HomeMy WebLinkAboutB10-0259NOTE: TH/S PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
:
�ow�o�vnII, �
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
ADD/ALT MF BUILD PERMIT Permit #: B10-0259
Job Address: 3094 BOOTH FALLS CT VAIL
Location......: UNIT 9, BOOTH FALLS MTN HOMES
Parcel No....: 210102302009
OWNER SCHULTE, HOLLY & HEINZ 08/26/2010
1966 SHERWOOD GLEN
BLOOMFIELD
MI 48302
CONTRACTOR ASPEN GROVE CONSTRUCTION INC 09/08/2010
PO BOX 817
MINTURN, CO 81645
93 PHEASENT CT
MINTURN, CO 81645
License: 1068-B
Description:
ADDITION
Phone: 970-748-9135
Project #:
Status . . :
Applied . . :
issued . .. :
Expires . ..:
PRJ10-0030
ISSUED
08/26/2010
11/22/2010
03/23/2011
Occupancy: IRC Valuation: $47,200.00
Type Construction:IRC Total Sq Ft Added: 328
.........,,x ......................��,,.,,..................�...,,,,.....«..�.,._...,,,.. FEE SUMMARY .,,.....�..�..»...,,..............,,.,..,.,�...._........�...........,,....,.......
Building Permit Fee------> $623.55 Will Cal Fee---------------------> $4.00 Total Calculated Fees-------------> $1,985.26
Plan Check--------------------> $405.31 Use Tax Fee---------------------> $744.00 Additional Fees-----------------------> $0.00
Add'I Plan Check Hours-> $110.00 Restuarant Plan Review-----> $0.00 TOTAL PERMIT FEES------------->
$1,985.26
Investigation-----------------> $0.00 Recreation Fee-----------------> $98.40
Payments------------------------------> $1,985.26
Total Calculated Fees--------> $1,985.26 BALANCE DUE-----------------------> $0.00
........................,,,,,..........._.,...,......,,,,».....,,,,,,........�..,..,.........�_...........,.........,.,......,.,,,,,.....,.,,.,,,,.....,,.............,,,..�.......................
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 informatior
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 towns zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSPECTION HAL� BE NTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8:00 AM - 4:00 f
� -__- - �l i
Signature of Owner or Contractor ate
t����/ C�D���
Print Name
b Id_a I t_co n st ru ct i o n_pe rm it_041908
..................................................................�.,................................,, �.,........,...,,....�....,..................,,,,,.....,..............,..,..�.
APPROVALS
Permit #: B10-0259 as of 11-22-2010 Status: ISSUED
..............................................................��,.,.,.......,,,,.......,.,....,....,.,,,,�..........,...,,...,.,,.,...............,...,,....,..............,..........
Item: 05100 BUILDING DEPARTMENT
09/14/2010 cg Action: AP
Item: 05400 PLANNING DEPARTMENT
09/22/2010 rfd Action: AP
Item: 05600 FIRE DEPARTMENT
08/30/2010 mvaughan Action: DN asbestos clearance
letter required. Shall be conducted under state
permitting.
09/14/2010 DRHOADES Action: AP ASBESTOS TEST
RECEIVED. NONE FOUND.
Item: 05101 BUILDING DEPT REVISION
11/20/2010 Martin Action: AP Revision to
structural sheet Hangar change
..............,,.......,...........,........>x.................,,.......,....,...,.,..,...............�....,...,,..,,....,,.......,......,,...,,,.........,........,,..�..,,....,,,.,..,
See the Conditions section of this Document for any that may apply.
b Id_a It_constructio n_perm it_041908
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CONDITIONS OF APPROVAL
Permit #: 610-0259 as of 11-22-2010 Status: ISSUED
.................................................................,..,........»...........,.......................,,....,.........,.....,�..........,...,,....,...................,....,.
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: 14
(BLDG.): ALL PENETRATIONS IN WALLS, CEILINGS, AND FLOORS TO
BE SEALED WITH AN APPROVED FIRE MATERIAL.
Cond: 1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
b I d_a It_co n st ru ct i o n_pe rm it_041908
*+**+**************************+***�************************************�*�****************+
TOWN OF VAIL, COLORADO Statement
*****+*************************************************************************+************
Statement Number: R100001882 Amount: $110.00 11/22/201012:26 PM
Payment Method: Check Init: LC
Notation: #1105 / ASPEN
GROVE CONSTRUCTION
-----------------------------------------------------------------------------
Permit No: B10-0259 Type: ADD/ALT MF BUILD PERMIT
Parcel No: 2101-023-0200-9
Site Address: 3094 BOOTH FALLS CT VAIL
Location: UNIT 9, BOOTH FALLS MTN HOMES
Total Fees: $1,985.26
This Payment: $110.00 Total ALL Pmts: $1,985.26
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code
--------------------
PF 00100003112300
Description Current Pmts
------------------------------ ------------
PLAN CHECK FEES 110.00
-----------------------------------------------------------------------------
TRANSMITTAL FORM
Revision Submittals:
1. "Field SeY' of approved plans MUST accompany revisions.
2. No further inspections wili be performed until the revisions are approved & the permit is re-issued.
3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance.
Permit #(s) information applies to:
a �� � �� ��
Atiention: J� Revisions
��,T/ � � A��� O Response to Correction Letter
�%� /�%� attached copy of correction letter
( ) Deferred Submittal
_ ( ) Other
Project Street Address:
� G'� �'�ff �"�%`liG S C/. �-
(Number) (Street) (Suite #)
BuildinglComplexName:�Q� ��G� � /�'`fl��/fl�
Contact Information:
Company:
Company Address: ��� �/ �
City: ,/fj� �/J/ /�j`�/v State: �� Zip: l
Contact Name: ;TO�/1� Cu�J �/�r!�i �
Contact Phone: 1 7D'—� ! ��` `Z t6 .5 %_ _ _ _
E-Mail
Revised ADDITIONAL Valuations (Labor 8� Materials)
(DO NOT include original valuation)
Building:
Plumbing:
Electrical:
Mechanical:
Total:
$_
$_
$
$.
$
�/�
Description / List of Changes:
I i� V lS�G' �/�%% � y t��/�%Y%
' {� i9� E> , l T i�/�15 �`N
�/��'���n/ l SSU� i�t/ .h��fl/
R��rDr�c� vvfts s�`.9�� �" -��
(use additional sheet if necessary)
Date Received
/ � %g/� �
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NOTE: TH/S PERM/T MUST BE POSTED ON JOBSITE AT ALL TIMES
.�
TOWNOFVAII, '
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
ADD/ALT MF BUILD PERMIT Permit #: B10-0259
Project #:
Job Address: 3094 BOOTH FALLS CT VAIL
Location......: UNIT 9, BOOTH FALLS MTN HOMES
Parcel No....: 210102302009
OWNER SCHULTE, HOLLY & HEINZ 08/26/2010
1966 SHERWOOD GLEN
BLOOMFIELD
MI 48302
CONTRACTOR ASPEN GROVE CONSTRUCTION INC 09/08/2010
PO BOX 817
MINTURN, CO 81645
93 PHEASENT CT
MINTURN, CO 81645
License: 1068-B
Description:
ADDITION
Occupancy: IRC
Type Construction:IRC
Phone: 970-748-9135
Valuation:
Total Sq Ft Added:
Status . . :
Applied . . :
Issued . .. :
Expires . ..:
PRJ10-0030
ISSUED
08/26/2010
09/24/2010
03/23/2011
$47,200.00
328
.....,>.,, .................................»,,.,..................,,��...........� FEE SUMMARY ,�.,,x......,.�....,.........,,.........,.....,,....,,�....�.......,.................,
Building Permit Fee------>
Plan Check-------------------->
Add'I Plan Check Hours->
I n v e s t i g a t i o n----------------->
$623.55 Will Cal Fee--------------------->
$405.31 Use Tax Fee--------------------->
$0.00 Restuarant Plan Review----->
$0.00 Recreation Fee----------------->
Total Calculated Fees-------->
$4.00
$744.00
$0.00
$98.40
$1, 875.26
Total Calculated Fees------------->
Additional Fees----------------------->
TOTAL PERMIT FEES-------------->
P a y m e n ts ------------------------------->
BALANCE DUE------------------------>
$1,875.26
$0.00
$1,875.26
$1,875.26
$0.00
....«...........,,,,,,,.........,,,.,,..........x,.......,,,,,_.�.==.=x...........,,,,,,�,..,,...........,,x,..,....,, ..................�.,,.....,,.,,,..........,..,,.....�>x..,,....«...,, ...........
DECLARATIONS
I hereby acknowledge that � 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 towns zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8:00 AM - 4:00 PM �
�' .�- f-r ,�
� nature of ner or on c or Date
��J��i ��r�%C�/�%f�i��=
Print Name
bld_alt_construction_perm it_041908
*�}1flf*wwkwwwww�����f**twwwww���f**4ww*wwwww�*ff�f��R#t*wwwwww�ff�fff*f*wwww#w�f*******i�#wwf#wwYwA**f��w�ktw#wwwff*��**ff}ffffwwwt4ewlwww�ff*f���}*i*i/+wfw4fRtwwwww#/fifwfw*ff*��f
APPROVALS
Permit #: 610-0259 as of 09-24-2010 Status: ISSUED
....,.,...» .....................�......,......�,.........,.....,..........�.............�...........,.......,,..,,,..,......�...,�,,........,,....��.......,........,,.................
Item: 05100 BUILDING DEPARTMENT
09/14/2010 cg Action: AP
Item: 05400 PLANNING DEPARTMENT
09/22/2010 rfd Action: AP
Item: 05600 FIRE DEPARTMENT
08/30/2010 mvaughan Action: DN asbestos clearance
letter required. Shaii be conducted under state
permitting.
09/14/2010 DRHOADES Action: AP ASBESTOS TEST
RECEIVED. NONE FOUND.
f44lir***/tYr4Ye##Yetrtr�k�kilirfl(****wYeYe#FYrffff*#******teRR*R4rtrti1'frt#'k#4*1f*1�*1'**ffRfffii�k�kM*'kLRfA/r#t(f�Rkk**htY'rtrtwYrYrir#*fR**w*%�trtrfff%�rtRki�i�4rt*#��lfk#R*#*hYrfr/iPfYIRY`RkYef441`4LiLLLf�1`****�!}rR**}rYr4R V rt V*trh
See the Conditions section of this Document for any that may apply.
b Id_a It_constru ction_perm it_041908
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CONDITIONS OF APPROVAL
Permit #: 610-0259 as of 09-24-2010 Status: ISSUED
......................,,..............,,...,,,.......,,.....,..,.....x,.....................,..,,.,........�...........................................,..�......,.....,.........,....
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: 14
(BLDG.): ALL PENETRATIONS IN WALLS, CEILINGS, AND FLOORS TO
BE SEALED WITH AN APPROVED FIRE MATERIAL.
Cond: 1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
bld_a It_construction_perm it_041908
********�***********************************************************�**��*******************
TOWN OF VAIL, COLORADO Statement
*�****�***+***********�*********************************************************************
Statement Number: R100001387 Amount: $1,875.26 09/24/201009:37 AM
Payment Method: Check Init: JRM
Notation:
Permit No: B10-0259 Type: ADD/ALT MF BUILD PERMIT
Parcel No: 2101-023-0200-9
Site Address: 3094 BOOTH FALLS CT VAIL
Location: UNIT 9, BOOTH FALLS MTN HOMES
Total Fees: $1,875.26
This Payment: $1,875.26 Total ALL Pmts: $1,875.26
Balance: $0.00
**************************************************+******�********+*+***********************
ACCOUNT ITEM LIST:
Account Code
--------------------
BP 00100003111100
PF 00100003112300
RF 11100003112700
UT 11000003106000
WC 00100003112800
Description Current Pmts
------------------------------ ------------
BUILDING PERMIT FEES 623.55
PLAN CHECK FEES 405.31
RECREATION FEES 98.40
USE TAX 4� 744.00
WILL CALL INSPECTION FEE 4.00
;il
BUILDING PERMIT APPLICATION
Separate permits are required for electrical, plumbing, mechanical, fireplace, etc.
Project Street Address:� ..__. ___.__.. _._.__�.._._...�___._._.____,. ___.,._..,__.._. Office Use: ���� 1 Q� 6�,i c�
D g �Dbi �- �'I�GG S R0�'!7 U/UlT � q Project #: [ 6
(Number) (Street) (Suite #) DRB #:
Building/Complex Name: ��%�>` � � guilding Permit #: � • D �
_.���e. ._ w_,�, �__��._ ��.��,�,�.���,��.�.,,��a�� ,.. �..� �,A, ,,.7.���,� ��,��.�„� Lot #: Block # Subdivision:
Contractor Information.
Company: 5/�6N Q(J� C[ 5T/'PUG /�� r
Company Address: 14�� j' � Detailed Scope and Location of Work: �D 7'/0�(/ iiG
City: /�lA/7"(/i'P,(/ state: �_zip: �l�k.� ` S,►��'f CE /�Op/�D 1"D �lpON1- c�c�BA�ff
�ontact Name: T d/'I"N CGf> LG A-Tl�� � 0 F f/A/!T ��Nr� N�yv l� lTGi(l�E�V.
Contact Phone: q 7D — �j7/- ��✓� % �
�
� (use additional sheet if necessary)
E-Mail soa�N � �15��v G Ro v�cotisr�Pv�r�o,v• A+�� �r„p,.�,�...,�, „�.,� ..�� .�� �.�.s.��v..K �.��,, �,,..�,�mw�».�,,,�,.n.x.�._.m.
Work Class:
Town of Vail Contractor Registration No.: ; � � � � � x� P � � � �
� New Addition Remodel Re air Other
�.�... ,.�.,.w..�..... ..�. ��.�,.�,��..�,.�.,�.�.,.,�...�,.,,�. �.w�...�..u..µ_,...�
%� � Work Type
C tractor Signature (required) � Interior ( ) E�erior ( ) Both �( )
�
Property Information
Parcel #: � l(� ( (�2 �j Q� �Q �%
(For parcel #, contact Eagle County Assessors Office at 970-328-8640 or
visit www.eaglecounty.us/patie)
Tenant Name: 1-1 � l lUZ SC �i(/L Ti�
OwnerName:_f/�/NZ SCHU�-7'�
Valuations (Labor & Materials)
Building: $ ��. � O �. 0 0
Plumbing: $ „ �-� Q , 0 jj
Electricaf: $ �.�0 D D , 4 (I
Mechanical: (including fireplace) $ �- (�_
Total: $� 7, � D D, D D
,
Type of Building:
Single-Family ( ) Duplex ( ) Multi-Family (�
Commercial ( ) Other ( )
Does a Fire Alarm Exist? Yes () No ( j()
Monitored Alarm? Yes () No ( x)
Does a Sprinkler System Exist? Yes () No (x)
#& Type of Existing Fireplaces: Gas Appliances
Gas Log Wood/Pellet Wood Burning �
#& Type of Proposed Fireplaces: Gas Appliances
Gas Log Wood/Pellet Wood Burning �
�� ._�.� �,�,.�...,...
_. _. .. . __ ,� .,...� __.._..S.. �_(.a�5 �_'°�,(�Qffyy�(j�^� a
Y m� ��0 r d .� F_ 9*�/! W! 9cJ� ... .
Date Received: � 1
�= i 5 ,J .,j�����4Z� �
i ����$,: � � �:f
�� ��,1 � _ � , _-� � -, a
� �� 'n\ ll ��'i G�� ��__._
O1-Jan-10
lV�
d.OZs
/
A& D Asbestos Testing and Consulting
John R. Peterman
�����������
P.O. Box 1230 Clifton, CO. 81520-1230
Cell 970-270-3689 Home Phone 970-464-5265
1NSPECTION REPORT PREPARED FOR:
TrD Architects
P.O. Box 1492
Vail„ Co. 81658
LOCATION:
Booth Falls Mtn. Homes
3094 Booth Falls Rd. #9
Vail, Co.
�. .�. .. .. � � :
John R. Peterman
Inspector Manager
COLORADO Certificate No. 6601
COLORADO Registration #ACF-16522
UTAH Certi�cate No. 1236
UTAI�Registration #ASBC-437
�
A& D Asbestos Testing and Consulting
John R. Peterman
Asbestos Testing, Project Design, and Consulting
INTRODUCTION:
On Aug 4, 2010 an inspection/survey was conducted and 3 bulk
samples were collected from:
Booth Falls Mtn. Homes
3094 Booth Falls Rd. #9
Vail, Co.
The purpose of the inspection/survey was to locate and sample
suspected Asbestos containing materials that might be present in the unit #9
that is planned for selective renovation.
The inspection was made, and the samples were collected by John R.
Peterman, an A.H.E.R.A. and Sta.te of Colorado and Utah Certified Asbestos
Inspector. Great care was taken during the inspection and sampling to be as
accurate as possible. It should be noted that minimal damage was done to
the existing building structures during the inspection so there is no
documentation for unseen conditions or stored items.
All samples were analyzed by DCM Science Lab in Wheatridge, CO.
This laboratory is deemed "Proficient" in the E.P.A.Quality Assurance (QA)
program for the determination of asbestos in bulk materials, and is
accredited by the American Hygiene Association (AHA).
SAMPLING PROTOCOL:
A random sampling scheme was used to sample the suspect materials that
were discovered. If during any future demolition or renovation work,
suspect material is discovered that hasn't been sampled and would be
disturbed, work should be halted until the material has been tested.
Date: Aug. 13, 2010
Location: Booth Falls Mtn. Homes 3094 Booth Falis Rd. #9 Vail Co.
Sample Results
Sample Number DESCRIPTION ASB.
TYPE
3094-B
3094-B
3094-B
001
002
003
Composite Sheetrock
�� ��
�
�
CHRY
CHRY
CHRY
PC
PC
PC
%
0.01
0.01
0.01
Date: Aug. 13, 2010
Location: Booth Falls Mtn. Homes 3094 Booth Falis Rd. #9 Vail, Co.
Sample l Location
Sample Number
3094-B 001
3094-B 002
3094-B 003
Area Sample From
NE Bedroom Wall
S �edroom , Wall
NE Top Bedroom Wall
Sheetrock
Sheetrock
SheetrocK
Descrip►on
Friable
NO
NO
NO
Date: Aug. 13, 2010
Location: Booth Falls Mtn. Homes 3094 Booth Falls Rd. #9 Vail Co.
Suspect t Material Condition
Sample Number Type Of Suspect Material Conditia on
3094-B 001 SUR
3094-B 002 SUR
3094-B 003 SUR
GOOD
GOOD
GOOD
Damaged
� �,
•
•
%
0
0
0
Date: Aug. 13, 2010
Location: Booth Fails Mtn. Homes 3094 Booth Falis Rd. #9, Vail, Co.
POTENTIAL FOR DISTURBANCE
Sample Number Accessibility Potential
yeslno cantact
3094-B 001 YES
3094-B 002 YES
3094-B 003 YES
HIGH
HIGH
HIGH
Influence
vibration
LOW
LOW
LOW
Potential
air erosion
�ow
LOW
LOW
Located in Plenum
yes/no
NO
NO
NO
CLIENT:
A&D ASBESTOS TEST[NG AND CONSULTING
P.O. BOX 1230
CLIFTON, CO 81520-1230
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
-1 3094-B-001
SAMPLE
DATE DESCRIPTION
8-4-10 A. GREY DRYWALL MUD
B. WHITE PAINT
C. WHITE DRYWALL MUD
D. TAN FIBROUS
E. WHITE DRYWALL
-2 3094-B-002 8-4-10 A. GREY DRYWALL MUD
B. WHITE PAINT
C. WHITE DRYWALL MUD
D. TAN FIBROUS
E. WHI1'E DRYWAI_L
-3 3094-B-003 8-4-10 A. GREY DRYWALL MUD
B. WHITE PAINT
C. WHITE DRYWALL MUD
D. TAN FIBROUS
E. WHITE DRYWALI.
DCM SCIENCE LABORATORY, INC.
12421 W. 49TH AVENUE, LINIT #6
WHEAT RIDGE, CO 80033 (303) 463-8270
BULK ASBESTOS TEST REPORT
PAGE I OF 2
ANALYSIS DATE: 8-6-10
REPORTING DA7'E: 8-]0-10
RECE[PT DATE: 8-5-10
CL[ENT JOB NO.: BOOTH FALLS MTN. HOMES
PROJECT TITLE: 3094 BOOTH FALLS RD #9 - VA1L, CO
DCMSL PROJECT: ADAT614
PERCENTAGE COMPOSITION BY VISUAL ESTIMAT[
FOR CALCULATION PURPOSES, TRACE (TR) IS ASSUMED TO BE 0.5%.
(I) - INSEPARABLE LAYERS ND - NONE D6TECTf:D
TOTAL
TOTAL PERCENTAGE
PERCENT ASBESTOS ASBESTOS OTHER FIBROUS NON-FlBROUS [DENTIFIED
OF SAMPLE TYPE RANGE % IN SAMPLE CONSTITUENTS CONSTITUENTS MATERIALS
2.0% CHRYSOTILE [TR-i] 0.5 0.0 99.5 100.0
2.0% ND 0.0 100.0 100.0
3.0% ND 0.0 100.0 100.0
7.0% ND 100.0 0.0 100.0
86.0% ND TR 100A 100.0
<0.1
2.0% CHRYSOTILE [TR-1] 0.5
3.0% ND
4.0% ND
5.0% ND
86.0% ND
2.0% CHRYSOTILE [TR-1] 0.5
3.0% ND
4.0% ND
5.0% ND
86.0% ND
0.0 99.5
0.0 100.0
0.0 ] 00.0
100.0 0.0
TR 100.0
<0.1
0.0 99.5
0.0 I00.0
0.0 100.0
] 00.0 0.0
TR 100.0
<0.1
100.0
100.0
100.0
t00.0
100.0
100.0
100.0
100.0
100.0
100.0
DCM Science Laboratory, Inc.
12421 W. 49th Avenue, Unit #6
Wheat Ridge, CO 80033
DCM Project No.: ADAT 614
Client Job No.: 3094 BOOTH FALLS RD
Bulk Sample Analysis
BULK SAMPLE ANALYSIS PROCEDURES:
Page � of p�
DCM Science Laboratory, Inc. analyzes bulk asbestos samples following procedures developed by the
McCrone Research Institute and in compliance with guidelines established by the Environmental Protection
Agency (EPA-600/R-93/116, July, 1993).
Bulk samples are prepared for analysis using a 10X-80X stereo microscope in a hepa filter hood which provides
a contamination-free environment. The sample is then analyzed by polarized light microscopy (PLM) at 100X.
When the sample consists of more than one layer, each layPr is prepared and a�alyz�d separately. Fib�r and
matrix materials are identified by the characterization of optical properties including color and pleochroism,
form, cleavage, relief, birefringence, extinction, orientation, twinning, interFerence figure and other distinguishing
features. Dispersion staining is also used to further aid in mineral identification. All percentages of asbestos,
other fibers and non-fibrous constituents are calculated from the values obtained from analyses using the
stereo and PLM microscopes. In-house and NIST standards as well as a chart prepared by R.D. Terry and
G.V. Chilinger for "The Journal of Sedimentary Petrology", (Volume 24, pp. 229-234, 1955) provide a guide for
estimating percentages. All samples are archived for six months unless other arrangements are made by the
client.
ACCREDITATION:
DCMSL is accredited by NVLAP (since April 1, 1989). Our NVLAP Lab Code is 101258-0. DCMSL complies
with NVLAP requirements unless otherwise noted.
ENDORSEMENT:
The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of the
U.S. Government.
This test report relates only to the items tested. This report may not be reproduced except in full, without the
written approval of the laboratory. The analysis was performed by :
( " '� __--
` � �',
John Silverman, Analyst
Ron Schott
Laboratory Director
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�
NVLAP Lab Code 101258-0
Ron Schott, Analyst
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Date
0
DCM SCIENCE LABORATORY, INC.
, 12421 W. 49TH AVENUE, L1NIT #6
WHEAT RIDGE, CO 80033 (303) 463-8270
BULK ASBESTOS ANALYSIS - POINT COUNT METHOD
PAGE i OF 2
CLIENT: ANALYSIS DATE: 8-12-10
A&D ASBESTOS TESTING AND CONSULTING REPORTING DATE: 8-12-10
P.O. BOX 1230 REQUESTED DATE: 8-9-10
CLIFTON, CO 81520-1230 CLIENT JOB NO.: BOOTH FALLS MTN. HOMES
PROJECT TITLE: 3094 BOOTH FALLS RD #9 - VAIL
DCMSL PROJECT: ADAT617
CROSS REFERENCE: ADAT614
PERCENTAGE COMPOSITION BY AREANOLUME
DCM LAB NO.: -1 _2 _3
SAMPLE DATE: 8-4-10 8-4-10 8-4-10
% Or` TOTAL SAMPLE: 2.0% 2.0°io 2.0%
CLIENT NO.: 3094-B-001 3094-B-002 3094-B-003
PART A PART A PART A
ASBESTIFORM MINERAL FIBERS:
CHRYSOTILE
AMOSITE
CROCIDOLITE
TREMOLITE-ACTINOLITE
ANTHOPHYLLITE
TOTAL ASBESTOS COUNTED
TOTAL ASBESTOS IN LAYER
TOTAL ASBESTOS IN SAMPLE
NOTES: SAMPLES NO. I- 3 ARE GREY DRYWALL MUD.
ND - NONE DETECTED
TOTAL ASBESTOS COUNTED =
TOTAL ASBESTOS IN LAYER =
TOTAL ASBESTOS IN SAMPLE _
0.25 %
ND
ND
ND
ND
0.25%
0.25 %
0.01 %
DEFINIT[ONS
0.50°/a
ND
ND
ND
ND
0.50%
0.50%
0.01 %
0.25%
ND
ND
ND
ND
0.25%
0.25%
0.01 %
THE AMOUNT OF ASBESTOS PRESENT IN TNE SAMPL� E\PRESSED
AS A PERCENT.
TNE PERCENT OF SAMPLE REMAINING TIMES ASBESTOS COUNTED
EXPRESSED AS A PERCENT.
THE PERCENT OF TOTAL SAMPLE (FROM PLM/SM ANALYSIS)
TIMES THE TOTAL ASBESTOS IN LAYER (IF NO ASBESTOS IN
OTHER LAYERS).
DCM Science Laboratory, Inc.
12421 W. 49th Avenue, Unit #6
Wheat Ridge, CO 80033
DCM Project No.: ADAT 617
Client Job No.: 3094 BOOTH FALLS RD
Quantitative Bulk Sample Analysis (Point Count)
QUANTITATIVE BULK SAMPLE ANALYSIS PROCEDURES:
Page � of �
DCM Science Laboratory, Inc. analyzes bulk samples in accordance with the National Emission Standard for
Hazardous Air Pollutants (NESHAP) for asbestos (Federal Register, Vol. 55, No. 224, pp. 48406-48433,
11/20/90). The analytical procedures followed are described in "Interim Method for the Determination of
Asbestos in Bulk Insulation Samples", (USEPA 600/M4-83-020, 1982), with minor modifications
recommended by the Atmospheric Research and Exposure Assessment Laboratory, USEPA, Research
Triangle Park, N.C.
Samples analyzed by the point count method are milled to homogenize the sample, prepared on microscope
slides and point counted using polarized light microsc�py (PLM) in conjunction with a noint counting stage and
counter. One hundred counts are performed on four separate preparations of each sample for a total of 400
points.. If asbestos is identified but not counted during the point counting procedure, total asbestos is reported
as zero and presence is noted on the report. Other preparation procedures including ashing and acid washing
may be performed with client permission to improve accuracy in determining asbestos concentration. All
samples are archived for six months unless other arrangements are made by the client.
ACCREDITATION:
DCMSL is accredited by NVLAP (since April 1, 1989}. DCMSL complies with NVLAP requirements unless
otherwise noted.
ENDORSEMENT:
The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of the
U.S. Government.
This test report relates only to the items tested. This report may not be reproduced except in full, without the
written approval of the laboratory. The analysis was performed by :
John Silverman, Analyst
Ron Schott
Laboratory Director
��dQ °
NVLAP Code 101258
Ron Schott, Analyst
g-J2�I0
Date
Inspection Items for B10-0259 12:00 01/15/2013
Total Rows: 7
Page 1