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Home My WebLink AboutMiscellaneous - 230 ANDOVER BY-PASS 4/30/2018 230 ANDOVER BP / — 210/025.0-0036-0000.0 ?ass I i i i i i i iI I i f Address 23"6 14-,AJ p O 'J E-C �-t Title of File Page 9 of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ Num. Action Department Board of Appeals - Board of Health - Planning Board - Conservation Commission - Building Department i � I SIMMONS i May 2, 2000 Environmental Services, Inc. lAY Reference #971208 Sandra Starr, Health Inspector Municipal Building 120 Main Street North Andover, Massachusetts 01845 RE: RTN 3-15685 Immediate Response Action Completion Statement & Class A-2 Response Action Outcome Statement 230 Andover Street North Andover, Massachusetts Dear Ms. Starr: Simmons Environmental Services, Inc. (SIMMONS) has submitted an Immediate Response Action (IRA) Completion Statement and Class A-1 Response Action Outcome (RAO) Statement to the Massachusetts Department of Environmental Protection (MDEP), pursuant to Release Tracking Number #3-15685, for property at 230 Andover Street, E North Andover, Massachusetts. This submittal package has been filed with the Northeast Regional Office of the MDEP, 205A Lowell Street, Wilmington, Massachusetts 01887. Arrangements may be made to review or copy the above referenced submittal and disposal site file by calling the MDEP Northeast Regional Office at(978) 661-7600. Very tr ly yours, G William A. Simmons Licensed Site Professional WAS:rac 213 Elm Street Salisbury,MA 01952 New Area Code(978) Telephone 508-463-6669 Fax 508-463-6679 � � ' ,« � Air Quality Experts, Inc. � 349 So. Broadway' Suite a Salem, N.N. 03079 � 603-894-6465 MARCH 21 , 1994 NO. ANDOVER BOARD OF HEALTH 120 MAIN STREET NO. ANDOVER, MA 01845 ! DEAR SIR: ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE FOR AN ASBESTOS ABATEMENT PROJECT. THE JOB WILL TAKE PLACE ON APRIL 01 , 1994. | | . / PR0JECT: 230 S ANDOVER BYPASS; NO. ANDOVER, MA 01845 ' i ANY QUESTIONS CONCERNING THIS MATTER SHOULD BE DIRECTED TO MY ATTENTION. i i SINCERELY, / � � | CHRISTOPHER THOMPSON PRESIDENT � I Iow Commonwealth of Massachusetts Asbestos Notification form— ANF-001Asbestos AbatementDescription \; "' 1. Facility location: TOM B"I"SS0 ............f1.1�I:C?.L.VE`. :.....'.`r F-.A-*.�................... .................................................................................................... ......................a;.�.,.. f�- •� INSTRUCTIONS Narne Address N1.0.........PiND.a�,ER............................................ ..t�..�64.5-....................... : .-- � ��,...:.................................. .. 1.All sections of this loan must be completed cilyyrown Zip rude elephone in order to comply with the Department of ..... Hsi.{_.X.�r..;::j"....................................... .......................................................................................................................................... .... ........... Environmental 0sl isde wvrrsr eI as illilding rtarre,/,wing,aoor,morn Protection notification 2. Is the facility occupied? 9 Yes 0 No requirements ol310 CMR A 7.15(ten working days prior notification is 3. Asbestos Contractor: requiredofanyabatement AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8 projeco:and the ................................................................................................... ................................................................................................................................... Department of Labor. Name Address and cIndustries equ SALEM, NH 03079 603-894-_6465...._..._...•,,..... notification requirements ..................................................................................................... ...................................................... .......... of 453 CMR 6.12 (ten CitylTown Zip code Telephone days prior notirrcation is requkedolANY AC 000167 WRITTEN abatement project greater DU lkense/ CoInixi Type(wrilrenyverbaq Bran tree limas or square 160. 4. On-Site Project Supervisor/Foreman: 2.Submit Original Form CHRISTOPHER THOMPSON SFO7797 To: Nance 011 Cediliuliun/ Commonwealth of Massachusetts 5. Project Monitor: Asbestos Program N/A P.O.B.120061 ................................................... .................................................................................................................................. ................. Boston,MA 02112• Narne D11Cerlificaliunl f 0067 6. Asbestos Analytical Lab: 3.This form maybe 1\1/rrr usedfor notifying the ................................................................................................... ............'..................................................................................................................... U.S.Enviionmental Narne Ou r eniriradm,! Protection Agency Region C)C1.()j,')4 C)J.f•) '-14• _7 -4 --.'4 Iofasbestos demolition/ 7. Project start date_/ / end dale=/=__specific work hours(Mon.-Fri.)—(Sat.Sun.) renovation operations subjecCFR toast M). S(40 8 What type of project is this? (circle one): demolition repair rxno�elion Met(explain) CFR Subpart M). FouooalUwOr4 9• Describe the asbestos abatement procedures to be used (cir e): grove lag enclosure ludconfainmenl cleanup encapsulation d isposal tit otfar(exyain) Nd'da6m I oie 10. Is the job being conduct outdoors? d� W- 11. Total amount of each typMaterials(ACM)to be handled on pipes or ducts(linear ft.)t r other surfaces(square ft.) to be removed,enclosed or encapsulated: sm�— lineadsquare feet boiler,breaching,dud,tank surlace coatings..._� thermal,solid core pipe insulation......_J corrugated or layered paper pipe insulation.... insulating cement.................. _J spray-on riieprooffng..................... bowellsprayer coatings.............. cloths,woven fabrics....................._J transile board,wall board............. other(please describe)...................._1 12. Describe the decontamination system(s)to be used: -GLOVE......B 13............................................................................................................................................................................................. .............. ........................................... .............................._....................... ..................._..........................................I............................. 13. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(8): WET....REMOVAL....I.N.T.O....6XIL....ROL.Y....A.S B ES.T.OS...LAB ELEII....BAGS................................................. 14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency: #......................._......................................_...._ Name of DEP official Tide kr............................................................................................... ....Wal....ver!.................................................................... .............. ............ _........................... DafeWAulhorizaliar NarreW 0U(Mlcial Title ........................ ......... ........................................................................................................................ (fareW Aumrxl7aliWt Waiver/ 15. Do prevailing wage rates apply as per M.G.L.c.149,§26,27,or 27A-F to this project? O Yes o 9 Rev.6A2. JJ Facility Description 1. Current or prior use of facility: c-5 i'D E AJ C & ....................................................................I................................................................................................................................................................... 2. Is the facility owner-occupied residential with 4 units or less? /Yes 0 No 3. Facility Owner: NaM'e*** S.ME...........................................................A.d.the.ss............................................................................... .................................... one............................................................... 4. Facility's Owner's On-Site Manager: N/Pi One Address ...................I.................................................................. ............................................ .................................................................. Zip rzue Telephone 5. General Contractor: ......................... ....................................................................................................................... Name Address 'z'ip,C'o-d'a" ...... Telephone contractors Workers comp.Insurer policy Exp.Dale 6. What is the size of the facilit0 C)C) y?'--- - (sq f1)` (i of floors) Asbestos Transportation and Disposal 1. Transporter of asbestos-containing waste material from site to temporary storage site(if necessary)to final disposal site: AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8 Yarn e Address .. .. ..................................................................................................................... SALEM, NEW HAMPSHIRE 03079 603-894-6465 Zip wle Telephone . ...... . 2. Transporter of asbestos-containing waste material from removal/temporary storage site to final disposal site: SAME ..........Narne Adrhess ............*............. ........... . . . ......... Note:Transfer cilyTuml. Stations must 41 Teleidione comply with the 3. Refuse transfer station and owner if applicable): Solid Waste Divisionregula- .............................................................. ........................................................................................................................... tions 310 CMR Address 18.00 ............. T"e'reh Cirypown Zip rxxle 'rurie ....... 4. Final Disposal Site: TURNKEY LANDFILL WASTE MANAGEMENT OF NEW HAMPSHIRE L orition Name .. .....a.r.n..e. ................................................................................................................. wteis N 90 ROCHESTER NECK RD. ............ .......... ..........* Address ROCHESTER, NEW HAMPSHIRE 03867 603-332-2386 firyAnwn lit,flyle relpmone Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts Regulations for the Removal,Containment or Encapsulation of Asbestos.453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. CHRISTOPHER THOMPS.O.N.............. Print NameJ ............................ ....0`1 ............... 4 Note:Contractor Aufhorued S!n rareL�,Ie must sign this PRESIDENT AIR QUALITY EXPERTS, INC.603-894-6465 form for DLI ................. notificationIelePloru purposes 349 SO. BROADWAY #8 SALEM, NH 03079 .....................................................................................................I......................................................................... ................... "les's' rily/Tum) I/P rMe Fee exempt(City,Town,district,municipal housing authority,owner-occupied residential of four units or less)?1[�ye, 0 no Sticker i(from front of form): 10