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HomeMy WebLinkAboutALL DOCS - 12-00250 - 147 S 1st W - DemolitionBuilding Sofely Deportme-rl www.rexburg.org / Et> *#o*, 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: CellPbone: ,3i3 -51J/ ct i]. 0 r }T]IXNURG(\r' ,\ t r ;: r ! c;: s lstrsi iy C tt rttt t u iti i1 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"