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HomeMy WebLinkAboutAsbestos Abatement - Correspondence - 35 FERNVIEW AVENUE 2 1/25/2022 86889542 Page: 1 of 5 2022-01-24 17:38:59 GMT 19783831097 From: Economic Enviro Techs,In FAX COVER SHEET TO COMPANY North Andover Board of Health FAX N U M B E R 19786889542 FROM Economic Enviro Techs,Inc. DATE 2022-01-2417.38:37 GMT RE 35 Fernview Avenue Unit 2 COVER MESSAGE GoodAfternoon, Following please find a copy of the DEP/DOS notification form for the asbestos abatement at 35 Fernview Avenue Unit 2. The project is an emergency scheduled for today January 24, through January 28, 2022. Please contact Jeff Pace (978) 423-3998 or myself if you have any questions. Thank so much, Rhonda Economic Enviro Techs,Inc. Phone (978) 348-1118 Fax (978) v www ecoenvir tech.net ��Otiti � LPN ti ��PNM�N� OFNO PP�� +19786889542 Page:2 of 5 2022-01-24 17:38:59 GMT 19783831097 From:Economic Enviro Techs,In �GEtV>ya Massachusetts Department of Et vironmen t protection 1100351524 I ` << BWP AQ 04 (ANF- 01) Jo 2 5 202� Asbestos Project# ANODVE� r, project Revision Asbestos Notification Forth -tN -� OF NOVpPR�M�N r Project Cancellation A. Asbestos Abatement Description 1.Facility.Loc:ation: 35 FEl2NVIEVJ AVENUE UNIT 2 35 FERNVIEW AVENUE t�VIT 2 b.street Address instructions 1.All a.Name of Facity sections of this form NORTH ANDOVER MA 01845 2012505986 must be completed in d.State e.Zip Code f.Telephone order to comply with c-Cityfrown MassDEP notification KEGAN STAtTE OVNER REPRESENTATNE requirements of 310 h.Facility Contact Person Title CMR 7.45 and g•Facility Contact Person Name Department of Labor worksite Location: BATHROOM,LN/ItgG ROOM.BEDROOM,HALL Standards(DLS) i.Building Nama,Wing,Floor,Room,etc notification requifam ants of 453 2. 1s the facility occupied? Pe.a.Yes -.b..No CMR6,12 3.is this a fee exempt notification (city;town, district,municipal housing authority;state facility, or owner-occupied residential property of four units or less)?PF a.Yes b. No MassDEP Use Orly .Blanket Permit Project.Approval,if applicable: Approval 113# Date Received 5-Ncin-Traditional Asbestos Abatement.Work Practice Approval, if Wheable: Approval ID# 6.Asbestos Contractor: ECONOMIC ENVIROTECHS 38 INTERVALS ROAD a.Nine b.Address FITCHBLRG MA 01420 9783481118 c.city/Town d,State e.Zip Code f.Talephone AC000489 h.Contract Type:i7..1..Written. 2.Verbal g.DLS License# HENRYMOSES AS031082 7 a.Name of Contractor's On-site suparvism/Foreman b.ULS certification# 8, PAT'MMELEENRLEY AM060297 a.Name of Project Monitor b.DLS Certification# ENViRO-SAPE ENGINEERING AA000131 a.Name-of Asbestos Analytical Lab b.DLS Certification# 10, 1/28/2022 uz4/2o22 a.Project Start Date(MWDD/YYYY) b.End Date(MM/DD/yyYY) 7A-6P NIA c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday 11.What type of project is this? r a.Demolition W b.Renovation C"' c.Repair r d.Other-Please Specify: L21 Revised- 11/13/2013 Page t of +19786889542 Page:3 of 5 2022-01-24 17:38:59 GMT 19783831097 From: Economic Enviro Techs,In Massachusetts Department of Environments Protection P 10U3S1$�4 -001) Asbestos Project# ' Asbestos Notification Form Project Revision _! r` Project Cancellation A.Asbestos Abatement Description: (cant.) 12.Abatement procedures(check all that apply); r a.Clove Bag 17 b.Encapsulation F c.Enclosure ". d.Disposal Only 1= e.0eaI>up {" f Full Containment I g. Other-Please Specify: 13.Job is being conducted: 17 a.indoors b.Outdoors 14 a.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated; 428 1,Linear Feet..(Lin.Ft.) 2.Square Feet(Sq.Ft.) b.Boiler,Breaching,Duct, c.Transite Pipe 1.Lin.Ft '2.Sq.Ft Tank Surface Coatings 1.Lin.FL 2,Sq.Ft. d.Pipe Insulation e.Transite Shingles _ 1,Lin.Ft 2� 1.Lift.FL 2.Sq.Ft. L Spray-On Fireproofing g.Transite.Panels _ 1.Lin.FL 2.Sq.FL 1.Lin.Ff. 2.Sq.Ft. h.Cloths,Woven Fabrics i,other-Please Specify: 1.Lin..i=t 2.Sq.Ft j.insulating Cement MN`OOMPOLM 428 1.Lin.FL 2,5q.Ft. 1,Lin.FL 2.Sq.Ft. 15.Describe the decontamination.sy-stem(s)to be used: 3 CA-"ER 16.Describe the.containerization/disposal methods to comply with 31.0 CMR 7.15 and 453 CMR 6.14(2) (g): (2)6-MIL BAGS WETTER 17.For Emergency Asbestos operations,the MassDEP and MS officials who evaluated the emergency: ANDREW DANK EWIRONMENTAL ANALYST a:Name of MassaEP Official b.Title of MassbEP©fkW i/24/2022 NAW2201087 c.Date of Authorization(MM/DD/YYYY) d.Waiver# MELI SSSABUTTS ETMRONMENTALANALYST a.Name of DLS Official f..Title of QLS Officiat 1/2112022 33893-2022 g.Date'of'Authorization(MM/DD/YYYY) h.Waiver# 18.Do prevailing wage Tates as per M.G.L.c. 149,§26,27 or 27A—F apply to this r a-y`s r b. o 18.DO prevailing wage TaWS as per M.G.L.c. 149,§26,27 or 27A--F apply to this F a.Yes (70 b. No[21 project? Rnviced- 11/11/7,01 1 Wane?.of 4 +19786889542 Page:4 of 5 2022-01-24 17.38:59 GMT 19783831097 From: Economic Enviro Techs.In -nent of Envirentnental ProtectionMassachusetts De arh 100351524 B A 04 F� r' Asbestos Project# Asbestos Notification Form. f°'. Project Revision. t. r Project Cancellation B. Facility Description 1..Current or prior use of facility: FtEStDENTWL --- 7.Is the facility owner-occupied residential with 4 units or less?W. a.Yes r'. b.No JANET CATANZANO 35 t=ERNViEW AVENUE UNIT 2 3.a.Fa6rhy Owner Name b.Address NORTH ANDOVER MA 01845 2012505986 c.C.Ityjjown d.State e.Zip Code f Telephone 4,KE\4N SANTAMP SAME a.blame of facility Ownees On-Site Manager b.Address SAME MA 01845 2012505986 C.Cityffown d.State e.Zip Code f.Telephone ECONOMIC ENVIRDTECHS,INC. 38 INTERVALE ROAD a.Name of General Contractor b.Address FITCHBURG MA 01420 0783481118 c.Cityfrown d.State a.Zip Code C Telephone STATE NATIONAL INSURANCE g.Contractor's Worker's Compensation Insurer VYC{186t3369 9115t2022 Expirationh.Policy# i.Expiration Date(MMlQQ1YY4'Y) 860 1 6.what is the size of thisfacility'? a.Square Feet b.#of Furs Note:Temporary storage of Asbestos C. Asbestos Transportation & Disposal containing waste I Transporter of asbestos-contaiilmg Waste material.t>rom site of generation: material is only allowed at the place r a. Directly to Landfill or ► b.To Temporary Storage Location/Transfer Station of business of a DLS licensed Asbestos 3t3IN7ERVALE ROAD or a transfer ECONC*AIC ENVIRO TECHS,INC. - station that is c.dame of Transporter d.Address permitted by MassassDEP and FITCHBURG MA 01420 9783481111 operated in e.City/Town f.State g.Zip Code h.Telephone compliance with Solid Waste Regulations 310 crud te.oao 2 if a temporary storago location/transfer station is used,lisi name of transporter of agbestos containing, waste material itvnl temporary storage location/transfer station to final disposal site: SERVICE TRANSPORT GROUP 381NTERVALE ROAD a.Name of Transporter b.Address NEW CASTLE; CE 19720 2673999411 c.City/Town d.State e.Zip Code f.Telephone C*] [21 Revised: 11/13/2013 Page 3 of +19786889542 Page:5 of 5 2022-01-24 17:38:59 GMT 19783831097 From: Economic Enviro Techs,In Mmac.husetts Department of Environmental Protection lUU3�t524 T AfN 04 (ANF`OU1) .� .:.i Asbestos Project# Asbestos Notification Form r Project Revision r Project Cancellation C.Asbestos Transportation &;Disposal:(cent.) 3,Name and address of temporary storage location/transfer station for the asbestos containing waste material: 88 SARGENT ROAD REALTY TRUST 86 SARGENT ROAD a.Temporary Storage Location Name b.Address VVESTMINSTER MA 01473 9784237424 G.:Cwown d..State e.Zip Code f:'tetephone 4.Name and location of final diqxxqa1 site(asbestos landfill): MNERVA ENTERPRISES INC. MNEIWA ENTERPRISES INC. a.Rnal Disposal Ste Nam b.Final Disposal Site Owner Name 8955 MINERVA ROAD c.Address WAYNESBURG CH 44688 3308663435 d.CitylTown e.State f.Zip Code g.Tetgphor>o Note:Contractor must sign this.form for.Dt.S notification purposes D. Cerdficallion HENRY MOSES "I certify that I have personally 1.Name 2.Authorized Signature examlaedthe foregoing and am PRE t familiar with the Information Pos on/Title 4.Date(MMtDD1YYYY) contained in this document and 9784233999 ECONOMIC t=WROTECHS,1NC, all attachments and that,based on my inquiry of those 5.14010plMe 6.Representing individuals immediately 38 INTERVALE ROAD FITCHBURG responsible for obtaining the 7.Address 8.Cityrrown information,I believe that the. MA 01420 information is true,accurate, and S State 10.7ip Cade complete.I am aware that there are significant penalties for submitting false information, including.possible fines and imprisonment The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.115 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." C*] [21 Revised: 11/1-3/2013 Patye.4 of 4