NYC 9/11 Public Portal Document
Refer ro item 170 calantare your requiredfees. Thisfee is non-reji mdaW.. Chwkone ba tfor ftnecrjèerandme boa/arsqua8Jeer.
18. Fee schedule: a► Lmmr feet bl Square feat
❑✓ 0-259_,____ ($0) ❑ 0-159___._.. ($0)
❑ 260 -429__.. ($100) ❑ 160- 259 ...............-... (3100)
❑ 430 - (5200) ❑ 260-499._ (3200)
❑ 825- I649 ($500) ❑ 500- 999 .. ..._ ($500)
❑ 1650 or m m,,,- (81000) ❑✓ 1000 or more „„.„„._. ($)000)
19. Total Fee Due for Project S 1000.00 (add 18a amf 18b)
Use this area to provide additional ugbrmarion.
Asbestos Abatement shall be performed uutflizing NYC DEP Sub-Chapter G Regulations and site
specific variance.
All waste shaft be double begged for disposal purposes.
Waste Disposal Site: Meadowflhl Landfill, Route 2, Box 68, Bridgeport, WV.
SF! Imperial Landfill- PO Box 47, Route 980 & Boggs Rd., Imperial PA
Cumberland County Landfill - 620 Newville Rd, Newburgh, PA 17242
Waste Hauler/Transporter DJM, Inc. 109-113 Jacobus Ave., Kearny, NJ 07032
- A1°l9Rz
I ce}tify that the 1nf04mad0A specified on this notification is true and accurate and that the project will be conducted in
compliance with the requirements of Code Rule 56.
June 9th, 2005
Signature of he Contractor or DuIvAudwriwd Re stative Dare
Prim Name ofthe Contractor or Duly 4urhwrtamd Reprneruartve
See neat page for submission Insmictlons and nedfleatton Information.
NYC-WTC 000134207
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