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Document / 3 pages

Permit Application for 114 Liberty Street, July 2003

Machine-extracted title · confidence 90%

Facsimile transmission of a permit application for 114 Liberty Street involving FEMA recovery efforts.

NYC-WTC_000155033–000155035

Folder label: “114 LIBERTY 1 OF 2

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Scanned page image, NYC-WTC_000155034
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program I / 1 59-17 Junction Boulevard, 8®’ Floor, Corona, NY 11368-5107 ONLY ASBESTOS PROJECT NOT,P,CA^A|D!^50 TYPEWRiTTEN FORMS WILL BE (ASBESTOS INSPECTWyi REPORT) B * $800 ACCEPTED ____________________________ /J (Seefeeschedule)

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 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 Zip 10006 AKA 3. Block , 82 4. Lot 7502

5. Typ© of Fscility Condominium/CommsrcisI 6. Name of Building 114 Liberty Street

II. BUILDING OWNER

7. Name Liberty, LLC c/o Epic, LLC 8. Contact Person 9 Tel # (212) 633-6500 Fax# (212)729-8969

10. Address 12 East 44th Street City ^ew York State NY Zip 10017

III. GENERAL CONTRACTOR

11. Name„H/A Tel,#

IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name Contracting, Inc. 13. Contact Person Mr. Robert Middleton

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

16. Address 160 Clay Street City Brooklyn State _NY_ Zip 11222

V. THIRD PARTY AIR MONITOR

17. Name Hillman Environmental Co., Inc. 18. Contact Person Mr. Michael Nehlsen

19. Federal Employer ID. #L PH 20. Tel. # (908) 688-7800 Fax # <908) 686-2838

21. Address 1200 Route 22 East City Union State Zip 07083

22. Sample Analysis Laboratory Hillmann Environmental Co., Inc. 23. NYS DOH ELAP # J 0926

VI. PROJECT INFORMATION 24. Starting date for this portion of work 8/6/03 Projected completion date 9/30/03

Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Satucday-CLsunday

Shift from: 0 am D pm to O^OO O am 0 pm z If other, specify

Access to inspect the premises must be provided during the work scheduie indicated in this item.

25. Total amount of asbestos-containing material to be abated during this work

Square Feet, and/or ^2^ Linear Feet

ACP 7 2/2001

NYC-WTC_000155034

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NYC-WTC_000155034Source: NYC Law Department, mirrored locally

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