NYC 9/11 Public Portal Document
n NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
-1 ? Asbestos Control Program
59-17 Junction Boulevard. 8'" Floor, Corona, NY 11368-5107
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Building Dept or No
FOR OFFICUU. USE ONLY
ASBESTOS PROJECT NOTIFICATION
TYPS RI1T BE I
F $ (ASBESTOS INSPECTION REPORT) 1, Exempt
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ACCEPTED (See fee schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
1. FACILITY
2. Address 114 Liberty Street Borough Manhattan Zip 10006
AKA 3. Block 52 4. Lot 7502
5. Type of Facility Condominium 6. Name of Building 114 Liberty Street
II. BUILDING OWNER
7. Name Liberty, LLC do Epic, LLC 8. Contact Person Ms. Denise Sweeney
9. Tel. # (212) 633-6500 Fax # (212) 727-8969
10. Address 12 East 44th Street City New York: State NY Zip 10017
Ill. GENERAL CONTRACTOR
11. Name Not Applicable • TeL #
IV. ASBESTOS ABATEMENT CONTRACTOR •
12. Name ETS Contracting, Inc. 13. Contact Person Mr. Robert Middleton
P 11._._._._._._._.~ 15. Tel. # (718) 706-6300
14. Federal EmptoYer ID. # 5_._._._._..._._._._._._
- Fax #' (718) 706-1032
16. Address 160 Clay Street City Brooklyn State NY ::Zip A 1222
V.THIRD PARTY AIR MONITOR
17. Name JLC Environmental Consultants, Inc. 18. Contact Person Ms. Jeniffer Carey
19. Federal Employer ID. # _._._._._._._._. . ._._._._._._._. 20. Tel. # (212) 420-81.19 Fax # (212) 420-6091..`
21. Address 200 Park Avenue South City New York State NY Zip 10003
22. Sample Analysis Laboratory JLC Environmental Consultants, Inc. 23. NYS DOH ELAP # 11029
VI. PROJECT INFORMATION
24. Starting date for this portion of work 3/7/03 Projected completion date 4/30103
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday 0 Sunday
Shift from: 8:00 0 am ❑ pm to 5:00 © am 0 pm
If other,
specify
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F~Y~
Access to inspect the premises must be provided during the work schedule indicated in this item. rcG
25. Total amount of asbestos-containing material to be abated during this work
72,000 Square Feet, and/or 0 Linear Feet
ACF 7
2/2001
NYC-WTC 000102571
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