NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
f NYC DEP OF EMI t'AL PROTECTU
Variance ti
Fa'w' m
59-17 Junction 8ouisvetd. 8"' Floor, Corona. NY 11368$107 Fee Paid
ONLY (~d~~r
As Variance Application
t9wrn w No n tf
FORMS WILL BE
ACCEPTED •" ..
1. FACILITY Application must be
Address 21-23 Thames Street Borough Manhattan Zip 10008 least 2
weeks prior to the
Ii. APPLICANT abet of work
Name Aktek Environmental Corp. Tel S (212) 788-0516
Add 39 West 38th Street y New York State NY ZIP 10018
Capacity. ❑ Contractor © Consultant ❑ owner ❑ Darer Carded Person Berm Lewis
I0. SPECIFY ALL NYC DEP OR NYS DOL (ICR56) ASBESTOS RULE PROVISIONS FROM WHICH A VARIANCE IS REQUESTED
SPECIFY FLOORS ANWOR AREAS WHERE WORK INVOLVING THIS VARIANCE IS TO OCCUR
Atli - ., nr
REASONS FOR REQUEST AND DESCRIPTION FOR PROPOSED ACTLON (Attachment(s) shill be submitted In TRIPLICATE)
Explain why the procedures required by Title 15, Chapter lot the Rules of the City of New York (RCNY) and/or Pan 56 of Title 12
of New York Codes. Rules and Regulations (Subparts 56.4 through 58.17) cannot be used. (Attach 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
18,322 57 Strear feet s Total Amount of ACM 18.379 feet
Amount of ACM affected by this variance: s4 bet
If total amount of ACM If total amount of ACM
Is less then 5000 feet I Is 5000 feet or more:
Seven day notification wa I $300 See Section 1-03(e)
of the NYCOEP
Firs Asbestos Rides for
Each sub seafion category de~Ntlons.
Madmum fee $1200 1800
Enter applicable fee based on schedule above Total Fees $
to the best
V. I hereby declare that the information provided herein and in any and all accompanying attachments Is true and complete application
of my knowledge. I understand that facture to comply with conditions set forth by the Department In an approval of the
shall render this variance null and void.
Greenwich Street Project LLC. Aktek 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 TWO 15, Chapter 1 of the RCNY Section 1-03 Is considered a rove
violation of the lettered subdivision modified by the variance. moo+
f
NYC-WTC 000134204
OCR can misread numbers and units. Confirm readings against the page image before using them.