NYC 9/11 Public Portal Document
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:`. E..FEE
Refer to item 1 . to calculate sour required fees. Thisfee is non-eyiindable. Check one boxfor linear jeer and one box for square Jeer.
13. Fee Schedule: at Linearfe---t bl Sauare feet
C 0-259 .. (S0) ❑ 0 - 159 ...._...... ..._........ (30)
260-429 ..................... ($100) ❑ 160-259 ........................ (3100)
❑ 420 - 824 ..............._.._... ($200) O 260-499 ...._................... (3200)
825 - 1649......_........_... ($500) o
500- 999 ..................__... ($500)
❑ 1650 or more .............($1000) Q✓ 1000 or more .......... (51000)
19. Total Fw Due for Espied 3 1000.00 (add 18a and 13b)
K.REIVhARKS
Lae this area to provide additional injormution.
Asbestos Abatement shall be performed utilizing NYC DEP Sub-Chapter G Regulations and site
specific variance.
All waste shall be double bagged for disposal purposes.
Waste Disposal Site: Meadowfill Landfill, Route 2, Box 68, Bridgeport. WV.
BFI Imperial Landfill- PO Box 47, Route 980 & Boggs Rd., Imperial PA
Cumberland County Landfill - 620 Newville Rd, Newburgh, PA 17242
Waste HaulerlTransporter. DJM, Inc. 109-113 Jacobus Ave., Kearny, NJ 07032
G'SIGNATURE:". :;t _
I cettiiv that the infomtution specified on this notificatloa is true ;aid accurate and that the project will be coasaczed in
compliance with the requirements of Code Rule 56.
June 9th, 2005
Signature of'the Contractor or Duly .4uthori_ed .Represenratve Date
Print Name of the Conn-acror or Dulv.4uthoried Representative
See next page for submission instructions and notification information.
A
NYC-WTC 000134927
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