HomeMy WebLinkAboutAsbestos Abatement Permit ApplicationBuilding Owner
Street :JS
city \lfA.; l
Phone Number
BUILDING OWNER'S
ASBESTOS ABATEMENT PROJECT MANAGER
WAIVER APPLICATION
'!> F'sobm.~'t= 5bAP
State _CO~...._.·'----------Zip Code
9,0 31b· 'Z.bJS
Building Name Timber Ridge Apartments
Street 1280 N Frontage Rd West
Submrt fomi to:
Pemiit Coordinator
Colorado Dept. of Public Health
and Environment
APCO-SS-81
4300 Cheny Creek Drive South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
City Vail State co Zip Code 81657 ---------------------
Abatement Contractor Eco Tech Environmental GAC# 20452
Project Manager Waiver
Colorado Regulation No. 8, Part B, requires that project managers be used to monitor asbestos abatement projects in which
the amount of friable asbestos containing material exceeds 1000 linear feet or 3000 square feet. This requirement may be
waived if the contractor performing the abatement has a history of compliance with Regulation No. 8, or if the building owner
can demonstrate that this requirement is overly burdensome or not feasible by providing a written explanation below.
Check which condition applies:
lvl The abatement contractor has informed me that they have fewer than two compliance determinations with a finding
~ of guilty in the preceding two years.
D For the above project, the project manager requirement is overly burdensome or not feasible. I request a waiver
from the project manager requirement for the following reason(s). Please attach additional pages if necessary.
I understand that use of a Project Manager is an effective means of ensuring the project is properly conducted in compliance
with applicable regulations.
I, the undersigned, hereby certify that the aforementioned statements requesting the waiver are true to the best of my
knowledge and request that the requirement for a project manager be waived for the duration of this asbestos abatement
project.
b~l.:<le. ~u-rh~
Building Owner or Legal Agent (print name) Signature
The foregoing instrument was acknowledged before me this (month/day/year) May 13,. aot'-/
Witness my hand and official seal.
Rev. 3/03, J:\Asbestos and Lead Units\Asbestos Fomis\Public\Project Manager Waiver.doc
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8
Rev 01/30/2008