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Home My WebLink AboutLetter-Asbestos Removal 3/8/2007 .~. March 8, 2007 Kargus Appraisals, Inc. Mr. Greg Kargus 819 Oregon Street Oshkosh, WI 54902 Dear Mr. Kargus: This letter is to inform you that the asbestos materials identified in American Air n Services inspection report for 908 Wisconsin Street Oshkosh Wisconsin have been pr , removed and disposed. You may proceed with making the appropriate arrangements for' demolitiori. ~inc.ereIY' ~~ '~UAfMM-i if~ r}erome T. Hinke February 20, 2007 Kargus Appraisals Dr. Greg Kargus 819 Oregon Street Oshkosh, Wl54901 Dear,Mr. Kargus: American Air Environmental Services, Inc. (AAES) has prepared this letter to document our findings from our asbestos inspection at 908 Wisconsin Street Oshkosh, Wisc6nsm. The sampling protocol used to respectively determine the presence of asbestos content is: 1. Asbes-tos Containing Building Materials (ACBM): Polarized Light Microscopy (PLM) BPA 6001R-93/116 Method . , On February 20, 2007 AAES collected Nine (9) bulk: samples for PLM asbestos analysis: The laboratory report is enclosed for your records, . . I. . Positive Asbestos Results: Sample # 6- Paper duct wrap located in the basement and wall cavities ledingt6 the secondfloorregisiers. This material must be remove from the building before demolition. ' . ()ur survey was preformed by an accredited asbestos, inspector and conducted in accordance with 29CFR 1926.1001, 40 CPR Part 763, and state or local requirements. If you have questions or require' additional bulk sampling please call. enclosures * This letterhead is printed on recycled paper. I~lb~.\~ ) 'r \I C-- V'c,"\,\j~) ~......J PLM ANALYTICAL REPORT Sampler: Affi.1iation: Project Site: File Number: Jerry Rinke AAES, Inc. ,908 Wisconsin Ave. B07..Q93 Date Collected: Date Received: Submitted By: Analysis Requested: 2/20/2007 2/20/2007 JH PLM-Bulk This report may not be ,reproduced without express authorization of Atnerican Air Environmental Services, Inc. Samples will be disposed. of in two weeks unless otherwise stated. Approved by: * This letterhead is printed on recycled paper. stateof Wisconsin Department of Natural Resources r,..... -'~-'@, 1 Notification of Demolition and/or Renovation . ~ ffi::., ,,' 'D' and Application for Permit Exemption \ U-C2,I~An j Form 4500-113 Rev 06-05 Page 1 of2 No~ Completion of this Information i$ mandatory under eh. NR 406.04, 410.05ai'ld 447.07, WIS. Adtn. Code. Penalties forfaiJure to provide complete information requested include forfeitures of $1 0 to $25,000, fines of up to $25,000 and imprisonment for up to Six months. This form may be used to meet the notifICation requirements for the Dep$rtment of Health and Family Services., WIS. Adm. Code 159.. Personally identifiable information provided may be matched with other private, state, and federal agencies and may be made available to requestors under Wisconsin's Open Records Law. S..bmit Form: Return completed form to the appropriate office{s) listed on page 2. The DNR does not accept FAXed copies of original or revised notifications. 11. Contractor Project #: 12. Postmark: 13. Date Received: /4. DNRFile #: I Oe - 0.1.2 ROi- M 'S 5. Type of Notification: 6. Tvoe of Proiect 181 Original o Revised o Cancellation o Renovation/Abatement o Emergency Renovation/Abatement o Emergency: DatelHr Notified: _ o Planned Renovation/Abatement (AnnuaO o Other (Explain): _ 181 Demolition 0 ,Ordered Demolition o Fire Training Bum Asbestos Present? (Circle onel: 181 Yes ONo 7. Date (MMIDDIYY) ofDNR Required Pre..Pro;ectAsbestos InsDectlon: , 8. Inspector Certification Information: Start: 2J2Of2007 End: 2f20f2oo7 Name: Jerome T Hinke WI Inspector #:AII-02578 9. Dates (MMlDD1YY.) of Asbestos Abatement: 10, Dates ~~~!:A,P~0'Y).?f RenovalionlDemolition: ~/td~ 7 Start: 31712007 End: 3f1f2oo7 ,,"'.'" _,_'.' ,',; ,1 . Staff: ~ ,. End: 3I3@I'l!ilI3f- "--.:~- Work Shift(s): 1811 02 03 Weekend: 0 Yes 181 No Work Shift(s): 1811 02 03 Weekend: 0 Yes 181 No 11. Abatement Contractor: 12. Demolition Contractor: Name: ADIMS llC Name: Wallv Schmid Address: 49W111hAve Address: 7821 Swiss Road City, St, lip: Oshkosh. WI 54002 City, St, lip: o.shkosh WI 54902 Contact Person: Tom Franks Telephone #: (920) 233-1730 Contact Person: Wallv Schmid Telephone #: (9201688-2496 13. Facility Information: 14. Facility Owner: Name: Residental Name: Karaus APDraisals Inc. Address908 Wisconsin Street Address: 819 o.reoon Street City, St, Zip: Oshkosh. WI 54901 City, St, lip: Oshkosh WI 54902 Contact Person: Greq KarausTelephone #: (9201231-0526 Contact Person: Greo KargusTelephone #: (9201231-0526 Prior Use: Residental 15. Waste Disoosal Site/T ransporter Present Use: Same Name: SEE ATTACHED Age (Yrs): 50+ Size (Sq.FI.): . 1500 Address: _ Number of Floors: 2 Number of Apartment Units: n/a City, St, lip: _ County: WinnebagoDNR Region: North East Contact Person: - Telephone #: _ Number of structures to be demolished: n/a DNR license Number: _ 16. Amount of Asbestos including: A. Friable B, Nonfriable C. Nonfriable Asbestos A. Regulated Friable AsbestoslRACM to be removed. AsbestoslRACM Asbestos Material Material NOT removed B. Category I & II ACM TO. BE removed. TO BE TO BE removed before demolition C. Category I & II ACM!:l!QI removed, removed CAT I CAT II CAT I CAT II Pipes (linear Feet) Surface Area ( Square Feet) 100 Volume Friable ACM off facility component (Cubic Feet) 17. Asbestos Abatement/Demolition Fees - Check or money order must be submitted with notification to DNR Asbestos Coordinator Project Type Quantities to be Abated Check Arnount . Refer to Box 6 and Box 16 to determine fee submittal amount Amount Rec'd · Make checks payable to WI Dept. of Natural Resources Due ByDNR Demolition less than 160 square and 260 linear feet of friable or any amount of nonfriable ACM 181 $75 Reno/Demo At least 160 sq. or 260 In. ft. friable asbestoslRACM but less than 1000 combined feet o $225 " Reno/Demo Combined square & linear feet friable asbestoslRACM quantities of at least 1000 feet but less than 5000 o $400 feet Reno/Demo Combined square & linear feet friable asbestoslRACM quantities of at least 5000 feet o $750 SHADED AREAS ON THIS FORM ARE FOR DNR USE ONLY , ~ State of WisconsinlDNR Notification of Demolition and/or Renovation and A ication for Permit Exem ion 18. Indipate the inspection procedure, including analytical methods, used to detect the presence or absence of the ACM Polarized Ught I Bulk Samples Form 45()()..113 Page 20f2 19. Description of the asbestos material involved and its location in the facility to be demolished/renovated: Remove asbestos containing duct insulation in basement of house. 20. 'Description of renovation/abatement and/or demolition work, including specific abatement/demolition methodes) to be used: Enclosure removal methods with wetting agents used on materials in basement Waste will then be double bagged, labeled and loaded into a lined dumpster. During all removal workers will be wearing protective clothing and equipment. 21. Description of abatement work practices/engineering controls and waste handling procedureS, specific to this site,' used in preventing ACM emissions: All asbestos is to be kept wet, bagged or wrapped and labeled for disposal in a lined dumpster. All waste will be wet wiped before leaving the removal area. 22. Description of procedures to be followed if asbestos not previously identified is found or previously nonfriable asbestos becomes crumbled, pulverized or reduced to a powder: Wetting agents will be used on materials. Negative pressure will be established, All waste disposed of properly. Arrj appropriate agencies and or offices will be notified. 23. If an emergency abatemen~ complete the following information (attach additional sheets if necessary): Date and Hour of Emergency: Date (MM/DDNY): / / Time (12HrClock): _:_ o a.m. op.m. Description of sudden, unexpected event: _ Explanation of how event caused unsafe condition, potential equipment damage or an unreasonable financial burden:_ 24. If an ordered demolition, identify the government agency issuing the order: (Attach a copy of the order.) Name: Title:_ Authority: _ Date of Order (MMlDDIYY): Date Order to begin (MMIDDNY): 25. I certify that an inoNidua, rained in the provisions q,Ullis regulation (40 CFR Part 61, Subpart M) will be on-site during the demolition/renovation and evidence that the required training has been acco' " person will be a if inspection during normal business hours. Signature: , tusilt",-f Date (MM/DDNY): -" ~B / 07 Signature: 1k.e{IJ.<fMY Date (MM/DDNY): ~ I 2-11 / or 27. Indicate which of the following agencies/offices were sent a copy of the demolition/renovation notification. DNR has been delegated notification authority _ USEPA no longer requires a copy of the notification. Note: Dry asbestos removal requests must be pre-approved by DNR, prior to required notification. IiI Department of Natural Resources Asbestos Coordinator, AMI7 Bureau of Air Management P.O. Box 7921 Madison, WI 53707-7921 f8I Department of Health & Family Services Division of Public Health AsbestoslLead (Pb) Section P.O, Box 2659 Madison, WI 53701-2659 Copy Southeast Region if work will be conducted within Kenosha, Milwaukee,Ozaukee, Racine, Sheboygan, Walworth, Washington, or Waukesha Counties. Send copy to: o Department of Natural Resources Regional Asbestos Specialist 2300 N. Dr. Martin Luther King, Jr. Drive Milwaukee, WI 53212