NYC 9/11 Public Portal Document
Re r to Itre 17w cakidM)o w requwe fees Thtrftu is mon.Fardable. (deck one barfor &—)Wmd am barfa'squere
18. Fee Schedule: a) Linear feet b) Square feet
❑✓ 0-259 __ (8O) ❑ 0 -159 - (30)
❑ 260.429 (8100) ❑ 160-259__ (8100)
o 430 - 824 ($200) ❑ 260 -499 ($200)
❑ 825-1649 (8300) ❑ 501) - 999 - (8500)
1650 ortuare (81000) Q 1000 or tuote ($1000)
19. Total Pee Due for Project S 1000.00 (add18a and tab)
1.. viPr~ . Nt;.r~
i riE r ° o 're~ ~.•}Si.~. 'S:~?~ ~}.~'v r..c.,d ~~t:~:w~' ~r
Use dds area w provideaddUlaaol6*madea.
Asbestos Abatement shall be performed utilizing NYC DEP Sub-Chapter G Regulations and site
specific variance.
All waste shad be double bagged for disposal purposes.
Waste Disposal Site: Meadowfl Landfill, Route 2, Box 88, BrIdgeport, WV.
BFI Imperial Landfill- PO Box 47, Route 980 & Boggs Rd., Imperial PA
Cumberland County Landfill - 820 Newvllle Rd. Newburgh, PA 17242
Waste Hauler/Transporter: DJM, Inc. 109-113 Jacobus Ave., Kearny, NJ 07032
1-'.~.d'• 1
.'b.
I cot* that the inf On specified on this notlflnasion Is true and a cwaEe and drat the project will be couductmd in
compliance with the requirements of Code Ruis 56.
June 9th, 2005
Signature qfthe Contractor or Deily Arrtlwrhed .aeivadue Dare
Print Name ofthe Cvaaactor orDutvAudwrtesd Reprevenaadve
See treat page tbraubu*lsslon lasdrnc 10us and notffcatIon lnforneattou.
NYC-WTC 000134165
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