Permit application for roof work, 182 Broadway, August 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY Asbestos Control Program Fee (If any) $ 59-17 Junction Boulevard, B°i Floor, Corona, NY 11368-5107 ONLY Jul►-,- AmeAdment S-~C~' (~ FORMSRW/LLBE ASBESTOS PROJECT AMENDMENT FORM ~0 ACCEPTED Information Onty: ❑ Yes ❑ No _________

FOR FORM ACP 7 A modification Is valid only lift is received by the NYCDEP prior to the previously fled date of Completion, except for start date changes that must be received by the original start date.

ACP7TRUBN#/LOjItjAJ Facility Address I82 820fDtCAY /2 JCIf N ST Borough MN 7Jp IDO3 t3 Date ACP7 was filed Variance # (If any)

Was this ACP7 amended before? ❑ Yes ® No If yes, specify date Original Start Date Original Completion Date from ACP 7, #24. PLEASE ENTER THE INFORMATION THAT IS BEING HANGED: A notification may be modified no more than twice. Only the building owner may amend Items IV and V. IV. ASBESTOS ABATEMENT CONTRACTOR The original applicant or building owner may amend all other Items.

12. Name 13. Contact Person 14. Federal Employer ID. # 15. Tel. # Fax # 16. Address City Zrp Q V. THIRD PARTY AIR MONITOR

17. Name 18. Contact, r 19. Federal Employer ID. # 20. Tel. # Fax 21. Address City .rr o

22. Sample Analysis Laboratory 23. NYCDO VI. PROJECT INFORMATION - — ❑ Project Cancelled 24. Starting date for this portion of worts Projected completion date ❑ Project Postponed Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday 0 Saturday ❑ Sunday Shift from: ❑ am ❑ pm to ❑ am ❑ pm If other, specify

25. Additional asbestos-containing material to be disturbed during this work E67C Square Feet, and/or ' Linear Feet Reduction ip„the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment 0 Glovebag ❑ Tent 0 DEP Variance Application Other Changes

30. Locations of abatement modified by above (For each floor list ACM quantity and type)

31/32. Name of Applicant / Owner Tel. # Name of Company (if any) Fax # Address City State Zip

I hereby declare that the Information provided herein is true and complete v'" 0864 IC trf CPEP Signature of Applicant /Owner Date ~~lE►5~°YG.p~~i A P8 2=1

NYC-WTC 000122949