Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BOTH-000028-2016
~ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000028-2016 Date Issued: Tuesday, June 21, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000028-2016 has been completed. Tax Map Number: 288.-1-54 Location: 1433 State Rte 9 Owner: SANDRI REALTY INC Applicant: Stewart's Shops Corp. This structure may be occupied as a: Former Sunoco to be demolished, asbestos report attached By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the 01j 4 / � property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code En orceme Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTIJ-000028-2016 Tax Map No: 288,-1-54 Permission is hereby granted to: Stewart's Shops Corp. For property located at: 1433 State Rte 9 In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: SANDRI REALTY INC Demolition $0.00 Owner Address. 400 Chapman ST Total Value $0,00 Greenfield,MA 01301 Contractor or Builder's Name 1 Address Electrical Inspection Agency Plans&Specifications Former Sunoco to be demolished,asbestos report attached $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,January 23,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before exp/iiratikanua Dated at the To n of Qu e bury / ry 29,2016 SIGNET)BY: (� for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received _ DEMOLITION PERMIT APPLICATION Permit#: _U)%6 --_— NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee tnYincy--- Provide 2 plot plans drawn to scale,showing lot boundaries with dimensions and adjacent roads I streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities Date _January 27,2016 -- AIV A _1433 State Route 9,Lake George _ iemolition Location Tax Map ID APPLICANT ----- OWNER Stewart's Shops Sandri Realty P_O.----------------------- --------------------------- Address Box 435 Address _— 400 Chapman St. -------------- ---____--------------- Saratoga Springs,NY 12866 Greenfield MA 01301 Phone ----- (518)581_1201— Phone (413)223-1238 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Chuck Marshall _Phone: _(518)269-0664 1. Person Responsible for Work Stewart's Shops Corp. 2. Where will demolition material be disposed? Finch Pruyn for building and Block via local disposal 3. All buildings to be demolished require an Asbestos Survey 4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor 5. Asbestos Information: the Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos in the building to be demolishedYes _—_— No b) If Yes. our office needs the following information X_ Yes ____ No Name of firm removing the asbestos Plen-ge see attacbed report License number of firm Indicate where the asbestos material will be disposed 6. Structure Information a) Indicate the structure(s)to be demolished Residence ___ Garage _X Business Storage Bldg. --- Other b) Size of Structure 2,066 c) Number of Stories 1 d) Foundation Type Cinderblock e) Foundation f) Structure(s) Mixture of brick and wood frame 7. Utilities Information a) Indicate utilities for this structure --- Gas _X Electric _—_ Propane _' Public Water —X_ Public Sewer --_ on-site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? _X _Yes _—__ No b) Have all utilities been disconnected? ____ Yes _2L__ No 8, Signature Print Name: ----__---_ Date Gncl-- 26 2016 Signature: --- _ _ —______ Date Town of Queensbury Building & Codes- Demolition Permit - December 2014 Ambient Environmental, Inc. Comprehensive Building Science Solutions NTS4VS Cert rf,eel II BE &SB-4 EDII'OSA&DBF. October 22,20151 — b (,0 Mr. Chris Potter Stewarts Shops Corp. PO Box 435 JAN 2 7 7016 Saratoga Springs, NY 12866 Ph. 518-581-1201 cpotterCstewartsshops.com RE: Hazardous Materials Survey Report Asbestos Pre-Demolition Former Sunoco 1433 Route 9 Lake George, NY Ambient Project Number: 15091 SAF Dear Mr. Potter: Ambient Environmental, Inc. is pleased to submit the attached Hazardous Materials Survey Report for asbestos at the above-referenced site, This report includes the procedures and methodologies followed, analytical laboratory results, and applicable conclusions and recommendations. Ambient appreciates the opportunity to serve Stewarts Shops and we look forward to working with you in the future. In the meantime, if you have questions or comments regarding the information in this report or if we can be of further assistance please do not hesitate to contact us. Sincerely, Ambient Environmental, Inc. Charles Wolford John wy Operations Lead Asbestos Inspector Asbestos License# 15-12753 Enclosure Albany Office. 12 Colvin Avenue.Aibariy NY 122061 Phone 518•182.0704 Fax 518 482.0750 Web www ambient-eev curt; Ambient Environmental, Inc. AO Comprehensive Building Science Solutions A SINJS Certifier!li BF &SB.-I EDll'0SB&DBE HAZARDOUS MATERIALS SURVEY Asbestos Pre-Demolition Former Sunoco 1433 Route 9 Lake George, NY Survey Dates: September 24 acid October 1, 2015 Prepared for: Stewarts Shops Corp. Chris Potter PO Box 435 Saratoga Springs,NY 12866 Prepared by: Ambient Environmental,Inc. 12 Colvin Ave. Albany,New York 12206 Ambient Project No. 150918AF A4bany Office. 12 Colvin Avenue.Albany, NY 122061 Phone. 518.:1132 0704 Fax 518 482 0750 Web wvww ambient-env con) Ambient Environmental,Inc. TABLE OF CONTENTS 1.0 PURPOSE AND SCOPE OF SERVICES...............................................................1 2.0 EXECUTIVE SUMMARY........................................................................................1 3.0 ASBESTOS-CONTAINING MATERIALS SURVEY..........................................1 3.1 Sampling Protocol....................................................................................................2 3.1.1 Homogeneous Areas........................................................................................2 3.1.2 Hazard Assessment Factors.............................................................................2 3.1.3 Sampling Strategy............................................................................................2 3.1.4 Laboratory Analytical Results.........................................................................3 3.2 Asbestos Containing Material Results.....................................................................4 3.3 Recommendations....................................................................................................5 4.0 ASSUMPTIONS,LIMITATIONS,AND OTHER CONCERNS........................5 ATTACHMENTS Attachment A Summary of Sample Results Asbestos Containing Materials, Conditions and Quantities Attachment B Asbestos Sample and Material Location Drawings Attachment C Asbestos Laboratory Analysis Report With Chain of Custody Documentation Attachment D Company, Inspector and Laboratory Accreditations and Licenses Page Ambient Environmental,Inc. 1.0 PURPOSE AND SCOPE OF SERVICES The purpose of this project was to conduct a pre-demolition hazardous materials survey for asbestos,of the Former Sunoco shop located at 1433 Route 9,in Lake George,NY(The Site). The areas inspected included both interior and exterior of both the station and canopy. Ambient Environmental, Inc. (Ambient)provided the following services for Stewart's Shops Corp. (Client) in accordance with Ambient proposal number 2015-08-410. Conduct a representative Hazardous Materials Survey in the identified building,which includes: • Survey the site buildings. • Identify accessible suspect asbestos-containing materials(ACMs)that were not previously tested using limited destructive means. • Quantify ACMs, including material condition and location. • Collect and analyze bulk samples of suspect friable and non-friable materials to eliminate suspect materials as asbestos containing. 2.0 EXECUTIVE SUMMARY The inspection was conducted by NYS licensed and AHERA trained asbestos inspectors on September 24 and October 1,2015. The inspection involved visual examinations and sampling of suspect materials that may be impacted by demolition (see attachments and specific report sections for sample locations, type of materials and analytical results). Inspection results revealed the following findings: • The building contains asbestos containing materials Please see individual results sections and attachments for location and quantity of positive materials. 3.0 ASBESTOS-CONTAINING MATERIALS SURVEY On September 24 and October 1,2015,Ambient performed an asbestos-containing material survey for planned demolition at the subject property. Ambient examined previous reports,if available,to determine if adequate sampling was performed in the work areas and collected additional samples that appeared to be deficient. New York State certified and AHERA trained asbestos inspectors conducted the asbestos survey of the area. The building was visually inspected for the presence of any additional building materials in the path of demolition that are suspected to contain asbestos. Bulk samples of the newly identified suspect ACMs were collected and placed into individual containers for transport to a National Voluntary Laboratory Accreditation Program(NVLAP)and a New York State Department of Health Environmental Laboratory Approval Program(FLAP)-accredited laboratory for analysis. Materials visibly identified as non-asbestos(fibrous glass, foam rubber,wood,etc.)were not sampled. The asbestos survey consisted of three basic procedures: 1)conducting a visual inspection of the Page I Ambient Environmental,Inc. structures; 2)identifying homogeneous areas(HAs)of suspect surfacing,thermal system insulation, and miscellaneous materials; and 3)sampling accessible, friable and non-friable suspect materials. 3.1 Sampling Protocol 3.1.1 Homogeneous Areas Prior to collecting any samples,HAs were identified and listed to develop a sampling strategy. A homogeneous sampling area can be described as one or more areas of material that are similar in appearance and texture and that have the same installation date and function. The actual number of samples collected from each homogeneous sampling area may vary,based on the type of material and the professional judgment of the inspector. 3.1.2 Hazard Assessment Factors From the list of suspect homogeneous materials,a physical assessment was performed for each material on the list. A physical assessment includes evaluating the condition,assessing the potential for disturbance,and determining the friability of each material. Friability is a term used to describe the ease in which a building material inherently lends itself to disturbance. By definition,"friable" materials are those that can be crumbled or reduced to powder by hand pressure when dry. Each material on the list was further classified into one of three categories,which have specific sampling requirements for each category. Surfacing Materials: Refers to spray-applied or troweled surfaces such as plaster ceilings and walls,fireproofing,textured paints,textured plasters,and spray- applied acoustical surfaces. Thermal System Insulation: Refers to insulation used to inhibit heat gain or loss on pipes,boilers, tanks,ducts,and various other building components. Miscellaneous Materials: Refers to friable and non-friable products and materials that do not fit in any of the above two categories such as resilient floor covering, baseboards,mastics,adhesives,roofing material,caulking,glazing, and siding. This category also contains wallboard and ceiling tile. All confirmed ACMs were then assessed by their condition as good(intact),fair(damaged)or poor (significantly damaged)per Title 40 Code of Federal Regulations Part 763. Material with localized significant damage was also assessed as poor when observed. 3.1.3 Sampling Strategy The asbestos inspection was conducted according to New York State Department of Labor Industrial Code Rule 56 guidelines using a minimum number of samples collected from each HA,which also meets the sampling requirement found in 29 CFR 1926.1101. Sample collection depends on the category that the HA falls into and the amount of material present, as follows: Page 2 Ambient Environmental,Inc. GUIDELINES FOR DETERMINING THE NUMBER OF SAMPLES TO TAKE HA CATEGORY HA SIZE SAMPLES REQUIRED <1,000 SF 3 Surfacing Materials 1,000-5,000 SF 5 >5,000 SF 7 or more Thermal System Insulation No Stipulation 3+(Must also sample all repairpatches) Per AHERA,these materials must be sampled"in a Miscellaneous Materials No Stipulation manner sufficient to determine whether or not they contain asbestos"typically 2-3 samples based upon inspector judent. If the analytical results indicated that all the samples collected per HA did not contain asbestos,then the HA(material)would be considered a non-ACM. However,if the analytical results of one or more of the samples collected per HA indicate that asbestos is present in quantities of greater than 1 percent asbestos by weight(as defined by EPA),all of the HA(material)would be treated as an ACM regardless of any other analytical results. Material,which can visually be determined to be non-asbestos(i.e., fibrous glass, foam rubber,etc.)by the accredited inspector are not required to be sampled. Miscellaneous materials require adequately representative sampling, which is typically done by collecting from two to three samples per material. Inspectors typically rely on other survey observations such as the condition, friability,and quantity of material to determine what would be a sufficient amount of samples to accurately evaluate the presence or absence of asbestos content. Actual collection of a bulk asbestos sample involves physically removing a small piece ofmaterial and placing it in a marked,airtight container. Sample containers are marked with a unique identification number,which is also noted in the field notes. 3.1.4 Laboratory Analytical Results The samples were sent to AmeriSci New York in New York, New York for analysis. AmeriSci is fully accredited for bulk sample analysis under the Environmental Laboratory Approval Program (ELAP) administered by the New York State Department of Health, (ELAP# 11480). AmeriSci is also accredited by the National Voluntary Laboratory Accreditation Program(NVLAP No.200546- 0)for both air and bulk sampling. • Friable Samples—Friable suspect asbestos containing material samples were analyzed utilizing Method EPA/600/R-93/116 with New York State ELAP 198.1 revision to facilitate compliance with both AHERA and the New York State Department of Health polarized light microscopy(PLM)analytical techniques. All fibers observed were identified to determine whether or not they contained asbestos. • Nan-Friable Samples—Non-friable organically bound (NOB)suspect asbestos containing material samples were analyzed utilizing Method EPA/600/R-93/116 with New York State ELAP 198.6 and 198.4 revisions to facilitate compliance with both AHERA and the New York State Department of Health polarized light microscopy(PLM)and transmission electron microscopy(TEM)analytical techniques. These non-friable organically bound samples must be weighed to record initial sample weights, then subjected to muffle furnace and acid bath sample preparation to eliminate the organic constituents. If the remaining inorganic sample residue is 1% or less of the original sample weight, the sample is Page 3 Ambient Environmental,Inc. considered a non-asbestos containing material. If the remaining inorganic sample residue is greater than I%of the original sample weight then the sample must be analyzed using either PLM or TEM analytical techniques to determine that the sample is an asbestos containing material (positive)or TEM to prove that the sample is a non-asbestos containing material (negative). A non-friable organically bound sample must be proven a non-asbestos containing material utilizing the NYS ELAP 198.4 TEM test method to be in compliance with the New York state Department of Health. 3.2 Asbestos Containing Material Results The results of the asbestos survey conducted at the subject property indicate that the following materials were found to contain more than 1.0%asbestos. • Grey Roof Caulk Attachment A contains a table listing samples collected and analyzed,sample locations, results, identified asbestos containing materials,homogeneous locations, and quantities. Attachment B contains asbestos sample and material location drawings. Attachment C contains the asbestos laboratory analysis report with chain of custody documentation. Attachment D contains Company, Inspector and Laboratory Accreditations and Licenses Please Note: Some materials collected and analyzed in this inspection do contain trace amounts of asbestos. These materials include: • Brown Door Caulk This information must be conveyed to any contractors working on these materials for compliance with the Occupational Safety and Health Administration 1926.1101. Work that will disturb these materials may require a negative exposure assessment and may include the use of respirators, employee fit tests, an employer respiratory protection program, and an employer medical monitoring program. The building survey included limited destructive sampling for"hidden"materials. Therefore,the results of this survey may not be inclusive of all asbestos containing material that may be present in the pathway of demolition. If,during the course of renovation, any suspect material is discovered that is not listed on the table in Attachment A it must be treated as asbestos containing material and handled appropriately or sampled by an inspector and analyzed according to NYS and EPA regulations. One(1) copy of the results of the building/structure asbestos survey shall be immediately transmitted by the building/structure owner as follows; One(1) copy of the completed asbestos survey shall be sent by the owner or their agent to the local government entity charged with issuing a permit for such demolition,renovation, remodeling or repair work under applicable State or local laws. Page 4 Ambient Environmental,Inc. • The completed asbestos survey for controlled demolition (as per Subpart 56-11.5)or pre- demolition asbestos projects shall also be submitted to the appropriate Asbestos Control Bureau district office. • The completed asbestos survey shall be kept on the construction site with the asbestos notification and variance,if required, throughout the duration of the asbestos project and any associated demolition,renovation, remodeling or repair project. 3.3 Recommendations In accordance with New York State Industrial Code Rule 56, all asbestos containing materials that will be impacted during the demolition/renovation must be abated by a NYS licensed asbestos abatement contractor prior to disturbance. 4.0 ASSUMPTIONS,LIMITATIONS,AND OTHER CONCERNS The results,findings,conclusions,and recommendations expressed in this report are based only on conditions that were noted during the inspection of the subject property. • Ambient's selection of sample locations and frequency of sampling was based on observations and the assumption that like materials in the same area are homogeneous in content. • Ambient did not inspect any exterior areas below grade. Foundation sealers,buried piping and other items may exist below grade which may contain asbestox • The components of the window that were accessible without demolition were inspected. No intrusive demolition was performed during this inspection. There may be additional materials concealed beneath or behind window frames. Only full removal of the window unit would reveal these materials. • Vermiculite insulation was not found during this inspection. Currently, there is no approved analytical methodology to confirm vermiculite as non-asbestos,therefore it automatically has to be considered to be contaminated with asbestos in New York State. If encountered during renovation it must be handled as an asbestos containing material. Please refer to this link for more information http:'/xN,ww2.epa.gov.asbestos/protect-your-fainily-asbestos-contaminated- vcrmiculite-insulation • This report reflects the conditions found at the date and time of the inspections. Conditions of the area may change due to external events or forces. Re-inspection of the area may be required prior to the start of any work if an extended period of time has passed or if disturbances have occurred. • All asbestos locations on drawings are approximate and all quantities are estimated. Any contractor or other user of this report is required to physically visit the site to verify all measurements and confirm the quantities of materials to be removed,to be bid for removal, or for any other purpose. All construction personnel, as well as individuals who have access to locations where ACM exists, should be informed of its presence and the proper work practices in these areas. Conspicuous labeling of all ACM is suggested to ensure personnel is adequately informed. Page S Ambient Environmental, Inc. Personnel should be informed not to rest, lean or store material or equipment on or near these surfaces and not to cut,saw,drill, sand or disturb ACM. All removal,disturbance and repair of ACM should be performed in compliance with Title 12 NYCRR Part 56 by persons properly trained to handle ACM. Facility custodial and maintenance personnel should receive training commensurate with their work activities; as defined in 29 CFR 1910.1001. The report is designed to aid the building owner, architect,construction manager,general contractors, and potential asbestos or lead abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Workplan. Our professional services have been performed,our findings obtained,and our conclusions and recommendations prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions,nor does it warrant against operations or conditions present of a type or at a location not investigated. Ambient inspected and sampled materials,which were observable and accessible to the survey team. It is possible,however,that additional suspect materials may exist within interstitial spaces(i.e. underground chases,plenums,wall cavities,beneath pavement/asphalts pathways, etc.),which were not accessible or not made accessible and as a result, not noted in this report. If questions arise regarding asbestos in materials/locations that were not tested by Ambient,then additional survey services should be procured to test these locations. Ambient makes no representation or warranty concerning the standards and specifications provided in applicable regulations. Any materials that have not been tested and/or found during future investigation must be assumed positive for asbestos. Page 6 ATTACHMENT A SUMMARY OF SAMPLE RESULTS ASBESTOS CONTAINING MATERIALS, CONDITIONS AND QUANTITIES Ambient Environmental, Inc. STEWARTS SHOPS CORP SUMMARY OF ASBESTOS SAMPLES AND ANALYSIS RESULTS Sample Type of Sample Location of Sample Asbestos Content Number 01-01 Roof Shingle(Gray) South West Roof NAD 01-02 Roof Shingle(Gray) South West Roof NAD 02-01 Roof Vapor Barrier South West Roof NAD 02-02 Roof Vapor Barrier South West Roof NAD 03-01 Brick(Exterior Wall) North Exterior DIAD 03-02 Brick(Exterior Wall) North East Corner Exterior NAD 04-01 Brick Grout North East Comer Exterior NAD 04-02 Brick Grout North East Corner Exterior NAD 05-01 Block(Foundation) South Exterior NAD 05-02 Block(Foundation) South Exterior NAD 06-01 Block Grout South Exterior NAD 06-02 Block Grout South Exterior NAD 07-01 Brick Expansion Joint Caulk South Exterior NAD 07-02 Brick Expansion Joint Caulk South Exterior NAD 08-01 Brick To Siding Caulk South East Corner Exterior NAD 08-02 Brick To Siding Caulk South East Comer Exterior NAD 09-01 Wood Facade to Brick Caulk East Exterior NAD 09-02 Wood Fagade to Brick East Exterior NAD Caulk 10-01 Exterior Walk Caulk West Exterior NAD 10-02 Exterior Walk Caulk West Exterior NAD 11-01 Exterior Pentration Caulk West Exterior South NAD 11-02 Exterior Pentration Caulk West Exterior South NAD 12-01 Window Glazing Caulk East Exterior NAD 12-02 Window Glazing Caulk East Exterior NAD 13-01 Gray Door Caulk North Exterior Door NAD 13-02 Gray Door Caulk North Exterior Door NAD 14-01 Brown Door Caulk East Exterior Door NAD 14-02 Brown Door Caulk East Exterior Door Anthophyllite <1.0% 15-01 Foundation Sidewalk Gap North Exterior NAD Joint Survev Date:September 24& Page I q1_3 Stel+arts Shops Corp. October 1, 2015 Former Sunoco Ambient Environmental,Inc. STEWARTS SHOPS CORP 1'0R.111:R ,S 1 'N'0('0 SUMMARY OF ASBESTOS SAMPLES AND ANALYSIS RESULTS Sample Type of Sample Location of Sample Asbestos Content Number 15.02 Foundation Sidewalk Gap North Exterior NAD Joint 16-01 Concrete East Exterior NAD 16-02 Concrete East Exterior NAD 17-01 4" Ceramic Wall Tile Room 5 Northwest NAD Adhesive 17-02 4" Ceramic Wall Tile Room 5 Northwest NAD Adhesive 18-01 4" Ceramic Wall Tile Room 5 Northwest NAD Grout 18-02 4"Ceramic WaII Tile Room 5 Northwest NAD Grout 19-01 4"Ceramic Wall Tile Room 5 Northwest NAD 19-02 4"Ceramic Wall Tile Room 5 Northwest NAD 20-01 Back Splash Adhesive Room 3 East NAD 20-01 Back Splash Adhesive Room 3 East NAD 21-01 Caulk Around Cooler Room 3 North NAD 21-02 Caulk Around Cooler Room 3 North NAD 22-01 Block Interior Room 3 Northeast NAD 22-02 Block Interior Room 3 Northeast NAD 23-01 Mortar Room 3 Northeast NAD 23-02 Mortar Room 3 Northeast NAD 2401 Gray Roof Caulk Gas Pump Canopy 4.2% Chrysotile 24-02 Gray Roof Caulk Gas Pump Canopy NAPS 25-01 White Roof Caulk Gas Pump Canopy NAD 25-02 White Roof Caulk Gas Pump Canopy NAD 26-01 Joint Compound, Wall Room I South West NAD 26-02 Joint Compound, Wall Room 1 North Center NAD 27-01 SheetrockE , Wall Room 3 North Center NAD 27-02 Sheetrock, Wall Room 3 South West NAD 28-01 Joint Compound, Ceiling Room 1 South Center NAD 28-02 Joint Compound, Ceiling Room I South Center NAD 29-01 Sheetrock, Ceiling Room 1 South Center NAD 29-02 Sheetrock, Ceiling Room 1 South Center NAD 30-01 2 x 2 Pinhole Ceiling Tile Room I Center NAD Survey Date:September 24 & Page 2 of 3 Stetivarts Shops Corp. Oerober 1, 2015 Former Sunoco Ambient Environmental, Inc. STEWARTS SHOPS CORP 1 OR VER St .\(;� 1 , SUMMARY OF ASBESTOS SAMPLES AND ANALYSIS RESULTS Sample Type of Sample Location of Sample Asbestos Content Number 30-02 2 x 2 Pinhole Ceiling Tile Room 1 Center NAD 31-0I Fiberglass Backing Room 1 Center NAD 31-02 Fiberglass Backing Room 1 Center NAD 32-01 Fiberglass Duct Insulation Room l Center NAD 32-02 Fiberglass Duct Insulation Room I Center NAA 33-01 Floor Leveler Room 3 Southwest NAD 33-02 Floor Leveler Room 3 Southwest NAD 34-01 12 x 12 Floor Tile Mastic Room 3 Southwest NAD 34-02 12 x 12 Floor Tile Mastic Room 3 Southwest NAD 35-01 12 x 12 Gray Floor Tile Room 3 Southwest NAD 35-02 12 x 12 Gray Floor Tile Room 3 Southwest NAD 36-01 12 x 12 White Floor Tile Room 3 Southwest NAD 36-02 12 x 12 White Floor Tile Room 3 Southwest NAD 37-01 6" Ceramic Floor Tile Room I Northwest NAD Adhesive 37-02 6"Ceramic Floor Tile Room l Northwest NAD Adhesive 38-01 6"Ceramic Floor Tile Room 1 Northeast NAD Grout 38-02 6" Ceramic Floor Tile Room I Northeast NAD Grout 39-01 6"Ceramic Floor Tile Room 1 Northeast NAD 39-02 6" Ceramic Floor Tile Room I Northeast NAD 40-01 Cove Base Adhesive Room 3 North NAD 40-02 Cove Base Adhesive Room 3 North NAD 41-01 Cove Base Black Room 3 North NAD 41-02 Cove Base Black Room 3 North NAD NAD=No asbestos detected NAPS=Not analyzed/positive stop Note:Refer to Assumptions& Limitations Section of`the Report. Survey Date: September 24& Page 3 c?f 3 Stetivarts Shops Corp. October 1. 2015 Former Sunoco u \ 2 7 q / $ � Z 6 _ 2 2 -o U 7 u c g � 0 7 § a U % 44 s 2 . z U § E . � @ ® k % � t Q 2 0 � o ° C U \8 'o � § a / / AL -�4 § % c 2 & 7 / ® � 2 �% 2 ] 0 ® •- ' e a m Ott / � � ca E/ 3 / a Cy ƒ ƒ Nt / Q) ATTACHMENT B ASBESTOS SAMPLE AND MATERIAL LOCATION DRAWINGS �} I MBS-0Ambient Environmental,Inc. PROJECT NUMBER J �l�`K/9 rr * C®mg�ehenOee Buikhc Silence Scaitm 3.--,���/// 7i Canry Ave Aln,n.M 122N SHEET OF! .5?S,VJ$ �Srd OWE 451&:V-CM;I1x 51E-e�-s'sa AS94EDp' CLIENT�' '��� �n.S DATE PROJECT / r v C PHASE C1fi-� D5-cel oa- ( ad-cit L b I� -SG s`112JI Cps- 112w. w. S'u •1 j" _IL 16-tya� I L'E7-o y 1b3 0 , 115 - uL CQnv1- SV I f7r-c�9 ^ 8 e � y "01 Please refer to the Assumptions and Limitations Section of the report. Ambient Environmental, Inc. PROJECT NUMBER_'..� y // JR-A T i Commehensive8AGngScience Sowhons Rre tlxii hY 1220, SHEET O h`Tlci'JSCoefiad0'BE 5 A SL4 EPA-0S8 CLIENT 4"' '~- y 5 DATE PROJECT /1 U e _ FriASE A/� / I d r S+c> C_.s`•.^! c4 w r.J / -:t^nJ t m 1 L C.,,,,1 Canv� Lo cke6� Please refer to the Assumptions and Limitations Section of the report. r ATTACHMENT C ASBESTOS LABORATORY ANALYSIS REPORT WITH CHAIN OF CUSTODY DOCUMENTATION AmedSci New York 117 EAST 30TH T. AmERI+JCI NEW Y RK,NY 1005 6 TEL:(212)679-8600-FAX.(212)679-3114 PLM Bulk Asbestos Report Ambient Environmental, Inc. Date Received 10/02/15 AmeriSci Job# 215101202 Attn: Joella Vscusi Date Examined 10/06/15 P.O.# 12 Colvin Avenue FLAP# 11480 Page 1 of 6 RE: 150918AF; Stewarts Shops Corp; Asbestos Inspection Lake Albany, NY 12206 George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No.I HGA Lab No. Asbestos Present Total %Asbestos 01-01 215101202-01 No NAD 01 Location: Southwest Roof-Roof Shingle(Gray) (by NYS ELAP 198.6) by Elia Babayeva Analyst Description:Grey/Black,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 34% 01-02 215101202-02 No NAD 01 Location: Southwest Roof-Roof Shingle(Gray) (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Grey/Black.Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material:Fibrous glass 5%, Non-fibrous 49.5% 02-01 215101202-03 No NAD 02 Location: Southwest Roof-Roof Vapor Barrier (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 5.3% 02-02 215101202-04 No NAD 02 Location: Southwest Roof-Roof Vapor Barrier (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 1.8% 03-01 215101202-05 No NAD 03 Location: North Exterior-Brick(Exterior Wall) (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Red,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous loo% See Reporting notes on last page AmeriSci Job#: 215101202 Client Name: Ambient Environmental, Inc. Page 2 of 6 PLM Bulk Asbestos Report 150918AF; Stewarts Shops Corp; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 03-02 215101202-06 No NAD 03 Location: Northeast Comer Exterior-Brick(Exterior Wall) (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Red,Homogeneous,Non-Fibrous,Bulk Material on 10106/15 Asbestos Types: Other Material:Non-fibrous 100% 04-01 215101202-07 No NAD 04 Location: North Exterior-Brick Grout (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementifious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% 04-02 215101202-06 No NAD 04 Location: Northeast Comer Exterior-Brick Grout (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Gray,Ho on 10/06x/15 y Homogeneous,Non-Fibrous,Gementitious,Bulk Material Asbestos Types: Other Material:Non-fibrous 100% 05-01 215101202-09 No NAD 05 Location: South Exterior-Block(Foundation) (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Grey,Ha on 10/06/15 ys P y Homogeneous,Non-Fibrous,Cementitiaus,Bulk Material Asbestos Types: Other Material:Non-fibrous 100% 05-02 215101202-10 No NAD 05 Location: South Exterior-Block(Foundation) (by NYS FLAP 198.1) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% 06-01 215101202-11 No NAD 06 Location: South Exterior-Block Grout (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Nan-fibrous 100% See Reporting motes on last page AmeriSci Job#: 215101202 Client Name: Ambient Environmental, Inc. Page 3 of 6 PLM Sulk Asbestos Report 150918AF. Stewarts Shops Corp; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 06-02 215101202-12 No NAD 06 Location: South Exterior-Block Grout (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% 07-01 215101202-13 No NAD 07 Location: East Exterior-Brick Expansion Joint Caulk (by NYS ELAP 198.6) by Ella Babayeva Anal Description:Grey,Homogeneous, on 10/06/15 Y� p Y ogeneous,Non•Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 8.7% 07-02 215101202-14 No NAD 07 Location: East Exterior-Brick Expansion Joint Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Non-fibrous 6% 08-01 215101202-15 No NAD 08 Location: Southeast Comer Exterior-Brick To Siding Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Gr an 10/46/15 ys pti Grey,Homogeneous.Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.1 % 08-02 215101202-16 No NAD 08 Location: Southeast Comer Exterior-Brick To Siding Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Non-fibrous 5.2% 09-01 215101202-17 No NAD 09 Location: East Exterior-Wood Facade To Brick Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Non-fibrous 4.3% See Reporting notes on last page abed isel uo sa;ou rx l4jod98 aaS %£'L 1 snaugg-uoN :1e11e3en into :SQc1AL so>sagsb 5N90/01,uo leua;eW dine'snojq!3-uoN'snoaua6owoH'al!4M:uoi;duasea 3sjKleub PAeAegeg ell3 Aq (9'96 L dV13 SAN Aq) 311ne3.6u¢ei�.�4topui 4NN M-joualx3;se3 :uone.%*j Z L °N EZ-ZOZLOLSLZ LO-ZL %£'9Z snojgg-uoN :leiiepw Jetao :sadAl solsogsV SL/90/04 uo IeualeW dine'snaq!3-uoN'snoaua6oWoH'Aaje)ppeie :uondimea WIBUV sAadegee 9113 Aq (9161 dV13 SAN Aq) )lneo uogegauad louayc3-tpno CIVN S-JoueW3 ISOM :uoaeoo-f 4 L oN Zz-ZOztoMz zo-4 4 %6'1,Z snorgg-uoN :Ie1Je39W Jatao leas;eW a11n8'sna913-uoN'snoaua6outo Rai 's"Ml sopogsV 9N9o/o1,uo H' omel9:uoi;dposea isKleuV enaAegeg e113 Aq (9'961 dtl13 SAN Aq) 41ne3 uopegauad joualu3-tpnoS-Jaua (]VN ON 3SeM :uoneaol L 4 °N LZ-ZoZ M%z Lo-1,4 %6'91 snoagg-uoN :IBPa;eiM Jetilo IeualeW Xing's i -uo snoeueBotuo 'a 1 :samj so;sagsV 91 OM1,uo �9 3 N' H 3 4M moildposM isAleuV eAsAegeg 9113 Aq (9'961,dV13 SAN Aq) alineo I1eMJo!J Clb'N a�-Joualx3 tsaM :uoneao� 0 L °N OZ-ZOZLo,MZ ZO-01 %Z'91,sncugg-UaN W1Je3 N totpo 9N90/o1, uo leualeW dine'snaq!d-uoN'snoeueBawoH'aM :goo l sea egsv uV eAeAegee 9113 Aq (9'864 dV13 SAN Aq) x1neo IIeM.toua ab�N ix3-loua;x3 isaM :uogeao� 0 L ON 64-Z0Z4049LZ Lo-ot %9'Z£snojgg-uoN :191Ja39W jetao leusleW dine'snoiq!d-uoN'snoeua6otuo :seditj sop"sV 91,/90/01,uo H al!tIM:uol3dNasae pApmV eaadegee eil3 Aq (9'961,dV13 SAN Aq) xine3)pue of apexed pooM-Joua1x3 Ise3 :uogeoo-1 (3VN ON 60 86-ZOZ104SLZ solsegsb% Igol IUGSGJd so;sagsbo ZO-60 N gs1 HJH PON W8113 �0ua;x3 T Joualul '000uoS lau�o� `AN '86J09E) 9481 '6 ainoa££VL 'aBjoaE) eNBI u0!Joedsul so;segsV 'dboO Sd04S s41eMa)S ==1b8L609L )Joda,aL- so sagi0v )jjns Wed 910 V aBed �u1'Ialuawualnu3;ua!gwy :8weN1ua113 zoZLUM :#qor Iasuawy AmeriSci Job#: 215101202 Client Name: Ambient Environmental, Inc. Page 5 of 6 PLM Bulk Asbestos Report 150918AF; Stewarts Shops Corp; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior& Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 12-02 215101202-24 No NAD 12 Location: East Exterior-Window"Glazing"Caulk (by NYS FLAP 198.6) by Ella Babayeva Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Non-fibrous 15.3% 13-01 215101202-25 No NAD 13 Location: North Exterior Door-Gray Door Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 21.5% 13-02 215101202-26 No NAD 13 Location: North Exterior Door-Gray Door Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Gray,Homogeneous,Non-Fibrous,Bulk Material on 10106115 Asbestos Types: Other Material: Non-fibrous 20.2% 14-01 215101202-27 No NAD 14 Location: East Exterior Door-Brown Door Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material on 10J06115 Asbestos Types: Other Material:Fibrous Talc 2%, Non-fibrous 30.1% 14-02 215101202-28 No NAD 14 Location: East Exterior Door-Brown Door Caulk (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material on 10!06/15 Asbestos Types: Other Material: Fibrous Talc 2%, Non-fibrous 30.8% 15-01 215101202-29 No NAD 15 Location: North Exterior-Foundation/Sidewalk Gap Joint (by NYS ELAP 198.6) by Ella Babayeva Analyst Description:Blade,Homogeneous,Non-Fibrous,Bulk Material on 10!06!15 Asbestos Types: Other Material: Non-fibrous 43.8% See Reporting notes on last page AmeriSci.lob#: 215101202 Page 6 of 6 Client Name: Ambient Environmental, Inc. PLM Bulk Asbestos Report 150918AF; Stewarts Shops Corp; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior& Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 15-02 215101202-30 No NAD 15 Location: North Exterior-Foundation/Sidewalk Gap Joint (by NYS ELAP 198.6) by Ella Babayeva on 10/06115 Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 25.6% 16-01 215101202-31 Na NAD 16 Location: East Exterior-Concrete (by NYS ELAP 198.1) by Ella Babayeva on 10/06/15 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cement€tious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 16-02 215101202-32 No NAD 16 Location: East Exterior-Concrete (by NYS ELAP 198.1) by Ella Babayeva Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% Reporting Notes: ' Analyzed by:Etta Babayeva •NAD/NSD ago asbestos det •NA mot analyzed;NAPS=no na edlposttive stop;PLM Bulk Asbestos Analysis by EPA 600AM4-82-020 per 40 CFR 763(NVLAP 200546-0),ELAP PLM Method 1981. for NY ' le samples,which Includes the identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt ct by EPA 600/M4-82-020(NY ELAP Lab 11480);Note:PLM Is not consistently reliable In detecting asbestos In floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that car be used to determine If this material can be considered or treated as non asbestos-containing in NY State(also see EPA Advisory for floor file.FR 59.146.38970,8/1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except In fall without the approval of the lab.This PLM report relates ONLY to the Items tested.AIHA-LAP,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PH-0186.Mass Cert AAo00054. Reviewed By: END OF REPORT th a O ° z z z z z z z z z z z z z z z z z a � 0 s m X W 'm m c ° z z z z z z z z z z z z z C 2` O i m O LL } z (D ao O 2 —3� N � .200 0 � " mm Cl) W r J C 0 c y►� NM aa� v u� t d Q o Lm V) N "a' 1 I i i 1 I i i to umi m to m o oF w3 CD W v h �tpO A O p = W N N Q! I I I I I I I I M m ico o o CL E � E m "" 75 v CLto tj =, o c s ffi o o = c W chi o 0 0 $ o c o o F o m cC1!3�3 G" cO c $ a ? R rCC N r N r N w 'C N W r Q N 2 ^ N 2 ( N S7 r W N W CN W g q q ' o m c+ m o m o m m m c? g c o f o f c� Q G+ m m eN- m o $ o °o o g o 0 0 _ o a a o 0 0 p c°� pp p m m m _ m c Q) rrc co V W W H L W W W W W a �pp � pap �pp N � � f� W UD to to to to z z z z to to Uf W W N to D E c � Z it xs n ,a0 Q ,�O gyp{ 'C R r j N J t�'j q J ,fY J tp r. pp Op O �.. ^ ^ QD �!L' ca O O O O O O O O O r p m Q U) N a O o m pp V CD 0 1- Z Z Z Z Z Z Z z z Z a 2 Z Z z a Q L a� X LU c L � o eg a C� p Q Q Q Q Q 9 Q aj c n z z z z z z z z z z z z zg z c° t 0 U) k; E 0 z 2 , rn 0 L O v1 p M m N O! q v9 M M N N tp CD q Y G 0 Q N N .�- •O- N N tNQ tN9 IT N (Q J 6 C z� t0 m � of m O M 'yD;C O r O1 Us�7i N w cq O N tp r Q O Lm V 4�0 •f! Q N N t0 Qi r CD O M IA S C N .Y J mC O CO) O O Os C9 m �. t+! N N si' Shp. Q 0 S m N N N N N N tlr� 00 to w m vi to Q f0 EW U1 $ `" ►" N t0 b l7 M @ N N N M N N N to Ql t+Of N Y/ �3' O O O O O .X O Y O O O O O O O C7 Q t� o x x 3 e 0o !p {a V r3cc 9 ^ r Ad J4 t J@ to � Dp w (0m to a C� C75 �a U C Q 32 in S iv m m m m a O p co VJ C ar W w o LL LL p p • 3 '?. ur m 1�0 W rW N lJl H N d Q W Q mrg N 07 LL Q N L5 p Q p O V. C O ' '; •- C•J rr- • eta$ O 'V' s!' �7 c�• •,(f • {jj U Lcoi rc � � O•' O Qo .� O C W W W W W G1/ N W W tU W Q W W W wx WrT W W W W 1 . IL W LO W W W 0Wi Vf in t;' in tipn q p AE t- '� 3 3 to W 2 Z W W Z Z W W y 'Z G stLa 2 Q CL � aagq X�q ]�q( � � o c G� " E rp �� ops N J N N J N 7 N N co 9 1 1 co a N j M J M nN� : Ecc a co co O ri M ca�u Is C n m,o O` Q6 �= a •� of�Q � x ° m W 00 1 06 Z �a L m y0 to �' A`�°Qa o C m Z mZg p > u C m a Z(D m O m m. Z Ta ELU mom E z 'u b t� 0vn. g E z Ess H! m Lomm� a.� a to m 3 m�v ;Es1H c � �j '� '$ Z II .�W QOa 'm C Z o o Lpa Ir m� o °?+ ' nth 9yDw wwam tySo >- CD 0" LL m O M3 .Y yg: n`t' R H i g M U H D C 2 W m O �{ G > G Na? SCS-8m m ^ $Q$ a o _. a. o .29 BE 8G EE N m � a le co a vCO V. CC atomcn = �gyw aa a,o �ioWe `o e NE co Q T- v rn E KH as $ -tea 2UIL uCL cc a o 0 � ayE eLL vcc E � Q � d`:c, E $ c ex � a A mca LL A $ C $ 3 .a tlJ 0 co LL0 Q LL W> a 0 a w� t C m I W C z r 0 a7/y� c"LL y V • U a m 9 N a C r LL G � a Z U O N clcln � L O m T W • a 8 V I Si V Eto m a U) E ❑ iL U.) m or w � a 6 E F H I I IE E LL 8. O ~ 0 {. ` o 4 � o U e m w co I m o rw V] n g F t+5 L n Q L LL z C3 C m .nom a uy •' S R W ao v 1 .Q Y E E m Ll- rcc PD In 2 CL Na ° F= a d d r_ E o Dz o L w roe s p J 9L CL 13 13 cy q W m e m 0 $ . _ m m m = E .y S ei 46 ❑ ❑ C m 6.5 U7 2 o �I Z . x, o @ LL p' o = ii7 Q LW-a V3 s 0. = r c m a U m d LL ' + 0 jq 8 o x c o as m n O C _` e o r t0 V V U a { 3.1C v `•tL y+ U C N E LL c \ EE c o 0 dK 73 a U - (, o4; �. :E m t Z 2 G U n e q a a cc co d fp � i C Fn � E � r r CO 1 C l H � C —44-4�' g n 4 a w mLL I a o W 4 LoL E A ' o � L a U '" o V •m m ~ _ 2 C c� U9 E m c C i `^ C3 E QJ m oev a + V ' N E N ~ f N ® a C{ G7 m CD a m m 1� _ •- CG Q)Z 0 Q c E e LQ O o Eus 0 y — m Uz- E cam G~7 ~ op Z p c nc m d+(,y . OH o E Q CLM T J .$ E E Q — = at ri o o ❑ a o�snz' v r _ 1S iR M 4p s c Q U. t _. w F- � a 4 a 'dLL r < G .r w 3 x a Q s Ogg z v VIL ��Z 0 P . �_ LL ¢ Z U aS � Q J CL (J a CX wC' 13to , o co t� J m N co O NT Is t & 62 O pp p p NW q .R W '�'• i A E � H 2 ;9 C IxL •� m �— QEo � p W 9 p ` cm CD ca WD)z .� L c� w Q .4 �� � z 8 „�o a •=i� o �, � v F o 0rz 4 v n °p yo a E y OC o a AmeriSd New York AMERI..>�' Cl 117 EAST 30TH ST. NEW YORK,NY 10016 TEL:(212)679-8600•FAX:(212)679-3114 PLM Bulk Asbestos Report Ambient Environmental, Inc. Date Received 10/02/15 AmeriSci Job# 215101203 Attn: Joella Viscus! Date Examined 10/06/15 P.O.# 12 Colvin Avenue ELAP# 11480 Page 1 of 9 RE:150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake Albany, NY 12206 George, 1433 Route 9. Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 026-01 215101203-01 No NAD 026 Location: Room 1-South West-Joint Compound(Wall) (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06!15 Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 026-02 215101203-02 No NAD 026 Location: Room 1-North Center-Joint Compound(Wall) (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material:Cellulose Trace, Non-fibrous 100% J! 027-01 215101203-03 No MAD 027 Location: Room 3-North Center-Sheetmck(Wall) (by NYS ELAP 1913.1) by Ivan H.Reyes Analyst Description:Off thite,Homogeneous,Fibrous,Bulk Material on 10!06115 Asbestos Types: Other Material:Cellulose 3%, Fibrous glass 2%, Nan-fibrous 95% 027-02 215101203-04 No NAD 027 Location: Room 3-Southwest-Sheetrock(Wall) (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:OftWhite,Homogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Cellulose 12%, Non-fibrous 88% 028-01 215101203-05 No NAD 028 Location: Room 1-South Center-Joint Compound(Ceiling) (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 ! Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% I See Reporting notes on last page E AmeriSci Job#: 215101203 Page 2 of 9 Client Name: Ambient Environmental, Inc. PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Farmer Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total%Asbestos 028-02 215101203-06 No NAD 028 Location: Room 1-South Center-Joint Compound(Ceiling) (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material:Cellulose Trace, Non-fibrous 100% 029-01 215101203-07 No NAD 029 Location: Room 1 -South Center-Sheetrock(Ceiling) (by NYS ELAP 196.1) by Ivan H.Reyes on 10/06/15 Analyst Description: OHWhitelTan,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 15%, Fibrous glass 2%, Non-fibrous 83% 029-02 215101203-08 No NAD 029 Location: Room 1 -South Center-Sheetrock(Gaiting) (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:OffiMhite[Tan,Homogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Cellulose 12%, Fibrous glass 2%, Nan-fibrous 86% 030-01 215101203-09 No NAD 030 Location: Room 1-Center-2 x 2 Pinhole Ceiling Tile (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 32.4% 030-02 215101203-10 No NAD 030 Location: Room 1 -Center-2 x 2 Pinhole Ceiling rile (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 27.3% 031-01 215101203-11 No NAD 031 Location: Room 1-Center-Fiberglass Backing (by NYS FLAP 198.6) by Ivan H.Reyes Analyst Description:Tan/Black,Heterogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 2.7% See Reporting notes on last page AmeriSci Job#: 215101203 Client Name: Ambient Environmental, Inc. Page 3 of 9 PLM Bulk Asbestos Report 150918AF, Stewart's Shops Corp., Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior 8 Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 031-02 215101203-12 No NAD 031 Location: Room 1-Center-Fiberglass Backing (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Tan/Black,Heterogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 2.8% 032-01 215101203-13 No NAD 032 Location: Room 1-Center-Fiberglass Duct Insulation (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:Tan/Silver,Heterogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Cellulose 65%, Fibrous glass 8%, Non-fibrous 27% 032-02 215101203-14 No NAD 032 Location: Room 1-Center-Fiberglass Duct Insulation (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:Tan/Silver,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 60%, Fibrous glass 15%, Non-fibrous 25% 033-01 215101203-15 No NAD 033 Location: Room 3-Southwest-Floor Leveler (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 033-02 215101203-16 No NAD 033 Location: Room 3-Southwest-Floor Leveler (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10106/15 Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 03401 215101203-17 No NAD 034 Location: Room 3-Southwest-12 x 12 Floor Tile Mastic (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 3.6% See Reporting notes on last page 5 AmeriSci Job#: 215101203 Client Name: Ambient Environmental, Inc. Page 4 of 9 PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 034-02 215101203-18 No NAD 034 Location: Room 3-Southwest-12 x 12 Floor Tile Mastic (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Yellow.Homogeneous,Non-Fibrous,Bulk Material on 10/06115 Asbestos Types: Other Material: Non-fibrous 18.2% 035-01 215101203-19 No NAD . 035 Location: Room 3-Southwest-12 x 12 Gray Floor Tile (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material:Non-fibrous 16% 035-02 215101203-20 No NAD 035 Location: Room 3-Southwest-12 x 12 Gray Floor Tyle (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 2.5% 036-01 215101203-21 No NAD 036 Location: Room 3-Southwest-12 x 12 White Floor Tile (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 57.7% 036-02 215101203-22 No NAD 036 Location: Room 3-Southwest-12 x 12 White Floor Tile (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 49.7% 037-01 215101203-23 No NAD 037 Location: Room 1-Northeast-6"Ceramic Floor Tile Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Cream,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Nan-fibrous 47.4% See Reporting notes on last page AmeriSci Job#: 215101203 Page 5 of 9 Client Name: Ambient Environmental, Inc. PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 037-02 215101203-24 No NAD 037 Location: Room 1-Northeast-6"Ceramic Floor Tile Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes t Description: on 10106!15 Anal ys ption:Cream,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 45.1 % 038-01 215101203-25 No NAD 038 Location: Room 1-Northeast-6"Ceramic Floor Tile Grout (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 038-02 215101203-26 No NAD 038 Location: Room 1-Northeast-6"Ceramic Floor Tile Grout (by NYS FLAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous i 00% 039-01 215101203-27 No NAD 039 Location: Room 1 -Northeast-6"Ceramic Floor Tile (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06/15 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 039-02 215101203-28 No NAD 039 Location: Room 1-Northeast-T Ceramic Floor rile (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06115 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 040-01 215101203-29 No NAD 040 Location: Room 3-North-Cove Base Adhesive (by NYS EIRP 198.6) by Ivan H.Reyes on 10/06/15 Analyst Description:Cream,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.2% See Reporting notes on last page t Amer!Sci Job#: 215101203 Page 6 of 9 Client Name: Ambient Environmental, Inc. PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 040-02 215101203-30 No NAD 040 Location: Room 3-North-Cove Base Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Cream,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 5.2% 041-01 215101203-31 No NAD 041 Location: Room 3-North-Cove Base(Black) (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 0.4% 041-02 215101203-32 No NAD 041 Location: Room 3-North-Cove Base(Black) (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material on 10/06i15 Asbestos Types: Other Material: Non-fibrous 1.1 % 017-01 215101203-33 No NAD 017 Location: Room 5-Northwest-4"Ceramic Wall Tile Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Cream,Homogeneous,Non-Fibrous,Bulk Materia! on 10/06/15 Asbestos Types: Other Material: Non-fibrous 4.1 % 017-02 215101203-34 No NAD 017 Location: Room 5-Northwest-4"Ceramic Wali Tile Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Cream,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 5.6% 018-01 215101203-35 No NAD 018 Location: Room 5-Northwest-4"Ceramic wall rile Grout (by NYS ELAP 158.1) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% See Reporting notes on last page AmeriSci Job#: 215101203 Client Name: Ambient Environmental, Inc. Page 7 of 9 PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 018-02 215101203-36 No NAD 018 Location: Room 5-Northwest-4'Ceramic Wall Tile Grout (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementwous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% 019-01 215101203-37 No NAD 019 Location: Room 5-Northwest-4'Ceramic WallTile (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material an 10/06/15 Asbestos Types: Other Material: Non-fibrous 100% 019-02 215101203-38 No NAD 019 Location: Room 5-Northwest-4'Ceramic Wali Tile (by NYS ELAP 198.1) by Ivan H.Reyes I on 10/06/15 Analyst Description:Blue,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 020-01 215101203-39 No NAD 020 Location: Room 3-East-Backsplash Adhesive (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material an 10106/15 Asbestos Types: Other Material: Non-fibrous 40.6% 020-02 215101203-40 No NAD 020 Location: Room 3-East-B lash Adhesive acksp (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 36.8% 021-01 215101203-41 No NAD 021 Location: Room 3-North-Caulk Around Cooler (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 5.3% See Reporting notes on last page AmeriSci Job#: 215101203 Page 8 of 9 Client Name: Ambient Environmental,Inc. PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior$Exterior Client No./HGA Lab No. Asbestos Present Total %Asbestos 021-02 215101203-42 No NAD 021 Location: Room 3-North-Caulk Around Cooler (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material on 10/06/15 Asbestos Types: Other Material: Non-fibrous 10.9% 022-01 215101203-43 No NAD 022 Location: Room 3-Northeast-Block Interior (by NYS ELAP 198.1) by Ivan H.Reyes on 10/06115 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 022-02 215101203-44 No NAD 022 Location: Room 3-Northeast-Block Interior (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:Grey,Homogeneous.Non-Fibrous,Cementitious,Bulk Material on 10/06115 Asbestos Types: Other Material:Non-fibrous 100% 023-01 21510120345 No NAD 023 Location: Room 3-Northeast-Mortar (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material on 10!06/15 Asbestos Types: Other Material: Non-fibrous 100% 023-02 215101203-46 No NAD 023 Location: Room 3-Northeast-Mortar (by NYS ELAP 198.1) by Ivan H.Reyes Analyst Description: on 10/06/15 Grey,Homogeneous,Non-Fibrous,Cementi@ous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 024-01 215101203-47 Yes 4,2 024 Location: Gas Pump Canopy-Gray Roof Caulk (by NYS ELAP 198.6) by Ivan H.Reyes Analyst Description:Grey,Homogeneous,Fibrous,Bulk Material on 10/06/15 Asbestos Types:Chrysotile 4.2% Other Material: Non-fibrous 23.4% See Reporting notes on last page AmeriSci Job#: 215101203 Client Name: Ambient Environmental,Inc. Page 9 of 9 PLM Bulk Asbestos Report 150918AF; Stewart's Shops Corp.; Asbestos Inspection Lake George, 1433 Route 9, Lake George, NY, Former Sonoco, Interior&Exterior Client No.I HGA Lab No. Asbestos Present Total %Asbestos 024-02 215101203-48 NAPS 024 Location: Gas Pump Canopy-Gray Roof Caulk Analyst description:Bulk Material Asbestos Types: Other Material: 025-01 215101203-49 No NAD 025 Location: Gas Pump Canopy-White Roof Caulk (by NYS ELAP 198.6) by Ivan H.Reyes Analyst description:While,Homogeneous,Non-Fibrous,Bulk Material on 10106/15 Asbestos Types: Other Material: Non-fibrous 1.1 % 025-02 215101203-50 No NAD 025 Location: Gas Pump Canopy-White Roof Caulk (by NYS ELAP 198.6) by Ivan H.Reyes on 10/06/15 Analyst description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material:Non-fibrous 0.4% Reporting Notes: Analyzed by Ivan H.Reyes 'NAD/NSD=no asbestos detected;NA=rot analyzed; Sarot analyzed/positive stop;PLM Bulk Asbestos Analysis by EPA 6OWM4-82-020 per 40 CFR 763(NVLAP 200546-0).ELAP PLM Method 198.1 NY friable samples,which includes the Identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt ct by EPA 600/M4-82-020(NY ELAP Lab 11480);Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive.TEM is currently the only method that car be used to determine If this material can be considered or treated as non asbestos-contalning in NY State(also see EPA Advisory for floor tile,FR 58,146,38970,8/1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except In full without the approval of the Iab.This PLM report relates ONLY to the items tested.AIHA-LAP,LLC Lab ID 102843.RI Cert AAL-094,CT Cert PH-0186,Mass Cert AA000054. Reviewed By: END OF REPORT O <V- < z< z z Cl) m CL ui 0 P 2e o o o 0 < < 5 z z <z z z Z z E LL0 >: Z o a) app -C 32 e C o z 32 J, a Em 0 ccaE Co -a 0 E co 0 cz cv 0 E C4, c c 0 :g =C 0 Go 0 co ca Q C4 4 FL M CL N M C4 , ;; F M" U) 0 E :9 CD 10 o V CL 9 a :3 0 9 m m ca > CL 2 C E 04 O W 9 C4 N C-4 0 A — C� U� 0) q C6 pp 47 N V- z C%l C'4 CM ra C) -0 o cn 0 o V- z 0 0 to 19 U) An V- E L) 7 1 T Cl C14 < co C.) — — — — — — — - — — E E E E E E E *-Z 0 0 0 0 E ir Ir Ix 0 0 m 0 06 E C. co rl co N C', N 6x d• $ o m04 z a a a z4 z z4 z z a t O r a� X w ad o` a _ p Q q �q q C �-i z Z Z Z z z 2 Z Z Z z z G = O 4) O LL Z 4i 73 V► C9 y�y C «s N O O M1 A v aI Y HU aW M m N 4M1y Q ( ( I ( 'Y to O r z- ��vi 01 a � i�d G t6 r N tD W O> M1 �; co 0 tV CW) aG t�t'f e7 e*7 M ( ( ( I A O O O Q r N tD CD N C7 M Cl) Lr) M til m c Y (D M3 ae coM1 w to c M to ted �- OD to W mom = tri I ! ( i 6 g tc tC N R a � c EE ca a E N to ao m r r M p RO 4 tN7 N r L r c t U) cc o 0 C O m t�jto &L m m A 0 0 PW! O tW7 M m 0 m r V LLO c O LL O LL O LL C U. O O LL O LL O tB al O .ic p �e GO.) p N N N N N N E E � � EE S C r r r r r r 2 m m G N N N NU V U U C3 U ctl co ID m t0 0 r r &D <O t0 m 6 bm l. M ty �N4 Q 9X8M 48w 9 ; 8CD g1cmQM r}P °° N NpaQ000QQ tZZ2 � � Z zQc'3 z° ZIm N M M M M M t0 r r r r �- E E E E E E E E E E a E E E of 8 8 8 3 8 8 Q 8 8 8 Q E r or tx a a: I � arr cc c° a o O lDc c c c e $ a o d_r a o 0 o c Z 4t �J c a �yt1 gyp �ypr typ jt� �q 0 0 .Q J to Of N ty N O N O N N p N 9 N N a M M C Q fV J .d a 8 rn t S � a O � . 1- Z Z Z 2 Z Z Z 2Z 2 z 2 2 Z 0 a m w a 0 a � to `� N O aQ Z z � z G C Z 2 Z a z z Z C � U O Q1 O LL } z o ffio 3 W a �+ mY 04 " to I O i N N O C z C o d s I i i i v C' a m � � oC, i I iNr N o Hv chi I i i ccn m a CL EN C y O .w O M CD v n n c N M C4 M O ` ci O of m 0 m G! m CL P �s C O C? 4r R W R W W N o " •- CV fV l7 d Y v Y o y c c o �, o Q pQ o ppa C', 00 0 0 0 o tp��p to v ti U v p V U U C _U U C p qE E E6i E C N C7 V t� V Gi U P ?f a K fY if _ yo sCo LLI O .D lL m O Z o O O Z p p O W W 0 a 0 o O 0 a OQQ o Q O C7 S U Cs U7 Q rn en Itj ' r r r r Z Z Z Z Z L a a N Q O ra> to M tq cq t+) t+f r7 c f M E, d a o s s s s g s g s s CL E to w -446 _ _ _� b�Q a g CL w t7 -J C7 -c t -c M y -� a v a v v v v a 4 m N er >, X. Z g@ iffi A IW- i a co Q O S? co Q. Cc* ; �= a `o a� W CO If a v m ZZuu��r 4a p .0 o v a a` y �. ;a c C pe Q ZWZW cc ti2 ? i1 0 E C Z CID � aoQ v w E E W or mm a` p $ LL 'A'-C'F'N Z E on i E +,3+ c 3 m y a a .. cm 4 75 p 4m cl, AC r Q a N,O yy G +� ffi Y Np Q W r +D } � fD O Vl J coo g g p ? 2� Z t1 y7 z4Q wLDH mn ex qE � H o a A cp as uJ w `�' w aEi o as °r° ti c ,c as m Ng IX}a0 cg 4) ��?a 9 32 C9 0 ,0 a. >. 2 r .ICY LI I p« w meo 1cg aq o9G O o =N W N N °P �� E!A Q 124W or 'oO pap a � E � 2.9— MM ....9 G t0 @�"" d EL E a w � Eti w ca c o �� _ � aai ��`� A c m EE N 8 Q d 71 b - O pl to O v N Qao _ w � x W) y me G Q N N a E M c fC O O ZLO 5 G p C1" c a �78c o 1c E U) a! L A v } x C 4. iiy > $ fig W d ui y m �t 0 Q p 4c,•� >. P G (n fA 1[N? cGp tN �Gp O Q1 G O U O C7 p(3 r G I- IA a ay E G O p m 4 U V3 a- tv a a aa CL m t 0 4� �4 (L 5, o m W ° v co �Zi rn a3 co a,8 p E U dE o � m c CD ca 15 4D y;c -- 0 o a °`U- o fL rdLL 0 4 � � s a co Qv m LL, � ° V a U U a n e E± Z LL a t `� S t t ti • B U. z co r' v, to r z in D5n � � o r a r v � � _ p � cu cz E 6 N C: a t Sh E OE yy U� Z Z F H U CDA 1 e� d G: a. O F�so tJt+ }" 1'� V- " q G — rj rLL O -`' E w n a r p G J O O 'a 0 0 0 ri r► oo go E Y a +0 �a ~+w � c d Ya`n�� m a0 _ � o ® ° :ate zi 5� � v eL wenn $ EE ir a w CL ri tm000 c _3tnz xrr _ - R'iG a � � a Q m� 0 Q LLU� E �i GQ t j LL CL = C [L V Q iL • o �_ n d C D 4 0. om - fA e ` + O ~te _ � cd L) CQ = ! U U '� o� ii" = U \ Q U- Z m cc o � J J m i cad in � '� I i i � 3 � 07❑ a p� E wCO �a o ~ Cc Lou79 r =f Uge ° E O cu � E E � m ri NS CLL W m�z - Q PLI Q O CCa, o EE m f a ` u d SJ 4 Q cood Q O © O d G O �� 4 n a • � a�� � � g m O r �� 4 � 1W m 3� EST Y m n� .4y r ri m D it o QJ oJtoZ - i d0 o MI IL 120 g� C) a H v t 0= �a. O a d ITT W CO co � z � 4 O M e • w as a wz x �. O Q :e R , fO ~ �j' O O OOk ir Y ;c;i E se$ a Sao 4u. m t � W 1 a CoCL _ ° ° �► m $ �Y LL �s j L o z v � o z � O 3 5 a o 8 £ O IL ~ �' U at CL O � t O a c � is a m � t1J N � .io s au Z Q� wB O �z p u a 21, ,^► �.. 10 w 4 Wz 'p __ � w ° a� O gj g v �ti �;jn E E } ATTACHMENT D COMPANY, INSPECTOR AND LABORATORY ACCREDITATION AND LICENSES New York State—Department of Labor Division of Safety and Health License and Certificate unit Stale Campus,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Ambient Environmental, Inc. FILE NUMBER. 06-0549 LICENSE NUMBER: 29608 12 Colvin Avenue LICENSE CLASS: RESTRICTED DATE OF ISSUE: 07/16/2015 Albany,NY 12206 EXPIRATION DATE: 07/31/2016 Duly Authorized Representative—Joella Viscusi: This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of the New York State Codes.Rules and Regulations(12 NYCRR Pan 56). It is subject to suspension or revocation for a(1) serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material. This license is valid only for the contractor clamed above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. Eileen M.Fraako. Director SH 432(8112) For the Commissioner of Labor Cr� :ccr 5 Development December 10,2014 File ID:50943 Ms.Joella Viscusi Ambient Environmental Inc. 12 Colvin Avenue Albany,NY 12206 Dear Ms.Joella Viscusi: The New York State Department of Economic Development,Division of Minority and Women's Business Development(DMWBD)has determined that your firm,Ambient Environmental Inc.,continues to meet eligibility requirements for re-certification,pursuant to Executive Law,Article 15-A and SNYCRR Section 140 through 145 of the Regulations. Therefore,we are pleased to inform you that your firm,has once again,been granted status as a Women Business Enterprise(WBE).Your business will continue to be listed in the State's Directory of Certified Businesses with codes listed on the following page. This Certification remains in effect for a period of generally three(3)years from the date of this letter or until such time as you are selected again,by this office for re-certification.Any changes in your company that affect ownership,managerial and/or operational control,must be reported to this Office within thirty(30)days of such changes;including changes to company name,business address,telephone numbers,principal products/services and bonding capacity. The Certification status is not intended to imply that New York State guarantees your company's capabilityto perform on contracts,nor does it imply that your company is guaranteed any State business. Thank you for your cooperation.On behalf of the State of New York,I wish you luck in your business endeavors, particularly those involving State agencies. Sincerely, Bette Yee Director of Certification Operations 633 Third Avenue New York New York 10017 Tel 212 803 2414 Web Site:www esd.ny.gov/MWBE/html ��' �� C � D e v e l o p m e n t New York State Department of Economic Development 633 Third Avenue New York New York 10017 Tel 212$03 2414 ��� Web Site:wwvr.esd.ny.gavJMW9EPubml December 10,2014 File ID:50943 Ms.Joella Viscusi Ambient Environmental Inc. 12 Colvin Avenue Albany,NY 12206 Ambient Environmental Inc.will be listed in the State's Directory of Certified Businesses with the following list of codes for products and services: ESD-C-0029:ASBESTOS REMOVAL ESD-1-0246:ENVIRONMENTAL CONSULTANTS ESD-1-1072:ASBESTOS ABATEMENT&COMPLIANCE ESD-1-2070:ASBESTOS ABATEMENT PLANS&COMPLIANCE ESD-1-2072:LEAD PAINT ABATEMENT PLANS&COMPLIANCE ESD-1-2429:LEAD INSPECTION&RISK ASSESSMENT NAICS-562910:ASBESTOS ABATEMENT SERVICES NAICS-562910:ASBESTOS REMOVAL CONTRACTORS STATC OF New YORK DCPARTMCNT Of TRANSPORTATION ALOANY, N.Y. 12232 .%%.n.-sdot.go% JOAN MCDoNALD COMM15810NER ANOREW M Cuomo GOVERNOR s.MAR J ell Vic 1 i President Ambient Envimnrnental, Inc, 12 Colvin Avenue Albany,NY 12206 Ire: DBE CERTIFICATION NOTICE Dear Ms.Viseusi: The New York State Department of Transportation (NYSDOT), a Certifying Partner in the New York State Unified Certification Program (NYSUCP), is pleased to inform you that your firm meets the eligibility criteria established by the U.S. Department of Transportation Disadvantaged Business Enterprises regulation, codified at 49 CFR, Pan 26, and has been CERTIFIED as a Disadvantaged Business Enterprise(DBE) with the NYSUCP. Your firm is cegified to provide the services listed below: Area of Service:Environmental&Sanitation Consulting Services NAICS: 541620 Environmental Consulting Services NYSDOT Codes: 08013 Air Quality 080E Noise 080H Hazardous Wasm/Asbestos2ead Your firm is eligible to participate as a DBE on NYSDOT, Metropolitan Transportation Authority,Port Authority of New York and New Jersey and Niagara Frontier Transportation Authority federally assisted projects in the identified service areas. Your firm's certification status with the NYSUCP will remain effective for as long as your firm continues to meet all DBE certification eligibility requirements and the ownership and control of the firm, upon which DBE certification was granted,has not changed. However, you are required to submit, annually,on the anniversary date of this notice, a sworn affidavit affirming that there have been no changes in your rum's economic disadvantaged status, ownership or control. In the event that there are changes, please be advised that you arc required to notify the NYSDOT, within 30 days, of any changes in your business' ownership,control and/or operations including address, telephone number,business services and capabilities. Failure to adhere to these requirements may result in the removal of DBE certification. Your firm will be included in the XYSUCP Directory(hup:/Ibiznet.nvsuco.net) which will indicate the type of work that your firm has been certified to perform. Please note that any of the Certifying Partners of the NYSUCP reserves the right to review your firm's certification eligibility prior to your firm's participation on a federally assisted project for their agency or at any time that it is determined that such reevaluation is warranted. As a newly certified DBE highway and bridge constntction contractor, you are eligible to receive a free one-year subscription to Bid Express (Bid-X). Hid-X is a Web-batted subscription service that provides for the electronic submission of contract bids by contractors for NYSDOT contracts. To learn more about the features and benefits of Bid-X, please contact NYSDOT Office of Civil Rights at OCR-SBN@dot.state.ny.us. Furthermore, as a newly certified DBE you should be aware that the U.S. Small Business Administration (SBA) can guarantee bonds for contracts up to $2 million, covering bid, performance and payment bonds for small and cmerging contractors who cannot obtain surety bonds through regular commercial channels. To learn more about the Surety Bond Guarantee Program, please call 800-U-ASK-SBA (800-827-5722) or visit httn://www.sba.koylindex.htm]. We are pleased to have you as a participant in the NYSUCP and wish you much success. Should you have any questions, please email Lorv.Smitka@dot.nY.gov, or call (518) 457- 3180. Sincerely, comz4f Lory Smitka Compliance Specialist I DBE Certification Office of Audit 2 IP FOLND RETURN TO: EYES SRO NYSDOL - LGC UNIT JSAER BRO ROOK 161A BUILDING 12 8GT 5' 3.1" STATE OFFICE CAFD7US C ALBANY NY 12240 �o x i f STATE OF NES•,+YORK-DEPARPvjErdT OF LABOR ASK-MDS CERTiF COTE DAVID R FOOTE CLASS(EXPIRES) CATEC(04,116) 0INSP(04/16) H PM (04116) MUST BE CARRIED ON ASBESTOS PROJECTS STATE OF NRV YORK-DEPARTMENT 01F LASOR ASS=STOS C97PCATc JOHN M OLSZOWY 'CWSS(EXPIAES) C ATEC(05116) D IHSP(05/16) H PM (05/16) MUST BE CARRIED O,•1 ASBESTOS PROJECTS ���If�Illi�l��I�illf�ll�il� IF FOUND RETURN TO: C r EYES BLU NYSDOL - L&C UNIT $ HAIR BLN ROOM 161A BUILDING 12 �d RGT 5' 10" STATE OFFICE CAMPUS ALBANY NY 12240 e NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER 'a Expires 12.01 AM April 01,2016 t ,r Issued April 01, 2015 t CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502 Public Health Law of New York Slate MR. PAUL J.MUCHA NY Lab ld No: 11480 AMERICA SCIENCE TEAM NEW YORK INC 117 EAST 30TH ST NEW YORK, NY 10016 is hereby APPROVED as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE All approved subcategories andlor analytes are listed below Miscellaneous Asbestos in Friable Material Ilea 198.' pi'+'anua! ?A )0G,'�,14.tt2"02C Asbestos in Non-Friable Material-Pt_tvt item 198 6 nl Manua)(NOS by PLIA; Asbestos in Non-Friable Matenal-TEM Ixm 198.5 v t tanuil Serial No.: 52773 Property c.the New Yore State Depanment oT Neait`r, ceniftcates are valid only at the address shown must ae conspicuously posteo and aro pnnteo on sarin-caver Continued accreditatiot'depenws on success`.ui ongoing part:cipatinn:n the Prooaur Ciansutrers are::roed to call(519)485.5570!o .emy the Iacoratotys acctedrtavon stalus Page' of 1 ,siti�a+�`�' i r � riYSs1 ' tr 1463 - V I 7th EX1STINO PROPERTY LINE SAN SANITARY SEWER LINE r S.BL.# Z33po-1�5 �,' #1439 U.S. ROUTE — — WIRE OVERhiEAD I�uNDs N/F cr P.175 LBdN ASSOCIATES, L1L Er6Elr;t+:t.b s 6.1092 1._ cEVY WIRE (FRENCH MOUNTAIN GLhNa6 GUrLET5) ; 1 PIVD _ UTILITY POLE ° Jsp t �MM f g-l'22 `',EWER MANHOLE ii`cn l rre-�a''tarj Ju d E IRON PIN lama GGLLTER & Mc6ORMAGK PARKING AREA MONITORING WELL. GAPPED IRON PIN FOUND MACADAMd}d t lJ LIC-,Hr POLE ( «�ry a CATCH BASINS - FX ❑ ❑ RAIL PENCE ELEVATION CONTOUR �\ . E. �1r4:t+actsaa� LL1 a- SIGNPOST � WATER SHUfOPP I WATER VALVE i 0.723 AGI HYDRANT UNDERGRG ND sssortiNc15B3T`J,0 6q.FT.) lsEXISTING //l1 h`FEL SBL.# 28800-I-5k f STORAGE TANKS E / VAN DUSEN & STEVES f- ® #1433 U.S. ROUTE 3 TO BE REMOVED r0' \ GAPPED IRON PIN FOUND : : 1 — + SMDRILANRE°LOff INC. -\LEXI5TING 1=L'FL_ -�� tioU p ::.,, l - - - - --- - - ' - 6.1167 P.109ISLANDS & GONG. To ccNVEYEP To PAD TO REMOVED :/ _ �1 T E L06AT�I ON MAP / STEWART'S aiOPS CORP. ' F�clsriNG / if DRYWELL TO it BE REMOVED I"=3od MACADAM PARKING AREA TO VE REMOVED / 1998 NYSDOT APPROPRIATION / / 3 LINE (5EENNOTE #4) / /Al� //z �v( EXISTING GAS CANOPY, / PAD TOM REMGVEP N74'20'59"W / ONE gORY BRICK 5.90' Z 0 %NOS SERVICE STATI 6UILDING N"Y.SDo.T GAPPED ; 1.—I PNTFgINPp O TO BE REMOVED IRON PIN FOUND S �,d W / Vv /a ,L.. INC AREA MAa CADAM . PARK EXISTING UNDERGRO" FUEL / 4 STORAGE TANKS N.Y.SD.O.T GAFFEP TO 6E REMOV�D IRON PIN PGLND ' 5,88' --" '06 45"E 575 s s MACADAM S l, ` ,IS- PARKNG AREA I EX. G6 �. - N.Y. DO. TO Bi / IRON PI FGL525.03 TF=521}.80 - o / INV=520. INV=521.38 j } REMOVED EXISTING / // / DRYWELL TO 1 �f REMOVED i _ e O I . co ZJ / n 1Gy� 1993 NYSDOT APPROPRIATION LINE (SEE NOTE #4) / t SLNOCO SIGN ITO BE REMOVED 1 = GAPPED 3c IRON PIN TO BE 5Er 164. - (Deed`N83 2�165.18' I GAPPED 561'25 39"W r IRON PIN _ TO BE SET GO CRETE '0ALL �gtGSzETE OGK ON EAST BOUNDS CFS �VG� s ;; t'; N/ 268.50' TO IRON P;P - - 581 25'39" ! CONCRETE SIDEWALK #1415 U.5. ROUTE 9 ! / LANDS N/F Of a " MACADAM NORT"NAY CUTLETS, LLG PARKING AREA 6.4964 P.282 (THE GurLErS AT LAKE GEORGE - WE5r)4 " "1 � �,. - ;t-,`4:'.T,0nompli6i1C=�. ale it 11-1 r.fate't [;tp Guil ng (Mau Ui (LE COPY j JAN 27 201ISBURY r ff B l a - A SURVEY NOrEs: I. DEED REFERENCE: CHAMPLAIN OIL COMPANY, INC. TO 5ANDRI REALTY, INC., DATED MAY 23, r - r 2000 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON A1NE Z, 2000 IN BOCK Sr6RE Mff, AN�REVIATIGN & NO. IIG7 OF DEEDS AT PAGE 109. I g �,, b g I-g-- -g- I /,, 455 C� 2• MAP REFERENCE: "MAP OF PART OF LANDS OF HALF-WAY 6ABIN5, INC", DATED FEBRUARY 4, ,.' LAI ,E OEORO LI J I �� I 1 _IJO i - �g�C/ 1972 AND REVISED ON AUGUST 5, 1977 BY COLLTER & MCCORMACK AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON SEPTEMBER 9, 1983. ds+rE LOCArM aK C� O a 2 5 3. THIS SURVEY WA5 PREPARED WITHOUT BENEFIT OF AN UP-TO-DATE ABSTRACT OF TITLE 133 us ROU TE - q , NY 18� AND 15 THEREFORE SUBJECT TO ANY AND ALL RIGHT-OF-WAY AND/OR EASEMENTS X OF I t/V J RECORP, PART16U-ARLY FOR UNDERGROUND UTILITIES. i _ 4. HIGHWAY BOUNDARIES ARE SHOWN A5 THEY APPEAR ON MAP NO. 199, PARCEL NO. M5 FOR SPATE-1- NO. REVISIONSSt)mcty& , `DRAWN BY: OP GLENS FALLS - LAKE GEORGE TATE HIGHWAY NO. 417, CHAMPLAIN OIL COMPANY, INC. (REPUTED OWNER), DATED XNE 5, 1998 BY THE NEW YORK STATE DEPARTMENT GF T NSP AT SCALE: =20 RA ORT ION NOTICE OF APPROPRIATION WA5 EG I T WA f R ORDED N HE WARREN GGUNT°! CLERKS OFFICE IN BOOK 1072 OF DEEDS AT PAGE 178. . - � DATE: 8/-4/15 5. ELEVATIONS SHOWN HEREON HAVE BEEN DETERMINED WITH RESPECT TO AN ASSUMER VERTICAL DATUM. `DRAWING NO. r P.O. BOX 4 g ° SARATOGA 5PRINC-16, NY 1286 —I STEL. (518)581-1200 FAX (518)551-12091 ALTERATIONS r0 THIS 1?04 vWENT BY OTHER THAN AN TITLE" r �i� T AUTHORIZED LICENSED E NEW 510NA ENGINEER 16 ILLEGAL EX I S I I N L/ e I 1 E/DEMO PLAN AND A VIOLATION GF THE NEW YORK STATE EDUCATION LAW I i TOWN OF QUEEN6"Y LES WARREN COUNTY PARCEL# 288.00-1-54 i EXISTING REQUIRED EXISTING PROPOSED PROPERTY LINE MINIMUM LOT AREA 43,560 SQ. FT. (I ACRES) 31,479.60 SLS. FT. (0.723 ACRES) 31,479.60 Sq2 FT. (0.723 ACRES) - - - - MINIMUM LOT WIDTH 150 FEET 175 FEET 175 FEET '-AN — SANITARY SEWER LINE MINIMUM ROAD FRONTAGE 50 FEET 175 FEET 175 FEET MINIMUM LOT DEPTH ZOO FEET 153 FEET 153 FEET OVERHEAD WIRE 0 MINIMUM PERCENT PERMEABLE 30% 24% 11% 6046 VENT FRONT BLDG SETBACK (EAST) 75 FEET 74 FEET 76 FEET C &W WIRE SIDE BLDG 5ET15AGK (NORTH) 20 FEET MIN, SUM 50 FEET 47 FEET 124 FEET INSTALL EXKRA- MACADAM SIDE BLDG SETBACK (SOUTH) 20 FEET MIN, SUM 50 FEET 92 FEET 10 FEET cQ� UTILITY POLE C A5 FGR PARKING AREA REAR BLDG SETBACK (WEST) 25 FEET 36 FEET 21 FEET Q SEWER MANHOLE FRONT CANOPY SETBACK (EAST) 75 FEET 11 FEET 23 FEET UNPER6,Ra D FL13 5rORA6E SIDE CANOPY SETBACK (NORTH) 20 FEET MIN, SUM 50 FEET 74 FEET 47 FEET TANKs: (1) 15K GAL., & (1) SPLIT / SIDE CANOPY SETBACK (SOUTH) 20 FEET MIN, SUM 50 FEET 77 FEET III FEET IRON PIN ICK GAL (6K/4K) W/UX REAR CANOPY SETBACK (WEST) 25 FEET 83 FEET 51 FEET COWFETE 'fMK PAD BUILDING HEIGHT 40 FEET - 23.5 FEET 0 MONITORING WELL r1M sr" LIGHT POLE � .... .... R BUILDING SIGN _ _ I @ 10 Sq. FT. EA. j roR�r IN/. W� pA�-M r FREE6TAND NG SIGN - - 1 @ 58 5Y SION 2@ 14 Q. FT. EA. GATGti 6ASINS t ��� / �� �\ PARKING 1/150=26 SPACES 28 SPACES 24 ❑ ❑ RAIL FENCEEXISTINO PROP SITE tlr�AGE DATA SITE l� DATA -100 ELEVATION CONTOUR 29 �� -.. ' ® J 26 ��` `�. �..... -� CONCRETE SIGNPOST GREENSPAGE 7,606 SQ. FT. 24% GREENSPACE 3,513 Sq. FT. 11% ® � 27 i BUILDING 2,066 Sq. FT. 7% BUILDING 3,897 5 FT. 13% O 0 o '�� GONGRETE 2,878 SQ. FT. 9% CONCRETE 6,385 SQ. FT. 20% WATER SHUTOFF / 22 V ' INSTALL EXTRA / // PAVEMENT 18,930 5G2. FT. 60% PAVEMENT 17,685 SGS. FT. 56% WATER VALVE Gds FOR ® ::: ' ' U I HYDRANT 21 - $ ! � / PROPOSED / `:20 .. ftEGE55ED LED/ 44 / 4 ea3 a : 6(ANPY j6HT5 3+1 DIJ STORM WATER 6AS/DE�a PROPOSED ITs CATCH PARSIN d / GA RAS / 4 LP" PROPOSED LIGHT POLE IRRIGATION Go* SANITARY CLEANOUT PROPOSED SLEvE / 61KE RAGKC y i:-T, ~ATI5R FLOW DIRECTION ............................................................. PAVEMENT GRADE WZA< t -------------------- DRAINAGE LINE l 2G x79 ulvm GONG. PAD I" TYPE K WATER �S PAR IN&SP ; LATERAL s o _ LED WALL h1r�NrED - k"PVC SEWER LATERAL I Ll6tffltd6 (6 T0>N) `I LE/Ur UNPERGROUND TELEPHONE / 4" K3a.1ARDI _ 1 k'P°V6,' �/ l AND EL.EGTRIG CONDUIT CrYP) i -3� EDIRRIGq'ION k. PRGPOSI 100 ELEVATION GONTGUR 5'x5 GONG. PAP- 2r I" WATER 6MV16r FF / EXISTING SERVICE: CMFESeOR `` O / LC UJDERGRaNP ELECTRIC ERERIGR _ / ! / `IONIC TA$LE`` INSTALL EXTRA' / /�r/ �1 6 U`IDERGRaW GAS LINE ICE CM6T / / (TyP) '^ 6 FOR MACADAM `r PARKIN6 AREA / ! _AIR MACHINE !/ K GGP� WATER aR416E -Wr 1 / S'x8' GONG. l ! ! r _r,_ Z/ LP• 11 l DELIVERY PAD / / / , .y� n Of J511 �y l EX. GB EX. G6 Of Of .......... / 16 / TF=525.08 TF=524.80 / \\ / / 7 INV=520. / INV=521.38 E(rF-RIGR �: �/ PANELS /�\1 / r). / �iT LEP E TRANSFER k S (g m) „ swITCKi �! �1 / ELEG. 71- METER VI Lp DttvPSTER & / ! Qr r CGNG. PAD luJG1=R :::::::::..... FENCE / 1 / 10 PARKING SPACES Y Q _ f� GGNGRETI: PATIO I7 W/PIGNIG rAft.Es /// 76 CLE/t'" + SNOW STORAGE r ADDIrPOL .SNOW TO / 54 CGNG. PAD r + Ew g GGbPRESSOR _OR coaER �! s'�\ /`�_�F/U(�, evt2N IX � / SEw GRETE NEW 200 AKvP 3 PLEASE U/6 / / - �-- - - � 1 SERVICE FROM - 6 SDR,35 EgsnN6 POLE _- SEwEf� LATERAL. AT -20% s W/L r aN� P rl �cE INTO s S ATESEWER i MIS TM6 SERVICE / �� �tA1NING „ jGREtE O(K GgVC�� J CONCRETE SIDEWAL I, Jr MACADAM PARKING AREA / } SURVEY NOTES: 1. DEED REFERENCE: CHAMPLAIN OIL COMPANY, INC. TO 5ANDRI REALTY, INC., DATED MAY 23, 2000 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON JUNE 2, 2000 IN BOCK 1167 OF DEEDS AT PAGE 109• STORE NAME, Ai36REVIATIGN & NO. 2. MAP REFERENCE: 'MAP OF PART OF LANDS OF HALF-WAY GABIN5, INC.", DATED FEBRUARY 4, LAr\E O0ROE "T^ TJ - L'" OT - 455 1972 AND REVISED ON AUGUST 8, 1977 BY COULTER & MCGORMACK AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON SEPTEMBER 9, 1983. SITE LOCATION 3. THIS SURVEY WAS PREPARED WITHOUT BENEFIT OF AN L.P-TO-DATE ABSTRACT OF TITLE W53 UO3 ROUTE '9 ' LAKE -'vEOROE, -NY- 1-545 AND 15 THEREFORE SUBJECT TO ANY AND ALL RIGHT-OF-WAY AND/OR EASEMENTS OF RECORD, PARTICULARLY FOR UNDERGROUND UTILITIES. 4. HIGHWAY BGUNDARIE5 ARE SHOWN A5 THEY APPEAR ON MAP NO. 199, PARCEL NO. 245 FOR DATE NO. REVISIONS DRAWN BY: GP GLENS FALLS - LAKE GEORGE STATE HIGHWAY NO. 417, CHAMPLAIN OIL COMPANY, INC- S 1 9/29/15 I SNOW sTO( �Eants _ SCALE: (REPUTED OWNER), DATED JUNE 8, 1998 BY THE NEW YORK TATE DEPARTMENT GF 11/25/15 2 ELIMINATED I PARKING SPACE 1 `2� c9ftw TRANSPORTATION. NOTICE OF APPROPRIATION WAS RECORDED IN THE WARREN COUNTY I I/21/IG 3 11KE RACK & SEWER BACKWATER VALVE � s CLERK"5 OFFICE IN BOOK 1072 OF DEEDS AT PAGE 178. I C.7 DATE: 5. ELEVATIONS SHOWN HEREON HAVE BEEN DETERMINED WITH RESPECT TO AN A66LNEP VERTICAL DATUM. P.O. BOX 435DRAWING NO. 5ARATO-)A SPRINGS, NY 12866 GJ-2 51881,1209 TEL. (51881-1200 FAX j( j TITLE: ON ALTERATIS TO THIS DOCUMENT PY OTHER THAN AN TH AUORIZED LICENSED PROFESSIONAL ENGINEER IS ILLEGAL PROPOsf-P 6'T-F PLAN AND A VIOLATION OF THE NEW YORK STATE EDUCATION LAW