HomeMy WebLinkAboutFile Documents.743 Cemetery Ln.0011.2018 (60).ARBK Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program —Asbestos/IAQ Air Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone-Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the county and municipality in which the work is being performed. The Colorado
Department of Public I iealth and Environment, Air Pollution Control Division, strongly suggests
that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
Please note that certain asbestos-containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris left behind after the completion of post-
demolition site cleanup may constitute a "reason to know of asbestos-contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail
(address above) and the appropriate county health department by fax. Project modifications include
changes in the scope of work or the scheduled work dates, etc.
This demolition approval notice is valid beginning 4/1/2019.
The actual scheduled work dates are from 4/1/2019 through 5/1/2019.
Approval issued on: 12/14/2018
Record number: 144266 Fee Paid: $60.00
Notice Number: 18PI8365D Check number: 3523
For the location specified below: Asbestos Building Inspector:
Hughes residential Jim Baker
Cerification No.: 13437
745 Cemetery Ln.
Aspen
Pitkin County Inspection Date: 12/03/2018
This notice has been issued to:
AML Construction, Inc. RECEIVED
PO Box 806
Glenwood Springs, CO 81602 Issued by: TS
02/07/2019
(:77- ift1011.^61,-"P"141644446/
BUILDING DEPARTMENT
OF•COto Submit form to:
w Permit Coordinator
' DEMOLITION NOTIFICATION APPLICATION FORM
Colorado Dept of Public
,t rt '�{� * Health and Environment
* "* APPLICATION FEE MUST ACCOMPANY THIS FORM APCD-IE-B1
1876 INCOMPLETE APPLICATIONS WILL BE RETURNED 4300CherryCreekDrive
South
Colorado Department (Notice will be mailed to the demolition contractor unless specified oth rwls Denver,CO 80246-1530
of Public Health Phone:303-692-3100
/ ^. r° C Fax 303-782-0278
and Environment Fee: $50 4-$5 per 1000 ft2 of area to be demolished = c:.-- C • Asbestos@state.co-us
(See instruction#1 on reverse side)
Company Name: / / Building Name:
r�1/:{t, CCr:4 _ r ;(ces.' /43C l; /;'c /,'( /fir iN2 /`i7C0--
Street Square footage of footprint of facility or,portion of facility to be demolished
L 0 �c .fG /5/y5- 7. ee 7
'- Ci State: Zip Code: Street 7
L (j/c�-ii. ;',,��\ J?'/y'i ( SY6C) 2- ? c �-C=i.7c � e// JQ'`G Z� Code:
'-' Telephone# / tj Fax# Cl) City /
O ' ?C!5/�6 f (9 L. )-.77 47(G ? 7`/- (:'/". �.7'� 7� "? c lC/`
tJ Project Manager U Cell Phone# ▪ Proposed Start Date Proposed Completion Date
/ G>_- C C_`'1/4-.r/CC//
.�-_. I certify that the Certified Asbestos Building Inspector has informed me E Method/Means of Demolition:
o about any remairy,1g asbestos-containing materials in the facility to be CI)
E demolished. ( CI
r�/ - - tNrecking ElBumingt 0 Implosion 0 Moving ❑Other,specify
0
Print Name:
Signature: -(.p
{ 1. /Gr .' iCif:G-/.C31 e.
Landfill Receksng Building Debris:
' _/ 'Burning requires additional authorization-Please call(303)692-3100 and
,. //;ri CC c. /11 ask to speak to the Open Burning Permit Coordinator
General Abatement Contractor(GAC) / Owner's Name: 7
co p CDPHE Asbestos Permit# Total Quantity of Asbestos Street
O va V Removed - Q //,
ai O c6 a) ?? C G'/ 6; E'/v •
to a) ,- Date Removal Completed ;' Telephone# E City: / State: Zip Code: /
lJ.
Type(s)of Asbestos-Containing Material Removed: m- Con�r.s Na{ne: 7. Telephone# j✓ }
714
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification
o as an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as
15 listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the
a. presence of asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists
c c anywhere in the facility.* I also certify that I have informed the owner/operator of the facility or the demolition
N o contractor that any 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)• .
sa
or) m ❑Vinyl asbestos floor tile (VAT) ❑VAT mastic❑ Tar/asphalt impregnated roofing ❑Asphaltic pipe coatings
▪ c) ❑ Spray-applied tar coatings ❑ Caulking ❑ Glazin�c ❑ Other, specify:
13
N Signature:(In Blue Ink) Printed Name:C1 ,
n
U Date of Final Inspection CO Cert# Expiration Date, Telephone# i Cell Phone#
:')3/ / c I✓../ ' 7 C"-t ;__-/ ,,c. (1(.1 )i 2/'-'`-7 ( ! f J;) /2° L-/
I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation
No. 15(for information on CFC requirements call 692-3100). I further verify that all luminous exit signs(containing radioactive material)have
O ,c, been 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).
.a as CHECK THE APPROPRIATE BOX
m 3 Q ❑ Building Owner/ /(/V Contractor ❑ Other Date: /v(/L?_,/2,0/ci `1c
Signature: Print Name
9 > (-
c) I:if/A . r�, / ,riG C
"�
THIS BOX IS FOR CDPHE USE ONLY: ; .
Postmark or Hand Delivery Date: 'L 6 f q Approved By Y Code: initial-310 ❑transfer-380
jj RecorLitt /'/ Date Issued:
Form of Payment&# ! lc -. 5 2i 3 4 1)1, Per + .T, X l �1 IJi�/ t r_ '
*Regulated asbestos-containing materials means(a)friable asbestos-containing material,(b)Category I nonfriable ACM that has be)crff# I D
h
Cateaory I nonfriable ACM that will be or has been subjected to sanding,grinding,cuttina,or abrading or(d)Category II nonfriable ACM that-. a ii0 1
probability of becoming or has become crumbled,pulverized,or reduced to powder by the forces expected to act on the material in the 4J l
demolition or renovation operations regulated by this regulation. Note:Asbestos-containing sheet vinyl and linoleum must be proper` . /,?r 9
abated/removed prior to demolition. pwcSl� t n
Form:DNAOt )IL ING DEPARTMENT