NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program Fee (If any) $
DP 59-17 Junotlon Botdevard. 8°4 Floor, Comm, NY 11'368-5107
Amendment
I:óRMSv1LLBE ASBESTOS PROJECT AMENDMENT FORM Infoamation Only: ❑ Yes ❑ No
ACCFP1EA ...•~ FOR FORM ACP 7
A modification Is valid only If It Is received by the NYCDEP prior to the previously tiled date of
completion, e*ept for start date changes that must be received by the original start date.
ACP7TRUBN# MNO1 FadlityAddressl02- 104 Greenwich Street t gHianhattan Zrp 10006
Date ACP7 was filed 1 2/ 3./111 Variance # (if any)
Was this ACP7 amended before? ❑ Yes 91 No If yes, specify date
original Start Date 12 / 3/01 Original Completion Date 12 / 24 / 01 from ACP 7, #24.
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice.
Only the buDdmg owner may amend Items IV and V.
lhe applicant or building owner may amend all other Items.
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name 13. Contact Person
14. Federal Employer ID. # 15. Tei. # Fax #________________
16. Address City State Zip
V. THIRD PARTY AIR MONITOR
17. Name 18. Contact Person
19. Federal Employer ID. # 20. Tel. # Fax#
21. Address. City State Zip
22. Sample Analysis Laboratory 23. NYS DOH ELAP #
VI. PROJECT INFORMATION ❑ Project Cancelled
24. Starting date for this portion of work Projected completion datel2 / 29/01_ 0 Project Postponed
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday Q Friday ❑ Saturday ❑ Sunday
Shift from: ❑ am ❑ pm to O am 0 pm If other, specify
25. Additional asbestos-containing material to be disturbed during this work Square Feet, and/or Linear Feet
Reduction in 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)
❑ Full Containment ❑ Glovebag ❑ Tent O 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 AEi2 , LLC — Bernard McKenna Tel.# 856-768-9200
Name of Company (if any) AEi2 , LLC Fax# R56-768-5499
Address 43 Jefferson Avenue City Berlin State NJ Zip 08009
I hereby declare that the information provided herein is true and complete. 12 / 26/01
t
Signature of Applicant J Date
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NYC-WTC 000128558
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