HomeMy WebLinkAboutFile Documents.725 Cemetery Ln.0045-2019-BRES (6) 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
DEW1[O1L]IT� 1[O1v 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 Health 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 matifials (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 O O AL-N
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 8/30/2020.
The actual scheduled work dates are from 8/30/2020 through 8/28/2020.
Approval issued on: 7/13/2020
Record number: 160344 Fee Paid: $65.00
Notice Number: 20PI3722D Check number: CC2479
For the location specified below:
Asbestos Building Inspector:
Cemetery Lane
Joshua Jay Johnson
Cerification No.: 18401
725 Cemetery Lane
Aspen
Pitkin County Inspection Date: 06/20/2020
This notice has been issued to:
Korn Ltd Issued by: 'I'S
2551 Dolores Way
Carbondale, CO 81623
Submit form lo:' .1
cr
noLITION NOTIFICATION APPLICATION FORM Clorit CoD to:'-‘
Colorado
Healh an
Dept.o
APPLICATION FEE MUST ACCOMPANY THIS FORM APCDIIE-B1 Enviropmer'
INCOMPLETE APPLICATIONS WILL BE RETURNED 4300 Cherry CreeicDfive
South 4--,
e will be mailed to the demolition contractor unless specified otherwise) Denver,Co 80246-1530
Phone:303-692-3100
: $50+$5 per 1000 ft2 of area to be demolished =$ 65.00 Fax: 303-782-0278
(Soo Instruction tl1 on reverse side) Asbestos@slate.co.us
Company Name: Building Name:
Korn,Ltd. Cemetery Lane
Street: Square footage of footprint of fnclily or portion of facility to be demolished
2551 Dolores Way 2016 SF
UCity: State: Zip Code: Street:
2 Carbondale CO 81623 °' 725 Cemetery Lane
c Telephone# Fax# (!) City: County: Zip Code:
O (970)963-0577 A970) 963-9389 o Aspen Pitkin 81611
U Project Manager: Cell Phone It • Proposed Start Date Proposed Completion Date
o Mike Chnwra ..(970) 618-2383 0 8/3/2020 8/28/2020
I certify that the Certified Asbestos Building Inspector has informed me E Method/Means of Demolition:
O about any remaining asbestos-containing materials in the facility to be a)
E demolished. n t
ai ' x Wrecking CI Burning 0 Implosion 0 Moving ❑Other,specify:
® Signature:
Mike Chmura G r^� Print Name:
Mike Chmura
Landfill Receiving Building Debris: t
Burning requires additional authorization-Please call(303)692-3100 and ask
Pitkin County Landfill
to speak to the Open Burning Permit Coordinator
- -_=....
General b�)batementContr/actor(GAC) L Owners Name:
ae4e742,,t C/I/l;c2/>/41er/fy ( 725 Cemetery Lane Duplexes LLC
N c• C �O CDPHE Asbestos Permit# Total Q�u nti of Asbestos Removed 3 Street:
• o 'd ZI)P,-ZZ • 6i6A G, (7 2-7 a) ;
426 Main Street
.0• N C Dale Removal Competed Telephone# C City: State: Zip Code:
Q (e 3 2cr Pt e 2(.9 l Z'Z0 (30 A cel lo 85"13 4 '6 Aspen CO 81611
Types)of sbestos-Contain n Material Remov d: m Contact's Name: Telephone#
/Il/'// t i- r.,�7.�� Tiffany Phipps (970) 901-7613
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
o an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed
ii in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
o, asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
w facility.' I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
O ,o asbestos-containing material allowed to stay in the facility must remain non-friable during demolition. Specify type(s)
N T of ACM remaining, below: (check appropriate box(es)):
a> F.
u) ❑Vinyl asbestos floor tile (VAT) ❑VAT mastic ElTar/asphalt impregnated roofing ❑Asphaltic pipe coatings
U ❑ Spray-applied tar coatings ❑ Caulking ❑ Glazing ❑ Other, specify:
a, Signatu`e:(In Blue Ink) Printed Name:
4= r it i el l /
V gate of Final Inspection CO Cert# E piration Date h Telephone# Cell Phone#
ruffle 14"4-9.2rLri /01/0/ Expiration Date
/f// 2014 (`!70 ) 27 /J/3� (ei a) Zi`/-3/3
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 been
o p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3((or information on luminous exit sign requirements call 303-692-3320).
'a y ` CHECK THE APPROPRIATE BOX:
C .N
m 3 ❑ Building Owner X Contractor ❑ Other Date_ 6/23/2020
U Signature: o;.+„y n,".v Print Name:
Mike Chmura' ; ';:;,-ri, Mike Chnnura
Ore mNanu<11.1,7
THIS Box is FOR CDPHE USE ONLY:
Postmark or Hand Delivery Date: 6/26/2020 Approved By: APPROVED 1� Code: ❑Initial-310 ❑transfer-380
Form of Payment&#: cc 2479 $65 Permit#:20P13722D I Record# 160344 Date Issued:
'Regulated asbestos-containing materials means(a)friable asbestos-containing material,(b)Category I nonfriable ACM That has become friable,(c)
Category I nonfriable ACM that will be or has been subjected to sanding,grinding,cutting,or abrading or(d)Category II nonfriable ACM that has 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 properly
abated/removed prior to demolition.
Form:UNA03 Rev.01/30.'st