HomeMy WebLinkAboutALL DOCS - 12-00261 - 55 W 1st S - Demolitionwww.texburg.org
Permit #:
Applicant lnformation
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Applicant'sAddress: /A-+ =-5 ztqk)Ciry/ST/Zip:
Business phone: qCI3 -1.5-/ D CellPhone: .3iS -5/J/
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
$25.00 Fee Paid: Yes/No Permit Approved: yes/No
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Contact Information
Person or Company doins the demolidon
Address: /5t/' €;"s&:et t
Business Phone: t/Oe - 957 a
Demolition Information
Property Owners:
Site Address:
Start Date:
Summary of what is being demolished:
The U.S' Environmenral Ptotection Agency @,PA) regulates the abatement and disposal of asbestos-contairing materials from anypublic ot private building involving demolition, renovation, repair, construction, and maintenance activities.
htq>: / /deq.idaho.gov/aitlprog issues/pollutants/asbestos.cfm
EPA certifies and licenses asbestos-removal contractors, inspects asbestos-abatement projects, and enforces iaws regarding the proper
removal and disposal of asbestos-conta-ining matetials.
Currendy, EPA and DEQ contract with Industrial Hygiene Resources in Garden Ciry, Idaho, to regulate asbestos removal and disposal
projects in Idaho.
For more information about asbestos abatement and disposal in ldaho, contact:
Industdal Hygiene Resource
206 Murray St
Garden Ciry lD 83714
208-323-8287
www.industrialhyEienere s ources. com
I undetstand the EPA requirements regarding asbestos removal and agree to provide information showing
compliance with the regulations yth: city2f Rexburg prior to demolition.
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Application for Demolition
City/ST/Zrp:
Signatue of Applicant:
OOU. S. ENVIRONIVENTAL PROTECTION AGENCY. STATN OF IDAHO
NOTIFICATION OF DEMOLITION AND RENOVATION
OPERATOR PROJECT #POSTMARK DATE RECEIVED NOTIFICATION
I. TYPEOFNOTIFICATION:_COURTESY _x_ORrcrNAL Rf,VISED CANCELED
II. FACILITY DESCRIPTION:
Building Name: Vacant house
Address: 55 West l"'South
City: Rexburg State: Id Zip Code:83460 County: Madison
Site Location : Complete demo of each house
Building Size (Sq. F0 ) 1800 main floor #ofFloors: 2 and small basement Age in years: aprox 7l
Present Use: yacant 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 has been removed
V. Facility Information:
OwnerName: NG Rexburg Housing LLC
Address: 2880 North 55 West
City: Idaho Falls State: ld 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
@.n...n streamlined Homes LLC License: n/a
Address: 160 South, 3ed West
City: Rexburg State: ldaho Zip Code:83440
Contact: Corv Sorensen Telephone: 208-403-4510 Fax: n/a
VI. Procedure, including analytical methods, employed to detect the presence of and t0 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 II
Pipes (linear feet)
Surface Area (Square feot All asbestos removed prior to demo
Facility Components (cuhic feet)
VIII. Scheduled Dates Demolition or Renovation: Start: June-18-2012 Complete: July-l 8-2012
IV. Dstes for Asbestos Removal (MM/DD/YY) : Start: Asbestos removal complete Complete:
DaysAVeeklMondaylTuesdaylWednesday Thursday Friday Saturday Sunday
Hrsof Operation | 8am-5pm | 8am-5pm | 8am-5pm 8am-5pm 8am'5pm
X.Descriptionofp|annedDemo|itionorrenovationworktobepreformed.no'.,
fiiT:ffiT,?:"T::rTi;'.'&:',TilillX[.jf"1ti11lr:lryi".; fi;,;;;;oved prior to 0.,i" c",pt,il demorition rrack_hoes, ,oaders
"t fl#i"lJ':l,o,lil:T"il;TffffiT:,:'li,'1ffi:$*:j:ff,ij:l1#Ir*-h the requiremenrs, incruding asbesros removar and waste
XII. Waste Transporter #l: Generat Construction debris
Name: Sreamlined Homes LLC
Address: 160 South,3ed West
Zip Code:83440
Telephone: 208-403-4510
XII. Waste Disposat: ASBESTOS ONLy
Name: Madison County Solid Waste
Address: 530 Airport Rd
ZipCode: 83440
Telephone: 208-356-3102 Fax: n/axlv'
lT;::l?ffil1',Hti::Hil:Jf#X1" and arr othersections, onrv irthis project is an Emergency Demo)
2. Name of Authority Issuins Order: Na3. Authoriry ororair tcitar-ro-*-- "
- Title
4, DateofOrder(MM/DD/yI'
lmergencv Renovation ro""".i Date Ordered to BegintHiffiti.":"v^{io" (Att".i ff3:lj;,,?:111. Date and Hour of Emergence N/A
2. Description ofSudden, Unexpeoted Event.3 Explanation ofhow the even iaused unsafe conditions or equipment damage or an unreasonable financial burden.
XVI. Description of procedures to bereduced to powder.
followed in the event that unexpected RACM is found or nonfrirble ACM becomes crumbled, pulverized or
ACM' enclose area, post wamings and contain. stop spread of air-bom fiber release.
XVll. I cerrify that 4.nfnOividlsl traineO
renovation an'd evidence dtlattt e
the provisions of NESHApS (40 CFR PART 61, SUBPART M) will be on site during the demolition orired training has been accomptished by this peison wiu be availrble during normal business hours.'-/'/
June-4-2012 a
Dave price, o*..rlJlrlr#rint l,lame anJriue
---
xvil' I acknowiedgp<f-e
"t\tf-t^:t:: prohibiting the submission of fatse or misreading sratemenrs and I certify rhat facts contained in frnotification {re true, S/yray{and complete.
:"---.vrz- uave rrlMer/ Secafiar
uate 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 renovati;tionswhich,nistue,uu'itt""oas,o*aspossibIebeforeoperationsbegin.(Formrev.3/24/99
Great Basin Services, Inc
P.O. Box 238
Blackfoot,Idaho g3221
Office: 208-785-t767
Cell: 209-68l-6462
April-26-2012
RE: Vacant house located at 55 West, 1,r South, Rexburg, Idaho
To Whom it may concem:
Great Basin services has removed the asbestos found in the Inspection on this house.Aprox 8 sq ft of duct tape in basement. All asbestos materiars removed, were taken to Bannockcounty landfill. This is an EpA approved randfill which accepts Asbestos.
Dave Price ! /