NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
NYC DEPARTMEPff OF AL PROTECTION
Variance #
% q Asbestos VIRGI
89-17 Junction Boulevard. 801Floor, Corona. NY 11388-5107
®~ P Asbestos Variance Application
Fee Paid
rvaE~vRrrrEnr Notification #
FORMS wli1. BE
AaOEPTW -
I. FACILITY
Application must be
Address 133-135 Greenwich Street Borough Manhattan zip 10OO6 made at least 2
weeks prior to the
11. APPLICANT start of wor.
Name Ahtek Environmental Corp. Tel # (212) 768-0516
Address 39 West 38th Street City New York state NY 10018
Capacity: D Contractor © Consultant D owner ❑ other Cory person Bonn Lewis
Ili. SPECIFY ALL NYC DEP OR NYS DOL (ICR56) ASBESTOS RULE PROVISIONS FROM WHICH A VARIANCE IS REQUESTED
7.4 — 397 1 4fl ) 4 442(d) 1-112(x) '-'Z'S(f)
SPECIFY FLOORS AND/OR AREAS WHERE WORK INVOLVING THIS VARIANCE IS TO OCCUR
REASONS FOR REQUEST AND DESCRIPTION FOR PROPOSSO ACTION (Attaehment(s) &ml be submitted In TRIPLICATE)
E,q lain why the procedures required by Title 15, Chapter lot the Rules of the City of New York (RCNY) and/or Part 56 of Title 12
of New York Codes, Rules and Regulations (Subparts 88-4 through 56.17) cannot be used. (Attar Additional Sheets)
State the alternative procedures that will be employed to satisfy each requirement as modified. (Attach Additional Sheets)
Provide color coded drawings identifying work area(s) and location of decontamination enclosure system(s).
IV. FEE SCHEDULE
42.423 square feet + 42.423 fee
Amount of ACM affected by this variance: wear feet a Total Amount of ACM
If total amount of ACM If total amount of ACM
Is Was than 8000 feet Is 8000 feet or more:
Seven day notification period waiver See Section 1-03(e)
of the NYCOEP
First suhacodon (per catego)__ p492 Asbestos Rules for
Each additional sub-section (per cateaory) $200 $300
$1200 $1800 category definitions.
Maodmu m fee
Enter applicable fee based on schedule above Total Fees $
V. I hereby declare that the Information provided herein and in any and all accompanying attachments Is true and complete to the best
of my knowledge. I understand that failure to comply with conditions we forth by the Department In an approval of the application
shall render this variance null end void.
Greenwich Street Project. LLC. Ai tak Environmental Corp.
Print Name of Owner Print Name of Applicant (If not owner)
Signature of Owner Date Signature of Applicant Date
Work involving a variance may not commence prior to the receipt of the Department's approval of the application. Any
violation of the terms of any variance Issued pursuant to Title 18. Chapter 1 of the RCNY Section 1-03 is considered a Aoae
violation of the lettered subdivision modified by the variance. rrmoi
L
NYC-WTC 000134196
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