HomeMy WebLinkAboutALL DOCS - 12-00250 - 147 S 1st W - DemolitionBuilding Sofely Deportme-rl
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Applicant's Address: i5-4 A
Business phone: A% -(A1 D
Contact Infotmation
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Permit #:
$25.00 Fee Paid: Yes/No Permit Approved: Yes/No
Ctty/ST/Zip:
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Applicant Information
Name:
Person or Companv doins the demolition:<-t774ef'
Address: /5'/' Sz9t-url Ctty/ST/Zip:
Business phone: 4OZ - 9"5-t O
Demolition Information
Property Owners
Site Address: tq 7 .q. I 5t k)
Start Date:/ /t)Completion Date:
Summary of what is being demolished:
The U.S. Environmental Protection Agency (EPA) regulates the abatement and disposal of asbestos-containing materials from any
public or private building involving demol-ition, renovation, repair, construction, and maintenance activities-
htrp:/,/deq.idaho.sov / au / pros issues/pollutants/asbestos.cfm
EPA certifies and licenses asbestos-removal contractors, inspects asbestos-abatement proiects, and enforces laws regarding the proper
removai and disposal of asbestos-containing materials.
Currently, EPA and DEQ contract with Industrial Hygiene Resources in Garden City, Idaho, to regulate asbestos removal and disposal
proiects in ldaho.
For more information about asbestos abatement and disposal in Idaho, contact:
Industdal Hygiene Resource
206 Murray St
Garden Citty lD 83774
208-323-8287
www. industrialhvsleneresources. com
I understand the EPA requitements regarding asbestos removal and agree to provide information showing
compliance with the regulations rythg Citypf Rexburg prior to demolition.
Appli cation for Demolition
Signature of Applicant:
U. S. ENVIRONMENTAL PROTECTION AGENCY - STATE OF IDAHO
NOTIFICATION OF DEMOLITION AND RENqVATION
oPERATORPROJECT# | POSTMARK DATE RECEIVED NOTIFICATION
rrn NrrTr['lcaTIONr COIIRTESY x ORIGINAL REVISED CANCELED
II. FACILITY DESCRIPTION:
Building Name: Vacant house
Address: 147 South 1" west, and 153 South, l-'West
City: Rexburg State: Id Zip Code: 83460 County: Madison
#ofFloors: I and basement-house, single level trailer
I and basement
Age in years: aprox 95, trailer 30
70 yearsBuilding Size (Sq. Ft) )147South 1" West- house'2000, trailer- 500
I 53 South. I "' West house I 800 sq ft
Present Use: vacant Prior Use: residential
II TVPNOF'OPNRATION: X DEMO ORDEREDDEMO RENOVATION -EMERGENCYRENOVATION _FIRETRAINING
tc Ashcsfor Present? {check one) Yes x No Asbestos removed
V. Facility lnformation:
OwnerName: NG Rexburg Housing LLC
Address: 2880 North 55 West
City: ldaho Falls State: Id ZipCode: 83402
Contact: David Dance Telephone: 208'528-6635 Fax: N/A
Removal Contractor Name: Great Basin Services, Inc License; CSR 0 I 20 I 2-29
Address: P. O. Box 238
rirv' Blackfoot state: Idaho zipCode:83221
Contact: Dave Price Telephone: 208-785-1761 Fax: 208-7854053
Other Operator (demolition/general) Streamlined Homes LLC License: n/a
Address: 160 South, 3ed West
City: Rexburg State: Idaho ZipCode:83440
.^nra^i. r-dru snrenqen Teleohone: 208-403-4510 Fax: n/a
procedure, including analytical mcthods, employed to detect the presence of and to estimate the quatify of RAGM and category I and category II
non-fiable PLM Lab testing
vt.
Vll. Approximate Amount of Asbestos Materials: I
RACM to be Removed Nonfriable Asbestos Material
to be Removed
Nonfriable Asbestos Material
Not to be Removed
Category I Category Il Category I Category II
Pipes (linear feet)
Surface Area (Square feet All asbestos removed from each
house
Facility Components (cubic feet)
VIII. Scheduled Dates Demolition or Renovation: Start: May-31-2012 Complete: June-I5-2012
IV. Dates for Asbestos Rernoval (MM/DD/YY) : Start: Asbestos removal complete, Completel ,
DaysAileekltvtondaylTuesdaylwednesday Thursday Friday Saturday Sunday
Hrsof Operation | 8am-5pm | 8am-5pm I 8am-5pm 8am-5pm 8am-5pm
X. Description of planned Demolition or renovation work to be preformed and method(s) to be employed, in-cluding demolition.or renovation
techniques to be used and description of affected facility components: Asbestos removed prior to demo. Complete demo using track-hoes, loaders'
will be dept wet to keep down dust during demo and loading ofdebris.
XI. Description of work practices and enginee ring controls to be used to comply with the requirements, inctuding asbestos removal and waste
handling emission control procedures: All asbestos removed prior to demo.
XlI. Waste Transporter #1: General Construction debris
Name: Streamlined Homes LLC
Address: 160 South,3ed West
State: Idaho ZiP Code: 83440
Telephone: 208-403-4510
State: ZiP Code:
XIL Waste Disposal: ASBESTOS ONLY
Name: Madison County Solid Waste
Address: 530 Airport Rd
State: Idaho ZiPCode: 83440
Teleohone: 208-356-3102 Fax: n/a
Xry. Emergency Demolition (Complete item XIV
I . Attach a copy of the Order to this notice.
and all other sections, only ifthis project is an Emergency Demo)
2. Name of Authority Issuing Order:
3. Authority of Order (Citation of Code):
4. Date of Order (MM/DD/YY)
-XV. Emergency Renovation (ettactr separate snief with the following information if project is Emergency Renovation.)
Date and Hour of Emergence N/A
Description of Sudden, Unexpected Event.
iliil;*;;f;;ittr .u.n iuu*o unsafe conditions or equipment du'nuqgjlll ,ltt-onable financial burden'
xvl. Description of procedures to be followed in the event that unexpected RACM is found or nonfriable AcM becomes crumbled, pulverized or
ACM, enclose area, post wamings and contain . Stop spread of air-born fiber release.
the provisions of NESHAPS (40 CFR PART 61, SUBPART M) will be on site during the demolition or
ired training has been accomplished by this person will be available during normal business hours'
Date TYPe or Print Name and Title
May-17-2012 Dave Price / Owner Secretary
xvII. I ^"wrolydagrtl\*ist/ce 9f taws prohibiring the submission of false or misleading statements and I certify that facts contained in this
Date TYPe or Print Name and Title
original Notification must be mailed or hand delivered at lease ten working dsys (Monday-Friday excluding weekends) before demolition or renovation
begins, except emergency demolition and emergency renovations which must be submittsd as soon as possible before operations begin' (Form rev 3124/99,
Great Basin Services, Inc
P.O. Box 238
Blackfoot,Idaho 8322I
Office: 208-785-1767
Cell: 208-681-6462
April-26-2012
RE: Vacant house located at 147 South, l't West, Rexburg, Idaho
To Whom it may concern:
Great Basin Services has removed the asbestos found in the Inspection on this house.
Aprox 40 sq ft of sheet vinyl in house and aprox 90 sq ft of roofing materials on trailer behind
house. All asbestos materials removed, were taken to Bannock County landfill. This is an EPA
approved landfill which accepts Asbestos.
Dave Price Qp"