NYC Law Department letter regarding EPA draft report excerpts, July

NYC 9/11 Public Portal Document MERGENC ER47 RE DEPARTMENT OE-ANIHCSESUENTAL PROTECTIOM, Page 1 of ASBESTOSUKSPECTION REPORT FOR OFFICE PURPOSE ONLY ONLY TYPEWRITTEN (початноч APPLICATIONS WILL NOTE:ASBESTOS INSPECTION RÉPORT SHALL BE SUBMITTED Builkling Dept. or TRU No BE ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE OF 1 1,200 - START OF THEWORK (ABATEMENTACTVMES) (SEE ITEM 27) 97 FACILITY 2. ADDRESS 102-104 Fulton St. BORO NYC CODE 1POZB AKА 3. BLOCK 78 21 _4. LOT# 5. "TYPEOF FACLIY Residential NAME OF BUILDING 80 6. APPROXIMATE AGE OF BUILDING YEARS OLD 7. DESCRIPTION OF PROPOSED WORK Emergency clean up (e.g. Removing and replacing Oid Boiler, Demotishing Building, Replacing Plumbing In Bulkting, Instaing Fire Sprinklers, Major Altarations, ACM Removal only) BUILDING OWNER 9. CONTACTPERSON 8. NAME FOR THIS PROJECT Yair Levy 10. TEL. 1 11. ADDRESS 111 Great Neck Rd CIY_ Great Neck STATE NY ZIP 11021 III. GENERAL CONTRACTOR -- 12. NAME. N/A TEL#t JV. ASBESTOS ABATEMENT CONTRACTOR 14. CONTACT PERSON 13. NAME SNS Group Inc FOR THIS PROJECT N.Azhazha 15. FEDERAL EMPLOYER IDENTIFICATION * 16. TEL. # FAX* L same - 17. ADDRESS 1170 Brighton Bch "Av cnyBkly.. STATE NY 11235 ZIP V. THIRD PARTY AIR MONITOR 18. NAME US Contracting Co 19. JEL # 20. ADDRESS 1454 W.5th Street _ CIY BkLyn NY _STATE ZIP 11204 VI. LABORATORY FOR SAMPLE ANALYSIS ALAC 21. NAME • 22. NYS DOH ELAP # 11605 VII.ASBESTOS PORTION OF PREMISES BEING ABATED/ALTERED/DEMOLISHED 23. ASBESTOS COVERED STRUCTURE(S) BEING WORKED ON floor (Boiler, Collings, Pipes, Storage Tanks, Plenur Ducts, Decking, Celling Tiles, etc.) 24.STARTING DATE FOR THISPORTIONOFWÖRK 4: 112, 02. PROJECTED COMPLETION DATE • 8/ 1 10 1 02 ASBESTOS WORK SCHEDULE XI DAY EVENING NIGHT D WEEKENDS ат-Брт) (5pm-12am) (12am-8am)- X WEEKDAYS 25. TOTAL AMOUNT_OF ASBESTOS CONTAINING MATERIAL (ACM) WHICH IS FRIABLE, OR MAY BECOME FRIABLE DURINC ABATEMENT /ALTERATION/DEMOLITION (ESTIMATED) 2800 SQUARE FEET, ANDIOR LINEAR FEET ON PIPE 26. ASBESTOS HAULER NYS DEC COMPANY NAME IESI PERMIT # NJ162 TEL DISPOSAL SITE(S) Blue Ridge Lanfill Corp Scotland, PA 27. FILING FEE SCHEDULE FOR PROJECT DISTURBING: 101 1112 FILING FEE IS 1000 Linear Feet or more or 1000 Square Feet or more of friable ACM ... At least 260 Linear Feet and less than 1000 Linear Feet or RECEVED .... $1200 At least 160 Square Feet and less than 1000 Square Feet of friable ACM.. ...$800 Af least 100 Linear Feet and less than 260 Linear Feet or *- APR ∞0 2002 At least 50 Square Feet and less than 160 Square Feet of friable ACM .s ... SAOC More than 25 Linear Feet and less than 100 Linear Feet or OSLEAJ More than 10 Square Feet and less than 50 Square Feet of friable ACM. .... $20C Circle appropriate Flling Fee and write Tt in Item 1. Complete this report and submit it to: A) The NYC Bulldings Department with application for permit and fling fee. Check should be made payabig BNYC Department of Buildings if no Dept. of Bulldings permit is required complete this report and submit to: B) The NYC DEP Asbestos Control Program with filing fee. Check should be made payable to NYC Department of Environmental Protectior •Type of Facility - Hospital, Theater, Warehouse, Commercial Office Spaces, Apartment Building, etc. ACM - Asbestos Containing Material means Material Containing Greater Than 1% Asbestos Form Handling Do not detach any sheets. Insert carbon paper betwuen the 4 pages and complete this side, fold this sheot and the tab over the pertoration so that all original entries are made on the white page. Reverse the carbon paper appropriately. NYC-WTC_000146411 FORM ACP: 2/84