DEP sewer use regulations excerpt, Chapter 19

NYC 9/11 Public Portal Document

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E. FEE SCHEDULE Rgfer to item 17 to calculate your siquiredfees. Thisfee is nan-rejitndabie. Check one boxfar llnearfeet and one boxfar square/ens.

18. gee Schedule! a) Linear feet b) Square feet

[] 0 - 259„.....„......_......... (so) ❑ 0. 1$9 _.._.....__.............. ($0) ❑ 260.429_._........ ($100) 160.259 _ . .._,,.. ($100) ❑ 430.824 ... .....($200) ❑ 260.499 _..._........_.__ ($200) ❑ 825.1649...._ ............... ($500) ❑ 500.999 ................-....... ($500) ❑ 165Q or more „...., ....„„ ($1000) 0 1000 or more .......—....... ($1000)

19. Total Fee Due for Project $_I 000.00 NO 18a and 18b)

F. REMARKS . Use this area to provide additional lnfohmilon.

Asbestos Abatement shall be performed utilizing NYC DEP Sub-Chapter 0 Regulations and site specific variance. All waste shall be double bagged for disposal purposes.

Waste Disposal Site: Meadowflil Landfill, Route 2, Box 68, Bridgeport, WV. BFI Imperial Landfill- PO Box 47, Routs 980 & Boggs Rd., Imperial PA Cumberland County Landfill - 620 Newvllle Rd, Newburgh, PA 17242 Waste Hauler/Transporter: DJM, Inc. 109-113 Jacobus Ave., Kearny, NJ 07032

G. SIGNATURR I reify at the Information specified a notification is true and accurate and that the project will be conducted In mplianc with the requirements of C~ le S6. le

08/25/05 St `ure of the Contractor or ly Aug Date 1 )1,11I4 vs l a a Representative Print Name of tie Contractoror Duly .4

Set next page for submission Instructions and notification Information.

NYC-WTC 000134442