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DEMO-0418-2023
r S Office Use Only N APPLICATION Permit#: t'Q —011$- 20 Z3 DEMOLITI O Permit Fee: $ I lo.`D Town of CLueensbury (o 1 Invoice#: 3 0 742 Bay Road,Queensbury,NY 12804 ,(� irtS P:518-761-8256 www.queensbury.net Flood Zone? V N Reviewed By: Demolition Location: Woe ,_4,it PO261Tax Map ID #: 1-` 91 . 11 — 1 2 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? , 7 ?/61/041 l(v- 94:ei 2. Type of structure to be demolished: a. Residence t• d. Storage Building b. Garage e. Other: c. Business 3. What type of utilities are connected to the structure: a. Gas f. Well-Water Pump b. Fuel Oil g. Public Sewer c. Propane h. Other •d. Electric i. None e. Public Water 4. Have ALL utilities (water, electric, etc.) been disconnected? Yes No ADDITIONAL INFORMATION: 1. Two inspections are required: an inspection to determine that utilities are disconnected, and a final inspection after the structure is removed and the site is cleaned 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 an ee to the, e: PRINT NAME: �/ SIGNATURE: ,e—Qt DATE: 7//(/ZY Demolition Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • A licant: Name(s): ,k rn S 7q'1 1 Mailing Address, C/S/Z: Rta3Cw Ce7.,--v- Cell Phone: 5-4 `71Co 6/(0S--( Land Line: Email: ice- s-ti-e-" $''� e c-49 1 -t • Primary Owner(s): rn 'ic. Mailing Address, C/S/Z:Cell Phone: Land Lne: Email: ❑ Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s): dDt- t Lc Contractor Trade: titaa�w•� Mailing Address, C/S/Z: }t (450v. lS NV ! Z k. Cell Phone: '5l5-36/ e?Z 7 Land Line: Email: P i -edQF-eYVitd, d' l l►wirf&J **Workers' Comp documentation must be submitted with this application** Contact Person for any questions regarding this project: Ck41S ?A, Cell Phone: CD/ 1-'/Gc" Land Line: Email: 1* - `, e Cq�c Demolition Application Revised June 2022 • CASMITH Main Office Mailing Address ttc 112 Spring Street PO Box 65 Saratoga Springs,NY 12020 Saratoga Springs,NY 12866 Office 518.581.8028 Facsimile 518.478.8781 10 July 2023 CASmith Project No. 96-001 Mr Chris Patten Patten Property Development 289.11-1-23 DEMO-0418-2023 7 Jackson Road South Glens Falls,New York 12803 Patten, Chris 96 Hall Rd Via hand delivery Demolition of SFD Subject: Asbestos Materials Assessment CASmith, LLC performed an asbestos assessment of building materials at the structure identified below: Subject Structure- Seasonal Lake House Scope- Assessment for full demolition TOWN OF QUEENSBURY Address- 96 Hall Road, Queensbury,New York BUILDING & CODES DEPT. County- Warren Tax Parcel No. 289.11-1-23 Reviewed By: SWIS No. 523400 Date: Owner(s)- Vicki R Johnson EXECUTIVE SUMMARY Sampling and analysis did not identify materials that contained asbestos as defined by the United States Environmental Protection Agency (USEPA) and New York State Department of Labor(NYSDOL). Asbestos containing materials by definition contain greater than one percent weight of asbestos. PROJECT SCOPE OF WORK The scope of this assessment was to determine if the building materials in the Subject Structure contained asbestos as defined by applicable regulatory definitions. Identification of the presence, type and quantity of asbestos containing materials permits abatement prior to renovation or demolition activities. QUEEN�MEN� 1\ar\ce ATTACHMENT SUMMARY 10\N 0 NG O' mR aC\o�'cos Ned as co.. .\fed exa robe dons ase lot The contents of this report include: eased on orwect5s a�1d St'g6\ta\n9 Cod°s 1 Figures, Images and Real Property Records (as availabl `��o� tihe pa <h the g P rtY e��d`ca�\a9 \a�ce 2 Sample Results and Chain of Custody Documentation fO cO ell k grate• Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc 3 Assessment Methodology, Acronyms and Definitions 4 Licenses and Certifications 5 Conditions and Limitations 6 Reference Documents (as applicable) DESCRIPTION OF STRUCTURE Background—According to Warren County Real Property records the Subject Structure was constructed in 1930 with a porch added in 1980. The garage was constructed in 2010. It is recorded as an 873 -sf old style structure. (Sources-Image mate,date of access-10 June 2023). Status— • Current Use- seasonal • Historical Use- seasonal • Occupancy Status-not-occupied at the time of the assessment • Present Condition- good • Accessibility-fully accessible for review and sampling • Regulatory Status- compliant The following details describe the structure: Outbuildings— • Shed - attached • Garage—2 vehicle • Other—gazabo Foundation— • Piers—yes,masonry block/wood • Sidewalls—poured concrete • Crawlspace—yes • Basement-none Exterior Construction Features— • Sheathing—plywood • Siding- o Log-no o Clapboard-wood o Vinyl-none o Brick-none o Aluminum- none o Transite-none o Galbestos-none • Roof— o Sub roof- • Plywood-yes • Slat-none ■ Other-none Clic SMITE„: Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc o Vapor barrier-not observed • Felt paper-no observed • Tyvek-no • Other-none o Shingles- • Slate-none • Asphalt shingle • Three tab-no • Architectural-no • Asphalt rolled-no • Membrane-no • Metal- standing seam • Transite-none • Other-none o Valleys and Crickets-none o Patches/Repairs-none Primary Building Elements— • Framing— o Sidewall- dimensional lumber o Rafters-wood o Metal-none • Windows— o Original-none o Vinyl dads original or replacements- all replaced,Vynal-no glazing o Metal—yes o Aluminum- some triple tracks • Doors— o Metal- storm doors-no glazing o Wood-yes, no glazing Interior Construction Features— • Wall finishing— o Plaster-none o Sheetrock-newer o Joint compound-newer o Wood-trim • Flooring systems (General)— o Hardwood-none o Plywood-yes o Carpeting-porch and floor 2, no mastic o Linoleum-none o Ceramic Tile-none o Self-adhesive floor tile- none o Other- fibrous laminate floor • Bathroom(s)—one and 1/2 o Floor-plywood with fibrous laminate o Tubs and shower-fiberglass units Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc o Cabinets-production, newer o Countertop-none Systems- • Heat-none • Air conditioning- split system • Hot water-propane • Sump pump system-none • Fireplaces-former • Chimneys- one Insulation- • Fiberglass-minor • Thermal Systems Insulation-none • Vermiculate-none • Cellulose-none • Other-none Utilities- • Electric-National Grid • Natural gas-none • Fuel oil-no • Propane-yes • Fuel cell-no • Solar-no • Telephone/cable-present • Septic-no • Sewer-unknown • Water-unknown SAMPLING AND RESULTS Sampling and Results-Representative bulk samples were collected from each homogenous area by Peter C. Goutos of CASmith, LLC. The sampling days and number of samples obtained per day follows: Date Number of Samples 7 July 2023 8 Special Considerations-none. Exclusions-The following features of the structure were not including in this survey: 1. Interior contents 2. Plumbing and electrical systems including wiring and devices 3. Doors, wood trim, wood casing 4. Structural and non-structural wooden and metal material CAPMETE- Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc CONCLUSIONS Sampling and analysis did not identify materials that contained asbestos as defined by the United States Environmental Protection Agency (USEPA) and New York State Department of Labor (NYSDOL). Asbestos containing materials by definition contain greater than one percent weight of asbestos. RECOMMENDATIONS Site Specific 1 Abatement of identified asbestos containing materials if needed to accommodate the future renovation of the leased space. 2 In the event that any building materials are encountered during this project that have not been represented in this survey report, sampling and analysis is required to remain in conformance with NYSDOL Code Rule 56 requirements. This may require further sampling of areas not previously surveyed for this assessment. 3 In all cases, if confirmed asbestos containing materials are identified they should be removed (abated) following applicable procedures and by licensed contractors as per the NYSDOL Code Rule 56 requirements. Removed materials should be containerized,transported, stored and disposed consistent with NYSDOL, NYSDEC and USEPA requirements. Administrative— 1. Site Copy—One copy of this report shall be kept on site throughout the duration of the demolition project and any associated demolition, renovation, remodeling, abatement or repair work. 2. Regulatory Copies—Per the New York State Department of Labor Code Rule 56, section 56-5.1(g), one copy of this report shall be submitted to the local government entity charged with issuing a permit of demolition,renovation, remodeling, or repair work. This report shall also be submitted to the appropriate Asbestos Control Bureau Office (Albany Asbestos Control Bureau, State Office Campus, Room 157,Albany, New York 12240). 3. Records Retention Requirement — In accordance with the New York State Department of Labor Code Rule 56 requirements, this document must be retained by the property owner for 30 years. Conditions and Limitations—As in all asbestos surveys there exists the possibility that previously unseen building material is present which may contain asbestos. As a matter of protocol, if any suspect materials are identified during the demolition, sampling and subsequent analysis is required. Should asbestos containing materials be identified proper abatement and disposal of these materials in accordance with applicable regulations is required prior to demolition. Please see the Conditions and Limitations Summary that applies to this project and report(Attachment 5). CUDERTE Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc Thank you for the opportunity to provide this report. Please contact the undersigned directly if you have any questions or require further information. Sincerely, CASmith, LLC Peter C. Goutos President NYSDOL Asbestos Certificate#08-05466,Inspector and Management Planner CASmith LLC Asbestos Handling License#37655 Copies Client(via electronic mail) Project Site (copy to client) Building codes (copy to client) File Attachments No. Description 1 Figures, Images and Real Property Records (as available) 2 Sample Results and Chain of Custody Documentation 3 Assessment Methodology, Acronyms and Definitions 4 Licenses and Certificates 5 Conditions and Limitations 6 Reference Documents (as applicable) Copyright, CASmith LLC All Rights Reserved Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc Attachment 1 Figures Images Real Property Records (Image mate or Other) Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc • SITE LOCATOR 1 • ,:,,,,i, : • . , • Ledgeyiew RV Park _ _ __-_ ---_-- - `- = ' . • Sereriit' ( Full Moon 9. ,... ,.., _,_.. i , „_ _____..,... . ,--) ®, - SUBJECT PROPERTY i The George NY 1„: .- - ---, _ - - - - ie Log Ja , \�, _ _ __ _ _ - \� a '\ ;, The Outlets at �`\� 4/ y Lake George - i, _ , ,�e y 0ut'let -:.„.;:.,___ :.7 , ''--- - ' i ___:_- .,..L r- -ill . '-' • 9Municipal Wren Count` Y Center _r`I = -_ _ =fr u ,:•, .-:._r,,-_--.. ,....-.. H,..,...".,• Iy!\/\g \_ _ i'fI m r:_ y, L� : Queensbury Six Flags Great-Escape - _ I; CASMITHU Project# 96-001 Site Locator 112 Spring Street Saratoga Springs,New York 12866 Drawn By:CAS Project Name: Asbestos Materials Survey PO Box 65 Saratoga Springs NY 12966 Date: July 2023 Address: 96 Hall Road,Queensbury,NY 518.581.8028 ph Scale:none Prepared for: Patten Property Development FIGURE 1 AERIAL N tJ SUBJECT PROPERTY Private LakefTont Retreat - - (,�SMITH� Project# 96-001 AERIAL 112 Spring Street Saratoga Springs,New York 12866 Drawn By: CAS Project Name: Asbestos Materials Survey PO Box 65 - Saratoga Springs NY 12966 Date: July 2023 Address: 96 Hall Road,Queensbury,NY 518.581.8028 ph Scale:none Prepared for: Patten Property Development FIGURE 2 SITE LAYOUT Lake Ws Ws Ws WDH 2D Porch C WDH WDH WDH 7-007 L-'" SE WDH Bedroom 1 WDH 7-00 W2 Living Room Brick 7-004- 7-001 WDH Chimney 7-005 W2 WDH Bedroom 2 AC LI WDH WDH 7-002 OP Attached Kitchen WDH Shed 7-008 7-006 (� Ws Bathroom Mudroom w ws D • LEGEND D - Door WDH - Window Double Hung P - Propane Tank AC - Air Conditioner Condenser C Carpet W2 - Window Double Hung Floor 2 Ws - Window/Slider SE - Stair Entry r,�SM=TH Project# 96-001 Site Layout 112 Spring Street Saratoga Springs,New York 12866 Drawn By:CAS Project Name: Asbestos Materials Survey PO Box 65 Saratoga Springs NY 12966 Date: July 2023 Address: 96 Hall Road,Queensbury,NY 518.581.8028 ph Scale:none Prepared for: Patten Property Development ' FIGURE 3 ,e..-.•.„,,-,s-...I-.... r1I" #T. t '•AS".f". i 'ems s„ 4-w.. ...-., ly i11 -a . ii:j — mi. -,,�- ' ..:-. +oar af- . .. '' ; •--.._�_�l-,�*T-r J ..- r•-- : .4t Nr, „7 may' ?� "�,'Q'�a t�y�♦..r —_ '"- f. "" 'cam.e-.1. ..itm t d••�k -+ :.l.I"d j,,,, •C '5.... ,✓V W — - 1 • ` S=. ��,�C,♦ ; 1�♦ !� 1 1 a . 1,. o� ti _� "]J�,' �.‘y k 3�, i- ;.Y -'•4'_�'i,• • : r - 1 '- " tImo' .r''_ t{Y Y 1 r ,r.'.b ,. ♦`y 1' ,1 o-.�"' �°y'• • '..j x` d T ': + 4' • 1, 1' "'1 e; .. tly 1 t' �' :t,• e, • ' Pe Image# 1—Side of lake house. •7,1 v.'h,;�._ r+,, 4•%- - �6.. i''. ,, ,.- . .,—. �S i..:,,- ..,s: • \•t , . . +'��• +��, i J• ..• ` • • �� ..r ♦. =..•1 - e''�, ~' .;• Y,•4 ...420000000°_,.,aps0000 .4., . ,.; „ar.:_i_!.1,.. ,. 7 ., ...._ vi s. _ _,..T . ..,-- I Y -, • t s iiit c.'41S •::F'J'C ,ii' 1tir 3.?1�...�"'i'4k„$2►' 1 tytr t ; ti r wvapy;,r Amu - , r t ."• .. .. -.'. 'T•.1, •',.. 1 • • �•i I.T ?A .ice y- ... ' - • �`.. � 1� 4• '4 art • } !•A t, 4 • '`,.V• x ..„. • ,i ' t)+ • �. r � � er '!44,+ fib:! , �"1• k i• `.�' - li•L. Image#2—Front of lake house on lake side. 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P " r .� al a.. a ♦ - tie 1...., f_ •F• •t e * 4 - 8 ,...„ . . . ..„..,,,....,,, .,, ..... .,....„,..„,, ,_ ,,,_ _,.. . . . .. . _ .....,,, .„ ., „,,,,,..., ...„. .. _ , , ..,....,,,, ,.......„4„.. .. ,17 4 __. ..,...:., ..f :. .. .. r .>.,. ... : ..Yff` „ .... ,11.,1_051 , _ ...,....„,. .y R u..Li ' i.„ '4 .t .... . ,t.r Image#4—Siding facing path to Hall Road. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensberry, New York •, . q% !.:".T.f.'''' '‘*- -.A, ft4Ser. - •:,-,. ii, 1 MM J.S►] • l +firr :?zt' +: k. aii%'3� .�'�/ + it • •r^' ' . . •' • f1^._ "`o`f'a.-!•4 .-' '.�Y a x • ,/ "1y y v . ' �•3 ` �-_,ram ,,.._..� may/; . .1 `+.* ~-' r' •ramr✓" y.. ram." 7' �) t - R fJ • ""tJ.p` ✓"' .` _ - -' x -�f. "'"r.':.' Y^cT :/1( {f+j,jY�t.C.4i _- ^ n6�' r r -. r f {y ^.ate,.,•'y •� ... - "� r' çy : � � ' . 0 s • • +1� -At lean Image# 5—Standing seam roof. 14111 � . j • y j i a , i 1 1 1 - I I i iiit.r.,,_ tlt,.tti. ,t 1 7 r t f . '''k ...',''''''.\\V \ • ((i '1Y F ` Alf{ Image#6—Rear attached storage area. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensbury, New York } i 1 - • r•FA ''',,,,.-tit. 4 i ':":',,',',.., ,:1.-1. 2.,:;'-' 44-:,... ., .' . . qk . , , . , , , ,,, , ... ,„....4 .., -.0., ,.I' -....,.-_ 4.. .. Image#7—Casement windows, all Vinyl no glazing. r s - y _ r • _ � 4Y. _e {( V.t i ,:. !j._._..,..........„,........_._________....._.„.....t._' ;— --- -_—L1----_— -''--- --,----—— - - - - . e( )//,... - ( .I .Z.,`- _yl .. I 1. Image#8—Casement window. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensbury, New York . + . t r 11 .4 1iF- f. . r � s r ry• - : Image 9—Front porch windows,no glazing. it i! 4 °' w" flj: • y . C ��a� ,. ,.. 1 e ,�A , , „ . , :,,,:.\\.,: ,, .,'0, i" 't;:%, .,,,,,` A ' , Image# 10—Interior living room, laminate flooring over plywood. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensbury, New York • -yk Ez . I C-- ,t- y . _ Lx aa -- - Cam_. r Image# 11 —Bedroom,typical. • -iL� It. I If o a ' �) , . !'.53 Kci i i __ --- - - , 1 , 1 'i ,' Image# 12—Half rest room. 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S ti f tx, 'f � ' � ,f"4 'a�• i,..y't•r F,.'=.�. s'.,"i�,▪ h! `+ 1e% �17.i .hL. 1 �, ii i:�.l•t i+j ',�,�a,7 ,�,`� ��..^ .: .-„ .s 1,'I,' r �i 'I p t y `'�'• .t,_• 4 _ ram^ "f may..-,• t , ' i ;l 7clr,±.L 5.f u G tRi.; „,.;;1��"" .ylR �fY" - 6, ..sr..,. h , a , ` •. 'Cw �.i, �4 .•,,t Image# 15—Second floor shouig fiberglas insulation. f , ,r;`i.A ;.» a'1it ,�..,..-" +.ALA T a b•,..• X7rs'r1" + s•y� ♦ PTA :t�ro �a�hh��'' ''• {' Y* , K 'i��t ' .' + i ............ \y. + `; f�`44 T • rtr .►3 weC, 1.' rt� . �y� • . •. t 'JA. ' . Tiwyr 4' s4.4.,A"t - � t-2*....-44-t4,.-': t— ''•-:i,"... _ . --:;,,,...6 -- ..411. :.., aS t r x ' ' Via. 1! Y . ti',.4 ,.. ... ry — o F`" tt, p1 xer , ....,,, ,,,____...„, • .,._ ____ .__ _ _ _- _ := ,....„ —...i. le..„.."-".... -144:::r*7:,;,--14: --'1,- , 40,,,I .1%•*- ,! ...Vt.• .(.',.= ''.--- 1" ' I .; .4--;.,;;4...lkle.'V'.- V., „Olt •-'K * ,,rb. jt� + L :,..Z-s+.y,-.,'4�,""ror . 'rw'.; 4s ,ir"�' „r•-_' • p'n . • r-y l it f .ax. .* n ```? k re. 4 .,}.{, rsr,+t. Image# 16—Two car garage with standing seam metal roof. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Oueensbury, New York ti. ,,,, y/a • T T y..>rtrT ,, - x"r _ _ sl+ a N , --. 1• r - —• u - C;,,i-c- I : J } • 1` ;It + 5- Image# 17—Garage wood clapboard. _ �--Jam .. _, -- . �- 11 i ,• . ,Ii tkr4` =i • ! '. • ,, + t J • I. . - ,-.1 I ; - --- _1 !!t{t{ '1 { ',..' :--_ ,.....,,,,_„..„..,,,,,--1"--..: ..: • ......- •---- --- :- - . '1--- -,-.41, ''' -." - .: its Image# 18—Garage interior. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensbury, New York �� - ,' + ;. ? BSI t • y,+ :;,.? kil: - p. s A 1 0; - .. �" y•� y . - N, r a�.••"' is•- .�r ' a! Image# 19-Garage interior. 4ir� 1 "fir` , , ,t, )ri. '` \4. i i. •t -= y4y ii * ' ~ � I-vc,C .• .-+, Q� ilb !• F A ST i.L t4, t• 2- ifs i 1 1.. j .,. i... , ..t 1 4:i•rk•• • �}►,..., l;ti� .h{ a j ,; • ''; Ks'.+ ! i 'i7 „cam• �` J.,..::::::.;` ' •�r�.C'`{,'4V. - ;'"Af a ....14. ;", , •4 ,r"''f.•�,r >iy 4: '"' `._s� ► LL.%4J'� _ •rM,�. .11'.. 's r r .�',- 4� Y R 4 Y-...ice .. y , t }x ., \'I' ` �M ,,'VL '.7,. •.y \ice '4/ r i ( •- .- .,4 3.' *‘: .4 •.' ,..,.1. ...,..,. i l;‘rr,:,,..." ..° gt ::1 '• g i. , 1 1 r',, .,,,,A, .44, ;tCYv ., 1: :T 4"+ b•. }j{y( t Gi• ld i ..♦ ,f��Y't i4 Y I ` - ~`\. 7 k w .� aJ, ?t mil * '1 "f•1 • 11 li 11 II III . �, r •#. Image#20-Pergola with cedar shake roofing system. Asbestos Materials Assessment for Demolition Images 7 July 2023 Patten Property Development, LLC CASmith Project No. 96-001 96 Hall Road, Queensbury, New York Attachmenq, Sample Results and Chain of Custody CAS ME TM, Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doe CJ\SMITL Main Office 112 Spring Street An Environmental Consulting CompanyO Saratoga Springs,NY 12866 Verification Sheet ffice 518.478.8781 Asbestos Sampling- Facsimile 518.478.8781 Project No. 92-001 Client Patten Development LLC Date 10 July 2023 Location 96 Hall Road,Queensbury,New York Reviewer Goutos Visual Scanning Point NOB NOB PLM/ IS NA Option Count PLM TEM PLM with 7 dispersion -001 staining -002 -003 ./zt/ -004 -005 -006 -007 /7-17 -008 Intentionally Left Blank Check Mark- Non-detect for asbestos PC-Point Count Method IS-Insufficient Sample NA-No Analysis Requested ILB-Intentionally Left Blank ND-Non-Detect NOB Plm-NYS-DOH 198.6 NOB Tern-NYS-DOH 198.4 Inc-Inconclusive Visual-Visual Examination(40 CFR Part763, Sub.E,App.E/NYS-DOH 198.1 (PLM) PLM/PLM with dispersion staining-EPA-600/M4-82-020(Modified) EAS Batch No. 2304342 Eastern Analytical Services, Inc. Page 1 of 2 Bulk Sample Results RE: CPN 96-001 -Patten Development-96 Hall Road-Queensbury,NY-Entire Structure Date Collected: 07/07/2023 Client: CASmith LLC • Collected By: Peter C.Goutos PO Box 65 Date Received: 07/10/2023 Saratoga Springs,NY 12866 Date Analyzed: 07/10/2023 Analyzed By: George Htay Signature Analytical Method: NYS-DOH 198.1 NVLAP Lab Code: 101646-0(Testing) NYS Lab No. 10851 • Paul Stascavage c ,Lab Director Sample ID Number 7-001 7-002 7-003 7-004 Layer Number Lab ID Number 2929040 2929041 2929042 2929043 Sample Location Living Room Kitchen Opening to Chimney,Former Chimney,Former Living Room Stove Unit Exterior Stove Unit Interior Sample Description Flooring,Fibrous- Flooring,Fibrous- Mortar-Gray Mortar-Gray Brown Brown Method of Quantification Scanning Option Scanning Option Scanning Option Scanning Option Appearance Layered Yes Yes No No Homogenous No No No No Fibrous Yes Yes No No Color Brown Brown Brown/Gray Brown/Gray Sample Treatment Homogenized Homogenized Homogenized Homogenized Asbestos %Amosite ND ND ND ND Content %Chrysotile ND ND ND ND Other ND / ND / NDV ND /%Total Asbestos ND ✓ ND ✓ ND ND ✓ Other Fibrous %Fibrous Glass ND ND ND ND Materials %Cellulose 60.0 55.0 ND ND Present %Other ND ND ND ND %Unidentified ND ND ND ND • Non-Fibrous %Silicates 10.0 10.0 30.0 30.0 Materials %Carbonates ND ND 25.0 30.0 Present %Other ND ND ND ND %Unidentified 30.0 35.0 45.0 40.0 Results Applicable To Those Items Tested.Report Cannot be Reproduced,Except Entirety,Without Written Approval of the Laboratory.ND=Not Detected.Reporting Limit is<1%. Liability Limited To Cost Of Analysis.This Report Must Not be Used by the Client to Claim Product Endorsement by NVLAP or Any Agency of the US Government. These Results Can Not Be Used To Claim That NOB Items Tested Are Non-Asbestos Containing. Overall Lab Accuracy t 17%.Samples received in acceptable condition unless otherwise noted. AIHA LAP,LLC No.100263 Rhode Island DOH No.AAL-072 Massachusetts DOL No.A A 000072 Connecticut DOH No.PH-0622 Maine DEP No.LA-024 Vermont DOH No.AL-709936 • EAS Batch No. 2304342 Eastern Analytical Services, Inc. Page 2 of 2 Bulk Sample Results RE: CPN 96-001 -Patten Development-96 Hall Road-Queensbury,NY-Entire Structure Date Collected: 07/07/2023 Client: CASmith LLC Collected By: Peter C.Goutos PO Box 65 Date Received: 07/10/2023 Saratoga Springs,NY 12866 Date Analyzed: 07/10/2023 Analyzed By: George Htay Signature Analytical Method: NYS-DOH 198.1 NVLAP Lab Code: 101646-0(Testing) NYS Lab No. 10851 Paul Stascavage --�� ,Lab Director Sample ID Number 7-005 7-006 7-007 7-008 Layer Number Lab ID Number 2929044 2929045 2929046 2929047 Sample Location Interior,Living Interior,Kitchen, Interior,Living Interior,Kitchen, Room,North Light South Wall Socket Room,West Wall South Wall Socket Switch Socket Area • Sample Description Joint Compound- Joint Compound- Sheetrock-White Sheetrock-White White White Method of Quantification Scanning Option Scanning Option Scanning Option Scanning Option Appearance Layered Yes Yes No No Homogenous No • No Yes Yes Fibrous No No Yes Yes Color White/Gray White/Gray Gray Gray Sample Treatment Homogenized Homogenized None None • Asbestos %Amosite ND ND ND ND Content %Chrysotile ND ND ND ND Other ND / NDZ NDZ/ NDZ%Total Asbestos ND✓ ND ND ND Other Fibrous %Fibrous Glass ND ND ND 5.0 Materials %Cellulose ND ND 2.0 2.0 Present %Other ND ND ND ND %Unidentified ND ND ND ND Non-Fibrous %Silicates 25.0 25.0 15.0 15.0 Materials %Carbonates 30.0 35.0 35.0 35.0 Present %Other ND ND ND ND • %Unidentified 45.0 40.0 48.0 43.0 Results Applicable To Those Items Tested.Report Cannot be Reproduced,Except Entirely,Without Written Approval of the Laboratory.ND=Not Detected.Reporting Limit is<1%. Liability Limited To Cost Of Analysis.This Report Must Not be Used by the Client to Claim Product Endorsement by NVLAP or Any Agency of the US Government These Results Can Not Be Used To Claim That NOB Items Tested Are Non-Asbestos Containing.Overall Lab Accuracy±17%. Samples received in acceptable condition unless otherwise noted. AMA LAP,LLC No.100263 Rhode Island DOH No.AAL-072 Massachusetts DOL No.A A 000072 Connecticut DOH No.PH-0622 Maine DEP No.LA-024 Vermont DOH No.AL-709936 Attachment 3 Methods, Acronyms and Definitions Methods- Pre-demolition Asbestos Survey—Sampling of building materials was performed as described in the project scope of work. All sample locations are identified in figures presented in Attachment 2. • This pre-demolition asbestos survey was performed in general conformance with New York State Department of Labor(NYSDOL) Code Rule 56 requirements, specifically Section 1.9- Building Demolition Survey. With the exception of the areas listed in the Sampling Notes Section and Conditions and Limitations (Attachment 5), all areas of the structure were accessible and available for this assessment. Existing building information was reviewed prior to fieldwork to obtain a general history of the facility with regard to building eras and the suspect materials contained. A walk through of the building was completed to identify, quantify and assess the accessible suspect asbestos-containing building materials. Suspect materials were classified into homogeneous areas based on color,texture, apparent use and construction era. Asbestos Containing Material Definition—A material is considered by the EPA (40 CFR Part 61;National Emission Standard for Hazardous Air Pollutants; Asbestos NESHAP Revision; Final Rule)to be asbestos containing if at least one sample collected from the homogenous area shows asbestos present in concentrations exceeding 1%by weight. A material is considered to be asbestos containing,under OSHA regulation 29 CFR 1926.1101 (b), if it is demonstrated, through laboratory analysis,to contain greater than one percent (>1%) asbestos or if it is a presumed asbestos-containing material (PACM). A PACM is defined as thermal system insulation(TSI) or surfacing material in a building constructed no later than 1981, which has not been demonstrated as ACM by the collection and analysis of representative bulk samples but is presumed to contain asbestos. Method of Asbestos Analysis—In New York State, bulk samples are divided into two categories: 1)Non-friable organically bound materials (NOBs) and • 2) All other friable or non-friable materials. Non-friable organically bound materials (NOBs)include a wide variety of building materials embedded in flexible to rigid asphalt or vinyl matrices and include floor tiles, caulks, roof tars, adhesives, mastics,resins, etc. Bulk sample analysis of NOBS is analyzed in accordance with the New York State ELAP 198.1 protocol. Friable building materials are defined as those materials able to be crumbed by hand pressure. These were analyzed by PLM methodology using the EPA 600/R-93/116,7/93 CASALTE- Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc • Method, including the New York State stratified point count technique (NYS ELAP Manual Item No. 198.1). If PLM analysis of the residue is calculated to yield results greater than 1% asbestos,based on the initial sample weight, the sample is a positive indication for an asbestos-containing material. If this analysis indicates asbestos in concentrations of less than 1% asbestos, or no asbestos, the sample residue must be re-analyzed by a more sensitive method, Transmission Electron Microscopy (TEM), or the ELAP 198.4 protocol. TEM analysis will be the final determination of whether the sample indicates asbestos in concentration of greater than 1%. It is important to note that no NOB material may be handled as a non-asbestos-containing material unless it is demonstrated by gravimetric reduction or TEM methodology to contain less than 1% asbestos by weight. Testing Laboratories-Bulk samples of suspect asbestos-containing materials obtained were analyzed by Eastern Analytical Services, Inc.New York State Department of Health, Environmental Laboratory Approval Program (NYS-ELAP ID No. 10851) accredited laboratory located in Elmsford,New York. Three types of tests are typically performed depending on the composition of the material sampled. Friable bulk samples were analyzed by Polarized Light Microscopy (PLM) methods. Non-Friable organically bound samples (NOBs, i.e., floor tile, mastic, adhesives,vinyl cove base) were weighed, heated to ash and digested in acid,reduced to a residue, re-weighed, and the residue was analyzed by PLM methods (PLM/NOB a.k.a. gravimetric reduction). NOB residues found negative PLM analysis, were analyzed via a more sensitive method-transmission electron microscopy (TEM/NOB),per New York State requirements. Laboratory Quality Control Program-Laboratories maintain an in-house quality control program which consists of blind re-analysis of ten percent of all samples, replicate analysis of samples, participation in proficiency testing programs to maintain New York State approval,participation in inter-laboratory and intra-laboratory sample exchanges, analysis of blank samples to check for laboratory contamination, laboratory air quality testing to check for laboratory contamination, equipment calibration, precision and accuracy controls, and use of standard bulk reference materials with known percentages of asbestos for use in training and sample comparison. CUMETE- Z:\CAsmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc Acronyms and Definitions— General Subject Structure The real property that is the focus of this assessment HVAC Heating Ventilation and Air Conditioning (system or component) LVT Luxury Vinyl Tile PACM Presumed Asbestos-Containing Material TSI Thermal System Insulation Galbestos Galbestos is an asbestos containing metal cladding Sampling and Analysis PLM Polarized Light Microscopy NOB Non-friable organically bound material TEM Transmission Electron Microscopy INC Inconclusive NAD No Asbestos Detected T/C INC Trace- Client requested TEM Sample number not utilized or test not required LAB Indicates that a clarification from the Lab was required Check Mark- 0.0 asbestos PC- Point Count Method IS- Insufficient Sample NA- No Analysis Requested ILB- Intentionally Left Blank NOB PLM- NYS-DOH 198.6 NOB IBM- NYS-DOH 198.4 PLM/PLM with dispersion staining- EPA-600/M4-82-020 (Modified) Visual- Visual Examination(40 CFR Part 763, Sub. E, App. E/NYS-DOH 198.1 (PLM)) Regulatory Agencies NYSDOL New York State Department of Labor NYSDEC New York State Department of Environmental Conservation NYSDOH New York State Department of Health NYSDOT New York State Department of Transportation NYS-ELAP New York State Environmental Laboratory Accreditation Program NVLAP National Voluntary Laboratory Accreditation Program OSHA Occupational Safety and Health Agency USEPA United States Environmental Protection Agency Regulatory References CFR Code of Federal Regulations Code Rule 56 ASBESTOS Part 56 of Title 12 of the Official Compilation of Codes,Rules and Regulations of the State of New York (Cited as 12 NYCRR Part 56) NESHAP National Emission Standard for Hazardous Air Pollutants ES MgTES,_ Z:\CASmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc Attachment 4 Licenses and Certifications Peter C. Goutos Asbestos Certificate CASmith, LLC Asbestos Handling License Laboratory Licenses and Certificates Z:\CASmith\Environmental Resources\Asbestos\Reports\Report Attachments\Attach 4-Nov 2021 Cover Sheet Only.doc MINIM t ,•gym �'" NE / ORK Department OPPORTUNITY. II 111! h I lli 1111�111111111111 ii III PPORTlINI7Y. 01213 006911343 97 of Labor PETER C GOUTOS 168 DENTON RD SARATOGA SPRINGS NY 12866 Enclosed is your new card. NYS Department of Labor The Department of Labor is happy to provide this improved card. We welcome your comments: nysdolCc laborenyogov or call (518) 457 2735 YOUR NEW CARD STATE OF NEW YORK-DEPARTMENT OF LABOR E I� ASBESTOS CERTIFICATE L a.\ ' PETER C GOUTOS CLASS(EXPIRESJ .11 D INSP(Q5/24) E MCPL(05/24,1_ CER1#O -0S466 ---- -�_. [AWN 941669246'.;' I MUST BE CARRIED ON ASBESTOS PROJECTS 11111111111111i 11t111111111 11111111I III Hill WE vau-R: DO L :STATE ,of Labor DIVISION OF SAFETY&HEALTH LICENSE AND CERTIFICATE UNIT,STATE OFFICE CAMPUS,BLDG.12,ALBANY,NY 12226 ASBESTOS HANDLING LICENSE C.A:Brhith, LI.LC P.O. Box 66„Sp-ratoge_Springs, NY, 12866 ticefiSe1=NUMIder: 376551: Liieefise-ClaSs:=REBTRICTED- - :Date of USsue: 02701)2023- EXpiration Date:-02/29/2024 Duly Authorized ReforesentativePeter Goutos This license has been issued in accordance with applicable provisiOns-of Article:3Q of the-LabortaW of New York State and of the New York State Codes, Rules and Regulations (12 NYCRR Part 56).:It is subject to suspension or revocation fOra (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 onlyforthe contractor named above endrthislidense'or a phototopymtistbe iprominently displayed at the asbestos project worksite.This license verifies that all persons emPldyed by the licensee on an e§1?estosE-Pteject:iiiiNew York State have been issued an Asbestos Certificate, appropriate for the type of work they petforrh, by:the New York State-Departmeht:pf Lebor. . „ , . Amy Phillips, Director Forthe-Commissioner-of-Labor SH 432(12/21) United States Department of Commerce National Institute of Standards and Technology LJVL ,' , k \ � i 4%0� Certificate of Accreditation to S •I EC 17025 :2017 NVLAP LAB CODE: 101646-0 Eastern Analytic 4ii Services, Ince Elmsford, NY is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for: Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:20117. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique dated January 2009). a O1 , isrX1.011 2021-10-01 through 2022-09-30 _ Effective Dates %� For theational Volun t i L�borat yj ccreditation Program ��� Fares of National Voluntary [� Laboratory Accreditation Program LI IV,A SCOPE OF ACCREDITATION TO ISO/MC 17025:2017 Eastern Analytical Services, Inc. 4 Westchester Plaza Elmsford, NY 10523-1610 Ernest Sanchez Phone: 914-592-8380 Email: ernies@easinc.com http://www.EASInc.com ASBESTOS DER ANALYSIS NVLAP LAB CODE 101646.0 Bulk Asbestos Analysis Code Description 18./AO1 EPA--40 CFR Appendix E to Subpart E of Part 763,Interim Method of the Determination of Asbestos in Bulk Insulation Samples 18/A03 EPA 600/R 93/116:Method for the Determination of Asbestos in Bulk Building Materials Airborne Asbestos Analysis Code Description 18/A02 U.S.EPA's"Interim Transmission Electron Microscopy Analytical Methods-Mandatory and Nonmandatory-and Mandatory Section to Determine Completion of Response Actions"as found in 40 CFR,Part 763,Subpart E,Appendix A. i '›gttL ç2I -L For the National Voluntai borakAccreditation Program Effective 2021-10-01 through 2022-09-30 Page 1 of 1 . r • ,, '', r < TVW..7. ,it qV t- 7 � 'n* '• f�/ e f- ..,..,_ ,. . • 4.,,,,:pal,---,,,,„,„,.. • - t „ = ..+, ,,, r �, LA r . 4 «� ti ,4-;, - .� ` •r, . �leix , j .` Y r '� ' .tf f`, -' r s 'r / ,� �f,I/ � 4V / f'' . --•L \ : -)`` /L`., 11 + F��tVL a te j _ � 'i � � � i � . L �k- , •.y ..� nS`:.T'iIR.�__ 3'SC .. e' SYM . eyr I �i i V R � -4 ' f rp t" ~ / �k~ — Programs.LL__ a AfflA Laboratory Accreditation Programs, LLC ;1.i.,: • acknowledges that ,.. r Eastern Analytical Services, Inc. ,� ��• e:/\:;(i' 4 Westchester Phtza, Elmsford, NY 10523-1610 "'="� 4. ,y , Laboratory ID: LAP-100263 / along with all premises from which]cey activities are performed,as listed above,has fulfilled the requirements of the AllIA LaboratoryAccreditation Programs AIIIA LAP), -,--. " L. !�,,::' LLC accreditation to the ISO/IEC 17025:2017 international standard,General Requirements for the Competence of Testing and Calibration Laboratories in the following: 1. ..► '1Y,„'` k tr`' LABORATORY ACCREDITATION PROGRAMS , .lI-`-t %:. • `xC INDUSTRIAL HYGIENEIi. ! • F Accreditation Expires:October 01,2023 N J ENVIRONMENTAL LEAD Accreditation Expires:October 01,2023 �,�f-z � i `.' ' r' © ENVIRONMENTAL MICROBIOLOGY Accreditation Expires: '7I.� ,' � I �--� Syr ' u—A FOOD Accreditation Expires: t` fig . UNI UE SCOPES il:/1?'a ,� � Q Accreditation Expires � ,�F ' __� BERYLLIUM FIELD/MOBILE Accreditation Expires �, �! t Specific Field(s)of Testing1, \-.. 1` p (FoT)/Method(s)within each Accreditation Program for which the above named laboratory maintains accreditation is outlined on the attached Scope' , of Accreditation.Continued accreditation is contingent upon successful on-going compliance with ISO/IEC 17025:2017 and AIIIA LAP,LLC requirements.This certificate is 7' not valid without the attached Scope of Accreditation.Please review the ATHA LAP,LLC website(www.aihaaccreditedlabs.org)for the most current Scope. r te. ik :(- eieAle., 6 ah.4„U,,,,,....„ ,„r kciii ,�: `„... Cheryl O Morton r1 ; Managing Director,AMA Laboratory Accreditation Programs,LLC I ?.ekx, Revision19.1:07/28/2021 Date Issued:09/30/2021 M. ,Y�...:ar:.nr¢nuwsi�rRram,�r:v�rr1.'+ad�.Awa:,rr.�rxrri... •I ��� sVAs.-,` : ,-,i,« : " _ '7 „J, 'i s-, Fri. - 7 : 4' { w • J- - f _ {� ? • % _ - il < h RsY, awf \V. y - /1 a ♦s r ♦ ` � ..� y; r ..,.+ :4,-..r T •`\" •t.. t'.--1, \\.�1 `\�1' i i.- .. `S t1 1'64 •'%f `�Y �,tl. `J\. ft �. iw !• ii ri`/�u ..r, t� 1{' �+ ?]A K,�, !),1<ai1R '�lt��1j y�7 vty 1 '' _}'t?}�.F' M -i t,t .fir,.. �`' r ,,ir! la s.. 1.. ; Y�f ,.� `,A,;,S140.-�fi.,;' ;• 61 Cti'�'' .�° !', : ; f, Prc t'Tms,•;LW ATHA Laboratory Accreditation Programs, LLC SCOPE OF ACCREDITATION Eastern.Analytical Services, Mica LaboratoryID: 100263 4 Westchester PIaza,Elmsford,NY 10523-1610 Issue Date:08/30/2019 • The laboratory is approved for those specific field(s)of testing/Methods listed in the table below.Clients are urged to verify the laboratory's current accreditation status for the particular field(s)of testing/Methods, since these can change due to proficiency status,suspension and/or withdrawal of accreditation. The EPA recognizes the AMA-LAP,LLC ELLAP program as meeting the requirements of the National Lead Laboratory Accreditation Program(NLLAP)established under Title X of the Residential Lead-Based Paint Hazard Reduction Act of 1992 and includes paint,soil and dust wipe analysis.Air and composited wipes analyses are not included as part of the NLLAP. Environmental Lead Laboratory Accreditation Program.(ELLAP) Initial Accreditation Date: 04/30/1999 II Technology sub-type/ Method Description II Field of Tessin ( ©T) I Detector I Method I (for internal methods only) EPA SW-846 3050B Paint EPA SW-846 7000B EPA SW-846 3050B , Soil EPA SW-846 7000B EPA SW-846 3050B Settled Dust by Wipe EPA SW-846 70008 Airborne Dust I NIOSH 7082 EPA SW-846 3050B Coruposited Wipes 1 EPA SW-846 7000B A complete listing of currently accredited Environmental Lead laboratories is available on the AIHA LAP, LLC website at: Effective: 10/14/2016 Scope_ELLAP R7 Page 1 of 1 r=, �--. C . .Proorms$LL AMA Laboratory Accreditation Programs, LLC SCOPE OF ACCREDTTA'IYCN Eastern Analytical Services,Inc, LaboratoryID: 100263 4 Westchester Plaza,Elmsford,NY 10523-1610 Issue Date:08/30/2019 The laboratory is approved for those specific field(s)of testing/methods listed in the table below. Clients are urged to verify the laboratory's current accreditation status for the particular field(s)of testing/Methods,since these can change due to proficiency status,suspension and/or withdrawal of accreditation. Industrial Hygiene Laboratory Accreditation Program ( ,AP) Initial Accreditation Date: 04/01/1999 II J Field of Testing(.Poi) I Technology J Published Reference I Method.Description ,A r n p � or rialyte I I (ors cover.'a..i..; s r ' to i 'vYeti od itle v' 'n_ JCategory relevant El matrices) Detector I house Method (for inter-r�al methods I only) CVAA NIOSH 6009 NIOSH 7013 NIOS117024 NIOSH 7027 NIOSH 7029 Spectrometry Core Atomic Absorption FAA NIOSH 7030 NIOSH 7048 NIOSH 7056 NIOSH 7082 NIOSH 7901 - GFAA NIOSH 7105 Polarized Light EPA 600/R 93/116 Microscopy(PLM) NYS-DOH 198.1 Phase Contrast NIOSH 7400 Asbestos/Fiber Microscopy(PCM) Microscopy Core EPA AHERA Method Transmission Electron EPA AHERA-40 CFR (40 CFR 763,Subpart E, Microscopy(TEM) Part 763 Appendix A,Mandatory Method) NIOSH 7402 Miscellaneous Core Gravimetric NIOSH 0500 NIOSH 0600 A complete listing of currently accredited Industrial Hygiene laboratories is available on the AIHA-LAP,LLC website at: Effective: 04/10/2015 100263_Scope IHLAP_2019_08_30 Page 1 of 1 NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER Expires 12:01 AM April 01,2024 Issued April 01-,-2022 • Revised March 30,2023 CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502 Public Health Law of New York State MR. PAUL STASCAVAGE NY Lab Id No: 10851 EAS INC-EASTERN ANALYTICAL SERVICES INC 4 WESTCHESTER PLAZA ELMSFORD,NY 10523--1610 is herebyAPPROVED as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE All approved subcategories and/or analytes are listed below.- Miscellaneous Asbestos in Friable Material Item 198.1 of Manual EPA 600/M4/82/020 Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM) Asbestos in Non-Friable Material-TEM Item 198.4 of Manual Asbestos-Vermicuiite-Containing Mate item 198.E of Manual Lead in Dust Wipes EPA 7000E Lead in Paint EPA 7000B Sample Preparation Methods EPA 3050B Serial No.: 66205 Property of the New York State Department of Health. Certificates are valid only at the address shown and must be conspicuously posted by the laboratory. Continued accreditation depends on the laboratory's successful ongoing participation in the Program. Consumers may verify a laboratory's accreditation status online at https://apps.health.ny.govlpubdoh/applinks/wc/elappublicweb/,by phone(518)485-5570 or by email to elap@health.ny.gov. Page 1 of 1 NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER ;y 4 s Expires 12:01 AM April 01,2024 tie p Issued April 01;2022 tiet r� a Revised March 30,2023 ' `I talc+ CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502 Public Health Law of New York State MR.PAUL STASCAVAGE NY Lab/dNo: 10851 EAS INC-EASTERN ANALYTICAL SERVICES INC 4 WESTCHESTER PLAZA ELMSFORD,NY 10523-1610 is herebyAPPROVED as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSES AIR AND EMISSIONS All approved subcategories and/or analytes are listed below: Metals I Lead,Total NIOSH 7082 Miscellaneous Asbestos 40 CFR 763 APXA No.III YAMATE,AGARWAL GIBB NIOSH 7402 Fibers NIOSH 7400A RULES • • Serial No.: 66207 Property of the New York State Department of Health. Certificates are valid only at the address shown and must be conspicuously posted by the laboratory. Continued accreditation depends on the laboratory's successful ongoing participation in the Program. Consumers may verify a laboratory's accreditation status online at https://apps.health.ny.gov/pubdoh/applinks/wc/elappublicweb/,by phone(518)485-5570 or by email to elap@health.ny.gov. Page 1 of 1 NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER • -,, ,y VI '` Expires 12:01 AM April 01,2024 f% nvaj t:a _ Issued April 01,2022n'"'i * `,1 Revised March 30,2023 CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE issued in accordance with and pursuant to section 502 Public Health Law of New York State 1 MR. PAUL STASCAVAGE NYLab Id No: 10851 EAS INC-EASTERNANALYT/CAL SERVICES INC 4 WESTCHESTER PLAZA ELMSFORD,NY 10523-1610 Ls herebyAPPROVED as an Environmental Laboratoiyin conformance with the National Environmental LaboratoryAccreditation Conference Standards(2016)for the category ENVIRONMENTAL ANALYSES POTABLE WATER . All approved analytes are listed below: Metals I Copper,Total SM 21-23 3111B(-99) Iron,Total SM 21-23 3111B(-99) Lead,Total EPA 200.9 Rev.2.2 Miscellaneous Asbestos EPA 100.1 EPA 100.2 Serial No.: 66202 _ t Property of the New York State Department of Health. Certificates are valid only at the address shown and must be ';. conspicuously posted bythe laboratory. Continued accreditation depends on the laborato s successful ongoing °i ---,-",-- ;p P Y rY• p r1' 9 9 a, participation in the Program. Consumers may verify a laboratory's accreditation status online .. , TNI F at https://apps.health.ny.gov/pubdoh/applinks/wc/elappublicweb/,by phone(518)485-5570 or by email to elap@health.ny.gov. -' • Page 1 of 1 Attachment 5 Conditions, Limitations and Information Asbestos Materials Surveys (Asbestos Testing) (Prepared for municipalities and clients to present NYSDOL requirements and the requirement of Municipalities to request an asbestos assessment for renovations and demolitions) Conditions and Limitations for Asbestos Assessments (Includes report dissemination and recordkeeping requirements) EAS PLM Analysis Memo CASmith LLC General Terms and Conditions (March 2018) • Z:1CASmith\Environmental Resources\Asbestos\Reports\Report Attachments\Attach 5-Nov 2021 Cover Sheet Only.doc Main rS M Be o Aldress 112 SpringTing PO Box oxx 65 Saratoga Springs,New York 12866 Saratoga Springs,New York 12866 An Environmental Consulting Company Peter C.Goutos Office 518.581.8028 518.316.4445 Facsimile 518.478.8781 P89_utos tt;.asrfr itile.coRI Asbestos Materials Surveys (Asbestos Testing) Asbestos surveys are required by the New York State Department of Labor prior to the issuance of a municipal permit for demolition or renovation projects. This is a statewide requirement. Municipal Code Enforcement Officers are required by the NYSDOL to request these surveys. Code Enforcement Officers and Building Departments have not been granted the authority to waive this requirement. Further,a municipality can be held responsible for not requiring the surveys. Typical Questions What is an asbestos material survey?-Surveys include the physical assessment of the materials in a structure,selection of materials to be tested,sampling,analysis of samples and report preparation. What materials may Contain Asbestos—Include but not limited to mastics,floor tiles,sheet linoleum, pipe insulation,hard wall exterior shingles(Transite),tars,joint compounds,sheetrock,insulated siding, heat shield material,caulks and glues. What is an Asbestos Containing Material?-Material(s)containing asbestos in excess of I%by weight. Can an asbestos material be identified by sight?—Lab analysis is required for definitive results. However,pipe insulation(thermal systems)and Transite may be assumed with reasonable accuracy. Schedule?-TypicaIIy two weeks;Testing-day I,Analytical Results-day 6*,Report-day 8. (*Analytical schedule may be accelerated by laboratory at increased lab fee). Survey Report Contents?-The report identifies materials tested,locations,results,quantity of asbestos containing materials and removal options(abatement). What if Asbestos Materials are identified?-The asbestos containing materials mu-it be removed (abated)by a licensed abatement firm prior to demolition. Depending on the type of asbestos and quantity the abatement project may require air monitoring,project monitoring and in some instances a variance from the NYSDOL. Costs?-Dependant on the number of materials requiring testing. For further information,please contact: Peter C.Goutos,Environmental Engineer 518.316.4445 President, CASmith,LLC pgoutos@casnsithllc.com hri'SDOL Asbestos Certificate#08-O5466,Inspector and Management Planner CASmith LLC Asbestos Handling License#37655 Reliable,Efficient,Schedule driven,36 years Experience,QuestionsAttswered and Estimates at No Cost References Statute-New York State Department of Labor,Code Rule 56(Cited as 12 NYCRR Part 56) Part 56 of Title 12 of the Official Compilation of Codes,Rules and Regulations of the State of New York Web search:NYSDOL Code Rule 56 Regulatory Excerpt-56-5.1 Asbestos survey requirements for building/structure demolition,renovation, remodeling and repair.(a)Asbestos survey required. An owner or an owner's agent, except the owner of one and two-family dwellings who contracts for, but does not direct or control the work,shall cause to be conducted,an asbestos survey completed by a licensed asbestos contractor using inspectors certified in compliance with section 56-3.20 of this Part,to determine whether or not the building or structure,orportion(s)thereof to be demolished,renovated,remodeled,or have repair work,contains ACM,PACi1I or asbestos material. This asbestos survey shall be completed and submitted as indicated in subdivision(g)of this section,prior to commencing work. Z:1CASmith\Environmental Rcsources\Asbestos\Asbestos Survey Fact Sheets CASmith Asbestos Material Survey Fact Sheet Oct-2020.doc An Environmental Consulting Carrrrrarty Conditions and Limitations for Asbestos Materials Assessments The following conditions and limitations apply to this project and report. 1. The observations in this report are valid on the date of the investigation. This survey was performed exclusively in the areas described in this report. Where access to portions of the Subject Property was unavailable or limited and in any other area of the structure not identified as a demolition,CASmith renders no opinion as to the presence of potential asbestos containing materials in that portion of the structure. Inaccessible portions,if present on the Subject Property are described within the body of the report. In addition,CASmith renders no opinion as to the presence of,or indirect evidence relating to, asbestos containing materials where direct observations of the interior walls,floor,or ceiling of the structure were obstructed by objects or coverings on or over these surfaces. 2. This survey excludes heating;plumbing,sprinkler and electrical systems including wiring and devices; doors,wood trim,wood casing;furniture,tenant materials and stored materials;paint coatings and fluids;structural and roofing materials and elevator systems. 3. Determinations of suspect asbestos containing materials within the building were subject to the accessibility of the individual areas or spaces. We accept no responsibility for the content of building materials within areas that were unknown to or not reasonably accessible. 4. .In the event that renovation or demolition exposes un=assessed materials in the building that were unable to be sampled,hidden or encased inside hard barriers such as materials hidden between walls and between floors,per the New York State Department of Labor Code Rule 56,section 56-5.1(j),alI activities shall cease in the area the asbestos is found and the Asbestos Control Bureau shall be notified by telephone,followed with a written notice. {. This survey as lint cnnn:rctuu in accordance with P.Crsibiisr ed tjS EPA F YTERS/ (AAe•StOs Fia ardCltis Emergency Response Act)protocols,as required for public schools. The survey was performed by an AHERA certified asbestos inspector following general industry practices to identify those asbestos containing materials present in the structure surveyed. 6. All quantities of asbestos reported herein,if applicable are provided as required by law and are believed to be accurate. This report and the quantities herein are not intended for use for estimation or bidding purposes. The estimator or bidder is required to verify the quantities identified herein. 7. Conclusion and recommendations provided in this report are based on the assumption that the materials identified are homogeneous throughout their application. 8. This project and report have been prepared for the exclusive use of the client. 9. Per the New York State Department of Labor Code Rule$6,section 56-$.1(g),one copy of this report shall be submitted to the local government entity charged with issuing a permit of demolition,renovation,remodeling,or repair work. This report shalt also be submitted to the appropriate Asbestos Control Bureau Office(Albany Asbestos Control Bureau,State Office Campus,Room 157,Albany,New York 12240). One copy of this report shall be kept on site throughout the duration of the demolition project and any associated demolition,renovation; remodeling,abatement or repair work. 10. The client is responsible for abiding by all administrative requirements set forth by the NYSDOL,local and state governments and all permit granting authorities. This includes submission of this report to all appropriate governmental agencies prior to the indication of demolition or abatement activities. 11. In accordance with the New York State Department of Labor Code Rule 56 requirements;this document must be retained by the property owner for 30 years. 12. Survey of fire affected structures is subject to varied interpretations by the NYSDOL. CASmith assesses affected building only when representative samples can be obtained and only when there is a though verifiable building material history. Due to the interpretative status of the NYSDOL we make no representation or warrantee to the acceptability of surveys of fire affected structures by the NYSDOL. 13. CASmith's General Terms and Conditions dated 2018 apply to this project and contract. Z:\CASmith\Environmental Resources\AshcstosiReports\Report ALtachments\Attachment 5 11-17-20 Final.dnc :MI& MEM& MIN "MEMO ANEIrea— PLM Analysis Memo Non-Friable Organically Bound(NOB)Materials-This tens refers to a Wide variety of building materials,such a5 vinyl or asphalt floor tile,resilient floor covering,mastic,asphalt shingle,'roofing material,caulk,putty,etc.. Polarized Light Microscopy',(PLM)analysis' has when NOB materials are meountered,These limitations;such asthe inability to detect thin or extremely;shalt fibers.(less than 1 micrometer in length)generated.during themilling process and/or the difficulty of separating asbestosfibers and bundles from'the resinous'matrix, 'kid to false negatives or underestimates of the amount of asbestos fibers.present in the sample. Recently,,NYS DOH added Ceiling Tiles with Cellulose"to the list of materials to be analyzed via the NOB methods., For these reasons,when analysis by PLM yields.negative results CO the presence of asbestos inNOB materials,The"State ofNew York Department ofHealth,(DOH)has issued the fallowing requirements,as of April 8,2011:NOBs and ceiling tiles with.cellulose must hp analyzed by both of the gravimetric matrix reduction methods(FLAP Item 198:6 and19$.4)to be deemed negative for asbestos. EAS is approved by the NYS DOH to perform analysis ofNOB materials via Transmission Electron Microscopy(E:4\P Item 198,4). The superior resolution,of Transmission Electron Microscopy can detect the presence of.asb estos fibers,well.beyond the range.of PLM. In addition,theuse of selected-area electron diffraction(SAED)and energy-dispersive spectroscopy(bl)S)can positively identify asbestos fibers:in the sample. NOB samples determined to contain less than.1%asbestos Via the TEM method,must also be analyzed via PLM(198.6)to verify the.abserice of large amphibole fibers Which may not havebeen successfully:transferred.to the EM Grids. The State of New Jersey recently adopted amendments to their regulations requiring gravimetric reduction followed by PLM and TEM analysis for NOB building materials. The regulations can be found at"litto://Iwd.dol:slate.zii.usllaboxllsse/1Ews/Asbestes la�v.Yitriil#Sa39. Recently(April 3,2011),_Maine DEP revised their regulations tdrequire gravimetric reduction of NOBs https://WWwl.maine.aov/debfwasidasbestosidocuments/asbbulksampanalvsisnrotocolsformYenabled.pdf. Vermiculite-As.of July 9,;20.13,NYS has issued new guidance on Vermiculite loose bulk.materials and insulation materials.which contain Vermiculite. The following quotes have been taken from their.guidance letter:an `-;f maierial is attic fill,nl9c1cfrrll or other loose bulk.vermiculite materials,,it must'be designated d treated asAC?vf No approved ana1yiical.rnethod currently esz±to reliably cortf rm such vermiculite material as non AA 'C ZYliere thermal syste»rs ins,lotion(T'S),'�;or other presnrnedACM(PACM)or miscellaneous° suspectACMcontam 10%verriicul%te or:less,certiijFed laboratories may use,ELAP Certification Manual Item 1981.to determine the asbestos content of the material Where T'SI, or.other FACltilor miscellaneoursuspect ACMcoritamgreater than 10%vermiculite,,1/em 198.E may he used to evaluate thie asbestos content of tjre.material;provided however,that any test:results gring this method must be reported with the following compicvous disclaimer:" meth.orl doeynot remove vermiculite oral may underestniaute lire level-of asbestos presestt in a sa1iple contairiiuggrade than 10%vern iculitea" Seethe EPA website at lifttas://11v3v a +rz;erivlasbestail0kotect-vou ninny asbestos-cdntenhinated-verrrrictitlte-in.iiik ion Surfacing Material Containing Vermiculite-As of May 6,2016,NYS has issued neW guidance regarding Surfacing Material containing vermiculite i(essentially expanding the previous requirements for.spray-oil fireproofing to apply to all surfamatericing als). If a'surfacing material contains Oily vermiculite,it ii list lie analyzed via NYS-DOH Method'198.8(or_RJLee Group Method 055)to be deemed negative for asbestos: Surface Wipe Samples-Due to the fact that a large percentage of asbestos fibers released from deteriorating asbestos-containing materials.or from improperly performed abatement activities are on the order of 5 micrometers or less and are near or below the resolution of a Polarized Light Microscope,Eastern Analytical Services,Inc.recommends that negative surface wipe,samples be confirmed utilizing Transmission ElectronMicros copy. Point Counting-New York,State Department of Health regulations require quantification of asbestos via the"Stratified Point Count" Method for all bulk samples originating from New York State. Please..indicate the.state of origin on the Chain of Custody form for all samples submitted to the laboratory.There is no additional charge for,quantificationusing this method. Layered Samples-NESHAP policy regarding layered bulk samples has changed. Ili the past,laboratories were.required to analyze individual layers of multi-layered bulk sarirples separately,but report the results in terms of quantity of asbestos for the composite sample. This.policy change requires that the layers be analyzed separately and reported as such. Additionally,materials are to be characterized as asbestos or non-asbestos based On the results of the individiiallayers. As a result of this policy,EAS will be reporting the results Of the individual layers of multi-layered bulk samples submitted for asbestos analysis UNLESS COMPOSITE RESULTS ARE SPECtriCALLY REQUESTED BY THE CLIENT. Additional layers for all bulk. samples.will be billed as separate sainples. If you have any questions concerning the above,please feel free to contact EAS. 4 Westchester Plaza Elmsford,New York 10523-1610 (914)592-8380 http://uwwv.EASlnc.com CASMITL General Terms and Conditions March 2018 1. Unforeseen Conditions/Occurrences Cost and schedule profits or any other indirect, special, incidental or consequential commitments contained in CASmith,LLC(CASmith)proposal shall damages of any nature whatsoever. be subject to renegotiation for unreasonable delays caused by the client's failure to provide specified facilities or information or for b. Client shall indemnify and hold harmless CASmith and its delays caused by unpredictable occurrences such as fires, floods, directors, officers, employees, and agents from and against all strikes,riots,unavailability of labor or materials or services,process liability,claims,suits,losses,damages,costs and demands,including shutdown,acts of God or of the public enemy,or acts of regulations reasonable legal expenses and attorney's fees connected therewith,on of any governmental agency. Work stoppage or interruption caused account of personal injury, including death, or property damage, by any of the above may result in additional cost(requiring a change sustained by any person or entity not a party to any agreement in scope) beyond that identified in CASmith's proposal for between CASmith and client and arising out of or connected with the performance of the Project,entitling CASmith to an adjustment to the performance of such agreement,to the extent such injury,death or cost and schedule. damage is caused by the sole or contributory negligence or willful misconduct of client or its contractors or their respective employees, 2. Payment Terms Invoices will be submitted on a monthly basis officers and agents;provided that such injury,death or damage is not unless otherwise stated in the CASmith proposal. All invoices are occasioned by the sole negligence of CASmitli or its subcontractors due upon receipt. All unpaid balances outstanding over thirty days or their respective employees, officers and agents; and provided will incur an interest charge of 1.5%per month or the maximum further that client's obligation hereunder shall not extend to permissible under state law. CASmith reserves the right to suspend indemnification or holding harmless of a party indemnified hereunder service, with 7 days advance written notice, until all outstanding for any claims of Ioss of profits or any other indirect, special, invoices are satisfied. In the event that CASmith is required to incidental or consequential damages of any nature whatsoever. pursue payment through retainment of counsel or a collection service, reasonable costs of collection will be incurred by and be the c. Client acknowledges that CASmith has neither created nor responsibility of the client contributed to the creation or existence of any type of hazardous or toxic waste,material,chemical,compound,or substance,or any other 3.Termination Any agreement may be terminated in whole or in part type of environmental hazard, contamination, or pollution,whether in writing by either party in the event of substantial or material latent or patent,or the release thereof or the violation of any law or failure by the other party to fulfill its obligations under such regulation relating thereto,at the site of the Project or in connection agreement through no fault of the terminating party,provided that no with the performance of the Project, and it is understood that such termination shall be effective unless the other party is given(1) CASmith shall have no liability for any such condition, and client not less than ten calendar days written notice of intent to terminate shall indemnify CASmith for any and all loss, cost, or damage and (2) an opportunity for consultation with the terminating party actually sustained and incurred by CASmith in connection therewith prior to the effective date of such termination.A final invoice will be calculated on the first or fifteenth of the month (whichever comes d.The provisions of Paragraph 5 shall survive the completion of thc first)following the effective date of termination. Project or the expiration, cancellation or termination of any agreement between CASmith and client. 4. Insurance CASmith shall maintain policies of insurance for the following types of coverage, each (with the exception of Workers Compensation)with a limit of liability of$1,000,000.00 combined 6.Standard of Care single limit a. CASmith will perform its services using that degree of care and Workers Compensation(statutory)and Employer's Liability; skill ordinarily exercised under similar conditions by reputable Comprehensive General Liability;and members of the environmental engineering and consulting profession Comprehensive Automotive Liability. performing the kind of services and practicing in the same or similar locality at the time of service. CASmith shall, at the client's request, provide the client with a certificate of insurance or other satisfactory evidence that such b.Except for the express promise set forth in subparagraph(a)above, insurance has been obtained and that such policies are maintained in regarding CASmith's standard of care,CASmith neither makes,nor force throughout the period in which CASmith provides services to offers, nor shall CASmith be liable to client for any express or the client under any agreement. implied warranties with respect to the performance of CASmith's services. Estimates of cost, approvals, recommendations, opinions, 5.Indemnification and decisions are made on the basis of CASmith's experience, a. CASmith shall indemnify and hold harmless the client and its qualifications, and professional judgment and are not guaranteed. directors, officers, employees, and agents from and against all CASmith shall not be regarded as a guarantor with respect to any liability,claims,suits,losses,damages,costs and demands,including work product provided to client. THE IlIPLIED WARRANTIES OF reasonable legal expenses and attorney's fees connected therewith,on MERCHANTABILITY AND FITNESS FOR A PARTICULAR account of personal injury, including death, or property damage, PURPOSE ARE HEREBY WAIVED BY CLIENT. sustained by any person or entity not a party to any agreement between CASmith and client and arising out of or connected with the c. In no event shall CASmith and CASmith's officers, directors, performance of such agreement,to the extent such injury, death or employees, agents, independent professional consultants, and damage is caused by the sole or contributory negligence or willful contractors be liable to client and/or anyone claiming by,through or misconduct of CASmith or its subcontractors or their respective under client, including client's insurers, for any lost, delayed, or employees, officers and agents;provided that such injury, death or diminished profits, revenues, or opportunities; losses by reason of damage is not occasioned by the sole negligence of client or its shutdown or inability to utilize or complete work at the site of the contractors or their respective employees, officers and agents; and Project; or any other incidental, special, indirect, or consequential provided further, that CASmith's liability under this indemnity damages of any kind or nature whatsoever resulting from CASmith's provision shall be limited to and not exceed the insurance coverage's performance or failure to perform services pursuant to any agreement. and associated limits of liability which CASmith is required to secure d. CASmith and CASmith's officers, directors, employees, agents pursuant to Paragraph 4 hereof;and provided further that CASmith's and independent professionals and contractors shall not be liable to obligation hereunder shall not extend to indemnification or holding client and/or anyone claiming by,through or under client,including harmless of a party indemnified hereunder for any claims of loss of client's insurers, nor shall CASmith be liable to indemnify client pursuant to Paragraph 5,hereof,in an amount which exceeds either 1 of 2 za tes&coNDr77oNS.Doc (i)$100,000.00 or the total compensation value to CASmith of the c.Because computer-based applications are inherently complex and Project,whichever amount is less,if the claims of client or client's may not be completely free of errors,it is the client's responsibility insurers against CASmith are not covered by the insurance coverages to: verify the data within the Software; confirm the accuracy and and associated limits of liability which CASmith is required to completeness of the reports generated by the Software;and to make maintain pursuant to Paragraph 4 hereof, backup copies of the Software. In no event will CASmith be liable or (ii) the amount of coverage afforded by CASmith's insurance for indirect, special, incidental, tort, economic, cover or coverage as described in Paragraph 4 hereof if the claims of client or consequential damages arising out of the use or inability to use client's insurers against CASmith are covered by the insurances and CASmith software products or services,including,without limitation, associated limits of liability which CASmith is required to maintain damages or costs relating to the loss of profits,business,goodwill, pursuant to Paragraph 4 hereof. The client hereby forever releases data or computer programs,even if advised of the possibility of such CASmith and its officers,principals,employees and agents from any damages. In no case shall CASmith's liability exceed the amount liability for losses or damages sustained and incurred by the client in paid by the client for the Software out of which such claim arose. excess of such amount. d. For use, duplication or disclosure by the United States e.As used in this Paragraph 6,the term"liable"or"liability"means Government, CASmith software and/or user documentation is liability of any kind, whether in contract (including breach of provided with RESTRICTED AND UNITED RIGHTS. Use, warranty), in tort (including negligence, whether of CASmith or duplication or disclosure by the Government is subject to restrictions others),in strict liability,for indemnity,or otherwise,for any and all as set forth in FAR.52.227-14(June 1987)Alternate III(g)(3)(June injuries,claims,losses,expenses or damages whatsoever arising out 1987), FAR 52.227-19 (June 1987), or DFARS 52.227-7013 of or in any way related to CASmith's services from any cause or (c)(1)(ii) (June 1988), as applicable. In the event the Government causes whatsoever,including but not limited to the negligence,errors, seeks to obtain the Software pursuant to standard commercial omissions, strict liability or breach of contract of CASmith and/or practice,these Terms and Conditions,instead of the noted regulatory CASmith's officers, directors, employees, agents and independent clauses,shall control the terms of the Government license. professional consultants, or any of them. The provisions of this Paragraph 6 providing for limitations of and protections against 10.Promotion Client agrees that CASmith may use client's name CASmith's liability shall survive the completion of the Project or the and general description of the Project as a reference for marketing to expiration, cancellation, or termination of any agreement between other prospective clients. CASmith and client, and such provisions shall apply the full extent permitted by law. 11. Subpoena/Depositions If'CASmith personnel are called or subpoenaed for depositions,examination,or court appearances in any 7. Hazardous Materials Client recognizes that, when it is known, dispute arising out of the Project,CASmith shall be reimbursed on a assumed or suspected that hazardous materials exist on or beneath the time and material basis in accordance with this agreement for such • surface of the site of the Project or within any structure thereon, matters,including all out-of-pocket costs incurred in connection with " certain sampling materials,such as drill cuttings and drilling fluids or such matters. asbestos removed for sampling,should be handled as if hazardous or contaminated. Accordingly,when sampling is included in the scope 12.Severability If any of these General Terms and Conditions shall of services and when determined by CASmith in its sole and be finally determined to be invalid or unenforceable in whole or in exclusive judgment to be necessary based on CASmith's assessment part,the remaining provisions hereof shall remain in full force and of the degree of contamination, hazard and risk, CASmith will effect and be binding upon the parties. The parties agree to reform promptly inform client that containerization and labeling will be the contract between them to replace any such invalid or performed;will,appropriately contain and label such materials;and unenforceable provisions with a valid and enforceable provision that will leave the containers on site for proper,lawful storage,removal, comes as close as possible to the intention of the stricken provision. transport and disposal by client. Client waives any claim against CASmith, and agrees to indemnify, defend and hold CASmith 13. Priority and Intearation Once the client has signified its harmless from any claim or liability for injury or loss which may acceptance of CASmith's proposal,the express terms of CASmith's arise as a result of the drill cuttings,drilling fluids or other assumedly proposal to client and these General Terms and Conditions shall hazardous materials being left on the site of the Project after their constitute the complete and exclusive statement of the terms of the containerization by CASmith. agreement between the parties and are intended as a final expression of the terms of such agreement and will supersede all prior and 8. Documents All correspondence, written reports and supporting contemporaneous agreements,representations or conditions,express documents provided under this agreement are for exclusive use and or implied,oral or written. No provision of CASmith's proposal or reliance by the client. Client acknowledges that these documents will these General Terms and Conditions may be waived, altered, or not be used or relied upon by entities other than the client and may modified in any manner,unless the same shall be set forth in writing not be used or relied upon in any prospectus or offering curriculum. and signed by a duly authorized representative of CASmith. Client may use its standard business forms (such as purchase orders) to 9.CASmith Software administer any agreement between CASmith and client,but use of a. CASmith services may include the development of customized such forms shall be for convenience purposes only, and any typed computer applications for clients,hereinafter the"Software." provision in conflict with the terms of CASmith's proposal or these b.CASmith retains intellectual rights to all Software techniques used General Terms and Conditions and all pre-printed terms and to develop computer-based applications for clients. CASmith retains conditions contained in or on such forms shall be deemed stricken all associated rights not expressly granted. and null and void. 2 of 2 TERLLS&CONDITIONS.DOC Attachment 6 Other Relevant Documents (As available) Examples- Surveys, Client Documents • CASKLEM Z:\CAsmith\Clients\Environmental\Patten Property Development,LLC\Lake House,92 Hall Road,Queensbury NY\Report\Report.doc 7/10/23, 1:08 PM Property Details-Image Mate Online S'‘;') tr) DG Image Mate Online •Navigation •GIS Map .Tax Maps DTF Links 1 I 9 P I. Help Contact Us Log In Residential Photographs Municipality of Queensbury Property Info (Click on photo to enlarge it.) Owner/Sales F k ��1 , SWIS: 523400 Tax ID: I 289.11-1-23 t ky ? "" .,, Inventory x. .: ,. Improvements • Tax Map ID/Property Data :"` Report + Status: Active Roll Section: Taxable ". Address: 96 Hall Road Property Class: 210-1 Family Res Site Property Class: 210-1 Family Res 6/23/2014 • Ownership Code: W-Waterfront Site: Res 1 In Ag.District: No Zoning Code: WR- Bldg.Style: Old style Maps Neighborhood: 00123-Glen Lake School District: Lake George Property Description: Res Ward 1 93'lf View Tax Map Total Acreage/Size: 0.30 Equalization Rate: — Pin Property on GIS Map Land Assessment: 2023-$266,000 Total Assessment: 2023-$451,000 2022-$266,000 2022-$305,500 View in Google Maps Full Market Value: 2023-$530,588 2022-$339,400 View in Bing Maps Deed Book: 5126 Deed Page: 122 ' Grid East: 714475 Grid North: 1653332 Map Disclaimer Special Districts for 2023 Description Units Percent Type Value EM001-Emergency medical 0 0% 0 FP007-Fire protection 0 0% 0 GL001-Glen Lake Protect 1 0% - 0 LB001-Crandall library dst .0 0% 0 Special Districts for 2022 Description Units Percent Type Value EM001-Emergency medical 0 0% 0 FP007-Fire protection 0 0% 0 GL001-Glen Lake Protect 1 0% 0 LB001-Crandall library dst 0 0% 0 Land Types Type Size Waterfront 90 x 145 https://imo.warrencountyny.gov/propdetail.aspx?swis=523400&printkey=28901100010230000000 1/1 7/10/23, 1:08 PM Property Details-Image Mate Online kis.1 1461:0G Image Mate Online Navigation ,GIS Map Tax Maps I DTF Links; i Help Contact Us Log In' Residential Photographs Municipality of Queensbury Property Info (Click on photo to enlarge it) rlik-- Owner/Sales . '7 SWIS: 523400 Tax ID: 289.11-1-23 � __ ' Inventory � y. Improvements '•"'5s _1� OwnershipInformation 1_'. "-- ' "u ,TVs Report l't*Wa i Name Secondary Name Address — _ - Vicki R Johnson P.O.Box 2203 ;,,� LaJolla CA 92038 6/23/2014 Sale Information Sale Date Price Property Class Sale Type Prior Owner Maps 3/13/2015 $250,000 260-Seasonal res Land&Building Johnson,Steven Value Usable Arms Length Deed Book Deed Page View Tax Map No No 5126 122 Additional Parcels I289.11-1-59.312 in Queensbury Involved in Sale Pin Property on GIS Map View in Google Maps Sale Date Price Property Class Sale Type Prior Owner 5/18/2000 $52,500 260-Seasonal res Land&Building Johnson,Steven View in Bing Maps Value Usable Arms Length Deed Book Deed Page No No 1166 174 Map Disclaimer Sale Date Price Property Class Sale Type Prior Owner 9/7/1998 $0 260-Seasonal res Land&Building Johnson,Leonard Value Usable' Arms Length Deed Book Deed Page • No No 1080 293 https://imo.warrencountyny.gov/propdetail.aspx?swis=523400&printkey=28901100010230000000 1/1 7/10/23, 1:08 PM Property Details-Image Mate Online ifitG Image Mate Online Navigation GIS Map Tax Maps I DTF Links a I Help Contact Us Log In Residential Photographs Municipality of Queensbury Property Info (Click on photo to enlarge it.) Owner/Sales SWIS: 523400 Tax ID: 289.11-1-23 „. ..' Inventory x +k MM1 4 Improvements ' ' . Structure s ��t Report ,-nr Building Style: Old style Number of Baths: 1(Full)-1(Half) - = Number of Bedrooms: 2 6/23/2014 Number of Kitchens: 1 Number of Fireplaces: 0 Overall Condition: Normal Maps Overall Grade: Average Porch Type: View Tax Map Porch Area: Year Built: 1930 Pin Property on GIS Map Eff Year Built: 1990 View in Google Maps Basement Type: Slab/pier Basement Garage Cap.: 0 View in Bing Maps Attached Garage Cap.: 0 sq.ft. Map Disclaimer Area Living Area: 873 sq.ft. First Story Area: 873 sq.ft. Second Story Area: 0 sq.ft. Half Story Area: 0 sq.ft. Additional Story Area: 0 sq.ft. Three-Quarter Story Area: 0 sq.ft. Finished Basement: 0 sq.ft. Finished Rec Room: 0 sq.ft. Finished Area Over Garage: 0 sq.ft. Number of Stories: Utilities Sewer Type: Private Water Supply: Private Utilities: Electric Heat Type: Electric Fuel Type: Electric Central Air: Yes https://imo.warrencountyny.gov/propdetail.aspx?swis=523400&printkey=28901100010230000000 1/1 7/10/23, 1:08 PM Property Details-Image Mate Online i\)f) AIDG Image Mate Online 'Navigation GIS Map Tax Maps I DTF Links, Help .Contact Us ,Log In Residential Photographs Municipality of Queensbury Property Info (Click on photo to enlarge it.) r` Owner/Sales SWIS: 523400 Tax ID: 289.11-1-23 t"1"g, 7::V1 Inventory 4• Improvements Improvements Report Structure Size Grade Condition Year z _ Porch-enclsd 7 x 22 Average Normal 1930 Gar-1.0 det 24 x 24 Average Normal 2010 6/23/2014 Porch-screen 10 x 12 Economy Normal 1980 Maps View Tax Map Pin Property on GIS Map View in Google Maps View in Bing Maps Map Disclaimer https://imo.warrencountyny.gov/propdetail.aspx?swis=523400&printkey=28901100010230000000 1/1 Silt fence to be installed as noted. Installation must be completed&inspected ' f pfa to beginning demolition. F 1 Please contact this office to schedule an inspection of the site prio[to any demolition. � P N OF QUET(,JSEURY UILDING & CODES <. Q El ci+ D w v L 471 t a IN ''`t.� rx.', _ mgr . '. Vic 'r�e y$; %fi'. �.• roa ro T, . n o� 1y �' A 8 w Na rn r p r O � � eke 5i�' �•'. - �. �Ci-�j', . OIL r / R49, tp rf- R_ M - - _ 14 MAP RB'F$li8NC6'W. .. .. ' - ' - 289.I 1-1-23t•289.14-t-59,3.12 _ - - - .