HomeMy WebLinkAboutFile Documents.1300 Riverside Dr.0309.2017 (12).ARBK oCFcoz
.15
� Submit form to:
p i Permit Coordinator
* *; DEMOLITION NOTIFICATION APPLICATION FORM ColoradoDept.ofPublic APPLICATION FEE MUST ACCOMPANY THIS FORM APCD IE g1 Environment
�a�e INCOMPLETE APPLICATIONS WILL BE RETURNED 4300 Cherry Creek Drive
Colorado Department (Notice will be mailed to the demolition contractor unless specified otherwise) South
Denver,CO 80246-1530
of Public Health Phone:303-692-3100
and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ $65 Fax: 303-782-0278
(See instruction#1 on reverse side) Asbestos@state.co.us
Company Name: Building Name:
LUX Aspen Ltd. 1300 Riverside
Street: Square footage of footprint of facility or portion of facility to be demolished
225 N Mill Street Suite 101 2548
O City: State: I Zip Code: Street:
12 Aspen CO 81611 a) 1300 Riverside
Telephone# Fax# fn City: County: Zip Code:
U
(970)927 5000 (970) 927 5550 o Aspen Pitkin 81611
c Project Manager: Cell Phone# 2 Proposed Start Date Proposed Completion Date
o Kary Deavers 970 3841200 0 10/12/16 10/31/16
I certify that the Certified Asbestos Building Inspector has informed me E Method/Means of Demolition:
Ea)remaining as stos-containing materials in the facility to be 0
N de ••li hed.
0 •gnature: ' Print Name: El Wrecking ❑Burning 0 Implosion 0 Moving 0 Other,specify:
Kary Deavers
La • ill Rec�i ing :uilding Debris:
- Pitkin County Solid Waste tBurning requires additional authorization—Please call(303)692-3100 and ask
to speak to the Open Burning Permit Coordinator
General Abatement Contractor(GAC) Owner's Name:
m Nancy Dedman Trust#1
- --0 (s . e
CDPHE Asbestos Permit# Total Quantity of Asbestos Removed Street:
m o b m 225 N Mill Street Suite 101
c Date Removal Completed Telephone# c City: I State: Zip Code:
Q 00 ( ) -a Aspen CO 81611
5
Type(s)of Asbestos-Containing Material Removed: m Contact's Name: Telephone#
Kary Deavers (970) 384 1200
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
aasbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
c facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
o asbestos-containing material allowed to stay in the facility must remain non-friable during demolition. Specify type(s)
of ACM remaining, below: (check appropriate box(es)):
a, ❑ Vinyl asbestos floor tile (VAT) El mastic ElTar/asphalt impregnated roofing El Asphaltic pipe coatings
a ° ❑ Spray-applied tar coatings ❑ Caulking ❑ Glazing ElOther, specify:
Signature:(In k) Printed Name:
1'I 1_•
U c,- JCS- of C—CJ 111 Ctf
Date f Final Ipspection CO Cert# E irat' n Date Telephone# I Cell Phone#
q( . '/r 1 r g 4O' Jt-iy a2 / - (`i'27 ) e ,,i-:T13ck (=t?v) 2 7y 3/3
I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No.
45 ,_ 15(for information on CFC requirements call 692-3100).I further verify that all luminous exit signs(containing radioactive material)have been
3 disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3(for information on luminous exit sign requirements call 303-692-3320).
O El CHECK THE APPROPRIATE BOX:
rn e
c o ,-"
• U ❑ Building 0 er ® Contractor ❑ Other Date: 9/23/16
p Signature: I Print Name:
004_
Kary Deavers
THIS Box IS FOR CDPHE USE ONLY:
Postmark or Hand Delivery Date: Approved By: —1 Code: ❑ initial-310 ❑transfer-380
Form of Payment&#: Permit#: Record# Date Issued:
"Regulated asbestos-containing materials means(a)friable asbestos-containing material,(b)Category I nonfriable ACM that has b r t'f a I AV E
ILI
Category I nonfriable ACM that will be or has been subjected to sanding,grinding,cutting,or abrading or(d)Category II nonfriable AC' that' as'a high
probability of becoming or has become crumbled,pulverized,or reduced to powder by the forces expected to act on the material in the course of
demolition or renovation operations regulated by this regulation. Note:Asbestos-containing sheet vinyl and linoleum must be properllf 2/11/2 017
abated/removed prior to demolition.
ASPEN
Form:DNA06 itIC'DItC DEPARTMENT
Demolition Notice Application Form Information and Instructions:
1. To determine the proper amount for the application fee, multiply the length of the building
(lineal feet) by the width of the building (lineal feet). Divide the total by 1000, round the result
up to the next whole number and multiply this number by 5$. This is the square footage fee.
Add the square footage fee to the base fee of $50 and submit the total amount to the Division
along with the demolition notice application form.
Ex: 40ft. x 52ft. = 2080 square feet; 2080/1000 = 2.08 (round up to 3); 3 x $5 = $15 (square
footage fee) $15 + $50 (base fee) = $65 total application fee.
2. In the event that only a load-bearing member is demolished, the square footage fee is
calculated the same way as in "number 1". However, you only need to calculate the actual
footprint of the load-bearing member.
3. All spaces must be filled in on the application. If the information is not applicable, please write
N/A. Incomplete information may result in a delay in processing the application, which may
delay your project.
4. We must have proposed start and end dates for the demolition.
5. There is a 10 working-day advance notification requirement for permit applications. Day 1 is
the 1st business day following the postmark or hand-delivery date. (Working Day means
Monday through Friday and including holidays that falls on any of the days Monday through
Friday.) If a demolition follows a permitted or noticed asbestos abatement project within 10
business days of the completion of the abatement project, the 10 working-day advance
notification requirement will be waived.
6. The Colorado-certified asbestos inspector must sign the form in blue ink. (Original signature
must be submitted.) The building owner or the contractor must also sign the application
certifying that all refrigerants and luminous signs have been properly removed from the site.
7. If the notice must be modified after the application has been submitted, notify the Asbestos
Unit by fax at 303-782-0278 or e-mail at asbestos@state.co.us by the end of the next regular
State business day following the modification. Project modifications include discovery of
unidentified asbestos-containing materials, changes in scope of work or the scheduled work
dates. Please use the Permit/Notice Modification Form.
8. Recycling of materials, such as concrete or wood, that are bonded or contaminated with
asbestos-containing material (ACM), such as floor tile or mastic, is NOT permitted.
9. Demolition of a building that has non-friable asbestos-containing materials remaining must be
completed without causing the asbestos-containing materials to become friable. Burning a
building with any asbestos-containing materials is PROHIBITED. Concrete floors covered with
floor tile shall be removed in as large sections as possible. Operations such as crushing,
pneumatic jacking, etc. of materials containing asbestos are not permitted.
10. All provisions of laws and ordinances governing this type of work shall be complied with
whether specified herein or not. Demolition permits or approval notices appearing to give ' �E("�
authority to violate or override the provisions of any other laws or ordinances shall be invali ��99
Furthermore, demolition permits or approval notices issued in error or based upon ii5o LeLt/2017
information supplied to the Division shall also be invalid.
ASPEN
Donn:DNAO8 likADING DEPARTMENT
4Ik ASPEN DEMOLITION (RAZING) CHECKLIST
For Building and Permit Information, please refer to our website at:
http://www.aspenpitkin.com/depts/41/main building.cfm
NOTE: This is a general list of reauired information.More information may be required as each
project is individually evaluated. If the proposed structure requires City Land Use Review,all final
THE CITY OF ASPEN approvals must be obtained PRIOR to submission of a building demolition permit application.
Contact a city planner at 970/920-5090 to determine if a Land Use Review is needed.
JOB ADDRESS PARCEL I.D.NUMBER
OWNER DATE:
Note—This checklist only applies to the complete demolition of the entire structure. For remodeling
projects requiring limited demolition, please use the general Building Permit App Checklist.
❑ All proposed demolition and/or exterior alterations may require historic preservation review,pursuant to Ordinance No.
48,Series of 2007.Please call Sara Adams(970)429-2778 or Amy Guthrie(970)429-2758 to obtain a list of the properties
affected by Ord.48,or visit the Aspen Community Development page on the website www.aspenpitkin.com for a copy of
Ordinance 48 and the list of affected properties.
❑ One(1)copy of all City approvals pertaining to the parcel,including but not limited to: Deed Restrictions;Resolutions;
Development Orders;Final Plats;Administrative Approvals;Residential Design Standards Approval;HPC Approvals,P&Z and
or BOA. Verification that all conditions of approval are being met should be called out in the development plans. It is requested
that reduced copies of all approvals should be placed on the cover sheet of the submitted drawing plans.
Cl Permit Application form(the upper half completed),with attached Contact Information form completed.
❑ Letter of Approval for work from the Home Owner's Association,or owner of the property.
❑ Asbestos Checklist,including:
* Asbestos test results,and letter of abatement or a"clean"letter
* A copy of the application for state approval of demo with attached copy of check to verify application date
❑ Two(2)copies of an Improvement Survey 24"x36",plus one(1)copy 11"x17",per minimum American Land Title Association
(ALTA)standards,dated less than l year prior,with the original wet stamp and original signature of the surveyor. The survey
must include:
• Topography at I'contour intervals • Elevation Bench Mark—tied to a Gov't Maintained Monument
✓ All easements and rights-of-way • Site vicinity map including pavement and utilities
• All existing structures and improvements within 5 feet outside of property line • Surveyed tree locations
❑ Two(2)sets of plans,24"x 36" AND one set (1) 11"x 1T',which show:
✓ Existing floor plans
✓ FAR Calculations for existing structure
✓ Number of existing legal dwelling units:
✓ Number of existing bedrooms: (bedroom defined as having a closet and access to a bathroom)
✓ An inspection by the Zoning Officer,if required. (Check with the Zoning Officer at 429-2767)
✓ Photographs of the structure to help determine if it is an historic and/or archaeological resource(Check with the Historic
Preservation Officer at 429-2778)
✓ Approximate year of construction: Designed by architect:
❑ CMP(Construction Management Plan)-call City Engineering Department 920-5080
Environmental Health Department concerns: (920-5039)
❑ Check with Environmental Health with regard to asbestos questions
City Engineering Department: (920-5080)
❑ Utility disconnects,haul routes,restricted hours,special conditions,use of public rights-of-way
City Water and Electric Departments concerns: (920-5030)
❑ Inventories 0 Water service disconnect application
Aspen Consolidated Sanitation District concerns: (925-3601)
❑ Contact A.C.S.D.regarding line locates,service line capping,and permits.
Fire Department concern: (925-5532)
❑The Fire Department may wish to use this structure for a training exercise prior to demolition.
Parks Department: (920-5120)
❑For Tree Removal Permit,contact the Parks Department. RECEIVED
All utilities shall be disconnected per requirements of individual utility companies
❑ i.e.,Holy Cross Electric,energy companies,cable TV,phone companies,prior to commencing demolition.
12/11/2017
http://www.aspenpitkin.com/pdfs/depts/41/demochecklist.pdf Rev.08-09
ASPEN
BUILDING DEPARTMENT
eement
ENVIRONMENTAL
Date: 09/26/2016 Asbestos Sampling Report
To: Lux Aspen Ltd. 1300 Riverside Dr. Aspen, CO 81611
Mr. Deavers,
On 09/20/2016, Mr. Deavers requested an asbestos inspection for a demolition. Element
Environmental conducted an asbestos inspection of suspect asbestos containing materials
which would be impacted during the demolition. If other suspect materials become
visible/apparent during demolition or construction activities, work in that area should be halted
and more sampling/testing must take place, per Colorado regulations. Any suspect materials
that were not tested are to be assumed to contain asbestos.
A limited bulk sampling of from all suspect materials was conducted in accordance with
Colorado State Requirements. Said requirements state: For surfacing materials, each
homogenous area of less than 1000 SF, a minimum of three samples must be collected
randomly. For each homogenous area of 1000-5000 SF, a minimum of five samples must be
collected. For areas larger than 5001 SF a minimum of seven samples must be collected,
respectively. For miscellaneous materials at least one sample must be taken. A homogeneous
area is defined as one which shares suspect material, texture, color, location, and/or apparent
time of construction.
Josh Johnson, a Colorado Department of Public Health & Environment certified building
inspector, certification number: 18401, performed the inspection. Samples taken were sent to
CEI Laboratory,for PLM (Polarized Light Microscopy) analysis. Attached are the lab's
documents with analyses and findings.
RECEIVED
ELEMENT ENVIRONMElITZAy L1xt2t17
ASPEN
BUILDING DEPARTMENT
SUSPECT MATERIALS SAMPLED
• Drywall • Stucco
• Joint Compound • 4'x8' Stucco Board
• Texture • Caulk
• Tape • Roofing Shingles
• Plaster • Carpet and Pad
TABLE OF RESULTS
HOMOGENOUS DESCRIPTION OF AREA CATEGORY NUMBER OF APPROXIMATE %AND TYPE OF
AREA & SAMPLES SQ.FT. ASBESTOS FOUND
FRIABILITY
(A) Upstairs Knockdown S/ N/A 3 "600 sq.ft. No Asbestos Detected
Texture in Large Bedroom
(B) Upstairs Bathroom Closet S / N/A 3 —200 sq.ft. No Asbestos Detected
Smooth Texture
(C) Upstairs Office and Closet S / N/A 3 —500 sq.ft. No Asbestos Detected
Smooth Texture
(D) Downstairs Plaster on S / N/A 5 —2,500 sq.ft. No Asbestos Detected
Drywall
(E) Downstairs Guest S i N/A 3 —600 sq.ft. No Asbestos Detected
Bedroom Smooth Texture
(F) Upstairs Carpet and Pad M / N/A 1 —200sq.ft. No Asbestos Detected
(G) Exterior Stucco S / N/A 3 —600 sq.ft. No Asbestos Detected
(H) Garage "Stucco" board M / N/A 1 —400 sq.ft. No Asbestos Detected
(I) Garage Stucco board Caulk M /N/A 2 —50 sq.ft. No Asbestos Detected
(�) Guest Room Pink Carpet M / N/A 1 —200 sq.ft. No Asbestos Detected
(K) Plaster Texture on S / N/A 3 —400 sq.ft. No Asbestos Detected
Concrete
(L) Roofing Materials M / N/A 1 —2,000 sq.ft. No Asbestos Detected
RECEIVED
ELEMENT ENVIRONMEny ty_0117
ASPEN
BUILDING DEPARTMENT
Key:
S-Surfacing
M-Miscellaneous
T-Thermal Systems Insulation
N-No
Y-Yes
N/A-Not Applicable
DESCRIPTION OF SAMPLING AREA
• This was an inspection for a complete home demolition
CONCLUSIONS
No asbestos was detected in any of the samples.
Josh Johnson,
e ement JOSHUA JOHNSON president
189 county rd 135 glenwood springs,co 81601 970.274.31 39
ENVIRONMENTAL II
ASSESTO$ ENVIRONMENTAL RESTORATION
RECEIVED
ELEMENT ENVIRON'wily 112P 17
ASPEN
BUILDING DEPARTMENT
ASBESTOS BULK ANALYSIS
CI LABS By:POLARIZING LIGHT MICROSCOPY
Client: Element Environmental LLC CEI Lab Code: A16-8335
189 CR 135 Date Received: 09-22-16
Glenwood Springs,CO 81601 Date Analyzed: 09-22-16
Date Reported: 09-22-16
Project: Lux 092016
ASBESTOS BULK PLM,EPA 600 METHOD
Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non-Fibrous '✓.
1300 Al Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231878 White 15% Calc Carb
Fibrous 5% Paint
Bound
Lab Notes:Samples A2231878-A2231891 analyzed by S.Card
1300 A2 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231879 White 15% Calc Carb
Fibrous 5% Paint
Bound
1300 A3 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231880 White 15% Calc Carb
Fibrous 5% Paint
Bound
1300 B1 Sheetrock Heterogeneous 15% Cellulose 80% Gypsum None Detected
A2231881 White 5% Paint
Fibrous
Bound
Lab Notes:No texture present
1300 B2 Texture Heterogeneous 10% Paint None Detected
Layer 1 White 65% Calc Carb
A2231882 Non-fibrous 25% Binder
Bound
Layer 2 Sheetrock Heterogeneous 15% Cellulose 85% Gypsum None Detected
A2231882 White
Fibrous
Bound
1300 B3 Texture Heterogeneous 70% Calc Carb None Detected
Layer 1 White 30% Binder
A2231883 Non-fibrous
Bound
Page 1 of 6
RECEIVED
ELEMENT ENVIRONMEIITT.L/11Lclx/2®117
ASPEN
BUILDING DEPARTMENT
ASBESTOS BULK ANALYSIS
ClE LABSBy: POLARIZING LIGHT MICROSCOPY
Client: Element Environmental LLC CEI Lab Code: A16-8335
189 CR 135 Date Received: 09-22-16
Glenwood Springs,CO 81601 Date Analyzed: 09-22-16
Date Reported: 09-22-16
Project: Lux 092016
ASBESTOS BULK PLM,EPA 600 METHOD
Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non-Fibrous %
Layer 2 Sheetrock Heterogeneous 15% Cellulose 85% Gypsum None Detected
A2231883 White
Fibrous
Bound
1300 C1 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231884 White 15% Calc Carb
Fibrous 5% Paint
Bound
1300 C2 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231885 White 15% Calc Carb
Fibrous 5% Paint
Bound
1300 C3 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231886 White 15% Calc Carb
Fibrous 5% Paint
Bound
1300 D1 Plaster Heterogeneous 5% Paint None Detected
A2231887A White 45% Silicates
Non-fibrous 50% Binder
Bound
A2231887B Sheetrock Heterogeneous 15% Cellulose 85% Gypsum None Detected
White
Fibrous
Bound
1300 D2 Plaster Skim Coat Heterogeneous 5% Paint None Detected
Layer 1 White 45% Silicates
A2231888 Non-fibrous 50% Binder
Bound
Page 2 of 6
RECEIVED
ELEMENT ENVIRONMEP111/I1112®1j7
ASPEN
BUILDING DEPARTMENT
ASBESTOS BULK ANALYSIS
CI LABS By:POLARIZING LIGHT MICROSCOPY
Client: Element Environmental LLC CEI Lab Code: A16-8335
189 CR 135 Date Received: 09-22-16
Glenwood Springs,CO 81601 Date Analyzed: 09-22-16
Date Reported: 09-22-16
Project: Lux 092016
ASBESTOS BULK PLM,EPA 600 METHOD
Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non-Fibrous Yo
Layer 2 Plaster Base Coat Heterogeneous 25% Perlite None Detected
A2231888 Tan.Cream 15% Silicates
Non-fibrous 60% Binder
Bound
1300 D3 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231889 White 15% Calc Carb
Fibrous 5% Paint
Bound
Lab Notes:No plaster present
1300 D4 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231890 White 15°/, Calc Carb
Fibrous 5% Paint
Bound
Lab Notes:No plaster present
1300 D5 Sheetrock/Mud Heterogeneous 15% Cellulose 65% Gypsum None Detected
A2231891 White 15% Calc Carb
Fibrous 5% Paint
Bound
Lab Notes:No plaster present
1300 El Sheetrock/Mud Heterogeneous 15% Cellulose 5% Paint None Detected
A2231892 White 15% Calc Carb
Fibrous 65% Gypsum
Bound
Lab Notes:Samples A2231892-A2231906 analyzed by Shilpa Ladekar.
1300 E2 Sheetrock/Mud Heterogeneous 15% Cellulose 5% Paint None Detected
A2231893 White 15% Celt Carb
Fibrous 65% Gypsum
Bound
Page 3 of 6
RECEIVED
ELEMENT ENVIRONMEIT±Mriyelf7
ASPEN
BUILDING DEPARTMENT
._.... ....,
ASBESTOS BULK ANALYSIS
CLADS By: POLARIZING LIGHT MICROSCOPY
Client: Element Environmental LLC CEI Lab Code: A16-8335
189 CR 135 Date Received: 09-22-16
Glenwood Springs,CO 81601 Date Analyzed: 09-22-16
Date Reported: 09-22-16
Project: Lux 092016
ASBESTOS BULK PLM,EPA 600 METHOD
Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non-Fibrous %
1300 E3 Sheetrock/Mud Heterogeneous 15% Cellulose 5% Paint None Detected
A2231894 White 15% Calc Carb
Fibrous 65% Gypsum
Bound
1300 F1 Carpet Heterogeneous 10% Cellulose 10% Binder None Detected
A2231895 Cream 65% Synthetic Fiber 15% Foam
Fibrous
Bound
1300 G1 Stucco Heterogeneous 2% Cellulose 13% Paint None Detected
A2231896 White 60% Binder
Fibrous 25% Silicates
Bound
1300 G2 Stucco Heterogeneous 2% Cellulose 13% Paint None Detected
A2231897 Beige 60% Binder
Fibrous 25% Silicates
Bound
1300 G3 Stucco Heterogeneous 2% Cellulose 13% Paint None Detected
A2231898 Beige 60% Binder
Fibrous 25% Silicates
Bound
1300 H1 Stucco Heterogeneous 90% Cellulose 10% Paint None Detected
A2231899 Beige/Brown
Fibrous
Bound
1300 11 Caulk Heterogeneous 2% Cellulose 13% Paint None Detected
A2231900 White 85% Caulk
Fibrous
Bound
Page 4 of 6
RECEIVED
ELEMENT ENVIRONME112Mx f12 7
ASPEN
BUILDING DEPARTMENT
,- ASBESTOS BULK ANALYSIS
CEI L DS By:POLARIZING LIGHT MICROSCOPY
Client: Element Environmental LLC CEI Lab Code: A16-8335
189 CR 135 Date Received: 09-22-16
Glenwood Springs,CO 81601 Date Analyzed: 09-22-16
Date Reported: 09-22-16
Project: Lux 092016
ASBESTOS BULK PLM,EPA 600 METHOD
Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non-Fibrous
1300 12 Caulk Heterogeneous 2% Cellulose 13% Paint None Detected
A2231901 White 85% Caulk
Fibrous
Bound
1300 J1 Carpet Heterogeneous 75% Synthetic Fiber 10% Binder None Detected
A2231902 Pink 15% Foam
Fibrous
Bound
1300 K1 Concrete Wall Heterogeneous 2% Cellulose 13% Paint None Detected
A2231903 Cream/White 55% Binder
Fibrous 30% Silicates
Bound
1300 K2 Concrete Wall Heterogeneous 2% Cellulose 13% Paint None Detected
A2231904 White/Gray 55% Binder
Fibrous 30% Silicates
Bound
1300 K3 Block Filler Heterogeneous 2% Cellulose 13% Paint None Detected
A2231905 Beige/White 55% Binder
Fibrous 30% Silicates
Bound
1300 L1 Roofing Heterogeneous 25% Fiberglass 10% Gravel None Detected
A2231906 Black 55% Tar
Fibrous 10% Silicates
Bound
Page 5 of 6
RECEIVED
ELEMENT ENVIRONMEIT21/11 t201.17
ASPEN
BUILDING DEPARTMENT
CEILABS.
LEGEND: Non-Anth =Non-Asbestiform Anthophyllite
Non-Trem =Non-Asbestiform Tremolite
Calc Carb =Calcium Carbonate
METHOD:EPA 600/R93/116 and EPA 600/M4-82/020
LIMIT OF DETECTION:<1%by visual estimation
REGULATORY LIMIT:>1%by weight
Due to the limitations of the EPA 600 method, nonfriable organically bound materials(NOBs)such as
vinyl floor tiles can be difficult to analyze via polarized light microscopy(PLM). EPA recommends that
all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission
Electron Microscopy(TEM).Please note that PLM analysis of dust and soil samples for asbestos is not
covered under NVLAP accreditation.
This report relates only to the samples tested or analyzed and may not be reproduced, except in full,
without written approval by CEI Labs, Inc. CEI Labs makes no warranty representation regarding the
accuracy of client submitted information in preparing and presenting analytical results. Interpretation of
the analytical results is the sole responsibility of the client.This report may not be used by the client to
claim product endorsement by NVLAP or any other agency of the U.S.Govemment.
lG
ANALYST: j���6 Ord APPROVED BY: 6-
Samantha Card Tianbao Bai,Ph.D.,CIH
Laboratory Director
Shilpa Ladekar
NVLA
TESTING
NVLAP lAB CODE 101768 0
Page 6 of 6
RECEIVED
ELEMENT ENVIRONMEI1T2L/11rix12®117
ASPEN
BUILDING DEPARTMENT
• •
Colorado Department
of public Health
and Envitorunent
ASBESTOS
CERTIFICATION*
This certifies that r.f
Joshua Jay Johnson '' 1
Certification No.:HMI
• has met the requirements of 25-7-507.C.R.S.and Air Quality Control
Commission Regulation No.8.Part B.and is hereby certified by the
state of Colorado in the following discipline:
Building Inspector* \Jl
Issued: July 13,2016
Expires: July 13,2017
•Fars rens firoiei.rwrd s/r.Y*Jrp.v..tw.f u /
rrnt far:.i,.,.arprrned hrnl t rare rrrn/k•tlaa
car a'..;pusr y.,l.d.e.... .°,..n n.orr...•,:..
SE,
•
•
Cdnradn Nurmb=
of Public f lrahh
and Fanirutmaat
ASBESTOS CONSULTING FIRM
This certifies that
I Element Environmental LLC
Registration No.:ACF-21610
has met the registration requirements of 25-7.507.C.R.S.and the Air Quala%Control
C'ommimion Regulation Ito.6.Pan B.and is hero u authorized to perform.rbc,tos cutoultiet
antis riles as required under Regulation No 6.Part It.in the state of Colorado.
ta.ned. Fanner)I 1.2016
Expires: !awry 07.2017
�arratam
•
aar
RECEIVED
ELEMENT ENVIRONMEfIT2iL/11t]lc(201'7
ASPEN
BUILDING DEPARTMENT