NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
, Q NYCD! f PROTECTION
Vatanoe S
ee•
58.17 krndlon bread. 8 Floor. Corona. MY 113888107 Fee Paid___
.r Variance Application
i SE °
I. FACLrrY
pi g 2123 Themes Strad BoroughManhattan zip 10008 nuts at least 2
waft prior to the
1I. APPUCANT Wartofwork
Nan, Airta1c Envirorartorttai Carp. TM # (212) 708-0516
Now York NY 10018
Address 30 Went 38th Stet
Capadty: 0 Contractor 0 cornsatut 0 Owner 0 Other Contact Person Bens Lewis
IL SPECIFY ALL NYC DEP OR NYS DOL (ICR88) ASBESTOS RULE PROVISIONS FROM WHICH A VARIANCE IS REQUESTED
SPECIFY FLOORS Ai OR AREAS WHERE WORK INVOLVING T IS VARIANCE IS TO OCCUR
Ind •8.w AU. R6. A nA
REASONS FOR REQUEST ANDDESCUON FOR PROPOSED ACTION rqe) she! be Ia TRIPLICATE)
Explain why the procedures required by The 15. Chapter lot to Rutay of the City of New York (RCNY) andfor Part 56 of Ttte 12
of New York Codes. Rules and Regulations (Subparts 68411uough 58.17) aeuawt be used. (Atlaah Additional Sleets)
State the alternative procedures that will be employed to satisfy each requhementas modified. (Attach Additional Streets)
Provide color coded drawings la tying work area(s) and location of decontamination enclosure system(s).
IV. FEE SCHEDULE
322 teat; 57 Unear feet a TAIAult of ACM 18,378 feet
Amount of ACM affected by this varlarme: 18. square
See Section 1-03(e)
of the IVYCCEP
Asbestos Thdes/or
Enter applicable fee based on schedule above Total Fees S
V. I hereby declare that the hdormaton provided herein and in any and 8.S accompanying aibwlar arch is Vue and complete to the heal
of my knowledge. I understand that teUwe to comply with conditions set forth by the Deparh rd in an approval of ft appEdUon
stop render this variance anti and void.
Greenwich Street Pr(ect, LLC. Abtek Environmental Corp.
Print Nana of Owner P*d Nana of Applicant (If not Owner)
Sianatwe of Owner Dane Sigeatriw of Applicant Date
Work ImWving a variance may not commence prior to the receipt of the DaparitnenVs approval of the aeon. Any
violation of to terms of any variance issued pursued to TWO 15. Chapter 1 of the RCNY Section 1.03 Is considered a none
ion modified byIle variance.
violation of the lettered subdivision orroh
NYC-WTC 000134162
OCR can misread numbers and units. Confirm readings against the page image before using them.