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HomeMy WebLinkAboutMP25-101 t� 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.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 29,2025 Anders Papritz&Paula Papritz 227 Tree Top Crescent Rye Brook,New York 10573 Re: 227 Tree Top Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-55 As per the Certification letter from Innov8tive Environmental Services Inc. dated July 21,2025, the removal of an underground oil tank under Mechanical Permit #25-101 issued on 7/1/2025 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�k, O� tim • 1982 BUILDING DEPARTMENT VAs rILD1NG INSPECTOR sISI'AN'I'BUILDING INSPECTOR VILLAGE OT RYE BROOK ❑CODE ENFORCEMENT ODUICER 938 King Street . Rye Brook, NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 2 2 7 1 rer- Op . DATE: -) - 2! - ZO&S- PERMIT# I• , 10 ` ISSUED: SECT: /29 7G BLOCK: I LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 n ❑ Natural Gas foo ❑ L.P. Gas ,8- FUEL TANK ❑ FIRE SPRINKLER W e- CRC'_ e- -Ae ❑ FINAL PLUMBING �_ r • ❑ CROSS CONNECTION 2,0 ❑ FINAL pn �+ ,1 ❑ OTHER M L) V t,L W M P U, CL �• f'V 1989'. 'BUILD'tN'G .'I)'E.-I-)A.It'r'MENT ❑PRIMING INSPItc-ro.m VtLlL,.A.GV 0F .'RY)F, BitoOK CI"MMi P'NPORCEMUNT OFFICER 938 KING;S'AlUKET * .'Ryli BROOK,NY 10573 (914) 939-0668]SAX (914)939-5801 -wwwj-ysAw(to,k om - -- - -- - - - - - - -- - - - - - - INSPECTIONS REPORT - - - - - - - - - - -- - - - - - - - - ZS -12,--�- .BLOCIC: LOT: me : OCCUPANCY:UPANCY: ❑ 11 VIOI-Al'JON NO-rim U.11 wolui-is... AciarrmLILCrlD/RE INSPECTION S11%INSPECYVION RLQVIRED 1:1 VOO'YING 13 't"00-YING DRAINAGE 11 UOUNDATIOTq 13 UNDIRUGRou-NI) 'N(')'.*I'].,'.S(IN INSPECTION: 0 Roma.) p1jimitim. 0 R01741'"FRAMING El IN-%wTT,.A!j-j.oN 0 NArtjjR-A..T. Vf-d 3 OQ 0 LR (IMS I'I a citoss Xe FMAJ, e _ _ 4 1 arc -R i 4 � � ��_- ,;f`,�.:f,b •Bey` �'� ���,,,�. 1 ' 1 y.: p' 1 r L s m a O w _ Ln N p ' O N c7 n wo Ln tr� � a� �/ C W 0 3 y . v 7 (4 bA o F � v °° Gt. o •1 W � 3 � ' W 0 4 L.J W U Ga P, ti a �" ■ V Zo o v �° O o Q � a�i � a�i U V Z IdLZ 0.4 ' V A PLO 400 ° cr cd �I:R v 0 a o v E \ U U2 W w O O OFLin N A a W d oa a U _ BUILll1NG DEPARTMENT VIL R6E OF RYE BROOK 938 KING i-REET RYE BR00x,NY 10573 JuN 302025 (914)939-0668 VILLAGE OF RYE BROOK y:rvebrook.or( BUILDING DEPARTMENT ��;,- Application for Permit to Remove or Abandon Fuel Storage Tank (*Storage Tanks in excess of I,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: Approval Date: jut2 Permit Fee: $ 'mob Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS REF,\' ISSi lED BY THE. BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR( ()MP ETED WITHOUT A PERMIT Is 12%OF THE'TOTAL COST OF CONSTRUCTION WITH AM I\111 l Ni FEE OF S750.00 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 or Abandonment$185.00 per Tank. 5. Dig Safely New York# (dial 811):_ ( ZqS —(`L^b �( 6. Inspection by Building Department for removal or abandonment. 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 pen-nit to remove or abandon 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 or abandoned in conformance with all applicable Village,County,State&Federal laws,codes, rules and regulations. Indicate Permit Type: Removal•Abandonment( )/Above Ground( )• Buried in Ground I. Address: 227 Treetop Crescent SBL: 129.76-1-55 Zone: U� 2. Property Owner&Address: Paula and Anders Papritz Phone#: 914-565-9753 Cell #: email: anders.t-papritz@gmail.com 3. Contractor&Address: Innov8tive Environmental Services 392 Columbus Ave Valhalla, NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 4. Applicant: Innov8tive Environmental Services 392 Columbus Ave Valhalla, NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 5. Indicate Fuel Type:Fuel Oil( )•L.P.Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: Removal of(1) 300 Gal Underground Storage Tank 7. Exact Location(s)of each Tank: From the rear of the property t 2/21/2024 ST TF OF NFW YO ,COT TNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above Warned, (print name of individual signing as the a plicant) and-further tates dipt(s)he is the legal owner of the property towhich this application pertains,or that(s)he is the r�(� fb 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 t before me this Sworn to before me this day of ,20 _ da of >2070 - Signature of Property Owner Signature of Applicant Anders Papritz Donald of :0tar4o"traiMEVIN t t me of Property Owner t Name of Applicant NORINE MBYIIR LNo Public,Stets of N&btaky ublic Notary Public,State of New YorkG ic.No.01 ME61308M Lic.No.01 ME6130833 fied in Westchester CouQualified in Westchester County, ssion E*rss JuN 25,2() Commission Expires July 25,20 - is app ica ton mustl5e properly completed in its entirety and must include 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. 2 2/21/2024 � 1 C� I i / S Ia 1 O Y 7 I O O �\\ F m C� N � N O i V O y Q C. co Nk- N � c • N 1 � JJ N Qj CD c v v3 ' v c c c y Ln m o > Q 0 � i v E z O> U -C — C � _ M > 6 INNOVt TIVE ENVIRONMENTAL SERVICES INC . July 21, 2025 Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 D �� I� ��/1 DD RE: Andres Papritz JUL 2 8 2025 227 Treetop Cres Rye Brook NY MP-25-101/MP-25-103 VILLAGE OF RYE BROOK BUILDING DEPARTMENT To Whom It May Concern, This letter is regarding the work performed at 227 Treetop Cres, Rye Brook. Innov8tive Environmental Services(IES)was contracted by Andres Papritz to remove a 300 Gal Underground Storage Tank(UST)from the rear of the property and install (1) 275 (AST)on the rear left side of property. IES removed the tank on July 17, 2025. IES pumped 23 gallons of waste oil and sludge out of the tank.A liquid waste manifest is attached for your viewing.The UST was then cut and cleaned in accordance with DEC regulations.The tank was found to be free of any breaches or contaminants. 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, NY. A scrap tank ticket is attached for your viewing. At this time, IES is requesting closure of permit#MP-25-101/MP 25-103. Please advise if any additional information is required. Thank you, Donnie Feeney Innov8tive Environmental Services Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla NY 10595 serviced—innov8enviro.com 1 (914) 449-6608 www.innov8enviro.com EC ENE Jul 2 8 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT PAYMENT RECEIPT Brookfield Resource Management 100 Lamont Street Elmsford, NY 10523 914-592-5250 Receipt:1935639 Date:7/17/2025 Customer:69802 Time:3 59 45 AM INNOVATIVE ENVIRONMENT AL 392 COLUMBUS AVE VALHALLA, NY 10595 ID Number Ticket:2002244 Weigh In:7/17/2025 3:4931 AM Operator:Rotny C Weigh Out:7/17/2025 3.t)9.4:)AM Commodity Gross Tare Net Price TOTAL$ Tanks 14 540 12 400 2.140 22300/CW 47 72 Ticket Total: 47.72 No.of Tickets:1 EZCash Paid: S48.00 Payment Melhod:EZCasi1 Round Amt: $0 28 Total Paid: $48. For current pricing,hours and contact information check us out on the web @brookfieldeciap.com Join Brookfield Scrap on Facebook @webuyscrap NON-HAZARDOUS WASTE MANIFE V Please rent or type (Form designed for use on elite(12 pitch)typewriter) T) IE C [E � IE Rn NON-HAZARDOUS 1.Generator's US EPA ID No. A-inbs l �] lul '" WASTE MANIFEST Uj 3.Generator's Name and Mailing Address ZZ rill 1 8 RE OF RYE BReeK 4.Generator's Phone BUILDING DEPARTMENT 5 Transporter 1 Company Name US EPA ID Num ber A.Slate Transporter's ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 B Transporter 1 Phone 914-449-6608 7.Transporter 2 Company Name US EPA ID Nummer C.Slate Transporter ID D.Transporter 2 Phone 9,Designated Facility Name and Site Address 1p US EPA ID Number E.Slate Facility s ID Clean Water of New York N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F Facility's Phone Staten Island, NY 718-981-4600 11.WASTE DESCRIPTION 12. Containers 13. 14, Total Unit No Type Quantity WLNol a. Non RCRA, Non DOT liquid (Oily Water) T T 2-3 Gallon G E N E R A T O W R QAdditional Descriptions for Materials Listed Above H Handling Codes for Wastes Listed Above N M A� 5 Special Handling Instructions and Additional Information Z Z 1e,GENERATOR:fS CERTIFICATION:I hereby certify that the contents of this shipment are fitllyy and accurately described and are in all respects in proper condition for transport The materials described on this manifest are not subject to lederal hazardous waste regulations Date Typed Nama. .ri1g11ghlre Month Day year 1 / zb�LL T Y ransparler 1 Acknowledgement of Receipt Matan Is Dale R A f'nniedlTyped Name SlgnaWre Month Day Y.",N S Qlit Transporter 2 Acknowledgement of Receipt of Malunali. Onto TPonted/Typed Name Signature Month Day Year E R 19.Discrepancy Indication Space F A C 20 Facility Owner or Operator.Certiticalion of receipt of the waste malonala covered by this nuinlfesi.excepFris noted in item 19 L Date T I'mntad/Typed Name Signslurs Month Day year Y Copyright 0 2006.ShlpMate.Inc 40.All Rights Rewrved (310)370.30M www.shipmete con, PHOENIT��: . I nvirua rental laboratories. Inc. Friday, July 25, 2025 Attn: Donnie Feeney Innov8tive Environmental Services JUL 2 8 2025 392 Columbus Ave Valhalla NY 10595 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Project ID: 227 TREETOP CRESENT SDG ID: GCT81409 Sample ID#s: CT81409 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. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, UL 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 Page 1 of 10 Q\��0 \N ACCOHpq� r PHOEVIX!"�'�' e Environmental Laboratories, Inc. ` F 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 July 25, 2025 SDG I.D.: GCT81409 Project ID: 227 TREETOP CRESENT Client Id _ Lab Id Matrix Col Date ITANK BOTTOM I CT81409 i SOIL 07/17/25 14:30 R [Ec [E �Y[E JUL 2 8 2125 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Page 2 of 10 D EC OVE 0 �N ACCO 0 5 PHOENIX `. � o•��' � 4y� JUL 2 8 202 P U VILLAGE OF RYE BROOK Environmental Laboratories, Inc. i BUILDING DEPARTMENT 7 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Analysis Report FOR: Attn: Donnie Feeney Innov8tive Environmental Services July 25, 2025 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 07/17/25 14:30 Location Code: INNOVAT Received by: B 07/21/25 18:00 Rush Request: 5 Day Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GCT81409 Phoenix ID: CT81409 Project ID: 227 TREETOP CRESENT Client ID: TANK BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 86 % 07/21/25 CV SW846-%Solid Soil Extraction for SVGA PAH Completed 07/24/25 DS/DS SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D Benzene ND 1.3 ug/Kg 1 07/22/25 Al SW8260D Ethylbenzene ND 1.3 ug/Kg 1 07/22/25 Al SW8260D I sop ropy lbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D m&p-Xylene ND 1.3 ug/Kg 1 07/22/25 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D Naphthalene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D n-Butylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D n-Propylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D o-Xylene ND 1.3 ug/Kg 1 07/22/25 JLI SW8260D p-Isopropyltoluene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D sec-Butylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D tert-Butylbenzene ND 0.63 ug/Kg 1 07/22/25 JLI SW8260D Toluene ND 1.3 ug/Kg 1 07/22/25 JLI SW8260D Total Xylenes ND 1.3 ug/Kg 1 07/22/25 JLI SW8260D QA/QC Surrogates % 1,2-Dichlorobenzene-d4 95 % 1 07/22/25 JLI 70- 130% %Bromofluorobenzene 98 % 1 07/22/25 JLI 70-130% %Dibromofluoromethane 114 % 1 07/22/25 JLI 70-130% %Toluene-d8 97 % 1 07/22/25 JLI 70-130% Ver 1 Page 3 of 10 Project ID: 227 TREETOP CRESENT Phoenix I.D.: CT81409 Client ID: TANK BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivolatiles-STARS/CP-51 Acenaphthene ND 260 ug/Kg 1 07/24/25 MR SW8270E Acenaphthylene ND 260 ug/Kg 1 07/24/25 MR SW8270E Anthracene ND 260 ug/Kg 1 07/24/25 MR SW8270E Benz(a)anthracene ND 260 ug/Kg 1 07/24/25 MR SW8270E Benzo(a)pyrene ND 260 ug/Kg 1 07/24/25 MR SW8270E Benzo(b)fluoranthene ND 260 ug/Kg 1 07/24/25 MR SW8270E Benzo(ghi)perylene ND 260 ug/Kg 1 07/24/25 MR SW8270E Benzo(k)fluoranthene ND 260 ug/Kg 1 07/24/25 MR SW8270E Chrysene ND 260 ug/Kg 1 07/24/25 MR SW8270E Dibenz(a,h)anthracene ND 260 ug/Kg 1 07/24/25 MR SW8270E Fluoranthene ND 260 ug/Kg 1 07/24/25 MR SW8270E Fluorene ND 260 ug/Kg 1 07/24/25 MR SW8270E Indeno(1,2,3-cd)pyrene ND 260 ug/Kg 1 07/24/25 MR SW8270E Naphthalene ND 260 ug/Kg 1 07/24/25 MR SW8270E Phenanthrene ND 260 ug/Kg 1 07/24/25 MR SW8270E Pyrene ND 260 ug/Kg 1 07/24/25 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 76 % 1 07/24/25 MR 30-130% %Nitrobenzene-d5 73 % 1 07/24/25 MR 30-130% %Terphenyl-d14 85 % 1 07/24/25 MR 30-130% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RL/PQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a %)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: 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 Is* July 25, 2025 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 4 of 10 011o 4 eBed OZ OEL-OL 07 EOL LOL 0'L 170L EOL % 96 8p-auenlol% Oz act-OL 9'V 90L LLL 0'0 SOL SOL % VLL 9ue4L9wojonUowojgla% OZ OEL-OL O'L 86 66 0'L ZOL LOL % 86 9uazu9gojon4owojg% Oz Mt-OL 0'L ZOL Cot 0'0 ZOL ZOL % 96 bp-eu9zu9gaol4olp-Z'L% OZ OEL-OL 0.0 £OL EOL 8T 80L VOL O L 4N auenlol OZ OEL-OL £'b 06 06 Z'E 96 Z6 0'L (IN 9u9zu9gIAjn8-u9i OZ OEL OL L'V 178 88 Z,Z £6 L6 0,L (IN auazuagIAjng-oas OZ OEL OL O's 8L Z8 L Z L6 96 0,L ON auanloijAdadosl-d OZ OEL-OL L'Z 176 96 0'E LOL 86 0'Z 4N auaIAX-0 Oz OEL-OL s's 68 176 L,Z L6 96 01 (IN auezuaglAdwd-u OZ OEL-OL 6'E 9L 8L Z'Z V6 Z6 O*L 4N auazuagIAjng-u 0z M OL 0'0 9L 9L 6"L LO L 90 L O's 4N auale4L4deN OZ OCL OL TO s L L s L L 8,L L L L 60 L 0,L (IN (3131W)ja4la IA1nq-L IA419Vy 0z Oct-OL 9'V 98 68 L"Z L6 96 O Z (IN auaIAX{Jgw OZ ML-OL E-b Z6 96 L'Z L6 96 0'L (IN auezuaglAdadosl OZ OEL OL s's 68 176 L Z 86 96 O L ON auezuagIA413 OZ OEL OL O'L LOL ZOL 67 VOL LOL 0,L (IN auazuag OZ 0£L-OL L'£ 6L Z8 Z,Z Z6 06 0,L 4N 9u9zu9gIAgL9wul-s'£'L OZ OEL-OL 617 6L E8 ZZ E6 L6 0'L (IN 9u9zu9glA4L9wu1-V'Z'L 19na-1 Mot ips - sapejon (60VL810) L5170810:ON aldweS 00'(6)I/6n)LV8V6L 4oleg 00/t/0 of OEL-OE 8.6 98 8L L,9 6L 178 % Z8 VLp-IAua4cL91% o£ OEL-OE 0'9 69 99 TO V9 179 % 89 GP-auazu0g0J!N% OE OEL-oE 8'6 9L 89 E'V ZL 69 % £L lAuagdlgaonl3-Z% of OCL-OE 9,ZL £6 Z8 L'V E8 L8 OEZ ON 9u9jAd OE 04L-ov s'L L Z6 Z8 T£ V8 L8 0£Z (IN 9uaJ41ueua4d of OK-OV LVL EL £9 0T L9 99 OEZ 4N au9legj4deN OE 017L-Ov 6'6 96 98 9,17 L8 L6 0£Z (IN 9u9jAd(p3-E'Z'L)ou9pul OE ovL ov V9L V6 08 Z,L 98 V8 OEZ (IN auajon13 0£ OVL ov V'L L £6 E8 L'V 178 88 0£Z (IN 9u94luejon13 OE oVL-0v 6'L L 86 L8 E17 06 V6 0£Z (IN au93ej4Lue(4'e)zu9gld of OVL-oV £'6 06 Z8 Z,L 98 98 0£Z ON auesti40 o£ OK-Ov Z'ZL L8 LL L'9 08 98 OEZ (IN aua4luejonO(j)ozuag 0E OVL-Ov s'l L Z6 Z8 5E 98 88 OEz (IN 9u9ltiad(l46)ozu9g OE OVL-OV TO 06 L8 Z,L 178 98 0£Z (IN aua4LuejonO(q)ozu9g OE OVL-01? 9'L L L6 L8 s'E 178 L8 0£z ON 9u9jAd(e)ozu9g of OK-OV 6'ZL L6 08 9'£ E8 98 OEZ (IN oua3ej4Lue(e)zuag OE OK-Ov s l L Z6 Z8 Z'L s8 98 0£Z (IN aua3ej4Luy of OK-Ov 914 VL 179 OT 89 99 0£Z 4N 9u9IA414deu9oy OE OEL-0E Z-VL £8 ZL L'Z 9L VL 0£Z 4N 9ua414deu93y HOS - 3H o!lewojy jealonu Iod (60VL810) L9V0810:ON aldweS 00'(6N/6n)8L6176L Pleg 00/t/0 sllwll sPwIl Od8 % % adH % % la mUelg JalaweJed add oau SW 4SVy SW Sol (]Sol Sol NIB 60K8100 a'I J4S elect M/vo SZOZ `5Z AInf ZOLL-sv9(098) IaI voided :DC)/VC) LO£L L #AN 9V09010'�aisa4oueVy 'OLE x0g O d 'aM!dwnl alpp!Vy 1se3 L s 1N3Wludd3a JNlailfl8 n out `saiaojeaoge-j Ie}uawuoalnu3 MOONS BA J �O 3J`d"M � a XIAdOHd t �nr j sm QA/QC Data SDG I.D.: GCT81409 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%. 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 NC - No Criteria Phy1, 2025 iller, Laboratory Director July Intf - Interference (ISO) - Isotope Dilution JUL 2 8 2125 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT Page 6 of 10 0 0 a� T!' C Q (O'N N 0 a - Q E D 2025 U X O CU- VILLAGE OF RYE BROOK BUILDING DEPARTMENT U O J � � U N C m m 7 Q� � O O N � N O N � T O/.� m CL c m ^, O N �✓ 0 U N p C LL m c N c o W N to V m 0 Q p c 'a 0 O o G) Z n E d Z o W a p CD aci 0 L c U � m x Q)o L U U UX ^, _N W L< a N E � U C� C c (� m m cnC m v' O O U - m a)6CLU o m o n— Y n n m E o E p U T N � ID L N'c N C On 5 c'm O `n � n Q m m a� c E-o E L U L N d mw� 0 p U O �nmT N (n O U N d a d O Q O U O u O N lA } r Q m N `� N Z Z O 0 7 n n ti' 7 @ N J N C m Z 0 x o m T = U) n O c N N a c� E Z o.0 a) m o ti in d E n ACC000 I ' PHOEVIT\`��'IR Environmental Laboratories, Inc. nela. .C' ' 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments July 25, 2025 SDG I.D.: GCT81409 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. D IE C [E O M F 3D JUL 2 8 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Page 8 of 10 \JA ACCp O4 PHOEVIX .-$h v 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 NY Temperature Narration July 25,2025 SDG I.D.: GCT81409 The samples in this delivery group were received at I.M. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) DD JUL 2 8 2125 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Page 9 of 10 6ZOZJl A98 111-13d O ° £ t4 Y y z z 5 +, � C C y E U E C O� — = v b a --► /s l/� 1p )d U m a. 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Lr i J Y r. :qy '•f .Ilf* /11 � 11' "ffl �1�/ /'f r 11:,1. i' ���/ 'i , AC"Ra CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/YYYV) �i 2'1912025 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 NAME EVlta Grande Mt Pleasant Capacity PHONE FAX P O Box 1689 1A.C.No. Etai) 9142057682 t :914-205-7682 EMAIL Pearl River NY 10965 ADDREss. Evita.Grande__Qmtpcap com INSURE •AFFORDING COVF RAGE _ NAIC• - INSURER A Century SUfeJJ�Company _ _ 36951 INSURED INSURER B.Sele ive Way Insurance Co any 26301 Innov8tive Environmental Services Inc. -- — - 392 Columbus Ave INSURERC: Valhalla NY 10595 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:284037213 REVISION NUMBER: HIS IS TO CERTIFY THAT IHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR AWL TYPE OF INSURANCE POLICY EFF POLICY EXP - LTR POLICY NUMBER DIYYYYI LB/MS A X COMMERCIAL GENERAL LIABILITY CCP1289339 2/14rA26 I 2114rJ= MaCg _ EACH OCCURRENCE $1.000.000 CLAIMS-MADE �X_ OCCUR PREMISES Occu"On $100,000 _. MED EXP(Any one parson) $5.000 PERSONAL A AOV INJURY $1.000.000 GENL AGGREGATE LIMIT APPLIES PER. GENERK AGGREGATE $3.000.000 X POLICY❑JE T u LOC PRODUCTS-COMPlOPAGG 53.000.000 OTHER B AUTOMOBILE LIABILn-V S264364200 1/15/2025 1'15/2026 COMBINED SINGLE LIMITS 1.000.000 -- Ea awwnt1 -- '------ - ANY AUl O BODILY INJURY(Pw parson) S OWNED -SCHEDULED X - BODILY INJURY(Par atxtden0l S I AUTOS ONLY _�AUTOS X HIRED ~X NON-OWNED I PROPERTY E DAMA AUTOS ONLY I AUTOS ONLY _iPer dm aerniI 5 X UkUMI LA LIAB ! X_ OCCUR CCP1269340 2/14/2025 2/14/2026 EACH OCCURRENCE _54 000 000 EXCESS LIAR CLAIMS-MADE a AGGREGATE 54 000 000 r--- DED RETENTION S WORKERS COMPENSATION SIR E ER- AND EMPLOYE RS'LIABILITY YIN _ __-- ANY11111111I110R:PAR TNERIEXECUTIVE ❑ E.L.EACH ACCIDENT S OFFICER MEMBEREXCLUDED? NIA' -(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S II Yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S I. P-Aubor.Ltabdny CCP1289339 2114f2025 2/14/2026 Each claim 2 000 000 P•ofessional ab,lity Aggregate 2 000 000 L,md 1 OOO 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached it more spats is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE L r^�C I eUOrra 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance F-10 PO Box 66699,Albany NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 ^^ ^ ^ ^ ^ 824703808 MT PLEASANT CAPACITY AGENCY 1 BLUE HILL PLAZA STE 1689 ` F PEARL RIVER NY 10965 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 VV2455 047-7 51245 10/02/2024 TO 10/02/2025 10/2/2024 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, AND. WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION PRESIDENT DONALD FEENEY VICE PRESIDENT FRANK MORACO INNOVBTIVE ENVIRONMENTAL SERVICES 20F2 THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT PRIOR TO THE DATE OF THE ACCIDENT THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED 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 SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER 676702696 U-26.3 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, July 8, 2025 2:10 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 07/08/2025 14:09 To: VIL RYE BROOK PRIMARY Transmitted: 07/08/2025 14:09 00001 Ticket: 07085-002-099-00 Type: Regular Previous Ticket: 06245-000-956-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 227 To: Name: TREETOP CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: TREE TOP CRES 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: 07/11/2025 Depth of excavation: Site dimensions: Start Date and Time: 07/11/2025 07:00 Must Start By: 07/25/2025 ------------------------------------------------------------------------------ Contact Name: NORINE MEYER Company: INNOVBTIVE 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 Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday,June 24, 2025 10:50 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/24/2025 10:49 To: VIL RYE BROOK PRIMARY Transmitted: 06/24/2025 10:49 00002 Ticket: 06245-000-956-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 227 To: Name: TREETOP CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: TREE TOP CRES 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: 06/27/2025 Depth of excavation: Site dimensions= Start Date and Time: 06/27/2025 07:00 Must Start By: 07/14/2025 ------------------------------------------------------------------------------ Contact Name: NORINE MEYER Company: INNOVBTIVE ENVIRONMENTAL SERVICES Addr1= 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: NORINE MEYER Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK i