HomeMy WebLinkAboutALL DOCS - 12-00257 - 60 W 2nd S - DemolitionBuilding Sofety Deportmdt
City of Rexburg
Phone: 208.3/2.2326
Fox: 208.359.3022
Application for Demolition
Permit #:
925.00 Fee Paid: Yes/No Permit Approved: yes/No
City/ST/Zip:
CellPhone: .3i3 -5/J /
Person or Company doing_1h-e 4r^dr4or,@
Address: l7t/ €:=&-O1 -C|ry/ST/Zip:
www.rexburg.org
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Applicant Information
Name;'/L/ED
Applicant's Address
Business phone: +OB -157 O
Contact Information
Business phone: z/D3 - qJ-/ C cel phone:
Demolition Inform ation
Property Owners
/i^Site Address: lfl/) / ( /".sT 1nl \
SrartDate: h*1''lZ = CompletionDate:--
Summary of what is being demolished:
The u'S' Environmental Protection Agency (EPA) regulates the abatement and disposal of asbestos-containing materials from anypublic or private building involving demolition, ...ro-r"tion, repair, constructron, and maintenance activrties-http: / /deq.idaho.gov/airlprog issues /pollutants/asbestos.cfm
EPA certifies and licenses asbestos-removal contractors, inspects asbestos-abatement proiects, and enforces laws regarding the properremoval and disposal of asbestos-containing matedals.
curtendy, EPA and DEQ contract with Industrial Hygiene Resources in Garden ciry, Idaho, to regulate asbestos temoval and disposalprotects in Idaho.
For more information about asbestos abatement and disposal in ldaho, contact:Industrial Hygiene Resource
206 Murray St
Garden City ID 83774
248323-8287
www.indus trialh)rgieneresources.com
I understand the EPA reguirements regarding asbestos removal and agree to provide infonnation showingcompliance with the regulations yth: cityrf Rexburg prior to demolition.
-CY'rtE-S
Signature of Applicant:
U. S. ENVIRONMENTAL PROTECTION AGENCY. STATE OF IDAHO
NOTIFICATION OF DEMOLITION AND RENOVATION
OPERATOR PROJECT #POSTMARK DATE RECEIVED NOTIFICATION
I. TYPE OF NOTIFICATION: COURTESY x ORIGINAL REVISED CANCELED
II. FACILITY DESCRIPTION:
Building Name: Vacant house
Address: 60 West 2"" South
City: Rexburg State: Id Zip Code:83460 County: Madison
Site Location : Demo of entire house
Building Size (Sq. F0 ) 2800 #ofFloors: I and full basement Age in years: aprox 34
Present Use: vacanl Prior Use: residential
III. TYPE OF OPERATION: x DEMO ORDERED DEMO RENOVATION - EMERGENCY RENOVATION - FIRE TRAINING
IV, Is Asbestos Present? (check one) _Yes x No Asbestos removed prior to demo
V. Facility Information:
Owner Name: NG Rexburg Housing LLC
Address: 2880 North 55 West
City: Idaho Falls State: Id Zip Code: 83402
Contact: David Dance Telephone: 208-528-6635 Fax: N/A
Removal Contractor Name: Great Basin Services, Inc License: CSR 012012-29
Address:P. O. Box 238
City:Blackfoot State: Idaho Zip Code:83221
Contact:Dave Price Telephone: 208-785-1767 Fax:208-785-4053
Other Operator(demolition/general) Streamlined Homes LLC License: n/a
Address: 160 South, 3ed West
City: Rexburg State: ldaho Zip Code:83440
Contact: Cory Sorensen Teleohone: 208-403-4510 Fax: n/a
VL procedure, inctuding analytical methods, employed to detect the presence of and to estimate the quality of RACM and Category I and Category II
non-fiable PLM Lab testing
Vll. Approximate Amount of Asbestos Materials:
RACM to be Removed Nonfriable Asbestos Material
to be Removed
Nonfriable Asbestos Material
Not to be Removed
Category I Category ll Category I Category ll
Pipes (linear feet)
Surface Area (Square feet Asbestos removed prior to dgmo
Facility Components (cubic feet)
VIII. Scheduled Dates Demolition or Renovation: Start: June'7th -2012 Complete : June-22-20 12
IV. Dates for Asbestos Removal (MM/DD/YY) I Start: done prior to demo Complete:
DaysAVeeklMonAaylTuesdaylWednesday Thursday Friday Saturday Sunday
Hrsof Operation | 8a*-5pm | 8am-5pm | 8arn-5pm 8am-5pm 8am-5pm
ffiffil:tfi1T"?:#::rT"1"11'":',11",il:::fl"Jmnll"-r:;:p'";;;; ;;;;,i"' '*.*o prior to demo. comprete demo using rrack-hoes, ioaJers
Descriptionofworkpracticesandengineeringcontro|sto-beusedtocomp|ywiththerequirements,including",ffi
handling emission control procedures] All asb"estos ,rroueO prior to demo.
XII. Waste Transporter #l: General Construction debris
Name: Streamlined Homes LLC
Address: 160 South,3ed West
Telephone: 208-403-4510
XII. Waste Disposat: ASBESTOS ONLy
Name: Madison County Solid Waste
Telephone: 208-356-3102 Fax: nla
xrv' Emergency Demolition (Complete item xIV and all other sections, only if this project is an Emergency Demo)L Attach a copy of the Order to this notice.
2. Name of Authority lssuing Order: NA3. Authority of Order (Citation of Code):4. Date of Order (MlvI/DD/yy)
lnarcanalrIlana',.ri^.,^*^^JDateorderedtoBegin_XV. Emergency Renovation (Attach ;;;ffi;fi?:;l . Date and Hour of Emergence N/A
2. Description ofSudden, Unexpected Event.
3' Explanation ofhow the even caused unsafe conditions or equipment damage or an unreasonable financial burden.
xvl' Description of procedures to be followed in the event that unexpected RACM is found or nonfriable ACM becomes crumbled, pulve rized orreduced to powder.
down ACM, enclose area, post warnings and contain . Stop spread ofair-bom fiber release.
ed in the provisions of NESHAPS (40 CFR PART 61, SUBPART M) will be on site during the demolition or
;equired training has been accomplished by this person will be avaitable during normal business hours.
Type or Print Name and Title
Dave Price / Owner Secretary
XVII' Iackno)$feexyftnleotlawsprohibitingthesubmissionoffalseormisleadingstatementsandlcertifythatfactscontainedinthis
Date Type or Print Name anA Tiiii
original Notification must be mailed or hand delivered at lease ten working dsys (Monday-Friday excluding weekends) befbre demolition or renovarionbegins, except emergenoy demolition and emergency renoyations which must be submitt.d ^ soon * porrfl. before operations begin. (Form rev.3/24/99
l^--- -.t- T\ ' -r .Ureat uasln Services, Inc
P.O. Box 238
Blackfoot,Idaho 93221
Office: 208-785-1767
Cell: 208-681-6462
May-25-2012
RE: Vacant house located at 60 West 2nd South, Rexburg, Idaho
To Whom it may concern:
Great Basin Services has removed the asbestos found in the Inspection on this house.Aprox 800, sq ft of Asbestos floor tile and mastic in the basement of this house. All asbestosmaterials removed, were taken to Bannock County landfill. This is an EpA approved landfillwhich accepts Asbestos. A landfill manifest wiil be given to owner to show p-p., disposal asrequired by EPA.
Dave Price ,Q8