Asbestos project notification form for 114 Liberty Street, 2003

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8* Floor, Corona, NY 11368-5107 „ , Building Dept or THU I^ ONLY TYPEWRITTEN ' ASBESTOS PROJECT NOTIFICAmJSL 1 FOR OFFICIAL USE ONLY

FORMS WILL BE (ASBESTOS INSPECTION REPORT) ■ • - $800 ACCEPTED 1^ /r77z/Ko3 (See fee schedule}

When submitting this form at the NYC Department of Buildings, the original farm and three (3) copies with original signatures are required. Submittal at the NYCOEP requires one copy of the form with original 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 Zio 10006

AKA _3. Block J.2 4. Lot ^02

5. Type of Facility Condominlum/Commercial 6. Name of Building 114 Liberty Street

II. BUILDING OWNER

7, Name Liberty, LLC c/o Epic, LLC 8. Contact Person Ms. Denise Sweeney BT,i.# (212)633-6500 Pax# (212) 729-8969

10. Address 12 East 44th Street City New York State Nr Zip 10017

III. GENERAL CONTRACTOR

11. Name N/A Tel.#

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Contracting, Inc. 13. Contact Person Mr. Robert Middleton

14. Federal Employer ID. # L- PH 15. Tel # (718)706-6300 (718)706-1032

16. Address 160 Clay Street City Brooklyn state NL_ Zip _11^

V. THIRD PARTY AIR MONITOR

17. Name Hillman Environmental Co., Inc. 18. Contact Person Mr. Michael Nehlsen PH 20, Tel. # (908) 688-7800 Fax# (908)686-2636 19. Federal Employer ID. # I--------- 21. Address 1200 Route 22 East City Union State NJ zip 07083

22. Sample Analysis Laboratory Hillmann Environmental Co., Inc. 23. NYS DOH ELAP # 10926

VI. PROJECT INFORMATION 24. Starfing date for this portion of work Projected completion date 9/30/03

Asbestos work schedule El Monday EI Tuesday El Wednesday EI Thursday EI Friday EI Satucday^O-Sunday

Shift from: 7:00 EI am Q pm to 6:00 O am EI pm

If other,

II specify /

Access to Inspect Uie premises must be provided during the work schedule Indicated In this item.

25. Total amount of asbestos-containing material to be abated during this work 0®®. Square Feet, and/or 32^ Linear Feet

ACP7 2Q001

NYC-WTC_000154966