HomeMy WebLinkAboutMaster Permit.809 S Aspen St.0005-2021-BRES (20) ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
of Co-- Single FamilyResidential Dwelling(SFRD) Public and Commercial Building,School,and Single-Family
" 9 g' g Y Submitform to:
Q % ?9 >50 LF or 32 SF or a 55-gal.drum,but<260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
ti , �_,
rn �� 0 Colorado Dept.of Public Health
[code 200]❑ $0 Courtesy Notice [code 100]❑ $0 Courtesy Notice
t` ® * and Environment
* s * [code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]❑ $80 Non-Public Access Notice APCD-IE-B1
*/876* [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 CherryCreek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
P Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]Z $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health [code 180/280 ]❑ $55 Notice or Permit Transfer [code 177]❑ $80 Phase of Multiple
and Environment Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos
Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Living room- bedroom
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen .
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 (303) 307-9577 Aspen Pitkin 81611
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 ( ) ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-1 -2021 5-20-2022 Waste Management
Cell Phone# CO Project Designer # Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
DEIEINNIZEI Aurora CO 80015
Cell Phone# CO Project Designer# Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
( ) YE N® Drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Delive RE(etvED APPROVED
Element environmental 21640 LByT,e o s«os de,a z:�9 Pm,wyl3 202,, E_
A.M.S.Name Form of Payment&# 167889274 PM req'd?
Josh Johnson 480 SF. RACM Y N W
drywall
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274- 3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
THIS IS THE MASTER: Units#2 -8-10 -15-20 -21 This is a renovarion job, More Units will be added as they become available
APPROVED
By Trevor Strosnider at 2:29 pm,REr,:piIIVED
11/12/2021
Form:AANPA08 RAW EN
BUILDING DEPARTMENT
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
of•coo Single Family Residential Dwelling(SFRD) Public and Commercial Building,School,and Single-Family
�4 �PSubmitform to:
Q = :,,9p >50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
rn r O Colorado Dept.of Public Health
�1 [code 200]❑ $0 Courtesy Notice [code 100]❑ $0 Courtesy Notice
*` WP„ * and Environment
[code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]❑ $80 Non-Public Access Notice APCD-IE-B1
�Ig76� [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 Cherry Creek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment Phase
code 180/280 ]❑ $55 Notice or Permit Transfer [code 178]❑ $0 Phase 1 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Trey Desenberg
Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Lioving room -bed droom Scott Billeisen Rep.
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#2 P.O. Box 339
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Sarasota FL 34230
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (970) 948 -6543 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-1 -2021 6-3-2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ ❑ ® ® ® ❑ ❑ Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Deliver RECEIVED nlderat2a,Pm.MaY,asoz, IrAPPROVEDcra z3,Pm,May,3,zoz,,
Element Environmental 21640 l
A.M.S.Name 80 SF. Form of Payment&# Phase 01 PM req'd?
Josh Johnson Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274- 3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation to install new windows.
RECEIVED
APPROVED 11/12 2 0 21
By Trevor Strosnider at 2:33 pm,May 13,,2021
Form:AANPA08 RA WEN
BUILDING DEPARTMENT
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
of•coo Single Family Residential Dwelling(SFRD) Public and Commercial Building,School,and Single Family
�4 �P Submitform to:
Q = :,,9p >50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
r O Colorado Dept.of Public Health
[code 200]❑ $0 Courtesy Notice [code 100]❑ $0 Courtesy Notice
*` ® * and Environment
[code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]❑ $80 Non-Public Access Notice APCD-IE-B1
�Ig76� [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 Cherry Creek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment [code 180/280 ]❑ $55 Notice or Permit Transfer [code 178] ❑ $0 Phase 2 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Clark Smyth
Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Lioving room -bed droom Clark Smyth
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#8 2449 5th Street
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Boulder CO 80304
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (303) 489 -3621 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-3-2021 6-7-2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ Z ❑ ❑ El El ❑ Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Delivei RECEIVED APPROVED
Element Environmental 21640 grrre�osrosaeazaapm,may+a�oz,
A.M.S.Name 80 SF. Form of Payment&# Phase 02 PM req'd?
Josh Johnson Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274-3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation, to install new windos.
RECEIVED
11/12/2021
APPROVED
Form:AANPA08 By Trevor Strosnider at 2:APPtE 3,2021
BUILDING DEPARTMEN'
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
°F CO-,o Single FamilyResidential DwellingSFRD Public and Commercial Building,School,and Single-Family Submitform to:
�4 _ 1�P9
p g �>50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
'� O [code 200]❑ $0 Courtesy Notice [code 100]El $0 Courtesy Notice Colorado Dept.of Public Health
,t`
* _ �, * [code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]El $80 Non-Public Access Notice APCD-IE-B1
`1876�` [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 CherryCreek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment [code 180/280 ]❑ $55 Notice or Permit Transfer [code 178]❑ $0 Phase 3 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Silver Queen #10 LLC.
Street Address Specify location in the building w here work w ill take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Liming room -bed droom Brad Mckee
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#10 40 Husted Lane
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Greenwich, CT 06840
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (917) 816 -2836 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-7-2021 6-9-2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ ® ® ® ❑ ❑ ❑ Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Delivv RECEIVED APPROVED
Element Environmental 21640 By Trevor S,rosn,der a,2:33 pm,May 13,2021 gy Trevor Strosnider at 2:33 pm,May 13,2021,
A.M.S.Name 80 SF. Form of Payment&# Phase 03 PM req'd?
Josh Johnson Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274-3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation, to install new windows.
RECEIVED
11/12/2021
APPROVED ���
Form:AANPA08 By Trevor Strosnider at 2:33 p 1
BUILDING DEPARTMENT
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
w of.CO< Single Family Residential Dwelling(SFRD) Public and Commercial Building,School,and Single-Family
Q 9 >50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drumPebmtCoortform t n
0 9 9 ResidentialDwelling:>260 LF or 160 SF or a 55-gallon drum PermitCoordinator
[code 200]❑ $0 Courtesy Notice [code 100]El $0 Courtesy Notice Colorado Dept.of Public Health
* * and Environment
* N [code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]El $80 Non-Public Access Notice APCD-IE-B1
I8
76 [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 CherryCreek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment [code 180/280 ]❑ $55 Notice or Permit Transfer [code 178]❑ $0 Phase 4 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Bill Seelbach
Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Liming room -bed droom Bill Seelbach
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#15 45000 S.Woodland
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Chagrin Falls OH 44002
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (440) 247 -8854 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-9-2021 6-11 -2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ ❑ ❑ ® [El [El ❑ Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Delive RECEIVED ,(APPROVED
Element Environmental 21640 ByTeo,S,os de,a«33pryMey13.zoz,J aY1, ,s„os d,a,z33Pm,MaY,3,zo,
A.M.S.Name 80 SF. Form of Payment&# Phase 04 PM req'd?
Josh Johnson Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274- 3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation to install new windows.
RECEIVED
11/12/2021
PA08 APPROVED
Form:AAN A ^r
By Trevor Strosnide BUILDfNG D`PARTMCNT
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
of co7o Single FamilyResidential DwellingSFRD Public and Commercial Building,School,and Single-Family Submitform to:
�4 _ 1�P9
IC) g �>50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
� O [code 200]❑ $0 Courtesy Notice [code 100]❑ $0 Courtesy Notice Colorado Dept.of Public Health
,t` * and Environment
* _ �, * [code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]❑ $80 Non-Public Access Notice APCD-IE-B1
`Ig76 [code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 CherryCreek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment Phase
code 180/280 ]❑ $55 Notice or Permit Transfer [code 178]❑ $0 Phase 5 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Shadow Mountain Aerie Partnership
Street Address Specify location in the building w here work w ill take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Lioving room -bed droom Pamela Washington
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#20 21 Briarcliff Road
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Larchmont NY 10538
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (914) 834 -5936 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-11 -2021 6-15-2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ Z Z Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Deliver RECEIVED 1 APPROVED
Element Environmental 21640 By Trevor 5,rosnitle,a,2:32 pm,May 13,2021 gy Trevor Strosnide,at 2:32 pm,May 13,2021
A.M.S.Name 80 SF. Form of Payment&# Phase 05 PM req'd?
Josh Johnson Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274- 3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation to install new window.
APPROVED R CEIVED
By Trevor Strosnider at 2:32 pm,May 13,2021
1 /12/2021
Form:AANPA08 ReN17J0/PJ
BUILDING DEPARTMENT
ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
1/---4---1-
'coCo Sin le Famil Residential Dwellin SFRD Public and Commercial Building,School,and Single-Family
�P9 g y g g' Submitform to:
p >50 LF or 32 SF or a 55-gal.drum,but<_260 LF or 160 SF or a 55-gallon drum Residential Dwelling:>260 LF or 160 SF or a 55-gallon drum Permit Coordinator
� O [code 200]❑ $0 Courtesy Notice [code 100]❑ $0 Courtesy Notice Colorado Dept.of Public Health
,t` * and Environment
* _ N �, * [code 205]❑ $60 Non-Public Access Notice(Opt Out) [code 105]❑ $80 Non-Public Access Notice APCD-IE-B1
`1876 [c[code 210]❑ $60 Notice [code 110]❑ $80 Notice 4300 CherryCreek Drive South
[code 230]❑ $180 30-Day Permit [code 130/232 ]❑ $400 30-Day P&C/SFRD Permit Denver,CO 80246-1530
Colorado Department [code 290]❑ $300 90-Day Permit [code 190/292 ]❑ $800 90-Day P&C/SFRD Permit Phone:303-692-3100
p Fax: 303-782-0278
[code 265]❑ $420 365-Day Permit [code 165/267 ]❑ $1200 365-Day P&C/SFRD Permit asbestos@state.co.us
of Public Health C
and Environment [code 180/280 ]❑ $55 Notice or Permit Transfer [code 178]❑ $0 Phase 6 of Multiple
Phase Permit#
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
Quetzal Environmental Inc.#468 Shadow Mountain Condos Alex Biel
Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc.) Contact
4728 S Ireland Ct Lioving room -bed droom Alex Biel
City State Zip code Street Address Street Address
Aurora CO 80015 809 S.Aspen Unit#21 381 Lovell Avenue
Telephone # Fax# City County Zip code City State Zip code
( 303) 956 -8587 ( ) quetzalinc@live.com Aspen Pitkin 81611 Mill Valley CA 94941-1052
Project Supervisor CO. Cert# Building Contact Cell Phone# Telephone # Fax#
Rudy Alvarado 8110 Scott Billeisen Rep. (970) 948 -6543 (970) 948 -4025 ( )
Project Personnel Project Information Disposal Site
CO Project Mgr. Name Start Date End Date Landfill Name
6-15--2021 6-17-2021 Waste Management
Cell Phone# CO Project Designer# Start Time End Time Street Address
( ) 8:00 AM PM AM 6:00 PM 3500 S. Gun Club Rd
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State Zip code
❑ ❑ Z ® ® ❑ ❑ Aurora CO 80015
Cell Phone# CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only
() Y❑ NZ drywall
Consulting Firm Name Registration # Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or DeliverRECEIVED '[APPROVED
Element Environmental 21640 BYT,eo,S„os de a,2:32pm,May13,zoz, aYT, ,s„os d,a,z3 pm.May13,zoz,
A.M.S.Name 80 SF. Form of Payment&# PM req'd?
Robert L. Ragan Phase 06 Y N W
Cell Phone# CO A.M.S.Cert# Permit# Record # Date Issued:
(970) 274-3129 18401
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
Wet removal by arless spray of 80 SF.RACM drywall . All this work will be Under Reg. #.8 full containment .All work using hand methods,hammers, scrapers, and shovels etc.All ACM will be double bagged
and label and takeen to an EPA regulated landfill. Arless spray and amended water will be used to wet the ACM. This abatement is for renovation to install new windwos.
RECEIVED
11/12/2021
APPROVED
Form:AANPA08 '
By Trevor Strosnidergiapi;rlVIS'E 21 ENT
CDPHE Air Pollution Control Division
111,
CO % Multiple phase asbestos project schedule
This form must be completed and submitted with each application for a multiple phase permit. In addition, A SEPARATE NOTIFICATION AND
PERMIT APPLICATION FORM, INCLUDING WORK PRACTICES AND PROCEDURES, MUST BE SUBMITTED FOR EACH PHASE. If there are
any changes, additions or deletions in this schedule, this form must be updated and resubmitted a minimum of ten working days prior to the start of
the affected phase(s). If the modification is due to a new phase being added, a separate notification and permit application form must be submitted
along with a $80 notification fee.
PROJECT DESCRIPTION OR NAME GAC NAME DATE PERMIT NO. (IF ISSUED)
Shadow Mountain Condos Quetzal Environmental #468 6/1/2021
PHASE BUILDING/SITE OR ROOM/LOCATION WORK DATES WORK TIMES AMOUNT TO BE TYPE OF MATERIAL TO
No. ADDRESS OF PHASE START DATE END DATE START TIME END TIME ABATED BE ABATED
1 809 S. Aspen Unit # 2 6/01/2021 6/3/2021 8:00 6:00 80 SF. Drywall
Aspen, CO. 81611
809 S. Aspen Unit # 8
2 Aspen, CO.81611 6/3/2021 6/7/2021 8:00 6:00 80 SF. drywall
3 809 S. Aspen Unit #10 6/7/2021 6/9/2021 8:00 6:00 80 SF. drywall
Aspen, CO. 81611
4 809 S. Aspen Unit #15 6/9/2120 6/11/2021 8: 00 6:00 80 SF. drywall
Aspen, CO. 81611
RECEIVED
11/12/2021
Form:MFS08 ASPEN
BUILDING DEPARTMENT
809 S Aspen
5 Aspen, CO. 81611 Unit #20 6/11/2021 6/15/2021 8:00 6:00 80 SF drywall
6 809 S. Aspen Unit #21 6/15/2021 6/17/2021 8:00 6:00 80 SF drywall
Aspen, CO. 81611
TOTAL SF.
480
PHASE ROOM/LOCATION WORK DATES WORK TIMES AMOUNT TO BE TYPE OF MATERIAL
No. BUILDING/SITE OR ADDRESS OF PHASE ABATED TO BE ABATED
START DATE END DATE START TIME END TIME
RECEIVED
11/12/2021
Form:MFS08 As da 1 J
BUILDING DEPARTMENT