Asbestos project notification form for NYC DEP

NYC 9/11 Public Portal Document

J FOR OFFICIAL USE ONLY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Fee (if any) $___________ ONLY TYPEWRITTEN .IDEP; 59-17 Junction Boulevard, 8''’ Floor, Corona, NY 11368-5107 Amendn»n.20®lr^277 FORMS WILL BE ASBESTOS PROJECT AMENDMENT FORM Information Only: 0 Yes 0 No ACCEPTED C WWW iiy f -S 0 V / t e; ) FOR FORM ACP 7

A modification is valid only if it is received by the NYCDEP prior to the previously filed date of completion, except for start date changes that must be received by the original start date.

ACP7 TRU/BN# 0512MN02 Facility Address 180 LIBERTY STREET Borough Manhattan gp woOS

Date ACP7 was filed 4/16/02 Variance # (If any)

Was this ACP7 amended before? 0 Yes D No If yes, specify date 4/25/02

Original Start Date 4/24/02 Original Completion Date 7/31/02 from ACP 7. #24.

PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice. Only the building owner may amend items IV and V. The original applicanl or building owner may amend all other items. IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 13. Contact Person

14. Federal Employer ID. # Tel. # Fax#

16. Address City State Zip

V. THIRD PARTY AIR MONITOR I. 4.

17. Name 18. Contact Person

19. Federal Employer ID. # . 20. Fax#

21. Address ___ /___________________ City State Zip 9 ' 22. Sample Analysis Laboratory. 23. NYS DOH ELAP #

VI. PROJECT INFORMATION Q Project Cancelled 24. Starting date for this portion of work 10/11/02 Projected completion date 3/31/03 0 Project Postponed

Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday Q Sunday

Shift from: ^00___0 am D pm to '>2:00 □ am 0 pm If other, specify.

25. Additional asbestos-containing material to be disturbed during this work lO^’^O^ Square Feet, and/or Linear Feet

Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet

29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment □ Glovebag Q Tent O DEP Variance Application

Other Changes_________________________________________________________________________________

30. Locations of abatement modified by above See attached Table for detail of ACM quantity/type by Floor. (For each floor list ACM quantity and type)

31/32. Name of Applicant / Owner l-^on Levine Tel. # (212) 566-1892 Name of Company (If any) Ambient Group, Inc. Fax# (212)944-4618 Address 88 West 39th Street________ ________ Qjjy New York State NT Zio 10018

I hereby declare that the information provided herein is true and complete:— ___________________ ____ 9/26/02_____ Signature of Applicant 7o»mer ~---------- Date ACP 8 2/2001

NYC-WTC_000154698