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13 I. FACILITY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Junction Boulevard, 8th Floor, Flushing, NY ASBESTOS PROJECT NOTIFICATION (Form ACP7) This form must be submitted to the DEP not less than one week in advance of the start of abatement activities. 1. Premise No. 500 Street Name Kent Avenue Borough Brooklyn Zip AKA Vacant ConEd Property Type of Facility Commercial BIN Block Lot Is the abatement activity not associated with a building / structure (ie., a street activity job)? Yes X No 4. If yes, specify location, on between and RECEIVED 7/18/2013 DEP BUREAU OF ENVIRONMENT REMEDIATION & ENFORCEMENT ASBESTOS CONTROL PROGRAM TRU 1 5. Is this building a one-or-two family residence? Yes X No Is the building height more than 75 feet? Yes X No 5A. Is this abatement activity part of NYC Rapid Repair Program? Yes X No 6.Is the abatement activity conducted in a Government owned building? Yes X No II. BUILDING OWNER 7. Name Con Edison of New York 8. City New York State NY Zip Tel. # (212) Fax # (917) Address 4 Irving Place Contact Person William Morrison morrisonw@coned.com III. APPLICANT 10. Applicant s Affliation Owner X Asbestos contractor Third Party Air Monitor Other 11. Name Delta Environmental 12. City 13. Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR 14. Name Brooklyn Delta Environmental, Inc. 15. City Brooklyn State NY Zip Tel. # Fax # V. THIRD PARTY AIR MONITOR Airtek Environmental 17. Name Corporation 20. Sample Analysis Laboratory VI. PROJECT INFORMATION 21. Start date 9/9/2013 Projected completion date 7/7/ Asbestos work schedule State NY Fax # Airtek Lab Zip DOL Lic. # DOL Lic. # City Long Island City State NY Zip Tel. # (718) Fax # (718) Contact Person Contact Person Contact Person Address 71 Green Street Thomas Zabransky Address NYS DOH ELAP # 71 Green Street Delta Environmental, Inc. info@deltaenv.net Address th Street Airtek Environmental Corporation mzouak@airtekenv.com Monday 7:00AM - 5:00PM, Tuesday 7:00AM - 5:00PM, Wednesday 7:00AM - 5:00PM, Thursday 7:00AM - 5:00PM, Friday 7:00AM - 5:00PM Access to inspect the premises must be provided during the work schedule indicated above. 23. Total amount of asbestos-containing material 36,500 Square Feet, and/or Linear Feet info@deltaenv.net TRU # TRU0896BK13 ACP7 Fee $1, EN # 7/19/2013 7:44:34 AM Page 1 of 3 ACP7-12/2012
14 24. Is the area under containment on any single floor equal to or more than a. 15,000 sq.ft Yes X No b. 7,500 sq.ft. Yes X No 25. TYPE OF ABATEMENT: Removal 26. ABATEMENT PROCEDURE: DEP Variance VII. PROJECT DETAILS 27. DOES THE ASBESTOS PROJECT INVOLVE (Checking Yes to any of the following subsections will require notice to FDNY as per Section NYC Fire Code, Local Law 26 of 2008) A. Disengagement or obstruction of any component of exit signage or exit lighting system? Yes X No B. Disengagement of any fire alarm system component including any fire alarm-initiating device? Yes X No C. Shut-off of the sprinkler system water supply? Yes X No D. Shut-off of any part of a standpipe system or standpipe system components, including valves or fire pumps? Yes X No 28. DOES THE ASBESTOS PROJECT INVOLVE (If you answer Yes to any of the following, you must submit a complete Work Place Safety Plan and obtain an Asbestos Abatement permit from DEP before commencing abatement activities. Please see section 1-26 of the DEP Asbestos Rules and the instructions for this form) A. Obstruction of an exit door leading to an exit stair or the exterior of the building? Yes X No B. Obstruction of an exterior fire escape or access to that fire escape? Yes X No C. Obstruction of a fire-rated corridor leading to an exit door? Yes X No D. Removal of handrails in an exit stair or ramp within the work area*? Yes X No E. Removal or dismantling of any fire alarm system component including any fire alarm-initiating device (e.g. smoke detectors and manual pull stations) within the work area*? Yes X No F. Removal or dismantling of any exit sign, including directional signs, or any component of the exit lighting system, including photoluminescent exit path marking within the work area*? G. Removal or dismantling of any part of a sprinkler system including piping or sprinkler head within the work area*? Yes X No Yes X No H. Removal or dismantling of any part of a standpipe system, including valves or fire pumps within the work area*? Yes X No 29. DOES THE ASBESTOS PROJECT INVOLVE (If you answer Yes to any of the following, you must obtain an Asbestos Abatement Permit from DEP before commencing abatement activities. Please see section 1-26 of the DEP Asbestos Rules and the instruction form that will be generated once you submit this application) A. Removal of any fire-resistance rated portions of a wall, ceiling, floor, door, corridor, partition, or structural element enclosure including spray on fire-resistance rated materials within the work area*? B. Removal of any fire dampers, smoke dampers, fire stopping materials, fireblocking or draft stopping within fire-resistance rated assemblies or within concealed spaces? C. Removal of any non-load bearing / non-fire-resistance rated wall (greater than 45 sq.ft or 50% of a given wall) within the work area*? Yes Yes Yes X No X No X No D. Any plumbing work other than the repair or replacement of plumbing fixtures within the work area*? Yes X No TRU # TRU0896BK13 ACP7 Fee $1, EN # 7/19/2013 7:44:34 AM Page 2 of 3 ACP7-12/2012
15 VIII. ASBESTOS HAULER 30. Asbestos Hauler Horwith Trucks NYS DEC Permit # PA-263 TEL.# (610) Disposal Site(s) Grows North 1400 Bordentown Road Morrisville PA 19067, Model City 1550 Balmer Road Youngstown NY 14107, Tullytown 200 Bordentown Road Tullytown PA 19007, High Acres 425 Perinton Parkway Fairport NY Asbestos Hauler Goulet Trucking NYS DEC Permit # MA-113 TEL.# (413) Disposal Site(s) High Acres 425 Perinton Parkway Fairport NY 14450, Model City 1550 Balmer Road Youngstown NY 14107, Grows North 1400 Bordentown Road Morrisville PA 19067, Tullytown 200 Bordentown Road Tullytown PA 19007, Southern Alleghanies 843 Miller Picking Road Davidsville PA IX. LOCATION OF ABATEMENT Total amount of asbestos-containing material 36,500 Square Feet, and/or Linear Feet Floor Entire Floor Groun d Groun d Asbestos Hauler Page ETC NYS DEC Permit # 7A-296 TEL.# (315) Disposal Site(s) No No Model City 1550 Balmer Road Youngstown NY 14107, Tullytown 200 Bordentown Road Tullytown PA 19007, Southern Alleghenies 843 Miller Picking Road Davidsville PA 15928, Grows North 1400 Bordentown Road Morrisville PA 19067, High Acres 425 Perinton Parkway Fairport NY Section of Floor Type Of Abatement Abatement Procedure Type of Asbestos Containing Material Amount of ACM Square Feet Linear Feet A-TRU Review/ Approval/Permit Required Variance Required North Excavation Area Removal DEP Variance Debris in Soil 5,250 No Yes South Area Excavation Removal DEP Variance Debris in Soil 31,250 No Yes TOTAL ACM 36,500 Please note: 1. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion 2. Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP Asbestos Control Program TRU # TRU0896BK13 ACP7 Fee $1, EN # 7/19/2013 7:44:34 AM Page 3 of 3 ACP7-12/2012
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22 To report unsafe working conditions dial: Asbestos Abatement Notice Premises Address: 500 Kent Avenue TRU No. TRU0896BK13 Borough: Brooklyn Block/Lot: / 0010 BIN: Project Start Date: 9/9/2013 Projected Completion Date: 7/7/2014 FDNY Notification Required? Y N X FDNY Borough Communications Office: Manhattan Weekly Work Schedule: Monday 7:00AM - 5:00PM, Tuesday 7:00AM - 5:00PM, Wednesday 7:00AM - 5:00PM, Thursday 7:00AM - 5:00PM, Friday 7:00AM - 5:00PM Abatement Contractor Delta Environmental, Contact: Inc. Phone: Abatement Locations Floor Entire Floor Grou nd Grou nd No No Air Monitor Airtek Environmental Contact: Corporation Phone: (718) Section of Floor Type of ACM Type Of Abatement Abatement Procedure South Area Excavation North Excavation Area Building Owner Contact: William Morrison Phone: (212) Amount of ACM Linear Sq. Ft A-TRU Permit Variance Required Debris in Soil Removal DEP Variance 31,250 No Yes Debris in Soil Removal DEP Variance 5,250 No Yes TOTAL 36,500 FDNY Notification Requirement: A. Disengagement or obstruction of any component of exit signage or exit lighting system; B. Disengagement of any fire alarm system component including any fire alarm-initiating device; C. Shut-off of the sprinkler system water supply; D. Shut-off of any part of a standpipe system or standpipe system components, including valves or fire pumps. 7/19/2013 7:50:08 AM If any information on this document is changed or amended via an ACP8, approved variance application or issuance of an asbestos work permit, an updated version of this document will be available to the applicant and will be required to be posted at the work place. ACP 13 10/09 Project Status: Submitted
At least 10 calendar days prior to project start date Within the last 30 days of a project that will extend beyond 12 months
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