HomeMy WebLinkAboutAsbestos Abatement Noticication To: Page 1 of 5 2024-08-28 20:05:CO GMT 19783831097 From: Economic Enviro Techs, Inc
FAX COVER SHEET
TO
COMPANY
FAX NUMBER 15087603472
FROM Economic EnviroTechs,Inc.
DATE 2024-08-28 20:01:16 GMT
RE 1095 Route 28, South Yarmouth
COVER MESSAGE
GoodAfternoon,
Following please find a copy of the DEP/DOS notification form for the asbestos
abatement at 1095 Route 28, South Yarmouth, MA. The project is scheduled for
Sept 10, through Sept 11, 2024. Please contact Jeff Pace(978)423-3998 or
myself if you have any questions.
Thanks so much,
Rhonda
Economic Enviro Techs,Inc.
38 Intervale Road
Fitchburg,MA01420
Phone (978) 348-1118
Fax (978) 383-1097
www.ecoenvirotech.net
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� Massachusetts Department of Environmental Protection �
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Asbestos Project `
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A Asbestos Abatement Description
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1. Facility Location:
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,'»mownroand 3. \u this a fee exempt :otifi��mhvn(uity, tOWD, diStr!Ct. 'Pul-liCipalhpus|ngauthorlty' Statetooility� orowne,
or,mtrrnr�a1-aur orcupfed residential property()zho',)runhScv|ens)? w� ���!�w* `
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4. Blanket Permit Project Approval, ifapplicable: `
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Approval x)4
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11. What type of project hsths'?
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. 12.Abokamont procoduren(check all thataoply):
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To: Page:3m5 2024*8a820:05i0GKAT 19783831097 From Economic EnvmTecxo.Inc
8j_7812*.»m3pw Aso*'Asbestos Removal wcuificaano Form AmF-0o1-Tm"oactiom,01fie1raV .
13.Johis being conducted:
14 a. ToWl aniount of oach type of asbestos Containing materials (ACM)to be removed, enclosed, or
� | encapou1a$y±
;40 _'-'-----``_--__------ `----1
1.uflear p*w<u" �� ~ Square Fee!(Sq.Ft�>
b�Boiler,orom=mng.C-uri,ra^k t c.'n*pte Pipe '
Svnuv o*oo1Ow Sq.r� x Lin.p4. 2.So.FL
d.Pipe lnsomr=` ���_ ,,7m"amymvole.x '
�
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^ �-~-----
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i �Cw��nvve"p*�en iVx�,'p�o�syouty.
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1uoF1, l So.Fl �- -��-
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r---~--� ------- ` �
, :_isi,^\ z.Sq.R, Ii.Dn.Ff. o.Sq.H. -----~ �
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� 15. Describe the decmntammodonoyatem(s}toheused.
- -_ - ' - __- _ _I __- -_-...._-___ _ ___ __-___~-^- �
| ^^~""~"E" .
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' 16. Describe the contaifmrizaUon/disposal methods oncomp|ywith 310 CMR 7.15.and 453 CIVIRG'14(2) `
-__----_-_- _____...........
|�)o*x o�uuwsrrco ` l
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17. For Emergency Asbestos Operations, Vie KAoosf)EF and DL8o#voals who e*aluatedthe
� emergency: '
. r-----~_---------- ---`------- . r----~- ------ ------_
a Name wxVissu pomwm �m��w��sp���
- �
�Date ufAuwnnzaiion(tmuDo/YrYY) d,wu-ver# `
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e.w"nea��VOr�a tno wou�o�:�
| n,opom *wx"wx
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� 1O. Cm prevailing wage rates ms per M{.Lc. 148` §26. 27or27/+Fapply to this a�eq�����n^
� project? .
B. FGc^|'Yu Description �
- �
1.Current cr prior use oftacXty: RAM 9-- .- ---' .----- --- _ --_'---------�--`
2' ks the facility owner-occupied resdonUa}with4unhso,less? -- �w*-- ».wo
-�z
3 |T �do�� NA' r��- �x.i �--»�Y
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u rvmmyownn mnvm r�anu*s `� - ~~ i
/MouwT �nos �
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4� ------~----'-------' ����- -��~--------~-'------r-^----`--1 |
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a Name v/Facility o�,�'s o"-S:r wo"pn° o,Auu�u
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To: Page:4 of 5 2024-08-28 20:05:00 GMT 19783831097 From: Economic Enviro Techs,In
8/28/24,3:.33 PM AO 04- Asbestos Removal Notification Form ANF-001- trarlsactinn#1681790
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Note:-remporay storage ,MOUNT LAUREL NN II
arli 2tlp,. 02 '
i 77
Kt'r1NOM1, ENVIR T l HS,!NC 4(33 iN Ir.RVAI.f; ROAD
1 o ,.at-n<r( i4t ,,.,Illy J
i,.ha,lr.>of General Contractor Q.ACarass
t.4Fines Otot)LS ,FI •
I.:FIPLRG MA if).ef 2!? 'a(tT-34$ 1118 _ .,..__ _.....
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IicrnS3dAsorasio:. C.Cit)'!own d.State •e,Zip Code F. telephone
TAP IN U ANC C C OrviPANY
I station tnat is pelt miffed g Co tractor's Workers Compensation insarer
I by i.l ssJ0F anc •.
�v008o8 351i 09;15/2024
operated in cornDrians3
h Policy n i Ekloirat on€Date'MM.'UDiYYYY)
wan solid Wsstc-
Rev'OfAiOCE 310 CM< ,
1 6. What is the size of this facility? ���"`? ..._ . ......
a .5Yu,3r,Feet U.#of floors
f
f C. Asbestos Transportation & Disposal
1 1,Transporter of asbestos-containing waste material from site of generation:
i .Directly io t ant#,t r i 'h. 10"rcr.npnrnry Si wage Lo;atrorl ri -.i r Stall On
1 EOONUMIC ENVfRO T=CH'-, INC. 35 INTE VAL E Rr,AL.
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! c.Name or transporter d.Arfdross
1F TC:rtt3il-C , iMA 01420 g78-349-1118
e.City/Town I.State 9.Zip Code hTelephone
•
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:
1 trzAt stti aSTi= INC. a BARKER DRIVE
1. a.Name of Transporter b.Address
WALLINC'Fr)f•2Q ..,._. CT. i 10549. i20:3-2 8•2:300 i
1 c.City/Town a.Stale e.✓,o Code t,telephone
Note:Contrador must
s p,1 in,S i0frn tOr lL 3• Name and address of temporary storage loct3tionitransh r station for the asbestos containing waste
Ir1r.0.1Gd2Cr perrJo-.f, material:
r
1 C_CC>NUMilr t=NVIRO i' H i INC. 38 Ni'LR4-ALA ROAD
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Mips:/,sciep.dep.mass.cov%eDEP:WebPorms rAsbestos.rfiWP aV FO01.aspx 4,5
To: Page:5 of 5 2024-08-28 20:05:00 GMT 19783831097 From: Economic Enviro Techs, li
B 28r24,3:33 PM AO.04-Asbestos Removal Ncrtific-siton Form ANF-0O?- Transa>-tion:ii:i81790
. a.„.le rcre u Storena-I_c+cati..no Name. ta.-.A.drrF,s_.._ ,
FITCHBURG MA ' +01420 �'7A,348 >11:
C ty!T;;wr, 0.State e.Zip Code 1,'telephone
4. Name and location of final disposal site (asbestos landfill
:0.4i tqFrivA F'Nl ENt R(SFS MINERVA ENTERPRISES
a.Final Disposal Site Name b,Final D:sposal Site Owner Name
c 0Ur1 MINERVA S.E.
c:.Address
!WAYNESBURG QFf 44hE8 1330 866.34 5
d.City/Town a State I.Zip Code g.Telephone
1 . Certification
"I certify that I have persnnalIv examined ,;HENRY MOSES
the torer,301ng and ant tane(mr with trio I.Name 2.Ajther''zed Signature
informaton cortta,ned in this,jcy'4ment
iNTYCil17ENT
i
and al!attachme:•ts and that teased on .........._ -. ........_. _. ... .... ........
•
my inrauiry of those individuals3.Positionrl'+ae Drte(MMIDU:YYVY)
• immediately responsible forobtaining 978 42 -3999 LC.)NOMIC ENVIRO T CHS.iNC..
the information,i believe that.the 'i-Telephone 6.Representing
( informeton:s true,acrurato end i3fi INTERVALE ROAD FITCHt3URG
cornplete t am aware that there are 7.Address 8.GI ti TuWn
significant penaites for submitting false
itvMA 1i0i4,;
information.inciading aossiblefines and ...
imprisonment The underst9ne;f hereby 3. State. 10.Zip Code
states that I have read the
.Commonwealth of Massachesetts
regulations governing asbestos
abatement(453 CMR 6.00 promulgated
by the Department of Labor Standards
and 310 CMFt 'f.ini promulgated by the
Department of Env mnmantat
i Prt:tect:on),and that I em aware wet
this permit appi canon or notifivatiort
Oaf(rot be de+:med valid unless
payment of the apNicabla lee i made."
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