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Home My WebLink AboutCorrespondence - 1160 GREAT POND ROAD 3/30/2015 II State Abatement Professionals, inc. 4 Wilder Drive, Suite 12 866-5654CAI°':'' Plaistow, NH 03865 Fax: 603-378-0610 March 3, 2015 !)' C`IM 0 201 Town of North Andover Health Department 1600 Osgood Street Bldg 20; Unit 2035 North Andover, MA 01845 Phone#: (978) 688-9540 Fax #: (978) 688-8476 Re: Asbestos Abatement @ Brooks School, 1160 Great Pond Road To whom it may concern: All State Abatement Professionals, Inc. (ASAP) is scheduled to perform work for the above referenced project on the following dates: Start Date: 3/17/15 End Date: 3/17/15 All appropriate agencies have been notified for the above referenced project. If you have any questions or need additional information,please do not hesitate to contact me. Sincerely, J. Scott Curley President JSC:jab Enclosures Asbestos •Masonry Cleaning •Selective Demolition •Shot/Sand Blasting • Mold Remediation I f i y3, 3 g( 2 t j 1 p� t 3 i i ��ti Massachusetts - .�ommonwea 1 of i, A E-10021 5930 zz :a ' rS:Ltsy : l d 1� ? s 3 C). T(,.' Cl r 11 . -t - _— ------ E,,s.��stos Project# Project Revision __'�' __�__ � Proiec�1✓1 el<<airn A. Asbestos Abatement Description 1.Facility Location: BROOKS SCHOOL 1160 GREAT POND ROAD Name of Facility Street Address Instructions 1.All NORTH ANDOVER MA 01845 9787256284 sections of this form City/Town State Zip Code Telephone must be completed in NORMAND GRENIER FACILITIES order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: ADMIN BLDG-BASEMENT STORAGE ROONIS CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? P_Yes No notification requirements of 453 CMR 6.12 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)? F Yes l✓ No MassDEP Use Only 4 Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor: Massachusetts ALL STATE ABATEMENT PROFESSIONALS 4 Vu1LDER DRIVE SUITE 12 Asbestos Program P.O.Box 120087 Name Address Boston,MA 02112- PLAISTOW NH 03865 6033780600 0087 City/Town State Zip Code Telephone A0000331 Contract Type: f'Written F Verbal DLS License# 7, JOSEPH R CURLEY AS900965 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. Al SPECTRUM SERVICES AA000152 Name of Project Monitor DLS Certification# 9. Al SPECTRUM SERVICES AA000152 Name of Asbestos Analytical Lab DLS Certification# 10. 3/17/2015 3/17/2015 Project Start Date(MM/DD/YYYY) End Date(MM/DD/YYYY) 7-3:30 NONE Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11. What type of project is this? f— Demolition Fv Renovation [— Repair r— Other-Please Specify: Revised: 11/13/2013 Page I of 4 Commonwealth of Massachusetts 00215980 _� Asbestos Notification Form ANF-001 Asbestos Project# � Project Revision Project Cancellation A.Asbestos Abatement Description: (cont.) 12.Abatement procedures(check all that apply): F- Glove Bag C- Encapsulation r— Enclosure f— Disposal Only F, Cleanup [—V Full Containment ( Other-Please Specify: 13.Job is being conducted: I✓ Indoors (J Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 150 Linear Feet(Lin.Ft.) Square Feet(Sq.Ft.) Boiler,Breaching,Duct, Transite Pipe Tank Surface Coatings Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Pipe Insulation 150 Transite Shingles Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Spray-On Fireproofing Transite Panels Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Cloths,Woven Fabrics Other-Please Specify: Lin.Ft. Sq.Ft. Insulating Cement Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. 15.Describe the decontamination system(s)to be used: PROVIDE AN ADEQUATE DECONTAMINATION SYSTEM. 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): DOUBLE 6 MIL POLY. 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of MassDEP Official Title of MassDEP Official Date of Authorization(MM/DD/YYYY) Waiver# Name of DLS Official Title of DLS Official Date of Authorization(MM/DDNYYY) Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A—F apply to this Yes [' No project? Revised: 11/13/2013 Page 2 of 4 F M Commonwealth of Massachusetts 1100,15980 Asbestos Notification Fo.t 'i iO -D01 Asbestos s ojeet P f Proje,,;Revision Pr'ojec,:. Cancellation B. Facility Description 1.Current or prior use of facility: SCHOOL 2.Is the facility owner-occupied residential with 4 units or less? Yes fv No 3,BROOKS SCHOOL 1160 GREAT POND ROAD Facility Owner Name Address NORTH ANDOVER MA 01845 9787256284 City/Town State Zip Code Telephone s� 4.NORMAND GRENIER 1160 GREAT POND ROAD Name of Facility Owner's On-Site Manager Address NORTH ANDOVER MA 01845 9787256284 City/Town State Zip Code Telephone 5,ALL STATE ABATEMENT PROFESSIONAL 4 WILDER DRIVE,STE 12 Name of General Contractor Address PLAISTOW N-1 03865 6033780600 City/Town State Zip Code Telephone Note:Temporary FEDERAL INSURANCE COMPANY storage of Asbestos containing waste Contractor's Worker's Compensation Insurer material is only 044727722 4/15/2015 allowed at the place Policy# Expiration Date(MM/DD/YYYY) of business of a DLS licensed Asbestos 6.What is the size of this facility? 7435 2 contractor or a transfer station that is permitted by Square Feet #of Floors MassDEP and C. Asbestos Transportation & Disposal operated in compliance with Solid Waste Regulations 1.Transporter of asbestos-containing waste material from site of generation: 310 CMR 19.000 r— Directly to Landfill or F7 To Temporary Storage Location/Transfer Station ALL STATE ABATEMENT PROFESSIONALS,INC. 4 WILDER DRIVE,STE 12 Name of Transporter Address PLAISTOW NH 03865 6033780600 City/Town State Zip Code Telephone 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: J.O.B./ROLLOFF,INC. PO BOX 6037 Name of Transporter Address CHELSEA MA 02150 6173871495 City/Town State Zip Code Telephone Revised: 11/13/2013 Page 3 of 4 Commonwealth of Massachusetts 100215980 Asbestos Notification Form. ANF-001 Asbestos Project# f Project Revision f— Project Cancellation mote:contractor must 77 sign this form for DLS C.Asbestos Transportation&Disposal: (coat.) notification purposes 3.Name and address of temporary storage location/transfer station for the asbestos eontainin waste material: hAk 092015 ALL STATE ABATEMENT PROFESSIONAL 4 WILDER DRIVE Temporary Storage Location Name Address PLAISTOW N9 03865 6033780600 City/Town State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): TURNKEY LANDFILL WASTE MANAGEMENT OF NH Final Disposal Site Name Final Disposal Site Owner Name 97 ROCHESTER NECK ROAD Address ROCHESTER N1 03839 6033302165 City/Town State Zip Code Telephone A Certification "I certify that I have personally examined the foregoing and am JUDITH BEREZANSKY JUDITH BEREZANSKY familiar with the information Name Authorized Signature contained in this document and OFFICE MANAGER 3/3/2015 all attachments and that,based Position/Title Date(MM/DD/YYYY) 6033780600 ASAP,INC. individuals immediately responsible for obtaining the Telephone Representing information, I believe that the 4 WILDER DR,STE 12 PLAISTOW information is true, accurate, and Address City/Town complete. I am aware that there NH 03865 are significant penalties for State Zip Code 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 7.15 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." Revised: 11/13/2013 Page 4 of 4 i