DEP form declaring non-asbestos project, 92 Warren Street, Mar 2002

NYC 9/11 Public Portal Document

03/.?6/2002 13:45 2126737215 DONOHOE ENVIRONMENTA PAGE 13

FOR OFFICIAL USE ONLY

bFFlpji_ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION 1 Asbestos Control Program I+~r NYC Bumngs Dept. Application (r -17 Junction Boulevard, S Floor, Corona, NY 11368-5107 ACP5Fees 7YPEWRIITEN ARryTpLYOO ' NOT AN ASBESTOS PROJECT FORMS Will 1. w~...c^r e.~o v/_ %$..̀ BE ACCEPTED and three copies with original Whan submitting this corm at the NYC Department of Buildings, the original form signature and seal. COOP of the form with .ori 9innatura and seal are reg.uired. Submiltai at the NYCOEP requires one

2. Facility Address 29 -94 Warren Street^ _ _—_--- Borough Manhattan —._. Zlp 10007 _

3. Block 137 4. Lot 13 ., AKA — (Manger) _ ___—_... ~_ ______ , Tel, # 1212)2.4.3-6722 _ 5. Building Owner Buchbinder and Warren, LLG — __— State _Y Zip 10003 6. Address one Dnion S_guare West 7_ Contact Person Ms. Diane Madden 8, Tel. # (212)243-6722 __

9. Description of the Entire Scope of Work Renovation of 6 floors of open. loft. -------

10. Est. Start Date 12f1 ~? fl As soon as permit approved Est. Completion Date 12f 1f04 _—_ of the Entire Scope of Work.

11. 1, Timothy Donohoe_____ _~ , have conducted an asbestos investigation on 3!19/02 in accordance with nab Name d Certirred Asbestos Invao6getor — facility address. the Sections 1-16 and 1-27 of the NYC DEP Asbestos Control Program Rules and declare that at said 0 a. premise to be demolished is free of any asbestos containing material (ACM). 0 b. premise to be demolished contains 10 square feet or less or 25 linear feet or less of ACM. ❑ c. cumulative surfaces of structure(s) affected by the work are free of ACM. O d. cumulative surfaces of structure(s) affected by the work contain 10 square feet or less or 25 linear feet or less of ACM El e. normally non-friable ACM shall be disturbed/removed. Specify amount: 6,500 square feet O f. ACM will not be disturbed during the scope of worts. Specify amount of ACM present: ,_, square feet linear feet

All ACM specified in "b', "d", or "e" must be removed In accordance with they DE;P Asbestos Rules or NYS DOL ICR56.e- 12. RESULTS OF BUILDING SURVEY AND HAZARD ASSESSMENT: FLOOR DESCRIBE SECTION ALL MATERIALS NUMBER OF ASBESTOS c^jo'^e OF FLOOR ASSUMED TO CONTAIN ACM SAMPLES PRESENT ASSUMED old 'paw basemen (e.g. entire, cast wing, mom 0, boiler room, Lobby. etc.) AND/OR SAMPLED ANALYZED YES NO ACM Basemei None none 0 ✓ let Floor Entire Vinyl Floor tile 0 ✓ ✓ 2nd Floo Entire Vinyl Floor tile 0 V ✓ 3rd Floor Entire Vinyl Floor tile 0 ✓ ✓ 4th Floor Entire Vinyl Floor tile 0 ✓ ✓ 5th Floor Entire Dust 3 ✓ Roof Entire Roofing materials 0 ✓ ✓

13. Analytical Laboratory EMSL — —

14 ELAP # 11506 15. Aate(s) Samples Analyzed 3!24/02 oorr T7FlcAT 16. I he des the I rrnatlon provided herein Is true and complete. 879.2 3/26!02 212j60-9818 NYC D sro. abmo/+ Sipnafuro Oere icere NUmber Galls Dayfinle TBlepirone Number SEAL Any modification or deviation from Information provided on this form must be reported immediately in OF ThfE writing directly to the NYCDEP. The requiremenle of the Asbestos Control Program Rulea may not be NYC DEP lawfully avoided or lessened through the performance of work In incremental or piecemeal fashion. CERTIFIED ASBESTOS In-plerd operation, as defined In 5603.1 of ICR66, are hot f eft Mod In Now Vork Ctly. INVESTIGA ACPS 2/2001

NYC-WTC 000096414