HomeMy WebLinkAboutASB10-0012 (2)NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
TOWN OF VAIL
FIRE DEPARTMENT
Town of Vail, Fire Department, 42 Meadow Drive, Vail, Colorado 81657
p. 970 - 479 -2252, f. 970 - 479 -2176, inspections 970 - 479 -2252
ASBESTOS
Job Address: 115 FOREST RD VAIL
Location......:
Parcel No....: 210107113030
OWNER 115 COMPANY 08/10/2010
4960 S LAFAYETTE LN
ENGLEWOOD
CO 80113
APPLICANT STINK INC 08/10/2010 Phone: 303 - 761 -5414
DBA ROCKY MOUNTAIN ENVIRONMENTAL SERVICES
2995 SOUTH FOX STREET
ENGLEWOOD
CO 80110
License: 967 -S
CONTRACTOR STINK INC 08/10/2010 Phone: 303 - 761 -5414
DBA ROCKY MOUNTAIN ENVIRONMENTAL SERVICES
2995 SOUTH FOX STREET
ENGLEWOOD
CO 80110
License: 967 -S
Desciption:
6000 s.f. DRYWALL DEMO WITH ASBESTOS TEXTURE
Valuation: $27,000.00
Add Sq Ft:
Permit #: ASB10 -0012
Project #:
Status ....:
ISSUED
Applied ...:
08/10/2010
Issued ...:
08112/2010
Expires ...:
02/08/2011
wxwwwwxwwwwwwwww ww www++++,++++ rtrtrtrtrtwwwwww xw wxrtrtxxxxxwwxwxwwwwwwww , w,,.xxxx FEE SUMMARY w xxxxxxxxxxxwwwwwwwwwwwxwwxxxxxxxxxxxwwxwwwwwwww wwwwxxxxxxxrtxxwwwwwwww wwwwwxxx.xxrtxrt +rtwww
Asbestos Permit Fee ------ > $144.00
Investigation------------ - - - - -> $0.00
TOTAL FEES------------ - - - - -> $144.00
Total Calculated Fees - -> $144.00
Additional Fees ------------ > $0.00
TOTAL PERMIT FEES --- > $144.00
Payments --------------------- > $144.00
BALANCE DUE ------------- > $0.00
++ xwwwwwxwwwwwwwxx« xxwxxxx+ wwwwwwwwwwwwxwwwxrtrtwxxrtwwwwwwwwwww« xwxxxxxxxxxxxxwxwwxwwwwxwwwxrxwrxwwwwwwrwwwwwwxwwwxwww++ x+++++++ rt+ rt+++ rt++ rtxxwxwwwxxxxxxxxxxxxxxwxwwwwwwwwwx ++ +x + «xxxxxwwww,
Approvals:
Item: 05600 FIRE DEPARTMENT
08/11/2010 drhoades Action: AP
++++ rtrt + +xwrt +w + + + + + +++ + ++ + + + + + + + +w + + «+ xxxxxx++++++++ rtxrtwrt+ x+ x++ x+++++++++ wrt++ w+ wwxwwxwwwxfwxxxxxxxxwwwwwwwwxxxxxxrtrtrtrtw« wwwwwwwwwww wwwxwwxxxrtrtwxrtwwrtxxwwwwwwxxwxxx «Rxxxxxxxxxwwwwxwwx
See page 2 of this Document for any conditions that may apply to this permit.
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the
information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this
structure according to the Town's zoning and subdivision codes, design review approved, International Building Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSP CTION SHALL BE MADE FORTY -EIGHT HOURS IN ADVANCE BY TELEPHONE AT 970479 -2252.
ignature or Owner or Contracto Date
Print Name
CONDITIONS OF APPROVAL
Permit #: ASB10 -0012 as of 08 -12 -2010 Status: ISSUED
Conditions:
Cond: 38
(BLDG.): THIS PERMIT IS GOOD FOR ASBESTOS ABATEMENT ONLY.
AN ASBESTOS ABATEMENT CERTIFICATE SHOWING THE AREA FREE
FROM ASBESTOS IS REQUIRED PRIOR TO ANY FURTHER WORK
OCCURING ON THIS SITE. IF FURTHER QUESTIONS ARISE, CONTACT
THE VAIL FIRE DEPARTMENT AT 479 -2252.
Cond:1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
Cond:12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
DS Consulting, Inc.
Final Clearance Air Monitoring Report
11S Forest Rd, Vail, Colorado 81657
1 6 — 661 Z—
Presented to:
Mr. Roy White
Rocky Mountain Environmental Services, LLC
2995 S. Fox Street
Englewood, CO 80110
Project Details:
DSC Project #: 2673
Conducted: August 20, 2010
Performed & Prepared by:
Mr. Steve Shurtliff
DS Consulting, Inc.
P.O. Box 6864
Avon,CO 81620
(303) 378 -1544
0 , Consulting
EXECUTIVE SUMMARY
DS Consulting, Inc. (DSC) conducted a final visual inspection, performed aggressive clearance air
monitoring, and analyzed clearance air - quality samples via Phase Contrast Microscopy (PCM) for an
asbestos abatement project encompassing a majority of the main level and the entire lower level of the
residential home located at 115 Forest Rd, Vail, Colorado on August 20, 2010.
Services were provided at the request of Mr. Roy White with Rocky Mountain Environmental Services,
LLC in support of asbestos abatement activities being conducted to remove approximately 6000ft of
asbestos - containing drywall from both the main and lower level as well as to remove approximately
680ff of asbestos - containing resilient floor tile from the lower level. All asbestos abatement activities
were conducted within a full containment. Monitoring locations and frequencies were determined by the
DSC- authorized representative Mr. Steve Shurtliff, EPA accreditation No. 15413. PCM analysis was also
performed by Mr. Shurtliff (see Appendix B for certification).
DSC's scope of work for this project included performing a final visual inspection and collection and
analysis of aggressive final air quality samples by NIOSH 582 - trained personnel for determination of
airborne asbestos (as total fibers) concentrations in identified areas. DSC is a participant in the Industrial
Hygiene Proficiency Analytical Testing (IHPAT) program with laboratory ID No. 188987 and has a rating
of Proficient. The abatement project passed final visual inspection and the analytical results of all
samples collected were below the clearance criteria of 0.01 fibers /cubic centimeter (f /cc) (seeAppendixA
for Air Sample Analysis).
PROJECT INFORMATION
CLIENT: Rocky Mountain Environmental Services, LLC
ON- SITE SUPERVISOR: Mr. Alonzo Alcon
PROJECT LOCATION: 115 Forest Rd, Vail, Colorado
PROJECT CONTACT: Mr. Roy White
DSC REPRESENTATIVE: Mr. Steve Shurtliff
DATE OF SERVICES: August 20, 2010
AIR SAMPLE ANALYSIS: See Appendix A
CERTIFICATES: See Appendix B
2
PROJECT INTRODUCTION
DS Consulting, Inc. (DSC) conducted a final visual inspection, performed aggressive clearance air
monitoring, and analyzed clearance air - quality samples via Phase Contrast Microscopy (PCM) for an
asbestos abatement project within the residence located at 115 Forest Rd, Vail, Colorado on August 20,
2010. The above - referenced services were provided at the request of Mr. Roy White with Rocky
Mountain Environmental Services, LLC in support of asbestos abatement activities being conducted to
remove asbestos - containing drywall and resilient floor tile from a portion of the main level and the entire
lower level of the residence. Sample locations were determined by the authorized representative, Mr.
Steve Shurtliff of DSC. Mr. Shurtliff is a State of Colorado certified Air Monitoring Specialist, EPA
certificate No. 15413. PCM analysis was performed by Mr. Shurtliff.
SCOPE OF WORK
DSC's scope of work for this project included conducting a final visual inspection, performing aggressive
clearance air monitoring and analyzing clearance air - quality samples via Phase Contrast Microscopy
(PCM) using NIOSH 582 - trained personnel for the determination of airborne asbestos concentrations (as
total fibers) in the containment area(s). DSC is a participant in the Industrial Hygiene Proficiency
Analytical Testing (IHPAT) program with laboratory ID No. 188987 and has a rating of Proficient. The
analytical results of all air clearance samples collected were below the PCM clearance criteria of 0.01
fibers /cubic centimeter (f /cc).
AIR MONITORING
Air - quality samples were collected utilizing a modified NIOSH 7400 Method, whereby samples were
collected on 25- millimeter (mm) mixed - cellulose, ester - membrane filters with 0.45- micron pore size and
analyzed via Phase Contrast Microscopy (PCM) as per the customer's requirements.
Sample Collection - PCM samples, when applicable, were collected on 25- millimeter (mm) mixed -
cellulose, ester - membrane filters with 0.45- micron pore size with an effective collection area of 385 mm.
All filters were pre - assembled by the manufacturer in three stages, conductive sampling cassettes with
extension cowls.
Air samples were collected at flow rates of approximately 12.5 liters per minute (L /m) using Thomas
high - volume pumps with a minimum of 1,200 liters being collected. Flow rates were collected at the
beginning and at the end of the sampling period utilizing an airflow rotameter calibrated against a
primary -flow calibration instrument. Start times and stop times were recorded for all sampling periods.
A field blank and lab blank were also collected and analyzed along with the five (5) clearance samples.
PCM Sample Analysis Method - PCM samples were analyzed according to a modified NIOSH 7400
Method —A Counting Rules— although samples were collected on 25 -mm mixed - cellulose, ester -
membrane filters with 0.45- micron pore size and analyzed via PCM. Air sample results contained in this
report have been calculated with blank sample corrections.
3
APPENDIX A - AIR SAMPLE ANALYSIS
Sample Date: August 20, 2010
AMS /Analyst: Mr. Steve Shurtliff
Client. Rocky Mountain Environmental Services, LLC
DSC Project #: 2070
Project Location: 115 Forest Rd, Vail, Colorado
On -site supervisor. Mr. Alonzo Alcon
Sample
Number
CL -1
• Sample
Type Location
Hi vol. Main Level Kitchen
Avg.
Lp.m
12.5
Start
11:30a
Stop
1:20p
110
Vol.
1364
Fields
4.0/100
Results
0.002
CL -2
Hi vol. Main Level Rear Bedroom
12.5
11:30a
1:20p
110
1364
5.0/100
0.002
CL -3
Hi vol. Main Level Middle Bedroom
12.5
11:31a
1:21p
110
1364
6.5/100
0.002
CL -4
Hi vol. Lower Level Family Room
12.5
11:35a
1:25p
110
1364
3.5/100
0.001
CL -5
Hi vol. Lower Level Rear Bedroom
12.5
11:36a
1:26p
110
1364
6.0/100
0.002
CL -lb
n a Lab Blank
n a
n a
n a
n a
n a
0/100
0.000
CL -fb
n a Field Blank
n a
n a
n a
n a
n a
0/100
0.000
4
APPENDIX B - CERTIFICATIONS
STATE OF COLORADO
ASBESTOS
CERTI FICA'nom
has nrt the rcyonenirnts x125 -7 :507, (AL& aW Ajx Quality Contpol
C "ort in Regnhnen No. 6. Patt 8, arld is berelw certified by the
gat. of (olwado in the knklowitgl discipline-
Alr Monitoring Specialist*
b"K4. W11 It""
ExpirmM:4tlI12Y10
• nr a.y6..s rv. r. rr...�...Ir�u.r.,w...r.rn.�.,�.
.yrW ruri*x..r.tyirw.�
E nvlronnxental
T raining &
C nsulting
3761 Wer Oxford Aneatir r7
FA0 —,acc1 CakmWp a0l "I
10) lal -OW
CERTIFIES THAT
SM F
has successfully completed
THE NIOSH M EQUIVALENT COURSE
SAMPLING & EVALUATING AIRBORNE ASBESTOS DUST
Course Date: 40 914,
No. of hoes: 449
Fxwn Date: W2 9
Certificate No. EX) 11
Aw ) wucd
E
('okssdo flicfi r cicrn "I I'uhOc I baith
and kA
Air PoltuttonCattrol (bvutai
�"�`"'•.
Put ccrtitit, that
Ste%e Shurtliff
-
( ertif rattan Se: 15413
has nrt the rcyonenirnts x125 -7 :507, (AL& aW Ajx Quality Contpol
C "ort in Regnhnen No. 6. Patt 8, arld is berelw certified by the
gat. of (olwado in the knklowitgl discipline-
Alr Monitoring Specialist*
b"K4. W11 It""
ExpirmM:4tlI12Y10
• nr a.y6..s rv. r. rr...�...Ir�u.r.,w...r.rn.�.,�.
.yrW ruri*x..r.tyirw.�
E nvlronnxental
T raining &
C nsulting
3761 Wer Oxford Aneatir r7
FA0 —,acc1 CakmWp a0l "I
10) lal -OW
CERTIFIES THAT
SM F
has successfully completed
THE NIOSH M EQUIVALENT COURSE
SAMPLING & EVALUATING AIRBORNE ASBESTOS DUST
Course Date: 40 914,
No. of hoes: 449
Fxwn Date: W2 9
Certificate No. EX) 11
Aw ) wucd
E
DS Consulting, Inc.
Final Clearance Air Monitoring Report
115 Forest Rd, Vail, Colorado 81657
D -
1 1 . �e 7 16
Presented to:
Mr. Roy White
Rocky Mountain Environmental Services, LLC
2995 S. Fox Street
Englewood, CO 80110
Project Details:
DSC Project #: 2673
Conducted: August 20, 2010
Performed & Prepared by:
Mr. Steve Shurtliff
DS Consulting, Inc.
P.O. Box 6864
Avon, CO 81620
(303) 378 -1544
Consulting
EXECUTIVE SUMMARY
DS Consulting, Inc. (DSC) conducted a final visual inspection, performed aggressive clearance air
monitoring, and analyzed clearance air - quality samples via Phase Contrast Microscopy (PCM) for an
asbestos abatement project encompassing a majority of the main level and the entire lower level of the
residential home located at 115 Forest Rd, Vail, Colorado on August 20, 2010.
Services were provided at the request of Mr. Roy White with Rocky Mountain Environmental Services,
LLC in support of asbestos abatement activities being conducted to remove approximately 6000ff of
asbestos - containing drywall from both the main and lower level as well as to remove approximately
680ft of asbestos - containing resilient floor tile from the lower level. All asbestos abatement activities
were conducted within a full containment. Monitoring locations and frequencies were determined by the
DSC- authorized representative Mr. Steve Shurtliff, EPA accreditation No. 15413. PCM analysis was also
performed by Mr. Shurtliff (see Appendix B for certification).
DSC's scope of work for this project included performing a final visual inspection and collection and
analysis of aggressive final air quality samples by NIOSH 582 - trained personnel for determination of
airborne asbestos (as total fibers) concentrations in identified areas. DSC is a participant in the Industrial
Hygiene Proficiency Analytical Testing (IHPAT) program with laboratory ID No. 188987 and has a rating
of Proficient. The abatement project passed final visual inspection and the analytical results of all
samples collected were below the clearance criteria of 0.01 fibers /cubic centimeter (f /cc) (see Appendix A
forAir Sample Analysis).
PROJECT INFORMATION
CLIENT: Rocky Mountain Environmental Services, LLC
ON- SITE SUPERVISOR: Mr. Alonzo Alcon
PROJECT LOCATION: 115 Forest Rd, Vail, Colorado
PROJECT CONTACT: Mr. Roy White
DSC REPRESENTATIVE: Mr. Steve Shurtliff
DATE OF SERVICES: August 20, 2010
AIR SAMPLE ANALYSIS: See Appendix A
CERTIFICATES: See Appendix B
2
PROJECT INTRODUCTION
DS Consulting, Inc. (DSC) conducted a final visual inspection, performed aggressive clearance air
monitoring, and analyzed clearance air - quality samples via Phase Contrast Microscopy (PCM) for an
asbestos abatement project within the residence located at 115 Forest Rd, Vail, Colorado on August 20,
2010. The above - referenced services were provided at the request of Mr. Roy White with Rocky
Mountain Environmental Services, LLC in support of asbestos abatement activities being conducted to
remove asbestos - containing drywall and resilient floor tile from a portion of the main level and the entire
lower level of the residence. Sample locations were determined by the authorized representative, Mr.
Steve Shurtliff of DSC. Mr. Shurtliff is a State of Colorado certified Air Monitoring Specialist, EPA
certificate No. 15413. PCM analysis was performed by Mr. Shurtliff.
SCOPE OF WORK
DSC's scope of work for this project included conducting a final visual inspection, performing aggressive
clearance air monitoring and analyzing clearance air - quality samples via Phase Contrast Microscopy
(PCM) using NIOSH 582 - trained personnel for the determination of airborne asbestos concentrations (as
total fibers) in the containment area(s). DSC is a participant in the Industrial Hygiene Proficiency
Analytical Testing (IHPAT) program with laboratory ID No. 188987 and has a rating of Proficient. The
analytical results of all air clearance samples collected were below the PCM clearance criteria of 0.01
fibers /cubic centimeter (f /cc).
AIR MONITORING
Air - quality samples were collected utilizing a modified NIOSH 7400 Method, whereby samples were
collected on 25- millimeter (mm) mixed - cellulose, ester - membrane filters with 0.45- micron pore size and
analyzed via Phase Contrast Microscopy (PCM) as per the customer's requirements.
Sample Collection - PCM samples, when applicable, were collected on 25- millimeter (mm) mixed -
cellulose, ester - membrane filters with 0.45- micron pore size with an effective collection area of 385 mm.
All filters were pre - assembled by the manufacturer in three stages, conductive sampling cassettes with
extension cowls.
Air samples were collected at flow rates of approximately 12.5 liters per minute (L /m) using Thomas
high - volume pumps with a minimum of 1,200 liters being collected. Flow rates were collected at the
beginning and at the end of the sampling period utilizing an airflow rotameter calibrated against a
primary -flow calibration instrument. Start times and stop times were recorded for all sampling periods.
A field blank and lab blank were also collected and analyzed along with the five (5) clearance samples.
PCM Sample Analysis Method - PCM samples were analyzed according to a modified NIOSH 7400
Method —A Counting Rules — although samples were collected on 25 -mm mixed - cellulose, ester -
membrane filters with 0.45- micron pore size and analyzed via PCM. Air sample results contained in this
report have been calculated with blank sample corrections.
3
APPENDIX A - AIR SAMPLE ANALYSIS
Sample Date: August 20, 2010
AMS /Analyst: Mr. Steve Shurtliff
Client. Rocky Mountain Environmental Services, LLC
DSC Project #: 2070
Project Location: 115 Forest Rd, Vail, Colorado
On -site supervisor. Mr. Alonzo Alcon
Sample
Number
CL -1
Pump
Type
Hi vol.
Sample
Location
Main Level Kitchen
Avg.
l.p.m
12.5
Start
Time
11:30a
Stop
Time
1:20D
Time
(Min.)
110
Vol.
(Liters)
1364
Fibers/
Fields
4.0/100
Results
(F/cc)
0.002
CL -2
Hi vol.
Main Level Rear Bedroom
12.5
11:30a
1:20p
110
1364
5.0/100
0.002
CL -3
Hi vol.
Main Level Middle Bedroom
12.5
11:31a
1:21
110
1364
6.5/100
0.002
CL -4
Hi vol.
Lower Level Family Room
12.5
11:35a
1:25p
110
1364
3.5/100
0.001
CL -5
Hi vol.
Lower Level Rear Bedroom
12.5
11:36a
1:26p
110
1364
6.0/100
0.002
CL-lb
n a
Lab Blank
n a
n a
n a
n a
n a
0/100
0.000
CL -fb
n a
Field Blank
n a
I n a
n a
n a
n a
0/100
0.000
4
APPENDIX B - CERTIFICATIONS
STATE OF COLORADO
ASBESTOS
CERTIFICATION*
i'nluayo OcpwAwm .xf N blw 1 kallh
out Ev mummml
Na Pol atial Contrul [A%unm
7tuf,
p+ Steve ShuriUff
9 C'ertiikatiun %a: 1411.1
has nrl the rcgwrenrnts of 25. 7.307. C.R.S. wW ,1u Quality Conital
mamx i m Regahtion No. S. Pas K and es baeby "mfied by dw
uuc of Colerado m dr following dnctpiine:
Air Monitoring Speciaiixt*
u' tasocd: ltllf2oM
� Ispirea �: MIIRaIa .^v
r' / • Ir'�l�ifL��7dC.0
y ' •>ar..ra+...rt.r.rr.y+. Sri .d..�...�wr..w..,,+..........
E nvironmental
� - roini.g &
, nulling
2761 Wca Oafw.J Away :7
FAO-r l Colorado 1011 1
le) 721-11122
CERTIFtFS THAT
$TE& E S14_ RTLIFI
has successfully oomph led
THE NIOSH 582 EQUIVALENT COURSE
SAMPLING & EVALUATING. AIRBORNE ASBESTOS DUST
Cave Dow �i' • 82W 41�
No. of hoes. yQ
Exam Dale: 8/0 29/08
Cadlleete No 1x )182908 - 14 _V
AW)w uW Sipom
5