8270D Fluoranthene ND 260 ug/Kg 1 01/19/23 WB SW8270D Fluorene ND 260 ug/Kg 1 01/19/23 WB SW8270D Indeno(1,2,3-cd)pyrene ND 260 ug/Kg 1 01/19/23 WB SW8270D Naphthalene ND 260 ug/Kg 1 01/19/23 WB SW8270D Phenanthrene ND 260 ug/Kg 1 01/19/23 WB SW8270D Pyrene ND 260 ug/Kg 1 01/19/23 WB SW8270D QA/QC Surrogates %2-Fluorobiphenyl 70 % 1 01/19/23 WB 30-130% %Nitrobenzene-d5 69 % 1 01/19/23 WB 30-130% %Terphenyl-d14 66 % 1 01/19/23 WB 30-130% RUPQL=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. Phyllis hiller, Laboratory Director January 19, 2023 Reviewed and Released by: Anil Makol, Project Manager Ver 1 Page 4 of 10 �,'�/ �N ACC09VT�'\\ � �� cPHO� r Environmental Laboratories, Inc. Q 587 East Middle Turnpike, P.O.Box 370, Manchester,CT 06045 NY# 11301 QA/QC Report Tel. (860)645-1102 Fax(860)645-0823 January 19, 2023 QA/QC Data SDG I.D.: GCN24586 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 660486(ug/kg), QC Sample No: CN25171 (CN24586) Semivolatiles - Soil Acenaphthene ND 230 83 83 0.0 70 81 14.6 30-130 30 Acenaphthylene ND 130 75 76 1.3 63 73 14.7 40-140 30 Anthracene ND 230 88 85 3.5 78 83 6.2 40-140 30 Benz(a)anthracene ND 230 85 82 3.6 74 79 6.5 40-140 30 Benzo(a)pyrene ND 130 95 91 4.3 80 86 7.2 40-140 30 Benzo(b)fluoranthene ND 160 90 86 4.5 77 83 7.5 40-140 30 Benzo(ghi)perylene ND 230 85 79 7.3 70 80 13.3 40-140 30 Benzo(k)fluoranthene ND 230 85 83 2.4 74 80 7.8 40-140 30 Chrysene ND 230 90 87 3.4 79 84 6.1 40-140 30 Dibenz(a,h)anthracene ND 130 85 79 7.3 72 80 10.5 40-140 30 Fluoranthene ND 230 97 96 1.0 81 88 8.3 40-140 30 Fluorene ND 230 83 87 4.7 79 86 8.5 40-140 30 Indeno(1,2,3-cd)pyrene ND 230 93 84 10.2 74 85 13.8 40-140 30 Naphthalene ND 230 70 75 6.9 63 73 14.7 40-140 30 Phenanthrene ND 130 86 83 3.6 76 81 6.4 40-140 30 Pyrene ND 230 96 96 0.0 81 88 8.3 30-130 30 %2-Fluorobiphenyl 77 % 79 80 1.3 60 72 18.2 30-130 30 %Nitrobenzene-d5 68 % 67 73 8.6 59 75 23.9 30-130 30 %Terphenyl-d14 100 % 95 97 2.1 80 88 9.5 30-130 30 QA/QC Batch 660417(ug/kg), QC Sample No: CN24586 (CN24586) Volatiles - Soil (Low Level) 1,2,4-Trimethylbenzene ND 1.0 100 99 1.0 89 86 3.4 70-130 30 1,3,5-Trimethylbenzene ND 1.0 105 105 0.0 94 91 3.2 70-130 30 Benzene ND 1.0 101 102 1.0 95 95 0.0 70-130 30 Ethylbenzene ND 1.0 99 103 4.0 92 94 2.2 70-130 30 Isopropyl benzene ND 1.0 104 103 1.0 97 94 3.1 70-130 30 m&p-Xylene ND 2.0 99 101 2.0 91 91 0.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 93 99 6.3 94 94 0.0 70-130 30 Naphthalene ND 5.0 103 100 3.0 84 79 6.1 70-130 30 n-Butylbenzene ND 1.0 110 109 0.9 91 87 4.5 70-130 30 n-Propylbenzene ND 1.0 105 105 0.0 95 95 0.0 70-130 30 o-Xylene ND 2.0 100 102 2.0 93 93 0.0 70-130 30 p-Isopropyltoluene ND 1.0 107 107 0.0 94 90 4.3 70-130 30 sec-Butylbenzene ND 1.0 104 104 0.0 93 91 2.2 70-130 30 tert-Butylbenzene ND 1.0 106 105 0.9 98 94 4.2 70-130 30 Toluene ND 1.0 104 106 1.9 98 97 1.0 70-130 30 •1,2-dichlorobenzene-d4 94 % 102 97 5.0 100 98 2.0 70-130 30 •Bromofluorobenzene 98 % 99 98 1.0 99 100 1.0 70-130 30 •Dibromofluoromethane 95 % 98 100 2.0 99 98 1.0 70-130 30 •Toluene-d8 96 % 103 103 0.0 102 102 0.0 70-130 30 Page 5 of 10 QA/QC Data SDG I.D.: GCN24586 °ro °io Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: Additional 8260 criteria: 10%of LCS/LCSD 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 Phyllis hiller, Laboratory Director MS Dup- Matrix Spike Duplicate NC-No Criteria Janua 19, 2023 Intf- Interference Page 6 of 10 0 0 a N p� tO N N a T!' C Q fII'N N L_ J y a) N U Q � N 7 a) U f0 C.N a)_ N � a) � U u c x o a) �p U N C J U O S U N c a) m 0 E O O _ C U fA N "0 a) m 2 O 0Oj 7 N O T O II 0 a C N O N a7 G N C O a7 G W N N m 0 1-0 T�! Q _0 C V Q 2 a7 GE Z n E A W Z N.O O W co a c LO N a) N L Z c m x X d U o L U U x U L) N _d t¢ Q C N y — U L U c c (n c o o a� a7 n c y n_ mn E w E o U T 4= v -D m O a)._ Q) y C n c'i6 O O `n C N O n Q a) a 7 m x c c E E a) L N t a) a o .. o O V O N N N T O d N V) O V � U N N N a7 G O Z M O y Y d 7 } } Q C5 fa N c Z Z O m N T m a) M J a) C a7 a) Z O x_ O.O -0 VJ n O C N Lj E Z o� a) O O H cn a. En �N ACCp PHOEUX�,'S-, ����° °�y Q F U � Environmental Laboratories, Inc. NY#11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments January 19, 2023 SDG I.D.: GCN24586 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 8 of 10 PH O N !,C C pgOAy U Environmental Laboratories, Inc. NY#11301 1 587 East Middle Turnpike,P.OAoz 370,Manchester,CT 06045 TeL(860)645-1102 Fax(860)64"823 NY Temperature Narration January 19,2023 SDG I.D.: GCN24586 The samples in this delivery group were received at 1.9°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 9 of 10 kZO?Ak A9H M-13d Z Nh ri O 0 . W 3 U ag2�0 LL 3 ii b n a a a afIL le E 0 J,y JF4 JJ$ b $`m m mb- aa N S�3 U 0 c - U U U (D UE Eq v' uOA to 60i U)72�u Ev� � d w � V rniO� 0 en- W a d � oe w .o m cs Q O U crts a .c ❑ c n m �— U 0 o M z E�j E ow 3 H N � . (1N < o � ' a? Im cc9 —tom K 0 O O mx iC NT W m N p O a y w p 3 l j N O LL O E 0 0 m O O < q Z Z V x E a%o ❑❑❑ ❑❑ " c U. o8m �2 0 Q a # _ LLJo Z Y c m U tf 8 w ~ m W 75 w Z Z Q 1 ❑ ❑ ❑ ❑ Z E / r w w m� g E E Ir Z OD c 5 in m T $ m— € o N Cl m 3 o f LL La w a c9 m F D J ❑ ❑ ❑ ❑ (D E u Cn c � E m v C � � y N N m A v m m o s C O a CD 0 � m - E C � 6 +i ;$ V U, m W Y V co m u w 1 m I L O m c 3 a 19 c m- :3 < ac U W U) E 0 U age 70 or 7 D ECENE ID 1 Phoenix Environmental Laboratories, Inc. JQN 2 4 2U23 587 East Middle Turnpike i P.O.Box 370 Lab Sample Id i CN24586 Manchester,CT06040 Collection Date i VILLAGE OF RYE BROOK 01/13/2023 (860)645-1102 Client Id ! BUILDING DEPARTMENT BOTTOM Matrix __ SOIL SDG:GCN24586 NY Project:138 BRUSH HOLLOW CRIES,RYE BROOK CAS Units CP-51 Soil-Gas/Fuel Oil Result RL Miscellaneous/Inorganics Percent Solid PHNX-PCTSOLID `Y 89 Semivolatiles-STARS/CP-51-SW8270D Acenaphthene 83-32-9 ug/Kg 20000 <260 260 Acenaphthylene 208-96-8 ug/Kg 100000 <260 260 Anthracene 120-12-7 ug/Kg 100000 <260 260 Benz(a)anthracene 56-55-3 ug/Kg 1000 <260 260 Benzo(a)pyrene 50-32-8 ug/Kg 1000 <260 260 Benzo(b)fluoranthene 205-99-2 ug/Kg 1000 <260 260 Benzo(ghi)perylene 191-24-2 ug/Kg 100000 <260 260 Benzo(k)fluoranthene 207-08-9 ug/Kg 800 <260 260 Chrysene 218-01-9 ug/Kg 1000 <260 260 Dibenz(a,h)anthracene 53-70-3 ug/Kg 330 <260 260 Fluoranthene 206-44-0 ug/Kg 100000 <260 260 Fluorene 86-73-7 ug/Kg 30000 <260 260 Indeno(1,2,3-cd)pyre ne 193-39-5 ug/Kg 500 <260 260 Naphthalene 91-20-3 ug/Kg 12000 <260 260 Phenanthrene 85-01-8 ug/Kg 100000 <260 260 Pyrene 129-00-0 ug/Kg 100000 <260 260 Volatiles-STARS/CP-51-SW8260C 1,2,4-Trimethylbenzene 95-63-6 ug/Kg 3600 <0.63 0.63 1,3,5-Trimethylbenzene 108-67-8 ug/Kg 8400 <0.63 0.63 Benzene 71-43-2 ug/Kg 60 <1.3 1.3 Ethylbenzene 100-41-4 ug/Kg 1000 <1.3 1.3 Isopropylbenzene 98-82-8 ug/Kg 2300 <0.63 0.63 m&p-Xylene 179601-23-1 ug/Kg <1.3 1.3 Methyl t-Butyl Ether(MTBE) 1634-04-4 ug/Kg 930 <0.63 0.63 n-Butylbenzene 104-51-8 ug/Kg 12000 <0.63 0.63 n-Propylbenzene 103-65-1 ug/Kg 3900 <0.63 0.63 Naphthalene 91-20-3 ug/Kg 12000 <0.63 0.63 o-Xylene 95-47-6 ug/Kg <1.3 1.3 p-Isopropyltoluene 99-87-6 ug/Kg 10000 <0.63 0.63 sec-Butylbenzene 135-98-8 ug/Kg 11000 <0.63 0.63 tert-Butylbenzene 98-06-6 ug/Kg 5900 <0.63 0.63 Toluene 108-88-3 ug/Kg 700 <1.3 1.3 Total Xylenes 1330-20-7 ug/Kg 260 <1.3 1.3 Result Detected RL Exceeds Criteria Result Exceeds Criteria z i N 46 p X LO e�C r Lam' ��- G � Z ? � •rya'=,_ • Y w Qr won U Y - y w cc ectionCD Qi s .✓ Z U) z v ' I r O Q >✓ QJ ` �'` ri a' O w N > ao 0') �" ►•r jh c > p z f.. 00 \ Cj a 00 I t U rA i Piw- . -: . . . . .-. . . . . . . _ o li M � .. f)1 �f1111�f1�j a, � ars sff/l/l/ff� t3 :�>r�ifl)11�,117■!/� tyj �lf q t4 ,A{a r 111 di AZ<�r 11• 1 i�A fI ti111.1/ `lJA�4�tF /11 9,AV Jnt ree. < i y'��J�.I #� ^ w� > j' '-�a - t !_.� M 1+ :;� _s dry"5N �A �:` '''� tS�t��:.+ 0\ `���I� "' Q •J� �, /� / A�® CERTIFICATE OF LIABILITY INSURANCE DAT2/(15/2022YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0i'' 'ir 'U r ' ^^^^^^ 824703808 MT PLEASANT CAPACITY AGENCY 'r 1 BLUE HILL PLAZA STE 1689 PEARL RIVER NY 10965 ❑� �.ill 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 370473 10/02/2022 TO 10/02/2023 10/4/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2455 047-7, 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. 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NEW YORK STATE SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 792990792 Laura Petersen From: Mike Izzo Sent: Thursday, December 29, 2022 11:53 AM To: Laura Petersen; Steven Fews;Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday, December 29, 2022 11:53:05 AM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 12/29/2022 11:52 To: VIL RYE BROOK PRIMARY Transmitted: 12/29/2022 11:53 00005 Ticket: 12292-000-480-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 138 To: Name- BRUSH HOLLOW CRES 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: 01/04/2023 Depth of excavation: Site dimensions: Start Date and Time: 01/04/2023 07:00 Must Start By: 01/19/2023 ------------------------------------------------------------------------------ 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: NORINE MEYER i Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2