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HomeMy WebLinkAboutMP23-092 DR �. . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 31,2023 Lake Development Co LLC 11 Old Orchard Road Rye Brook,New York 10573 Re: 11 Old Orchard Road, Rye Brook,New York 10573 Parcel ID#: 135.26-1-71 As per the Certification letter from Castlton Environmental Contractors LLC dated July 2023, the removal of an underground oil tank under Mechanical Permit #23-092 issued on 6/15/2023 has been satisfactorily completed. Sincerely, "I Steven E. Fews Building&Fire Inspector /to BRC�v� Village of Rye Brook Public Works and Engineering Department 938 KING STREET• RYE BROOK,NY 10573 1982 (914)939-0753 Fax(914)939-0242 INSPECTION REPORT Address: (�`l/ �. /�f/'!` % �G Date: 7 Name: //��`®.✓11��� Location: Permit#:.' Phone: /Email: Work being Inspected: Work Inspected is: A pt Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation Notes: IlWX. OiC l,�/1t��iiz�- Diagram: Signatur a N � " M N cu klQ oil v q XW an 4-4 Ln w N �_ p� �. oA O �j O � (A W w a W 14 cue ` 010 o Q o ti w w ►�ate: O ao Cl) z w � � (� w "� (� O V z H c a py ` ►fir \ W �i v ~ Lf) ~ a O O (j) vOC ` Q I� O1 Q w Po z E-d ° `nvv � or� F+ N w V W z A V v0� b � ['-r o0.0 o Fo . z o oa a �a UNv W w �, o � � Q oo °' v� A p 4, c V V O6C.4- w o a, w 0 E.y ri z W O A 0 >4 - °> W �I =1 P-41 a 0-41 44. a BUILDING DEPARTMENT EBUILDING �flVsVIiLLAGE OF RYE 19ROOKN 1 2 2023938 KING"ET RYE BRooK,NY 1057 (014) 0 OF RYE BROOK W,�t 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) 1 r o R OrrICL USL O1NL1 PLIZMII #: MM�J — / d" �uN 1 s Approval Date: Permit Fee: $ l b5La Approval Signature: Other: Disapproved: (fees are non-refundable) *tttttttttt*t*#t**tt#!##*####t!#tt#t#######!####t###t#t*#!##tt#t#t*#tttt#tt#tttttttttt*t*tt***ttttttttt 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 instrance. (Form#C105.2 or Form#U26.3 /or NY State Workers Compensation Waiver) 4.Fee per Tank: Removal,Abandonment,or Installation: $185.00 r Tank. bl 5.Dig Safely New York#(dial 811): ( q,3 0 O%3-/Szr 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, ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or insma 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,ndes and regulations. Indicate Permit Type: Installation ( )• Removal(N•Abandonment{ )/Above Ground { )•Buried in Ground 1. Address: OLD 09 M FWL SBL: ,7F-).Q /'7 Zone: 5 2. Property Owner&Address: LAVry PGV6L4A%QJT Co. LL(, Phone#: Cell#: Tl_k 114' 01(1 email: SG�L�I1Q AO Li•GOM 3. Contractor&Address: C%9T1_-r014 e+14%/laol.1Iw lTpL G011'f'R QQ•S 11.4-L Phone#:(J�4S.) (02-4 f 10j12. Cep#:C IPI) 6767-&I S*2Z email: •7`,T'/4L.p t3SGtJ(�G11J►SrLTdN1.GoM 4. Applicant: 1C.6Lr-0 Phone#: Cell#: 914 174!-O 117 email: 5M.9 R A,OL• G OM 5. Indicate Fuel Type: Fuel Oil •L.P.Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: 1) 550 1%4 K. 7. Exact Location(s)of each Tank: "'C"A" GUOT 4 AR P t 8/12/2021 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: CJN-k'�p 56eut-0 ,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 171�1 (Z-• 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. Sworn to before me this 12 Sworn to before me this day of 20 day of 920 St of Signature of Applicant t Name of er Print Name of Applicant Notary t�ttblle,State of New Yor*< Notary Public No.DiRIS441398 Qualified In Westchester County`r, Coter lesion Expires Septembc1 &. 1. This appii;anon inust be properly conpleted in its entirety and must include the nutwized signature(s)of the legal owner(s) of the subject property, and the applicant of record in the spaces prodded. An) application not properly completed in its entirety andlor not properly signed shall be deemed null and void and will be returned to the applicant. 2 8/12/2021 STATE OF NEW YORK.COUNTY OF WF.STCHESTER ) as: .being duly sworn,deposes and states that he/she is the applicant above ntut,ed. (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 for the legal owner and is dul,,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 ux 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 i t 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 20 day of J (. —e ,20.)- 3 _ Signature of Property Owner re of Applicant V\Vlq )a A�t Print Name of Property Owner P i me of pI' an Notary Public WILL l Notary PubliC of NIfw Jersey My Commirision Expires i hip application must be properly completed in its entirety arWjQj20&de the notarized signature(s) of the legal o xner(s) of the subiect property. and the applicant t�f record in the spaces provided. Any application not properly Completed in its entirety and/or not properly signed shall be deeined null and void and "ill be returned to the applicant. 2 R/12'2021 *AmCASTLTON ENVIRONMENTAL CONTRACTORS, LLC "Creating Ba dTittui�onment" July 2023 Village of Rye Brook J U L 2 8 2023 Building Department VILLAGE OF RYE BROOK 938 King Street BUILDING DEPARTMENT Rye Brook,NY 10573 Re: Underground Storage Tank Removal Lake Development 11 Old Orchard Road,Rye Brook,NY 10573 To the Village of Rye Brook Bldg. Dept., Castlton Environmental Contractors, LLC (CEC) was contracted to remove one 550-gallon fuel oil Underground Storage Tank (UST), from the above referenced property on July 3`d, 2023. Castlton cut open the tank and thoroughly cleaned out the interior with absorbent pads and a squee-gee. The tanks contents were vacced out and properly disposed of at Clean Water of New York., a licensed disposal facility located in Staten Island, NY, with a NYSDEC licensed vacuum truck. CEC did not detect any holes in the tank and did not observe any fuel impaction to the surrounding area. A photo-ionization detector(PID) was utilized to screen the soils below and around the tank for any contamination — no readings found. The tank was removed and properly disposed of at Teplitz Scrap Recyclers of Nanuet, New York. All UST removal activities were performed in accordance with the NYSDEC, Westchester County, and the Village of Rye Brook regulations. In summary, all contaminated material, from the tank, was removed from the property and properly disposed of. If you have any questions do not hesitate to call me at(845) 624-1312. Sincerely, Greg Spadaccini Environmental Scientist Castlton Environmental Contractors, LLC 80 WEST NYACK ROAD 9 NANUET,NY 10954 • (845)624-1312 9 FAX:(845)624-1325 w h r �L 04 - a OAz - to i* i O z a �i p ..a I-•� � �, � c7a d � � o i � •� a Q x ir 4e t Za a ►►w�.ee O F s a C u /'1 V a v r A co . O z i � Ltd Z U Z o r3r w �j c� Q , rr►�� V x rz yaG � , r ' c Aw .. J z V ? � � � '� � s• o ° O z � � x wo yi SCALE PURCHASE TICKET Teplitz Metal Processing • 108 West Nyack Road Nanuet, NY 10954 845-623-0040 DMV#7104668 Tlcket: 402474 Weigh in: 07/12/2023 09:21 Customer: 1030 Weigh Out: 07/12/2023 09:35 Castlton Environmental Services 80 West Nyack Road Nanuet, NY 10954 Dump Trk w/Traiier PO Commodity Gross Tare Net Price TOTALS Unp.Tanks 36600 31600 SODD /GT - .......................... .......... SCALE PURCHASE TICKET Teplitz Metal Processing 108 West Nyack Road Nanuet, NY 10954 845-623-0040 DMV#7104668 Buyer: 9 I hereby certify that I have the right to possess and sell this scrap. This Is a Bill of Sale to the above described scrap. I hereby acknowledge payment In full. This Is to certify that I deliverd the above material for the named supplier. This will also certify that I,on behalf of the above named supplier,am familiar with Teplitz's list of unacceptable/prohibited materials, and that the above load does not contain any unacceptable/prohibited materials,including any Class I (chlorofluorocarbons) or Class 2(hydrochloroflourocarbons) refrigerants(Freon),which under the federal Clean Air Act must be reclaimed not vented. Customer Signature , Please do not lose this ticket. Ticket required for payment. TEPLITZ METAL PROCESSING NYSDMV#7104868 . I PRODUCT 6556 _ CASTLTON ENVIRONMENTAL JOB W0 fl[{(ORDER CONTRACTORS, LLC P.O. Box 609 25123 _ NANUET, NY 10954 14800-25-TANKS OATEOFORDER FAX (845) 624-1325 _ CUSTOMER'S OFIDER NO. PHONE MIECHANC HELPER I STARTING DATE SILL TO ORDER TAKEN BV Ae Le�'2 1 ; A� DAY WORK CITY DMRA JOB E AND LOCATION JOB PHONE I DESCRIPTION OF WORK: - i TOTAL W,ERIAALS TOTAL LABOR M per t BSI bB qWW tB ao Wft 9W W apnek%ad awt hu wN be this d tlN dKIL TAX DATE COMPLETED TOTAL AMOUNT s ❑ No one home ❑ Total amount due ❑ Total billing to i S' ure_ for above work:or be mailed after completion I hereby acknowledge the satisfactory completion of work of the above described work. Clean Water of New York, Inc. JOB LEAN WATER State State Richmond Terrace n Island, NY 10303 RECEIPT of New York, Inc. Phone: 718-981-4600 Fax: 718-981-5213 Job Number Date Time Job Type JOB0197401 725123 11:11 am Truck Job Generator Transporter VARIOUS GENERATORS CASTLTON ENVIRONMENTAL CONTRACTORS,LL NY P.O.Box 609 80 West Nyack Road ' Nanuet,NY 10954 EPA Permit# EPA Permit#: NJR000001180 Customer NYS DEC Permit#: NJ-636 CASTLTON ENVIRONMENTAL CONTRACTORS,LLC Transport!Vessel: VAC#17 P.O.Box 609 80 West Nyack Road Nanuet,NY 10954 #of Tanks: 1 PC#: Job# Total Capacity: 3,800 Profile Sheet: Yes Approval Code:219-001 JU of M: Gallons Site/Vessel Name:VARIOUS GENERATORS NEW YORK Received 2,960 Gallons Of Oily Water For Proper Treatment and Disposal. Products& Category Code Description Quantity UoM Test Results 7 D N018 Oily Water 2,960 Gallons Compartment %Water %OII %Solid Halogens (ppm) Flash Point(oF) PH Value 1 90.00 10.00 0.00 100 >= 110 6.00 Other Tests Peformed:No Did this load or any portion of this load orginate at a utility? No Receivers Signature and Date Generator's Representative Signature and Date 7/25/2023 11:14 am Page 1 of 1 NON-HAZARDOUS 1.Generator ID Number 2 Paps 1 d 9.ErnnpNgy Response Phone 4.Waste Tracking Number WASTE MANFEST 5. nerator's N&and Maillr�,xrek,r��ip 1 GerNrator's Address(f�Ilerert tlten meilitp address) cena'�: 8jT7nsporter 1 Company Name U.S.EPA ID Nwtber 7.TMnsporter 2 Company Name- zza U.S.EPA ID Number S Facility $k6 Address I U.S.EPA ID Number Fad a Phone: �4�lCJ�j1 9.Wade Stripping Name and Description 10.Cartlet_rs 11.Total 12.Unk - No. Type Quantity Y iNd wet 2 9. - 4 9.Spacial Ftarding 4tetrttdlor_and AadiGond l /�f / ;Z2 zz C/5 -ZIP 2,244C X2a� sGg3 ?su4/., 2s,o46 14.'GENERATOR'S WEROP'S CERTIFICATION:I hereby declare that the contems or this consignment are fully and accurately described above by the proper shipping name,and are daaslfied,padraged, marked and labelo#lacerded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations. G-swatoes/offerorsPriO fypedNan_ Signature - — Month Day Year I&hOrnationai S ipmems _ - Import to U.S. ❑Export from U.S. Port of entry,+exit: _ T r Signature da ex: rta onh: _ _ Data leavlr U.S.: 16.Transporter Acknowledgment of Receipt of Materials - - Trensporter 1 Prinled/Typed Name Signature Month S c Day/ YNr Trermporter 2 Pnnt Typ Name v - _ _ .___ �yw•�� Month Day Year *Dbi Indcation Space - — ❑Quantity ❑Type ❑Residue ❑Partial Re)ecticn ❑Full Reledion Manifest Reference Number. 17b.Pdternate Facility(or Generator) U.S.EPA ID Number 1r. Fscdrty's Phcnc: F 17c.Signature of Alternate Facility(or Generator) Month Day Year 1&Designated Facft 0ww or Operabr:Cerlllkrsdort of me*of strtttalM oovarsd by fhe manifest except as noted in hem 17a - - - Pr_n a yped Name- Signature - _ _` Month Day Year 1MBLS-C 6 10497(Rev.9109) `—� TRANSPORTER#1 eualu:)spa93x3 llnsaa elJa1!a7 spaaox3 1> pal3alad linsall OSZ OSZ> 000'OO1 SN/8n 0-00-6ZT auaJAd OSZ OSZ> 000'OO1 EN/On 8-TO-S8 auaa4lueua4d OSZ OSZ> 000'ZT SN/Sn E-OZ-16 aualeyl4deN OSZ oSZ> 005 IN/On S-6£-M auajAd(po-£'Z'T)ouapul OSZ OSZ> 000'0E 8N/8n L-EL-98 auajonl j OSZ OSZ> 000'OOT 8N/Sn 0-b4-90Z auagluejonl j OSZ OSZ> OEE EN/8n E-OL-£S aua:)eJ44ue(4'e)zuag10 OSZ OSZ> 0001 8N/Bn 6-TO-8TZ auasAa4J OSZ OSZ> 008 ON/In 6-80-LOZ aua4luejon11(N)ozuag OSZ OSZ> 000'OOT EN/In Z-trZ-161 aualAiad(!gS)ozua8 OSZ OSZ> 0001 EN/8n Z-66-SOZ aua4luejonU(q)ozuag OSZ OSZ> 0001 8N/En 8-Z£-09 aualAd(e)ozuag OSZ OSZ> 0001 8N/Bn E-SS-99 aua3ej41ue(e)zuag OSZ OSZ> 000'OOT 8N/8n L-ZT-OZT auaoejgluy OSZ 05Z> 000'OOT EN/8n 8-96-SOZ aualA414deua3y OSZ 0SZ> 000'OZ 8N/8n 6-Z£-£8 auaglgdeua3y OOLZ8MS A9 TS-d3/SkIVIS-sa IRE loAlwas E'£ T'b 09Z 8N/8n L-OZ-O££T saualAX 1e1o1 E'E E'£> OOL 2N/8n £-89-801 auanlol L'T L'T> 006'S EN/8n 9-90-86 auazuaglAing-lJal L'T Z 000'11 2N/8n 8-86-SET auazuagpting-aas CT L'T> OWN 8N/8n 9-L8-66 auanlollAdoidosl-d ET E'£> 8N/8n 9-Lt?-S6 aualAX-o L'T t+'Z 006'E SN/8n T-S9-EOT auezuaglAdwd-u L'T b'E 000'ZT ON/On 8-TS-VOT auazuaglAing-u L'T T'8 000'ZT 2)I/$n £-OZ-16 auale414deN Cl L'T> OE6 8N/8n b-10-17HT (3B1W)Ja413 IAln9-1 IA4144 E'E VD, 8N/8n T-EZ-1096LT aualAX-d?gw L'T CT> 00£'Z 2N/8n B-TS-86 auazuaglAdojdosl FE FE> O00'T bpn tr-TU-OOT auazuaglA413 £'E £'£> 09 8N/8n Z-E4-TL auazuag L'T L'S OOt?'S 2I/8n 8-L9-90T auazuaglA41awu1-S'£'T L'T ZZ 009,E 2I/en 9-£9-96 auazuaglA4lawljl-b'Z'T 309ZSMS Ag TS-d3/Suvis-sallleloA �6 % OIIOSlJd-XNHd PIPS luaDJad sal ue9jo ul/snoauel laasjyy 1M llnsaa 1!0 Ian j/seE)-IIoS IS-d3 sllun S`D 1N3WdO13A30 3Nyl:PI Pa(oJd 1!os Xplew 311SOdINOJ PI luallJ ZOTT-Str9(098) EZOZ/£/L a1e(l uolpallo:) Oy0901J'jalsa43ueyy LSL"O3 pi aldweS qe1 OLE Xo9'O'd aXidwnl aIPPIW lse3 LSS 3u) 'sa(aoleaogel(eival.uu0J(Au3 X(uaO4d PHOW MX` Environmental Laboratories, Inc. Wednesday, July 12, 2023 Attn: Mr. Bill Jacobsen Castlton Environmental Contractors P.O. Box 609 Nanuet, NY 10954 Project ID: LAKE DEVELOPMENT SDG ID: GC044787 Sample ID#s: C044787 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, A UL Phylll 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 PH110ENIT",ft. ""' 1NPDAn Environmental Laboratories, Inc. C. NY ���� x 587 East MUdle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference July 12, 2023 SDG I.D.: GCO44787 Project ID: LAKE DEVELOPMENT Client Id Lab Id Matrix COMPOSITE C044787 SOIL Page 2 o110 `ID �N ACCO-O PHOINNx � ,... .%x J , oti U � Environmental Laboratories, Inc. s 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)64&1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors July 12, 2023 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 07/03/23 12:30 Location Code: CASTLTON Received by: CID 07/06/23 18:15 Rush Request: Standard Analyzed by: see"By"below P.O.#. Laboratory Data SDG ID: GC044787 Phoenix ID: C044787 Project ID: LAKE DEVELOPMENT Client ID: COMPOSITE RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 92 % 07/06/23 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 07/11/23 H/F SW3546 Volatiles-STARSICP-51 1,2,4-Trimethylbenzene 22 1.7 ug/Kg 1 07/07/23 JLI SW8260C 1,3,5-Trimethylbenzene 5.7 1.7 ug/Kg - 1 07/07/23 JLI SW8260C Benzene ND 3.3 ug/Kg 1 07/07/23 JLI SW8260C Ethylbenzene ND 3.3 ug/Kg 1 07/07/23 Al SW8260C Isopropylbenzene ND 1.7 ug/Kg 1 07/07/23 JLI SW8260C m8p-Xylene 4.1 3.3 ug/Kg 1 07/07/23 Al SW8260C Methyl t-Butyl Ether(MTBE) ND 1.7 ug/Kg 1 07/07/23 Al SW8260C Naphthalene 8.1 1.7 ug/Kg 1 07/07/23 JLI SW8260C n-Butylbenzene 3.4 1.7 ug/Kg 1 07/07/23 JLI SW8260C n-Propylbenzene 2.4 1.7 ug/Kg 1 07/07/23 JLI SW8260C o-Xylene ND 3.3 ug/Kg 1 07/07/23 JLI SW8260C p-Isopropyltoluene ND 1.7 ug/Kg 1 07/07/23 JLI SW8260C sec-Butylbenzene 2.0 1.7 ug/Kg 1 07/07/23 JLI SW8260C tert-Butylbenzene ND 1.7 ug/Kg 1 07/07/23 JLI SW8260C Toluene ND 3.3 ug/Kg 1 07/07/23 JLI SW8260C Total Xylenes 4.1 3.3 ug/Kg 1 07/07/23 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 92 % 1 07/07/23 JLI 70-130% % Bromofluorobenzene 93 % 1 07/07/23 JLI 70-130% • Dibromofluoromethane 102 % 1 07/07/23 JLI 70-130% •Toluene-d8 91 % 1 07/07/23 JLI 70-130% Ver 1 Page 3 of 10 Project ID: LAKE DEVELOPMENT Phoenix I.D.: C044787 Client ID: COMPOSITE RU Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARSXP-51 Acenaphthene NO 250 ug/Kg 1 07/12123 RM SW82700 Acenaphthylene NO 250 ug/Kg 1 07/12/23 RM SW82700 Anthracene NO 250 ug/Kg 1 07/12/23 RM SW82700 Benz(a)anth race na NO 250 ug/Kg 1 07/12/23 RM SW82700 Benzo(a)pyrene NO 250 ug/Kg 1 07/12/23 RM SW8270D Benzo(b)fluoranthene NO 250 ug/Kg 1 07112/23 RM SW8270D Benzo(ghi)perylene NO 250 ug/Kg 1 07/12/23 RM SW8270D Benzo(k)fluoranthene NO 250 ug/Kg 1 07/12/23 RM SW8270D Chrysene NO 250 ug/Kg 1 07/12/23 RM SW8270D Dibenz(a,h)anthracene NO 250 ug/Kg 1 07/12/23 RM SW8270D Fluoranthene NO 250 ug/Kg 1 07/12/23 RM SW8270D Fluorene NO 250 ug/Kg 1 07/12/23 RM SW8270D Indeno(1,2,3-cd)pyrene NO 250 ug/Kg 1 07/12/23 RM SW8270D Naphthalene NO 250 ug/Kg 1 07/12/23 RM SW8270D Phenanthrene NO 250 ug/Kg 1 07/12/23 RM SW8270D Pyrene NO 250 ug/Kg 1 07/12/23 RM SW8270D CA/QC Surrogates %2-Fluorobiphenyl 73 % 1 07/12/23 RM 30-130% % Nitrobenzene-d5 75 % 1 07/12/23 RM 30-130% %Terphenyl-d14 74 % 1 07/12/23 RM 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. Vim' Phyllis hiller, Laboratory Director J u ly 12,2023 Reviewed and Released by: Anil Makol, Project Manager Page 4 of 10 OL l0 4 stied OE OEL OL 0'L ZOL LOL % 06 gp-auanlol% OS OEL OL O'£ 66 ZOL % SOL aueylewojonyowojglO% OE Oct OL 0'L 001 66 % 96 euazuagojonljowojg% Os OEL-OL 0'0 401, I.OI % E6 A)-I)u9zuaq0j0i43lp-Z'L% OE OCL OL TO SLL till 0-L ON auanlol OE M 01 TO ELL ELL 0'L ON auazuagyting-lial 0E OEL OL 8-L V L L Z L L 0'L ON ouazuaclIAIng-oas OE OEL OL 6'0 SLL tiLL O'L ON auanlollAdoidosl-d OE OEL-OL TO SOL LOL 0'Z ON oualAX-o OE OEL-OL 8'L 4L L Z L L O'L ON auezuagptdoJd-u OE OEL-OL TO SLL 9LL O'L ON auazuagl/gng-u OE OEL OL TO bLL SLL 0'9 ON au9le414deN OE 0E L OL 0'I. SOL VO L O'L ON (381W)Ja41a ILlnq-11L41ayy OE OEL OL TO 80L SOL O'Z ON aualAX-dgw OE OEL-OL 6'0 tiL L ELL 0'L ON auazuaglddadosl OE OEL-OL 6'0 OLL 60L 0'1. ON auezuecN 413 OE OEL-OL 8'L ZLL 01.1 0'L ON auezust3 of OEL-OL 0'0 01.1. Ol l 0'I. ON su9zuec11A41awul-q'E'L OE OEL-OL 0'O 80 L SOL 0'L ON euezueglA41ewu1-V'Z`L (Ianfl nno—jyIIoS - sa11}eIOA (LMtOO)608i7 00:ON eldweS 00 '(ftbn)LZZ999 401e8 0O/VO OE OEL-CE E'L 9L SL 8'£ LL 08 % L9 VLp-lAua4djal% 0E OEL-OE £'L 6L 08 Z'6 £L 08 % 69 Sp-auazuagcuuN% OE OE I.-Os £'L VL SL E'9 LL Z9 % V9 IAu940gaonl j-Z% Of OEL 0E O'S EOL 86 0'L 96 L6 0£Z ON auajAd of 04L Ob 9'L 96 68 L'L £6 176 OEZ ON 9u9 4lueu0gd OE Obl-Ob O'0 1.8 l8 VL 8L VS OEZ ON auale414deN OE Ovl-Ob L'E E8 08 0'0 68 68 OEZ ON auajAd(po-£'Z'L)ouapul OE 0171-09 Z'Z Z6 06 Z"£ £6 96 0£Z ON auajanij OE OVL-09 6 S SOL 66 Z'9 46 66 0£Z ON aueglueuonl j OE o4L 00 9'Z 6L LL 0'0 L8 L8 OEZ ON aueoeu4jue(4'e)zue910 OE OVL o4 £'Z 68 18 Z'Z V6 M OEZ ON auesN40 OE OVL-04 9'Z 91 9L Z'I. 48 98 0£Z ON aua4luejonD(N)ozu9g 0£ OVL 017 S'Z L8 6L L'L 68 Be OEZ ON aual,Uad(1g6)ozuag OE Ott o4 8'S 88 £8 L'L 68 06 OEZ ON aua4lueuonU(q)ozuag 0E 017L-04 9'S L6 98 0'L S6 96 0£Z ON auajAd(e)ozuag OE OVL OY £'Z L8 S8 0 0 06 06 O£Z ON aua3ej4lue(e)zu8g OE Obl 0 L'L 88 L8 L'£ 176 L6 OEZ ON aueoejgluy OE OVL-04 £'L 09 6L L'V 48 88 O£Z ON 9uejAgj4deueay of OEL-0£ Z'L Z8 L8 L'V V8 99 0£Z ON au84j4deuaay POS- OH oneway jeapnu 1od QIRLMO)9ZZ9600:ON eldweS 00'(BM/tin)M,989 4c1e>3 00M0 44-1 su,wll Oda % % Oda % % la muelg J818lueJed G&J 30a sw Osw sw sol Osol Sol Me L8LVV03J :•a'1 DOS e1ea 30/vo EZOZ 'ZL AInf ZO l l-SV9(098)'lei ljodaH 00/bID LOLL L#AN SVO9013 'Jalsa40uM'OLE x09*0*d 'axldwnl alppIW 1se3 L89 r > oul `saijojeaogeg IeIuawuoainu3 ;4,k� - �� X T WOHd QA/QC Data SDG I.D.: GCO44787 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: The Low Level MS/MSD are not reported for this batch. 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 AOL MS-Matrix Spike MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director INC-No Criteria July 1 , 2023 Intf- Interference Page 6 of f 0 \2 \ kD §§ �ƒ �/ o k 2§ � (f 2\ Q 77 ) � k\_ � 2\ 5c 9/ &E k cn ) 0 00. ]� @ ) § � kc $ me C 0 } 0 e 2 & � K is k W 2 $} : ) # @ 0 ■ 2\ k r 82 Iia web pg£ k0 _±ka III _# 22 \ / §/| - 04F \ G (D [ I §t2 k �£ & ( } § / 0 « w aft � ¥ G 74- ( 4 z z ) ) 0 2 ] §\ ; f e 2 0 2k E /k\4 ] ! � E � rffoE nd 6 . Environmental Laboratories, Inc. NY#11301 587 East Mlddle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments July 12, 2023 SDG I.D.: GCO44787 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 8 or 10 't � Q ,p ACCpAO PHOEVIX. -,. Environmental Laboratories, Inc. C s 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)6454823 NY Temperature Narration July 12,2023 3DG LD.: GCO44787 The samples in this delivery group were received at 2.1°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 9 0110 =m O Q °n K Fn cO A _ 4 a Z v 8i as � o � ni A eb S' v V) a cn mo $m 3 o 4 e u d s � z o0ca3 �''� ` � S a � � m C 10.0 -A 3 S c ,NWN, rn m - P o jil m m ❑ ❑ ❑ El DIEO , o 101 ❑o❑ ❑ ❑a❑❑o❑■ ID ti -J., eL � a _ � y • ��� 4^ EL b 4` i ACC?Ra CERTIFICATE OF LIABILITY INSURANCE DATE /08/2023 Y) 06/08/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jane Begreen NAME: Insurance Solutions&Services,Inc. �CONN Ex1: (732)738-6080 FAX Nu (732)738-6081 619 Amboy Avenue E-MAIL jbegreen@issi-nj.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Edison NJ 08837 INSURER A: Nautilus Insurance Company 17370 INSURED INSURER B Castlton Environmental Contractors LLC INSURER C: 48 Bi-State Plaza INSURER D: INSURER E Old Tappan NJ 07675 INSURER F COVERAGES CERTIFICATE NUMBER: CL2342806619 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUULJ5Ut5K POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx] OCCUR PREMISES fEa occurrence $ 300,000 MED EXP(Any one person) $ 20,000 A Y ECP204026510 05/01/2023 05/01/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/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 it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 �s/� ©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 la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured 845-624-1312 Castlton Environmental Contractors LLC 48 Bi-State Plaza lc.NYS Unemployment Insurance Employer Old Tappan,NJ 07675 Registration Number of Insured 4700419 ld.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically or Social Security Number limited to certain locations in New York State, i.e., a Wrap-Up 90-0154807 Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Great Divide Insurance Company Village of Rye Brook 3b.Policy Number of entity listed in boa"la" 398 King Street WCA1549026 Rye Brook,NY 10573 3c. Policy effective period 5/1/2023 to 5/l/2024 3d. The Proprietor,Partners or Executive Officers are ®included. (Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carver indicated above in box "Y' 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"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums 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: Insurance Solutions&Services,Inc. (Print name of authorized representative or licensed agent of insurance carrier) Approved by: —211, �r✓l �s.cs� 6/8/2023 (Signature) (Date) Title: Frank G.Jacobs,President Telephone Number of authorized representative or licensed agent of insurance carrier: (732)738-6080 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 Tara Orlando From: UDig NY Exactix<tickets@exactix.udigny.org> Sent: Wednesday,June 14,2023 6:43 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for:VIL RYE BROOK Taken: 06/14/2023 18:43 To:VIL RYE BROOK PRIMARY Transmitted:06/14/2023 18:43 00004 Ticket:06143-003-184-00 Type:Regular Previous Ticket: ------------------------------------------------------------------------------ State:NY County:WESTCHESTER Place:RYE BROOK Addr: From: 11 To: Name: OLD ORCHARD RD Cross:From: To: Name: Offset: ------------------------------------------------------------------------------ Locate:CURB TO ENTIRE PROP NearSt:WINDINGWOOD RD N&W RIDGE DR Means of Excavation:EXCAVATOR Blasting: N Site marked with white:N Boring/Directional Drilling.N Within 25ft of Edge of Road: U Work Type: SOIL REMEDIATION,SOIL,BUSHES,ROOTS Estimated Work Complete Date:07/04/2023 Depth of excavation:25 FEET Site dimensions: Start Date and Time: 06/20/2023 07:00 Must Start By:07/05/2023 ------------------------------------------------------------------------------ Contact Name: GEORGE PORTA Company: CASTLTON ENVIRONMENTAL CONTRACTORS Addrl:PO BOX 609 Addr2: City:NANUET State:NY Zip: 10954 Phone: 973-207-0931 Fax: Email:jjacobsen@castlton.com Field Contact: GREG SPADACCINI Alt Phone: 973-207-0931 Email:jjacobsen@casdton.com Working for:LAKE DEVELOPMENT ------------------------------------------------------------------------------ Comments:Lookup Type: PARCEL ------------------------------------------------------------------------------ Members:ALTICE USA CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1