NYC 9/11 Public Portal Document
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
PAID
Asbestos Control Program
II Junction Boulevard, 8®' Floor, Corona, NY 11368-5107
Building Dept or TRU No
FOR OFFICIAL USE ONLY
TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. $1200_______
ACCEPTED (Seo fee schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with origtnai signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
I. FACILITY
2. Address 114 Liberty Street Borough Manhattan Zip J10006
AKA 3. Block ±2 4. Lot 7502
5. Type of Facility Condomlnlum/Commerclal 6. Name of Building Liberty Street
II. BUILDING OWNER
7. Name Liberty, LLC c/o Epic, LLC 8. Contact Person Ms- Denise Sweeney
9. Tel. # (212) 633-6500 Fax# (212) 727-8969
10. Address 12 East 44th Street City New York State NY gp 10017
III. GENERAL CONTRACTOR
11. Name y£A Tel.#
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name ^TS Contracting, Inc. 13. Contact Person Mr. Robert Middleton
14. Federal Employer ID. M____ - -_______ i_______ 15. Tel # (718)706-6300 (718)706-1032
16. Address 160 Clay Street_____________ Citv Brooklyn State NY Zip 11222
V. THIRD PARTY AIR MONITOR
17. Name Ambient Group. Inc. 18. Contact Person Mr. Jack Springston
19. Federal Employer ID. PH 20. Tel.# (212) 944-4615 Fax# (212) 944-4618
21. Address 55 West 39th Street City 21^ York State NY 23p
22. Sample Analysis Laboratoryj^^!?D^_9£2yPLlnE. 23. NYS DOH ELAP # J 0865
VI. PROJECT INFORMATION
24. Starting date for this portion of work 10^2/03 Projected completion date 11/30/03
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturg^jQ^nday
Shift from: 7:00 0 am D pm to 6:00 0 am 0 pm
If other,
I
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specify
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Access to inspect the premises must be provided during the work schedule indicated in this item. 'll
® 24 h
25. Total amount of asbestos-containing material to be abated during this work
43,000 Square Feet, and/or P_ Linear Feet
■ ACP7
2/2001
NYC-WTC_000154945
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