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HomeMy WebLinkAboutMP18-192 t'U C4.°0�, V G 4 y t �V4 VuJw . 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 August 22,2023 Felicia Knox 23 Bayberry Lane Rye Brook,New York 10573 Re: 23 Bayberry Lane, Rye Brook,New York 10573 Parcel ID#: 129.84-2-12 As per the Certification letter from Hudson Valley Environmental&Construction dated August 17,2023, the removal of an underground oil tank and installation of a new underground oil tank under Mechanical Permit #18-192 issued on 12/17/2018 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to E BRnv� O Zm w � 198'2 BUILDING DEPARTMENT ❑ BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 O ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801 - - - - - - - - - - - --- - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - - ADDRESS: v ?' �►-_QC e=y DATE: l PERMIT# Ll— `� ISSUED. , 1� 1� SECT: 1 �l 1 BLOCK: LOT: \ Z LOCATION: r-71 OCCUPANCY: 2—t6 ❑ VIOLATION NOTED THE WORK Is... ❑ ACCEPTED ❑_ -REJECTED-fREINSPECTION ❑ SITE INSPECTION �C"XQ4L \___ REQUIRED 0 FOOTING 0 FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING (� 0 ROUGH FRAMING �2f�,�•J "-/ JCS t � � ^J ❑ INSULATION 3(-pcio ❑ NATURAL GAS O J S•�� S �G"1 S ��� '. ❑ L.P. GAS � , va ❑ FUEL TANK ❑ FIRE SPRINKLER U� S4 ❑ FINAL PLUMBING O FINALS`` ❑ OTHER C- 0� 40HVEC Hudson Valley Environmental & Construction 462 Lakeview Ave.Valhalla,NY 10595 1-877-811-HVEC Z 3 IL RCS i kror c zz -i�--y(,-a tz, 17yC-3�cK/nk1 l o��3 F Di AUG 2 1 2023 VILLAGE OF RYE BROOK ' BUILDING DEPARTMENT OHVEC Hudson Valley Environmental & (onstruction 462 Lakeview Ave.Valhalla,NY 10595 1-877-811-HVEC August 17,2023 Village of Rye Brook Building Department 938 King Street Rye Brook,NY 10573 Re:23 Bayberry Lane Rye Brook,NY 10573 Dear Inspector, On January 17,2019 Hudson Valley Environmental&Construction performed the removal of a 275-gallon underground oil tank and the installation of a new 300-gallon underground oil tank at 23 Bayberry Lane Rye Brook,NY 10573. Upon removal and inspection no holes were noted and soil contamination was not present.. Enclosed find all pertinent information for closure of permit. Thank you and please do not hesitate to contact me if you need any further information. Sincerely, Damien Coleman Hudson Valley Environmental&Construction DR 1EC� rO�IF R �'�' AUG 14 2023 1 D lJ1 PH �J�X �_..r�' VILLAGE OF RYE BROOK Environmental Laboratories. Inc. BUILDING DEPARTMENT Friday, January 25, 2019 Attn: Mr. Damien Coleman Hudson Valley Env. & Construction 462 Lakeview Ave Valhalla, NY 10595 Project ID: 23 BAYBERRY RD SDG ID: GCC33789 Sample ID#s: CC33789 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 have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext. 200. Sincerely yours, A0.1— Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration #63 ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 1 of 7 ��O �N ACCO, PHOENIX y � �F Q v � Environmental Laboratories, Inc. ` 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 25, 2019 SDG I.D.: GCC33789 Project ID: 23 BAYBERRY RD Client Id Lab Id Matrix I NT-01 CC33789 SOIL Page 2 of 7 PHOEUX* ,��� N ACC p9oAy o 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: Mr. Damien Coleman Hudson Valley Env. &Construction January 25, 2019 462 Lakeview Ave Valhalla, NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 01/17/19 13:00 Location Code: HVEC Received by: SW 01/24/19 15:57 Rush Request: Standard Analyzed by: see "By" below P.O.#: Laboratory Data SDG ID: GCC33789 Phoenix ID: CC33789 Project ID: 23 BAYBERRY RD Client ID: INT-01 RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 80 % 01/24/19 AK SW846-%Solid Extraction of TPH SM Completed 01/24/19 GG/VCK SW3545A TPH DRO (C10-C28) Diesel Range Organics(C10-C28) 300 62 mg/Kg 1 01/25/19 JRB SW8015D DRO QA/QC Surrogates % n-Pentacosane 79 % 1 01/25/19 JRB 50-150% 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: The TPH (C10-C28)is quantitated using an alkane standard. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data, please call Phoenix Client Services. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller, Laboratory Director January 25, 2019 Reviewed and Released by: Kathleen Cressia, QA/QC Officer Ver 1 Page 3 of 7 0 N fnCE N p c C D N Q N O U Q E N d O U N C — N x a� a� cc v c � �Y J U O a N � U N G N cQ � E o- E o z'o U 7 C O p� 7 p N O T m m G N O N IfYi � N N C N G O f4 C N N V O O V _0 O > —7! W 2 6 d = a_E . O u� � —C 0 U W m a M E� c x ++ 0 0 0 •/L� v Y Y N Q T d � d U— U c G c 2 02 R n m ac o m m o_ m E E E U O O O N G p O c (n a a (Q Q cc N x_ y C C E� E N N L N Y a m O T O C U fn m T O) a)O O T cn U N N � O cn N N CO Ny O N O .t.. can- 0 C U N O � Q m Z Z o o :3 (n n -a N N ii N m J N C 47 O O x 2.0 T _ N d O G y N U E Z p 0) m o ti cn a E a ,N ACCp60 PHOEVXL' "_ U � S 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 25, 2019 SDG I.D.: GCC33789 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 5 of 7 O �N ACC 0 qOA PHOENIXO,.5i y�� U Environmental Laboratories, Inc. ` NY#11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)64"823 NY Temperature Narration January 25,2019 SDG I.D.: GCC33789 The samples in this delivery group were received at 4.PC. 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CV «O)) IM :(0)► •,,,: .pZ.. �,1—.c :,�. 1 1 _ 1 1'i -11 11'_iiea<`.,Cc` 1) 11/111, 1 1 1 ap �gy - 1 1 gm �11,1/1�11'A'� t.E.''11'1111111�!r]i�y�� "�11/1/1'111 ,j yst���1111//�11� �g�I1�[ll(e'11/�//1�111 ��` RA� ♦♦ AN• /1� �� A�ft �.1• 140YA'10}r , 1�1�•�,`}8Ai9 ,: �11� is iA( ;f. ��i1 } AEIC t" �♦ i 8A fl I•. S•v .� SIF ,i �► S 1�3n I► tilt y�.t t, i r� z•1 �� r '�trvnty�'+ t ,1ti If ' •L,,,,ta (���__ �D �'•ft1{• '•S51��1 � �_J,..vl '�'E.9V ACOR" CERTIFICATE OF LIABILITY INSURANCE DA11/6/zo e 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 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 NAME: Marla Plasencia Strategic Insurance Partners PHICONN (973)798-0941 ExtlAIC No: t973I 798-0961 492 Franklin Avenue E-MAIL ADDRESS: p lasencia@si risk.com INSURERIS) AFFORDING COVERAGE NAIC# Nutley NJ 07110 INSURERA:Great Divide Insurance Co. 25224 INSURED INSURER B:Harleysville Insurance CO 23582 Hudson Valley Environmental 6 Construction Corp INSURER C: 462 Lakeview Avenue INSURER D: INSURER E: Valhalla NY 10595 INSURERF: COVERAGES CERTIFICATE NUMBER:Cert 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/DDIYYVY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence S X Deductible $5,000 ECP200195216 4/1/2018 4/1/2019 MED EXP(Any one person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECOT- LOC PRODUCTS-COMP/OP AGO S 2,000,000 OTHER Contractors Pollutton S 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) S B ALL OWNED SCHEDULED AUTOS AUTOS BA 00000052518V 3/20/2018 3/20/2019 BODILY INJURY(Per accident) 5 NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LAB CLAIMS-MADE AGGREGATE S DED I I RETENTION S S WORKERS COMPENSATION PERT OTH- AND EMPLOYERS'LIABILITY Y/N STUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 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) Coverages are subject to Terms, Conditions and Exclusions on the policy(s) . The following entity/ies are included as Additional Insured on the General Liability policy with respect to the scheduled operations of our named insured, per form #ECP1004 08/16 (available upon request) when required by written contract: Village of Rye Brook. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 19573 AUTHORIZED REPRESENTATIVE Mark Grossbard/MPL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 2� 40o E New York State Insurance Fund Workers'Compensation & Disability Benefits Specialists Since 1914 WESTCHESTER ONE.44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS, NY 1 0601-44 1 1 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) �. M#6Tr A A A A A A 271014843 r' + HUDSON VALLEY ENVIRONMENTAL &CONSTRUCTION CORP Day 462 LAKEVIEW AVE VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER HUDSON VALLEY ENVIRONMENTAL VILLAGE OF RYE BROOK &CONSTRUCTION CORP 938 KING STREET 462 LAKEVIEW AVE RYE BROOK NY 10573 VALHALLA NY 10595 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2416 777-7 558712 04/05/2018 TO 04/05/2019 12/12/2018 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2416 777-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP,THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:684748379 U-26.3