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DEMO-0822-2021 Office Use Only `f bEm OU11ON APPLICATION Permit#. 0-e 622-292) Permit Fee:$165 TgYgn of Qe bury: I nvoi ce 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 mm w.gueensburv.net Rood Zone? Y F�viewed i 1172 State Route 9, Queensbury, NY 12804 Demdition Location: Tax M ap I D#: **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** ' DBVIOUTION INFORMATION: 1. Where will demolition material be disposed? See Attached 2. Type of structure to be demolished: a REsidence d. Storage Building❑ b. Garage❑ e. Other: Condemned Train Tunnel Structure a Business El IE C 3. What type of utilities are connected'to the structure: D a Gas❑ f.Well-Water Pump❑ ®v 15 2021 b. Fuel Oil ❑ g. Public Sewer❑ -1 a Propane❑ h. Other TOWN OF QUEENSBURY d. Electric❑ i. None® BUILDING&CODES e. Public Water❑ 4. Have All utilities(water, electric, etc.)been disconnected? Yes® No❑ ADDITIONAL INFORMATION: 1. Two inspections may be required: an inspection to determine that utilities are disconnected, if necessary, and a final inspection, after the structure is removed and the site is.deaned-up and graded. 2. Twenty-four(24) hour notification is required for inspections. 3. Workers' Comp insurance information is required to be submitted with this application. Declaration:I acknowledge that no structure(s)will be removed from the parcel until the-demolition application has been reviewed and approved by the Town of Queensbury Building& Code Enforcement and Zoning Departments and a permit has been issued. I have read and agree to the above: PRINT NAM R ll r OGNA-NR Rebecca Wood DAM I Demolition Application Iavised December 2020 wNTACT INFORMATION: PLEAg PRI NT LEGIBLYORTYPE, PLEAg I NCLUDEAN BIIIAI L • licant: Name(s): The Great Escape Theme Park LP Mailing Address, ClS'Z 1172 State Route 9, Queensbury, NY, 12804 Cell Phone.,-)384.7601 Land Line: (518) 792-3500 ext. 3320 Email: dmularz@sftp.com • Primary Owner(s): Name(s): Six Flags Entertainment Corporation Mailing Address, CIS(Z 1000 Ballpark Way Arlington, Texas 76011 Cell Phone:N/A Land Line:,(212) 652-9403 Email:N/A ❑Check if all work will be performed by property owner only Contractor: (List all additional contractors on the back of thisform) Contact Name(s):Sergio Proietti, Atlantic Contracting & Specialties Contractor Trade: Construction/ Contracting Mailing Address, Cl&Z 1 Harrison Street PO Box 844 Troy, NY 12181 Cell Phone:N/A Land Line:518-788-3536 B,nail:sproiefti@atianticcontracting.com Workers Comp documentation must be submitted with this application* Contact Parson for any questions regarding this project: Cell Phone:-- -7601 Land Line: (518) 792-3500 ext. 3320 Email: dmularz@sftp.com Demolition Application Fevised December 2020 t A Six Flags Great Escape 1172 State Route 9 Queensbury, NY 12804 �= (518) 792-3500 ��L COPY A SUFlagC° H E M E PA It Ghost Town Tunnel Demolition Proposed Start Date: November 15th, 2021 288.20-1-20 DEMO-0822-2021 Great Escape Contractor: 1172 State Rte 9 Atlantic Contracting Demolition of Train Tunnel (Ghost Town) .Location: Maintenance Area, Ghost Town Tunnel Building Scope of_Work: Demolition and haul-away of entire Ghost Town Tunnel Structure. Alpine Environmental. Services will provide Asbestos,Variance and Air Monitoring for the demolition. Ali demolition materials will be hauled to a legal disposal site. Area will likely be leveled/graded by Six Flags Great Escape staff. New Site Plans: Storage containers will be delivered on site and set up to support inventory storage.A proposed six containers will be placed on permeable gravel. Pending site plan approval from the town, fencing or other fagade material will likely be installed along the,Route 9 side of the 'containers to improve the sight picture from-traffic on Route 9. p � E _ /p���I pry f NOV 9 5 2021 TOWN �F QUE To BUILDING & ® TOWN OF QUEENSBURY BUILDING&CODES Reviewed-BY: Date: 1 1 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Duncan Mularz Business Analyst&Project Coordination Manager Six Flags Great Escape Resort Dear Duncam, The Ghost Town Tunnel has collapsed and has decayed to a point of condemnation of the entire .structure. The structure is unsafe and must be demolished as soon as possible. Specifically there is no roof on the structure leaving the structure open and exposed to the elements, which will lead to further destruction and decay of the structure. Should you have any questions please do not hesitate to contact me. Sincerely, David Hatin Director of Building and Code Enforcement Town of Queensbury 518 761-8253 "Hom'e of Natural Beauty ... A Good Place to Live " a� �c Contracting and Specialties Phone: 518-272-2715 Irex Contracting Group FAX: 518-272-0380 1 Harrison Street PO Box 844 Troy,NY 12181 Six Flags/Great Escape Theme Park Former Railroad Tunnel Asbestos Waste Atlantic Contracting & Specialties will bring all waste from the former Railroad Tunnel to Finch Waste Co. LLC Consolidated Landfill located in Ganesvoort, NY 12831: Removal and Disposal will be performed per all State and Federal Regulations and Disposed of per New York State Department of Environmental Conservation guidelines. Sincerely, Sergio Proietti Senior Account Manager _ Contractors-Thermal Insulation-Asbestos,Lead,&Mold Remediation L:R- rd�TE3•" FRLL - •,_� '3ilt^a+''......... 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L.':w'.:-k"e::t"vS:i L+.t;'.. -,��*` \ "r 45L'.� .•+F ... . : d- • �seRlwimr.,�`u,.:- -,""-..-w.. .,��.'•. , �,., ;'/: `1,y�'j_.' <iw: a.=:,a:"1' ;'xw="' -.. .. ;,®, „aYhi[,kti J.,\!:.^\ ,/rr',�.:,i;f'E - _ ,'�4:, ,•}�"_„ -. {}ram T - ;;vClifitdE 5r4YfiAEE:, 2-,NnaxNkalirtE. - i'�< •s _ o4a <d�• - _ _ , k,. - .?,®: .8' � y,7.?S.h^ :,r".:_ .: F`^,a l�r,'•7 h� "�vv .AA , - .V „uN/amrp;-iis'i•:+r e. �: •,'' ,;.p,.? `\ .Yp - •"" :eU12AUGS.IST15 201Ff `>s ' s NORTH N RHO SHOP DESPERADO STORAGE NORTHLIND j PLUNGE, BUILDING t SPORT...; 1.$' BUILDING �' p . NeWaYork State—Departm'entoof.Lab0 Division of Safety and Health License and CertiricatUnit� State Campus,,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Mantic Contracting &Specialties, LLC M FILE NUMBER: 00-0557 LICENSE NUMBER: -981v2 1 Harrison Street LICENSE CLASS: FULL ti DATE OF ISSUE: '07/06/,,021 Troy, NY 12180 EXPIRATI! DATE: 07/31R%202.2 _ ram • Coll iiijil Duly Aut orized Representative a Sergio P'oietfoft - ::'�'; ai.fn... phis license has been_issued in acco,daii gf v itli ap cam proyu�i' s o) -ti i 'bf Me.J �r Law of New orl tate_and of he e York°�State Codes,Rules an Re u atio s�121��R'RP`art�5.6•I?-ris_subject to sus e�lSion or revoca ion or a(1) J�. rr ky t b !'1 eri of state,federal or local laws wattegar -to•the coaduc o bestoslpro-ject or(2)demonstrated Ac�k of responsihty in the conduct of an b inv`,olvingasoso as�besto;mat�ra7" j . This licen a is valid only,��for fi e contractor�narned a o. e an fs�Ycense o apho ox`p_y:must be)rominently displayed at e asbestos projec wo site? This li erase verifies that�all�per�ns-e�mplleyed�by the licensee on an asbestos prof ct' New York State 1ve been issued an Asbestos Certificate;appropriate fo t e ty�eof +oxlc they perform,by the New York at Department of Laa or. INA Amy Phillips,Director SH 432(8/12) For the Commissioner of Labor New�lforEc State-`�De ar��eo4of.Laio� „- r Pn r7 Division of4SOety and.Health, License and Gerhficate Uhiq State Eampus}6uit 12n( Albany„N`t 12240 � �. � � r 1�ASI`iESTOS HANDLING LICENSE.,, AlOine. n ironm ntal,Services, Inc. ''- = FILE NU BER: LICENSE NUMBER: '29Q95 438 New Karrter'Road : a , .`r LICENSE CLASS: RESTRlCq L DATE OF.ISSUE: 08/04/2021. Albany,,Ny . 22Q5 i EXPIRATION DATE: Q$/3S912Q2�2A plo- Duly Authorized Representativ -Kraig Petreikis is lcense$has ISee>i issued in accodarice wit, applieable•prouisiono LArhele3Q of the La or Law of New York�State and of the .ew.,,-�,Ysor1.'1State Codes,Rules and Regulations.(1:2 NY,CRR Part` Cr): It isaub�ect to suspension or revocation fora(I) S'4ioui vtdlation o£s§ate,federal oritoxcaI laws t ega d-to-the conduct of an asbestos project, of(2)demonstratedylla k bf res�ponsibilify in the`conduct of an�yljob invalvina asbestos or asbzstosmatezial: 4 F This Icense is4valtd oniy�for the contractor named°abo'a and tfiisvlzcense or a p�ofocpRy must.be=prominently displayed1at tfie , = s rr k'�r f f r -. asbestos projectworksite\This-license verifies that�alI ersons'em loyed by�A��e licensee on.an<asbestosiprd ct-,iri N'ew York State a e been issued an�`Asbestos Certificate,'appropnate fob he typed{otf-wo'rk they perform,by the,'New' Sta e Department of L190r17 . - r Amy Phillips,:Director SH 432(8/12) For the Commissioner of Labor . . . 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INVIR-NNMIN!AL, SERVICES REPORT OF ASBESTOS AIR/PROJECT MONITORING Location of Project: Six Flags Great Escape 1172 State Route 9 . Queensbury, New York 12804 Client: Six Flags Great Escape 1172 State Route 9 Queensbury, New York.12804 Alpine Project#: 21-27229-A Material or Area of Abatement: Ghost Town Train Tunnel Asbestos Removed: Friable Demolition Dates of Abatement: November 29th— December 17th, 2021 Abatement Contractor: Atlantic Contracting Monitoring Performed By: Alpine Environmental.Services, Inc. 438 New Karner:Road Albany, New York 12205 Phone (518) 250-4047 Technician(s): David Horton Greg (Mel) Gibson Scope and Purpose This report is intended to document,asbestos air/project monitoring associated with-the abatement performed at the above address. Air samples were analyzed by Phase Contrast. Microscopy (PCM). Alpine Environmental Services, Inc (ELAP# 11740) analyzed PCM samples. All sampling via PCM followed NIOSH 7400 Method. NYSDOL defines acceptable air results to be less. than 0.010 f/cc or the background levels, whichever is greater. These results can be found in the far right column of the attached Air Sample Data Reports. Page 1 of 2 438 New Karner Road-Albany-New York-12205-(518)250-4047 Limitations Alpine was hired to perform air/project monitoring services only. Clearance sampling, as required by 12 NYCRR 56 and site specific variance (file # 21- 1389), was performed by Alpine to determine airborne fiber concentrations during abatement. Asbestos materials abated were limited to the materials listed below. Air Sample Results Clearance air samples were taken on December 17th, 2021 and fiber concentrations were found to be below the limits set forth by NYSDOL ICR 56. Asbestos Materials Removed Summary of asbestos abatement: Friable Demolition > 1,000 Square Feet Conclusion In the event renovation or demolition reveals previously unidentified suspect asbestos materials, Alpine should be contacted immediately for verification and all aspects of 12 NYCRR56 must be followed. If Alpine can be of any further assistance to you on this matter, please contact me at (518) 250-4047 Ext 307. Sincerely, Alpine Environmental Services, Inc. Michael Balzano Field Operations Manager Enclosure: Air Sample Results, Logs, Certificate of Visual Inspection& Diagram. Page 2 of 2 438 New Karner Road-Albany-New York-12205-(518) 250-4047 AIR SAMPLE DATA REPORT EavlauN�E.firat sERr.le>;s ...CLIENT: UC *j� PROJ PROJECT#"Z1• Z"FZ�q•t Psc ADDRESS: 1112 yQpA)Spurr LAB# 06j- ROTAMETER#. �'1t`1 WORK AREA: ii301 " COLLECTED-BY: Ca t nl ABATEMENT CONTRACTOR: `/9YVfs DATE COLLECTEI)JI.W-W CONTRACTOR �. SUPERVISOR: UANTITY: Circle One TEM Circle One BACKGROUND PRE FINAL QC INITIAL FLOW TOTAL SAMPLE ' LOG START STOP TOTAL m FIBERS FIBERS FIBERS/ NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME I FIELDS I�z cc QC FLOW (LITERS) ajm!N) Btu 1,qQ-r &-n 12fa 1/,. q 71 431 2 Sod I a2ay,Er -� joo o.00 <•�1 80�12 _ t 3 itb �yYs �oo l.15 t Al a S30 IVT � $oy4 �Z $�2 � � '� goo lf•� .voZ 8 SST !t3 gat �y'1 IT ..t ,po 3.7y (.00r 9 34048 : r � s �Z y�rz �.s0 �,+�1 1p t$o`(q 2 N, 832 14,17 tao �,Rs 4.ao1 x x <t>< • Q RELINQUISHED BY: = RECEIVED BY:- .•�• " DATEE IME, Comments: FB Ave.= fibers1100fields 3 4 :LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: START. STOP TIME TIME os mds tz r121 1190 _ Atms t !711 ,,133 112.0 *Below the limit of Detection [ ]**>50%Particulate Mafter,Unreadable [ ]*"' Sample Damaged or Missind Microscope Used: .OI us CH27L0215(FietdArea=o.ollS-Emm') Dd Nikon 131-645(Field Area=o.00s012mm?) Standard Deviafiori /Sta rdtDev /Sta Dev Log# /Standard Dev •NYS DOH ELAP911740 method used IOSH 7400A Rules,Issue 3:29 April2019,revised 14 June 2019, Dom#ASDR824,Rev.5,10114119. Lab RSD:5-20 fibers(Low),20.550 fibers(Medium),>50 Fibers(High). NICK ey,L /QC Officer Limit of detection is 7.001/mm=;Fibers(cc has been calada'ed after subtracting field Wank average. Air samples supplied by and collected by Alpine unless othenvise Wed.Please note that tr samples are collected by the dent results can be verified by Alpine through UmmZonty and relate only to the items tested. Samples received in good corx56on and meet lab acceptance aiteria unless otherwise notrd. Report may mi be reproduoed•except in mi.without written permission of Alpine Environmental. BDL=Below Delectable lnrEts Craig Petre)kis,CIH,Lab Director,Report Date QC-rSgneS,A-'1'Scanned-,4lZiOL_ 438 New Kamer Road•Albany,New York=05 9 Phone:(518)250-4047•Fax:(518)250-4353 Page i of AI AIR SAMPLE DATA REPORT ENVfBONNENiAl. S.ERVtEES CLIENT: 3-. PROJECT: `ram Cacsft-Estdp& PROJECT# 7 1-2n2 —*j-A Eaea� ADDRESS: 1�12 A•� g C�aaen>sbvtt-�.e 4� LAEW �of3S ROTAMETER#: 1-117 WORK AREA: 'TH ow -.1Mw j COLLECTED BY: o-6wu ABATEMENT CONTRACTOR: DATE COLLECTED: 12.I&Zf CONTRACTOR e' SUPERVISOR: %? QUANTITY: k Circle One 4423w TEM Circle One BACKGROUND PRE QC INrMAL FLUX TOTAL SAMPLE LOG START STOP TOTAL (LIMN) FIBERS FIBERS FIBERS! NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME !FIELDS !mmz cc QC FLOW (LITERS) `t O O Z 8051 � -sae �Zsa �� ion o.oa �,oo t 3 $osl v 7$a 2s6 too o.00 4.001 y 8053 /25.!D ,� o 0.00 4.001 S gos`{ S�a.4 `y314 Zss �..' yloo !..$`I ;•ool go55 ! `r"I I 100 <.ant 1.38 •� 8fl5� 7 73, 12V too $.7q -oaa- $ 80$-1 .la( 12F �.coot g8a58 2 �3i Zsf -� 100 o'a� ra go5'9 �3 73t _7 2�vo z.5� (.�1 /too �?o, 0 �7•00 "I.-, RELINQUISHED BY: RECEIVED BY: ME: Comments: FB Ave= fibers/100fields 1. 2. 12,DAT jZ) I Oso 3. 4. LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: START STOP TIME TIME: 12 /11 1130 u _ ,.&-•ter 1� �7 Lt 13is 'q DS 71 Dd*Below the limit of Detection [ ]**>50%Particulate Matter,Unreadable [ ]**' Sample Damaged or Missing Microscope Used: Olympus CH27LO215(Field Area=o.co7s98mm') Nikon 131-545(FleldArea=0.00eo12mm) Standard Deviation o5O !S dud Dery og# /Stand l7ev Log# /Standard Dev /2 NYS DOH FLAP#1174Q Analytical mettrod used:NIDSH 7400 A Rules,Issue 3:29 April 2019.revised 14 June 2019. Doc#ASDR-824,Rev.5,10114119. Lab RSD,5-20 fibers(Low),20.550fbefs(Medum),>511 Fibers(tagh). Ni avey b QA/QC Officer Umit of detection is 7.00 gmml Fibers/cc has been calculated after subtracting field blank average. Air samples supplied by and collected by Alpine unless otherwise noted Please no!e that it samples are collected by the client results can be verified by Alpine through Vma?only and relate only to the items tested. Samples received In good eondtion and meet lab acceptance criteria u niess otherwise noted Report may not be reproduced.except In fWL Wthout written por ission of Alpine Em+irc mental. BOL=Below Detectable Limits Craig Petreikis,CIH,Lab Director,Report Date QC Signe3�OS=rued4�-j DOL_ 438 New Kamer Road•Albany,New York 12205•Phone:(518)250-4047•Fax(518)250-4353 Page A of f-1l�prn AIR SAMPLE DATA REPORT ENVIHl1tiHENTAI ff.ERYIEES CLIENT: S,2L r►V PROJECT. •'Ti,►G�,..r c, PROJECT# ZI -7--M•,C1• t{ Ina �i ADDRESS: I I R4 9 Q.iss.ss6reV� N.T. LAB# I084 y ROTAMET_EERR;t •'7••t'•t WORKAREA: 7m l minim .I COLLECTED BY: Gs•ItasaN ABATEMENT CONTRACTOR: " takc DATE COLLECTED: 1 Z•17.21 CONTRACTOR SUPERVISOR: { iN QUANTITY: IF Circle One TENT Circle One BACKGROUND PRE' RIG QC INITIAL SAMPLE LOG START STOP TOTAL �� TOTAL FIBERS FIBERS FIBERS NO. NO. SAMPLE LOCATION TIME TIME MIN. - FINAL VOLUME /FIELDS f mm= QC FLOW (LITERS) t 8a60 •-t3d fa 2t� oo Q-Oo Z 007- 0.0 0 oG( o id O 2 `1� 4$o a �� 0.00 toot to 0 3 odLZ •7ao elan 1101 r� o:oo [.ocb go63 2 yaw '.a Z�o o.t� L:poL ��0 �� a o too o•cYv c o02 o gaffs . Crs�Ct�►l 's3o o o �cv a.� t.00Z 0.0 `t Sa�G #k 2 •�) �c Ird a 00 0.00 �oD2 go6'i r 1 �t °t31 Iota o0 oxcl t.ooZ c� ga�8 $2 731 g,a t a roc o•oo t•ao L Id BOLA g ��� al31 �o •oo e,007 x x /2 &7.co RELINQUISHED BY., RECEIVED BY: DATETIME: Comments: F13 Ave.=-4tfiberrJ100fields / tz/r�Zt t3oo 3. 4. LOGGED IN&PREPPED BY: . DATE: TIME: SAMPLES ANALYZED BY: DATE: I sTART sroP 71ME TIME 1320 plcle.DA ix/1-114111371tfo8 [ ;Below the limit of Detection [ ]**>50%Particulate Matter, Unreadable [ ]"'*Sample Damaged or Missing Microscope Used: 54 Olympus CH27L0215(Field Area=o.Owmammz) Nikon 131-545(FIeldArea=0.008012mrrF) Standard Deviation / d�rlf Dev /Ste Dev Log# /Standard Dev ` NYS DOH ELAPO 11740:Analytical mettod used:NIOSH 7400 A Rules,Issue 3:29 April 2019.revised 14.hm 2019. !L 20 Doc,M ASDR-824,Rev.5.10114119. Lab RSD:5-20liiters(Law),20.sso fibers(Medium),>50 Fibers(Kgb). Ni avey. QA/QC Otficer Lirn it of detection is 7.00 fpmm?Rbwdcc has been caloilated after subtracting field blank average. Air samples supplied by and collected by Alpine urtess otherwise noted Please note that if samples are collected by the d'ient,resLdts can be verfied by Alpine through ffnsn only and relate only to the items tested. Samples received in good condition and met tab acceptance oiteda unless otherwise noted -- Report may not be reproduced,e=agin full,withor8 written per ission of Alpine Environmental. BDL=BeIowDetectabieUffdts Craig Petreikis,CIH,Lab Director,Report Date QCX Signed Scanned DOL_ 438 New Kamer Road•Albany,New York 12205 9 Phone:(518)250-4047•Fax(518)250-4353 Page (-of {: 438 New Karner Road, Alpine NYSDOL Lic.No.29095 Albany,NY 12205 Alpine ELAP No. 11740 (518)2504047 EMSL ELAP No.11506 PinFax(5I8)-250-4353 ENU(f�QPIhi�NfAL S;ER�VCEES Daily Ins ecdon Log Project: . Date: ��/a d Page / of Alpine Project No.: PM or Air` ech- (circle one) Variance No.: ,?/- 9'4 Name: .�'J AbattementnonP?ctor. Supervv* or Name and Cert No: Waste Hauler Permit#: JAjj�l / 17e /7�/7 d u e) Exact Work Area(s): Type and Amount o M: Phase: 1. e. 1. �?e 1. X v 2. 2. 12. 3. 3. 13. Time Notes Phase: Backs, ara ,During, is/2" /3 Cleaning,Visual,Clearance 1. D7yS na,17 -Jrr"2.3. 4. '+ 6. Sa o/ii /� �a ✓J /� 8. c /cs d✓��� -�� r 9. vY> / 10. 11. C'rlrinle «'�'l S� ��r f2 (✓ 12. �'vi c%/! 01 Gda� 4C epic 13. /pdo �n •-7 Si ,.1 15.16. 47<.• Ur . 17. 18. 19. �'rlil a/�no �i�C /-v el. 20. Lvi� r- s c%v T�.ysr10VO.1 .. l> �r 21. 22. 23. 1<7 Original-to be delivered to the office with Air Sheets Copy-must be kept on site Alpine Technician Signature Also need daily check list(separate sheet)to be submitted with original .. 438 New Kanner Road, Alpine NYSDOL Lic.No.29095 Albany,NY 12205 Alpine ELAP No. 11740 (518)250-4047 EMSL ELAP No.,11506 4AIP!Mn Fax(518)-250-4353 Daily Ins ection Log Project: 11?2 A61 0?*AAe6"/ Date: Page of •w Alpine Project No.: PM or-' Air Tech (circle one) Variance No.: 2(- 2? A Name: Abatement Contractor: Supervisor Name and Cert No: Waste Hauler Permit#: Exact Work Area(s): Type and Amo t of ACM: Phase: ID4 Malt- 1. 2. 2. 2. 3. 3. 3. Time .Notes Phase:Backs,PreparafionqNUS;pls'/2nd/3rd46tgMiNg,Visual,Clearance Oft t 2 3. Jt s 4. ° ULM-4. B 5. P 6. c 7. a 8. 9. + 10. 1p 11. ys- 12. . 13. TN . 14. 12 'o Q i t- r d. 15. ' 3cd.fir 16. a .w 17. 1390 L ItIl 18, tf 19. 20. s 21. o 22• , s 23. Original-to be delivered to the office with Air Sheets Copy-must be kept on site Alpin-e"Ve-Mnician Signature Also need daily check list(separate sheet)to be submitted with original- . 438 New Kamer Road, Alpine NYSDOL Lie.No.29095 Albany,NY 12205 Alpine ELAP No. 11740 (518)2504047 EMSL ELAP No. 11506 Al P 1 j Fax(518)-250-4353 Ehi'VI.ROIVM�N1',AL $;ERVIEES Daily Ins echon Log Project: Date: Page of . 2( Alpine Project No.: PM or Air Tech (circle one) Variance No.: .J Name: Abatement Contractor: Supervisor Name and Cert No: Waste Hauler Permit#: Exact Work Area(s): Type and Amount f ACM: Phase: 2. 2. 2. 3. 3. 3. . Time Notes Phase:Backs,Preparation,�1 S 2" /3 Cam,Vjj=d�_Clearance 1. `tom w: 2. a¢.r. 3. 4. s+- t molarAftsi 5. d 6. g {, . 7. 8. 9. do I4, 10. 11. 12. ` 13. �9P 4 iv 14. 15. 16. lackaid— czW s g 17. 18. 19. 20. 21. 22. 23. Original-to be delivered to the office with Air Sheets ` Copy-must be kept on site Alpine Technician Signature Also need daily check list(separate sheet)to be submitted with original a 438 New Kamer Road, Alpine NYSDOL Lic.No.29095 �. Albany,NY 12205 Alpine ELAP No. 11740 pi (518)250-4047 EMSL ELAP No. 11506 Fax(518)-250-4353 'E.N"1.99N'ME.'NTA1 S'ER,VI-CES Daily Ins ecdon Log Project: Date: Page of • .Z1 Alpine Project No.: PM or Air Tech (circle one) Variance No.: 21 . 'Z"1 . r4 Name: rftJ Abatement Contractor: Supervisor cName and Cert No: Waste Hauler Permit#: TOa�N Exact Work Area(s): Type'and Amount bt ACM: Phase: 2. 2. 2. C �� 3. 3. 3. Time Notes Phase:Backs,Preparation,BLS`/2° /3 arance 2. 3. y#, SA AU Awk 41` 1. . t a 5. 6. N 8. .-_ 9. � 10. NJ 11. , o 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Original-to be delivered to the office with Air Sheets Copy—must be kept on site Alpine ech ician Signature Also need daily check list(separate,sheet)to be submitted with original jne EIIVINDNMENTAI SERVICES CERTIFICATE OF VISUAL INSPECTION' Building: Tr�:wtTaN�ve� 11.AL C_% f I'T 2 R •Cl Q n ws an. Project and Project Number: i�,�_Gnnl a�E �j• 2-�Z2q .fq Specific Area: `1'cwtsTunrwol Abatement Contractor: /���wn�•!� Asbestos Materials Removed,including Quantities(TO BE COMPLETED BY PROJECT MANAGER) 1;N-A6lk ,rs+o nen c.0 MONITOR'S CERTIFICATION: The Monitor hereby certifies that he/she has accompanied the Asbestos Abatement Contractor on his/her visual inspection and verifies that his/her inspection has been through and,to the best of-his/her knowledge and belief,the Asbestos Abatement Contractor has removed all asbestos that-was to be removed in the above area. By:(Signature) _ Date:_ 12.1 (Print Name) Title:- ?ry Has all of the asbestos identified in the abatement specification been removed(circle one): No Don't Know Note:This form must be com pleted and included with any final abatement air samples to be read. Comments/Concerns: 438 New Kanner Road Albany,NY 12205 • 'Phone:(518)250-4047 • Fax:(518)250-4353 t ■iiit■iomm■®moimoomSESEENEMENEEME irri���������iv�����■ ■■iiiiiiiiii�iiiiiiii■►liriiiiiiiiiiiiiii■ ■iiiii�rii�®i�siiiii�liiiiO�liiiiimom MEMO an NU66iia il!!liiisi■ ■ii�iii,li/i�!�r���i1�r�����������rril�i�lii■ iimoiiiL:imiaiiiiom i��i�c,1i1�/iiiSifirC�is�i►.�'/�wl��!i0i�iii'siiilirii■ Waste Management Green Ridge LF Reprint 424 Peters Rd Ticket# 90992 WASTE MANAGEMENT Gansevoort, NY, 12831 Ph: (518) 636-2141 Customer Name PAREENEDEMOLITION PAREENE DEM Carrier CARVER Ticket Date 12/16/2021 Vehicle## 91 Volume Payment Type Credit Account Container Manual Ticket# Driver Hauling Ticket# Check# Route Billing # 0000394 State Waste Code Gen EPA ID Manifest 124694ny Destination Grid D 28 LIFT 3 Profile 124694NY (FRIABLE ASBESTOS) Generator 190-SIXFLAGSGREATESCAPERESORT SIX FLAGS GREAT ESCAPE RESORT Time Scale Operator Inbound Gross 60720 lb In 12/16/2021 09: Inbound SD #605115 Tare 35880 lb Out 12/16/2021 09: Outbound SD #605115 Net 24840 lb Tons 12.42 Comments tom Product LD% Qty UOM Rate Tax Amount Origin ------------------------- ------------------------------------------------------------------ 1 Asb Friable-Tons-A 100 12.42 Tons WAR Total Tax Driver's Signature Total Ticket i NONHAZARDOUS CONSTRUCTION &. DEMOLITION WASTE NO. 139178 .� .,...Y,z.;`; ,_ ar a.Generator Name: b.Generating Location: - c.Address: d.Address: e. Phone No, f. Phone.No. If owner of the generating facility differs from the generator,provide: g. Owner's Name: h.Owner's Phone No.: i.Description of Waste: j. Quantity Units No. Type GENERATOR'S CERTIFICATION: I hereby certify that above named material is not a hazardous waste Type as defined by 40 CFR Part 261 or any applicable state law,has been properly described,-classified and DM-Metal Drum packaged,and is in proper condition for transportation according to applicable regulations:AND,If the DP-Plastic bruin l3-Bag waste Is a treatment residue of a previously restricted hazardous waste subject to the Land BA-6 MIL Plastic Bag/Wrap Disposal Restrictions;I certify and warrant that the waste has been treated in accordance with the T-Truck requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by 40 CFR Part 261, 0-Other Units ❑0000❑ Y-Yadss Generator Authorized Agent Name Signature Shipment Date M'-Cublc Meters Y'-Cubic Yards O-Other v)Pk S? la 10, < ;: 4; u;TRAN .PORTE r �frn{ ME R turn ^.z'.,*?::dic 4J. tis -v;u�ro A<s. '. r 1`. .,, p3' pt TRANSPORTER I- TRANSPORTER H a. Name: h. Name: b.Address: is Address: c. Driver Name/Title: j,Driver Nameffitle: PKIN If PRINFIFYPEi d.Phone No: ',e.Truck No: k.Phone No: I.Truck No: f. Vehicle License No./State: m.Vehicle License No./State: Acknowledgement of Receipt or Materials. Acknowledgment of Receipt of Materials. g. 00000 n. 1:1Do001-1 Driver Signature Shipment Date Driver Signature Shipment Date -�i :3r a r:4' �%1� s ,x.L*'3` "f'•: `.SE;O IO. ��`::• ?� ;CS: ;; >I :N` •en'eratir::ea"'" '"f` - `i ire:"•�"m" -I1•,X��.:�.� - Q,, G. "e s.a': st.tl�.lip ,s._. �. Qt. Y• ,� a. Site Name: c. Phone No.: b. Physical Address: d, Mailing Address:, e. Discrepancy Indication Space: I hereby certify that the above named material as been acce-p[e-d-a-n-d-t-o-5-es7of my knowledge the foregoing is true and accurate f. ❑00000- Signature or Authorized Agent Signature Receipt Date Section IV: . NON-REGULATED ASBESTOS .(Generalor completesa,d f;g',goor,f461 d,mpletes e) a. Operator's*Name. b. Operator's * Phone No.: c. Operator's*Address: t d. Special Handling Instructions and additional Information OPERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects In proper condition,for transport by highway according to applicable International and government regulations. e. Operator's Name&Title: El 0 1-1 El0❑ PrinVType Operator's Signature Date f.Name &Address of Responsible Agency: g. NOB © C&D Only❑ *Operalor refers to the company which owns,leases,operates,controis,or supervises the facility being demolished,or renovated,or the demolition or renov.ation operation or both. j' 0, t I Dater The National Emission Standards for Hazardous Air Pollutants; Asbestos NESHAP Revision (40CFR Part 61), requires that the disposal site forward the generator of each load of asbestos a copy of the waste shipment record within 30 days of disposal. In accordance with this NESHAPS requirement, enclosed please find, a copy of a waste shipment record for the load of asbestos that was generated by you and/or your company,_.__ and disposed of at Greenridge Landfill RDF in Gansevoort NY on the date indicated on the document. Please feel'free to contact me should you have any questions. Sincerely, Sue Duggan, Scale Operator t ° ( Waste Management Green Ridge LF Reprint �# a 424 Peters Rd Ticket# 90959 WASTE MANAGEMENT Gansevoort, NY, 12831 ' Ph: (518) 636-2141 Customer Name PAREENEDEMOLITION PAREENE DEM Carrier CARVER Ticket Date 12/15/2021 Vehicle# 56 Volume Payment Type Credit Account Container Manual Ticket# Driver Hauling Ticket# Check# Route Billing # 0000394 State Waste Code Gen EPA ID Manifest bcf Destination Grid D 28 LIFT 3 Profile 124694NY (FRIABLE ASBESTOS) Generator 190-SIXFLAGSGREATESCAPERESORT SIX FLAGS GREAT ESCAPE RESORT Time Scale Operator Inbound - Gross 65020 lb In 12/15/2021 13: Inbound SD #605115 Tare 36920 lb Out 12/15/2021 13: Outbound SD #605115 Net 28100 lb Tons 14.05 Comments hans Product LDo Qty UOM Rate Tax Amount Origin ------------------------------------------------------------------------------------------- 1 Asb Friable-Tons-A. 100 14.05 Tons WAR Total Tax Driver's Signature' Total Ticket . NONHAZARDOUS CONSTRUCTION `& DEMOLITION WASTE NO. 139178 MF`i .... u' Ara . r�. yy } 1 }( :e. k�. •Q.: ?a >s� .0... ��t(. `�; •Y.s ?�", .1[%�..._ _ y�' _ FH•f,'.•w a. Generator Name:�,,y Ma nS b.Generating Location: -?l c.Address: 4$`1 3 d.Address: IQJ flv_r_a a_w 1-4 A , ��5 :�►- .� Ic��`�� �u. €�`::��,asi.�• ice.+' d +� e. Phone too. f. Phone.No. If owner of the generating facility differs from the generator, provide: g.Owner's Name: r h.Owner's Phone No.: 1. Description of Waste:(�,�',1C, ���i�1.�V�11(,'ar,tt N,hQ Yd)-- j. Quantity Units No. Type GENERATOR'S.CERTIFICATION: I hereby certify that above named material is not a hazardous waste Type as defined b 40 CFR Part 261 or an applicable'state law,has been properly described,classified and DM-Metal Drum y y p p y DP-Plastic Drum packaged,and is in proper condition for transportation according to applicable regulations:AND, If the s-Bag waste Is a treatment residue of a previously restricted hazardous waste subject to the Land BA-6 Mil.Plastic Bag/Wrap Disposal Restrictions, I certify and warrant that the waste has been treated in accordance with the T-Truck requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by 40 CFR Part 261, 0-Other Units P-Pounds 4�" .r .a t' _ r,s n ,,.w 0® ry 0 Y-Yards Generator Authorized Agent Name Slgnattfre -_._ Shipment Date ,-M'.-Cubic Meters t Y Cubic Yards f 0-Other ?� t"o: i. ',r�=iYtar�:�r� ;��,�s��T,R�►N PO- TIC .�p�,r, � Q:� r"n - k ..2i 'R '?If1.�:4'x':XaiY•.,,'�a.. .,•c.r 35✓o L.�r�c:�� 9 „•A�..5a:. TRANSPORTER I TRANSPORTER E a.Name: C.am, it" ,o il, h. Name: b.Address: v9 ,r'• . r. r.,,—I, r n V `/1 1.Address-. c. Driver Name/Title:^ �1 r.� j.Driver Name/Title: i TTTYPE , PRlfqrfUYPF d.Phone No:.��' -. �ar�"e.Truck No: x.x, k. Phone No: i.Truck No: ' f. Vehicle License No./State: : i r,f m.Vehicle License No./State: Acknowledgement of Receipt or Materials. "' Acknowledgment of Receipt of Materials. Driver Slgnature Shipment Date Driver Signature Shipment Dale ':°S. ti, .p u��.:�:4..,�1,- - =`�:��; _�?�.�:TY:N.:��..Q. .(c. ,mPt@, ..r �I���.,t�t���:....,Q:.p��lk,:.�.;�" <•�• ;,�,:1 s<��.��:P a. Site Name:&�;r on c. Phone No.: b. Physical Address: tPrOn y d. Mailing Address: .t� t t/ /� � w� d e.Discrepancy Indication Space: I hereby certify thatthe above named material as been accep-FeTain-EITU-15—est ot my knowledge the toregoing is true and accurate Slgnature of Authorized Agent Signature Receipt Date Section IVf NOK REGULATED ASBESTOS. .(Generator ootnpfetesa-d,`f,g,.gperafq "eompletos e) a.Operator's*Name: b. Operator's* Phone No.: c.Operator's*Address: d. Special Handling Instructions and additional Information OPERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects In proper condition for transport by highway according to applic��ile International and government regulations. e. Operator's Name&Title: ""A �� I rs'-�~ e ❑�®❑�❑ Print/Type Operator's Signaturd' ` Date f.Name&Address of Responsible Agency: 1 , � i � r �l� ?1aa'� IJY d �'7 g, NOB❑ C&D Only�Q� _ _ . r , . , "Operator refers to the company which owns,leases,operates,controls,or supervises the facility being demolished,or renovated,or the demolition or renovation operation or both. 4 AM Waste Management Green Ridge LF Reprint . m 424 Peters Rd ' Ticket# 90945 WASTE MANAGEMENT Gansevoort, NY, 12831 Ph: (518) 636-2141 Customer Name PAREENEDEMOLITION PAREENE DEM Carrier CARVER Ticket Date 12/15/2021 Vehicle# 91 Volume Payment Type Credit Account Container Manual Ticket# Driver Hauling Ticket# Check# Route Billing # 0000394 State Waste Code Gen EPA ID Manifest abd Destination Grid D 28 LIFT 3 Profile 124694NY (FRIABLE ASBESTOS) Generator 190-SIXFLAGSGREATESCAPERESORT SIX FLAGS GREAT ESCAPE RESORT Time Scale Operator Inbound Gross 50400 lb In 12/15/2021 10: Inbound SD #605115 Tare 35780 lb Out 12/15/2021 11: Outbound SD #605115 Net 14620 lb ' Tons 7.31 Comments tom Product LD% Qty UOM_ ' Rate Tax Amount Origin ------------------------------------------------------------------------------------------- 1 Asb Friable-Tons-A 100 7.31 Tons WAR Total Tax Driver's Signature Total Ticket . 1 -�, NONHAZARDOUS CONSTRUCTION & DEMOLITION WASTE NO. 139178 f�_. :' f "I �-.-_.. �::.-.� ... a.x,....., ... ..... ... .,.:r... .. ...'h �� � fz .;�,. : a. Generator Name:`"`)a ���3 b. Generating Location:lm S c.Address: i91' Cat �' $ d.Address:111 R Gti��� � r , JVf 1p6uq a iti ) ivy 14�p 2504 e. Phone No. f. Phone.No. If owner of the generating facility differs from the generator, provide: g. Owner's Name: a,, h.Owner's Phone No.: i. Description of WasterJ. Quantity Units No. Type GENERATOR'S.CERTIFICATION: I hereby certify that above named material is not a hazardous waste Type as ddfined b 40 CFR Part 261 or an applicable.state law,has been properly described,classified and DM-Metal Drum y y p p y DP-Plastic Drum packaged,and is in proper condition for transportation according to applicable regulations:AND,if the s-Bag waste is a treatment residue of a previously restricted hazardous waste subject to the Land BA-6 MII.Plastic Bag/Wrap Disposal Restrictions, I certify and warrant that the waste has been treated in accordance with the T-Truck requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by 40 CFR Part 261. 0-Other f Units r er." dl 0 ^L B � P-Pounds {,. •�. �'. �',,, � .�',.p�_7` I ®®❑®®LJ Y-Yards Generator Authorized Agent Name Slgnatilfe Shipment Date M'Cubic Meters dY'��-Cubic Yards r ``O-Other :PDN l ME �,"! can T e ] .:n�:���f�•.R=t�.':,:�:.f*':�i"it•:,:�:^::f:::[.'x.+Y3,y.'.:i.7e✓•�.:.OWN �A dL:w:r�19£5:. ti TRANSPORTIER I TRANSPORTER II a.Name: h. Name: b.Address: �Yy 9"/ &,e-e c, r;A i.Address: f des.',+r �F. -t R..� ..t`v l' d���'✓'3 i c. Driver Name/Title: j.Driver Name/Title: i d. Phone No: 'ry e'.Truck No: r` ; k.Phone No: !.Truck No: f. Vehicle License No./State: t' m.Vehicle License No./State: Acknowledgement of Receipt or Materials. Acknowledgment of Receipt of Materials. Driver Signature Shipment Dale Driver Signature Shipment Date N` ii i�r':" - - �'S20�tOt1 ;,;;; ''t��_�:•; �:;;:�.t ..� a�lio is,t .�p?P "`tssle;' •,�. :,:. ..�N�: a. Site Name: 6,:: : -. $ ,in�� e� rl' c. Phone No.: 00'1120 5IY6A b. Physical Address: 414,! P,90 kW d. Mailing Address: - e.Discrepancy Indication Space: ` I hereby certify that the above named material as been accepted and to best of my knowledge the foregoing is true and accurate U1 R1 MID DI El Signature of Authorized Agent Signature Receipt Date SBCtIoi1IV: NON,RE'GULATED ASBESTOS .(GeneratorcDmpfetesa-d�f;g,.Qperafqo."Ietes-e) a. Operator's*Name: �'!i'id" 'y`t !' tf`' 1°�� b. o�pAerator's* Phone No.:fle'� a -r � c.Operator's*Address: r 4 - t,3t i , 9 ,/d d. Special Handling Instructions and additional information OPERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects In proper condition for transport by highway according to applicable International and government regulations. �r ❑r]❑❑❑❑ P e. Operator's Name &Title: ��°f c �° �^--""•�` �-�-' f�"'m"""�"• �' '- °� � �- ° PrinttType Operator's Signature" Date f.Name&Address of Responsible Agency:(.s Alaa!'ng , A�myAhl 0, j n g. NOB ❑ C&D Only91P *0peralor refers to the company which owns.leases,operates,controls,or supervises the facility being demolished,-or renovated,or the demolition or renovation operation or both.