BOTH-000479-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
F4 Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000479-2016 Date Issued: Friday, June 9, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000479-2016
has been completed.
Tax Map Number: 227.17-1-9.11
Location: 159 CLEVERDALE RD
Owner: JEAN HOFFMAN
Applicant: JEAN HOFFMAN
This structure may be occupied as a: Demolition of 1700 s.f. Residence
Asbestos report received and attached By Order of Town Board
TOWN OF QUEENSBBUURY
Issuance of this Certificate of Compliance DOES NOT relieve the � _ //
4 �ot
property owner of the responsibility for compliance with Site Plan, ���vvv3ttYYY
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
} TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000479-2016
Tax Map No: 227.17-1-9.11
Permission is hereby granted to: JEAN HOFFMAN
For property located at: 159 CLEVERDALE RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto tiled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: JEAN HOFFMAN Demolition $0.00
Owner Address: PO Box 222 Total Value $0.00
Clifton Park,NY 12065
Contractor or Builder's Name/Address Electrical Inspection Agency
Crandall Excavation Inc.
63 Woodchuck Hill RD
Lake George,NY 12845
Plans& Specifications
Demolition of 1700 s.f. Residence
Asbestos report received and attached
$ 30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,July 24, 2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town u bury; /� Fria ,t2016
SIGNED BY: /qJ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Oniv
Received __712fil01.(_______
DEMOLITION PERMIT APPLICATION Permit #: G`TI �9
NO WORK MAY COMMENCE UNTIL_ PERMIT IS ISSUED Permit Fee
Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads /streets. Show all existing structures
on property and indicate which are to be demolished. Indicate the location of all utilities
Date July 25, 2016 159 Cleverdale Rd .
____....-_______ Demolition Location
Tax Map ID _227.17-1-9.11 JUL 2 5 2016
APPLICANT Jean M. Hoffman - OWNER Jean M. Hoffman z
Address -PO Box 822 ____________ Address - PO Box 228----------------
_ ___..-. _
17-7ton Par&;-VF'�-1''fb�------- Clifton Park, NY 12065
Phone -518-495-8258---------------- --------_-----_---- PhoneM7777 7--------------
------------ ---57
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: __Jean M._Hoffman -------------- Phone:Phone: 518-495-8258
t. Person Responsible for Work Crandall Excavation 0a,I�{cjAe f -7ev
2. Where will demolition material be disposed? County baste - Ft. Ann 5-1�07,-'f3 04-51
3. Ail bufldings to be demolished require ary bestos Survey, le
- n
4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor
5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin
a) Is there any asbestos in the building to be demolished _XL_ Yes ____ No
b) If Yes, our office needs the following Information ____ Yes ____ No
Name of firm removing the asbestos C&C Unlimited
License number of firm 9012912
Indicate where the asbestos material will be disposed eneca Meadows Land ti
b. Structure Information
a) Indicate the structure(s)to be demolished XX Residence ___ Garage __- Business
__- Storage Bldg, --- Other
b) Size of Structure 1700 sq. ft .
c) Number of Stories 2
d) Foundation Type Concrete Block
e) Foundation Concrete
f) Structure(s) Wood
7. Utilities Information
a) Indicate utilities for this structure -_- Gas XX Electric ___ Propane _-- Public Water ___ Public Sewer
___ On-site well water pump
a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes ____ No N/A
b) Have all utilities been disconnected? ____ Yes _XX_ No Scbedul ed for August
8. Signature
Print Name; _ Jean1 M _Hof an --------------- Date --U_�' _ 2016
__-__--
Signature: _-_ = -"`^�-- -- _______________ Date _ July 25,_2016 --
Town of Queensbury Building & Codes - Demolition Permit - December 2014
I)-
227.17-1-9.11 BOTH-000479-2016
Aipi■ Hoffman, Jean
159 Cleverdale Road
Inc. Dema Only 1700 s.f. SFD
ENVIR0NMENTAI SERVICES
REPORT OF ASBESTOS INSPECTION
Performed For: Jean Hoffman
159 Cleverdale Road
TOWN OF QUEENSBURY Queensbury, New York 12804
BUILDING & SCO E' P * -„�'* r'.
Reviewed By:
Date:
TOWN OF QUEENSBURY
BUILDING DIrPAIRVAENT
Based on our limlted ex«nrination,co
with aur comments sk :' ,w! be cons k'`
indicating the plans anu s�ecification �•- _ �,
fell compliance with the Vuilding C -New York State.
Location of 159 Cleverdale Road
Inspection: Queensbury, New York 12804
Material or JUL 2 6 2016
Area Inspected: Whole building
Asbestos
Materials Tested: Drywall compound, ceramic wall tile grout, linoleum,window glazing,
vermiculite (assumed)
Non-Asbestos
Materials Tested: Drywall, breeching cement, block mortar,fireplace mortar, hearth mortar,
slate mortar, ceramic floor tile, mortar&grout, ceramic wall tile & adhesive,
flooring &vapor barrier/mastic (kitchen), covebase & mastic, linoleum &
vapor barrier/mastic(master bath), vapor barrier at sill plate, shower
adhesive, glue daub, fiberglass insulation paper, duct insulation paper,foil
vapor barrier(siding), shingles &vapor barrier, foundation coating,
Date(s) of Inspection: July 15, 2016
Project Number: 16-19420-A
438 New Karner Road •Albany, New York 12205 • Phone:(518)250-4047
July 2016 159 Cleverdale Road
Queensbury,New York
Inspection By: Alpine Environmental Services, Inc.
438 New Karner Road
Albany, New York 12205
Phone (518) 250-4047
Inspector(s): Paul Van Zandt: NYSDOL Cert.#AH95-02581
Scope and Purpose
This report is intended to document the pre-demolition asbestos inspection of the residence located at
159 Cleverdale Road in Queensbury, New York.
"Asbestos containing materials", as defined by the United States Environmental Protection Agency
(EPA), is any material containing greater than 1% by weight of asbestos. Friable samples (samples easily
crushed/pulverized by hand pressure), were analyzed via Polarized Light Microscopy (PLM) and Non-
Friable samples (samples not easily crushed/pulverized by hand pressure), were analyzed via
Transmission Electron Microscopy (TEM) by EMSL Laboratory of New York, New York, a New York State
Department of Health Approved Laboratory (ELAP#11506).
Description
The building was a two-story residential wood structure constructed in 1958. The interior walls were
drywall throughout with the exception of the basement block walls. No vermiculite was observed in the
block wall cavities. However, vermiculite was observed in the attic spaces. Hardwood floors were
throughout the first floor. Carpet covered the floors of the second floor. Electric wiring was not
sampled due to safety concerns. However, all wiring observed was either plastic or armor coated and
not suspect. The roof was pitched and covered with shingles. No pipe insulation was observed.
Limitations
Quantities of asbestos containing materials were estimated and the user must field verify all quantities.
Results of Asbestos Inspection
Bulk samples were collected of the subject structure, as prescribed by US EPA ASHARA protocols for the
number and types of samples. The following asbestos containing materials were found at 159
Cleverdale Road in Queensbury, New York:
Location ACM(Sample#s) Quantity Substrate Friability Condition
Throughout Drywall Compound 4,500 sq. ft. Drywall Friable Good
1st Floor (1-01)
15Y Floor Wall Tile Grout
Bathroom 120 sq.ft. Drywall Non-friable Good
(Adj. Kitchen) (9G-01)
Kitchen Linoleum 260 sq. ft. Wood Non-friable Good
(11-03)
Page 2 of 6
438 New Karner Road•Albany,New York 12205•Phone:(518)250-4047
July 2016 159 Cleverdale Road
Queensbury,New York
Asbestos Materials Cont'd
Location (SapM#Sy Quantity Substrate Friability Condition
Window Glazing
Exterior (23-01) 50 sq. ft. Wood/Glass Non-friable Good
Throughout 1St
Vermiculite
Floor Ceilings/ (Assumed) 1,820 sq. ft. Drywall Friable Good
Attic Spaces
*Quantities are estimates only and should be field verified by the user.
The following materials were sampled and determined not to contain asbestos:
Non-Asbestos Material Locations Sample#'s
Drywall 1st Floor Basement Stair, 2nd Floor Top of Stair 2-01, 2-02
Breeching Cement Basement 3-01,3-02
Block Mortar Basement 4-0114-02
Fireplace Mortar living Room 5-01, 5-02
Hearth Mortar Living Room 6-01, 6-02
Slate Mortar Back Porch 7-01, 7-02
Ceramic Floor Tile, st 8-01,8-02,
Mortar&Grout 1 Floor Bathroom 8M-01, 8M-02,
8G-01, 8G-02
Ceramic Wall Tile & 1 Floor Bathroom st 9-01,9-02,
Adhesive 9M-01, 9M-02
Ceramic Wall Tile, 10-01, 10-02,
Grout&Adhesive Master Bathroom 10G-01, 10G-02,
10M-01, 10M-02
Flooring&Vapor 11-01, 11-02,
Barrier/Mastic Kitchen 11M-01, 111VI-02
Covebase & Mastic Kitchen 12-01, 12-02,
12M-01, 12M-02
Linoleum &Vapor Master Bathroom 13-01, 13-02,
Barrier/Mastic 13M-01, 13M-02
Linoleum 2"d Floor Bathroom 1401, 14-02
Vapor Barrier Basement at top of Block Wall/Sill Plate Joint 15-01, 15-02
Shower Adhesive 2nd Floor Bathroom 16-01, 16-02
Glue Daub Attic Door at top of Stair 17-01, 17-02
Fiberglass Insulation Attic at top of Stair 18-01, 18-02
Paper
Duct Insulation Paper 2nd Floor Attic over Stair 19-01, 19-02
Foil Vapor Barrier Exterior Under Siding 20-01, 20-02
Vapor Barrier&Shingle Roof 21-01, 21-02,
22-01, 22-02
Foundation Coating Crawlspace 24-01, 24-02
Page 3 of 6
438 New Karner Road•Albany,New York 12205 9 Phone:(518)250-4047
July 2016 159 Cleverdale Road
Queensbury,New York
Conclusion & Recommendations
Any materials not sampled during this inspection should be considered suspect unless sampled and
determined to be non-asbestos. All asbestos containing materials must be abated prior to the
demolition/renovation of any of the structures unless performed under a variance issued by the NYS
Department of Labor. Disturbance/Abatement of any asbestos containing materials, as well as
necessary air monitoring, must be performed by a NYS DOL licensed contractor, in accordance with
state and federal regulations (NYS DOL LCR 56 and US EPA 40 CPR).
If I can be of any further assistance to you on this, or any other matter, please do not hesitate to
contact me (518) 250-4047, ext. 314.
Sincerely,
Alpine Environmental Services, Inc.
Paul Van Zandt
NYS Dept. of Labor Asbestos Inspector Certificate#AH95-02581
Enclosures: Samples Results, Chains of Custodies, Company License, Personal Certifications, Laboratory
Certifications
Page 4 of 6
438 New Karner Road•Albany,New York 12205•Phone:(518)250-4047
July 2016 159 Cleverdale Road
Queensbury,New York
Site Photos
3,
1r
v
Wall Tile Grout in 1 Floor Bathroom
� o �
.r� ,
AW .
Y�
Linoleum in Kitchen
Page 5 of 6
438 New Karner Road Albany,New York 12205.Phone:(518)250-4047
July 2016 159 Cleverdale Road
Queensbury,New York
Site Photos
01 7
r
Vermiculite in Attic Space
Page 6 of 6
438 New Karner Road•Albany,New York 12205•Phone:(518)250-4047
EMSLAnalytical, Inc. EMSLOrder: 031620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
TeYFax:(212)290-0051 1(212)290-0058 Customer PO:
http:ltwww.EMSL.com!manhattanlab@emsl.com Project ID:
Attention: Alpine Environmental 'Services phone: (518) 250-4047
438 New Karner Road Fax:
Albany, NY 12205 Received Date: 07/16/2016 11:05 AM
Analysis Date: 07/18/2016-07/19/2016
Collected Date: 07/15/2016
Project: 16-19420-A/159 CLEVERDALE RD, QUEENSBURY, NY
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 1-01 Description 1ST FLOOR ADJ BASEMENT STAIR-DRYWALL COMPOUND
031620692-0001 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1812016 White None 40.00%Ca Carbonate 1.25% Chrysotile
58.75% Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 1-02 Description 2ND FLOOR TOP OF STAIR-DRYWALL COMPOUND
031620692.0002 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/19/2016 White 63.00%Ca Carbonate None Detected
4.00% Mica
33.00% Non-fibrous(other)
Inseparable paint 1 coating layer included in analysis
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 196.4 NOB Not Analyzed
Sample ID 2-01 Description IST FLOOR BASEMENT STAIR-DRYWALL
031620692-0003 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07118/2016 White 12.00%Ca Carbonate None Detected
35.00%Gypsum
53.00%Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 2-02 Description 2ND FLOOR TOP OF STAIR DRYWALL
031620692.0004 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1912016 Brown[Gray 8.00%Cellulose 60.00% Gypsum None Detected
32.00% Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:07119/2016 04:48:48
ASB-198x_0009- 1.7 i Printed 7/1912016 4:48:56AM Page 1 of 7
EIVISL Analytical, Inc. EMSLOrder: 031620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http:llwww.EMSL.eom l manhattanlab@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 3-01 Description BASEMENT-BREECHING CEMENT
031620692-0005 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07118/2016 Gray/White 10.00%Wollastonite 20,00%Ca Carbonate None Detected
70.00% Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 3-02 Description BASEMENT-BREECHING CEMENT
031620692-0006 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1912016 Gray/White 20.00%Fibrous(other) 80.00°% Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NDB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 4-01 Description BASEMENT-BLOCK MORTAR
031620692-0007 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711812016 Gray 12.00%Ca Carbonate None Detected
38.00°% Nan-fibrous(other)
50.00°%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 4-02 Description BASEMENT-BLOCK MORTAR
031620692-0008 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1912016 Gray/White 5.00%Mica None Detected
55.00% Non-fibrous(other)
40,00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 5-01 Description LIVING ROOM-FIREPLACE MORTAR
031620692-0009 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/18/2016 Brown 5.00°%Cellulose 6.00%Ca Carbonate None Detected
12.00°%Gypsum
17.00°% Nan-fibrous(other)
60.00°%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:07!19!2016 04:48:48
ASB_198x_0009-1.71 Printed 711912016 4:48:56AM Page 2 of 7
EMSL Analytical, Inc. EMSLOrder: 031620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http:ftwww.EMSL.com 1 manhattanlab@emsl.com project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Calor Fibrous Non-Fibrous Asbestos
Sample ID 5-02 Description LIVING ROOM-FIREPLACE MORTAR
031620692-0010 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711912016 Gray 30.00% Gypsum None Detected
35,00% Non-fibrous(other)
35.00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 6-01 Description LIVING ROOM-HEARTH MORTAR
031620692-0011 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1812016 Gray 34.00%Nan-fibrous(other) None Detected
66.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOH Not Analyzed
Sample ID 6-02 Description LIVING ROOM-HEARTH MORTAR
031620692-0012 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711912016 Gray 25.00%Ca Carbonate None Detected
2.00%Mica
33.00% Non-fibrous(other)
40.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 7-01 Description BACK PORCH-SLATE MORTAR
031620692-0013 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711812016 Gray 6.00% Ca Carbonate None Detected
34.00%Non-fibrous(other)
60.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 7-02 Description BACK PORCH-SLATE MORTAR
031620692-0014 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711912016 Gray 22.00% Ca Carbonate None Detected
40.00% Nan-fibrous(other)
38.00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:07/19/2016 04:48.48
ASB_198x_0009-131 Printed 7/1912016 4:48:56AM Page 3 of 7
EMSLAnalytical, Inc. EMSLOrder: 061620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Customer PO:
TellFax:(212)290-0051 1(212)290-0058
u http N.www EMSL.com l manhattanlab@emsl.com Project ID:
Test Report:AsbestoS Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 8-01 Description 1ST FLOOR BATHROOM-CERAMIC FLOOR TILE
031620592-0015 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/1812016 Gray 5.00%n Ca Carbonate None Detected
90.00% Non-fibrous(other)
5.00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID B-02 Description 1ST FLOOR BATHROOM-CERAMIC FLOOR TILE
031620692-0016 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07!1912016 Brown/White 100.00%o Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 8M-01 Description 1 ST FLOOR BATHROOM-FLOOR TILE MORTAR
031620692-0047 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711812016 Gray 50.00% Non-fibrous(other) None Detected
50.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 8M-02 Description 1 ST FLOOR BATHROOM-FLOOR TILE MORTAR
034620692.0018 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/19/2016 Gray 20.00%Ca Carbonate None Detected
35.00% Non-fibrous(other)
45.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID BG-01 Description 1 ST FLOOR BATHROOM-FLOOR TILE GROUT
031620692-0019 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07118/2016 Gray/White 15.00% Ca Carbonate None Detected
30.00% Non-fibrous(other)
55.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID BG-02 Description IST FLOOR BATHROOM-FLOOR TILE GROUT
031620692-0020 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711912016 White 63.00% Non-fibrcus(other) None Detected
37.00%o Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:07/19/2016 04:48:48
ASB_198x0009-4.71 Printed 711912016 4:48:56AM Page 4 of 7
EMSL Analytical, Inc. EMSL Order: 031629692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-00511(212)zso-Dass
Customer PO:
http:/twww.EMSL.com!manhattantab'a@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 9-01 Description IST FLOOR BATHROOM-CERAMIC WALL TILE
031620692-0021 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07118/2016 Gray 100.00% Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 9-02 Description 1ST FLOOR BATHROOM-CERAMIC WALL TILE
031620692-0022 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/19/2016 White!Black 100.00% Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 9G-01 Description 1ST FLOOR BATHROOM-WALL TILE GROUT
031620692-0023 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711812016 Tan None 40.00% Ca Carbonate 2.07% Chrysotile
57.93%Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample 1D 9G-02 Description 1ST FLOOR BATHROOM-WALL TILE GROUT
031620692-0024 Homogeneity
PLM NYS 198.1 Friable 0711812016 Positive Stop
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NDB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 10-01 Description MASTER BEDROOM-CERAMIC WALL TILE
031620692-0025 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07118!2016 White 100.00% Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 10-02 Description MASTER BEDROOM-CERAMIC WALL TILE
031620692-0026 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/19/2016 White/Black 100.00% Non-fibrous(other) None Detected
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:07/1912016 04:48:48
ASS_198x_0009-1.71 Printed 7/1912016 4:48:56AM Page 5 of 7
EMSL Analytical, Inc. EMSL.Order: 031620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http:tNvww.EMSL.com 1 manhattaniab@emsi.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 10G-01 Description MASTER BEDROOM-WALL TILE GROUT
031620692-0027 Homogeneity Homogeneous
PLM NYS 198.1 Friable 07/18/2016 White 50.00% Ca Carbonate None Detected
38.00%4 Non-fibrous(other)
12.00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 10G-02 Description MASTER BEDROOM-WALL TILE GROUT
031620692-0028 Homogeneity Homogeneous
PLM NYS 198.1 Friable 0711912016 White 45.00% Ca Carbonate None Detected
50.00% Non-fibrous(other)
5.00% Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial Report From:0711912016 04:48:48
ASS_198x_0009-'1.71 Printed 7/19/2016 4:48:56AM Page 6 of 7
EMSL Analytical, Inc. EMSL Order: 031620692
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http,!lwww.EMSL.com/manhattanlab@emsl.com Project 1D:
Test Report:Asbestos Analysis of Bulk Material
The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS FLAP Approved Methods.The
reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples.
Report Comments:
Sample Receipt Date: 7/16/2016 Sample Receipt Time: 11:05 AM
Analysis Completed Date: 7/1812016 Analysis Completed Time: 6:06 PM
Analyst(s):
Deena Charles PLM NYS 198.1 Friable(14) Shahrakur Mahmud PLM NYS 198.1 Friable(13)
Samples reviewed and approved by:
James Hall,Laboratory Manager
or Other Approved Signatory
NOB=Non Friable Organically Bound NIA=Not Applicable VCM=Vermiculite Containing Material
-In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing.
All samples examined for the presence of vermiculite when analyzed via NYS 198.1.
-NYS Guidelines for Vermiculite containing samples are available at http:1lwww,wadsworth.org4abcerUelapcert/forms/VermiculitelnterimGuidanr-e_Rev070913.pdf EMSL
maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by
EMSL.EMSL bears no responsibility for Sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client.
Samples were received in good condition unless otherwise noted.
This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may
contain data that is not covered by the NVLAP accreditation.
Samples analyzed by EMSL Analyticar,Inc.New Yak,NY NYS ELAP 11506
Initial Report From:07119/2016 04:48:48
ASB 198x 0009-1.71 Printed 7/19/2016 4:48:56AM Page 7 of 7
OrderID: 031620692 ko(5(?t�tptne rnvironmentat services,Inc. ����n� OPPhone:(518)25(1-404?
438 New Karver Road
Albany,NY 12205
CHAIN OF CUSTODY
Client:Alpine Environmental Services.Inc. Project: 159 Cleverdale Rd ueensb NY
438 New Kamer Road Project Number: 16-19420-A
Albany,NY 12205 Sampled By:P. Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 Pauly _.alpineenv,com Delivery:Fed Ex� 1sa aM7 ';;S1
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. Performed
1-01 1"Floor Adj.Basement Stair Drywall Compound NYS PLM
1-02 2" Floor Top of Stair Drywall Compound
2-01 1"Floor Basement Stair Drywall stop �at 1
Positive
2-02 2nd Floor Top of Stair Drywall 2-01 to 2-02
3-01 Basement Breeching Cement Stop at 1st
Positive
3-02 Basement -Breeching Cement 3-01 to 3-02
4-01 Basement Block Mortar Stop e
Positivep,,
C') -:•.
4-02 Basement Block Mortar 4-OLto 4-0
c
5-01 Living Room Fireplace Mortar
osSte iat1c'`�
. ti��
5-02 Living Room Fireplace Mortar 5"
6-01 Living Room Hearth Mortar Std e
Posititi ve
6-12 Living Room Hearth Mortar 6-01 to 6-02
Disposition of Samples:Accept Reject Explain
Comments:
4l0
Relinquished By: Received By: Da ime:
Page I of 3
or`derTD� 031620692
rl1F111c L;LJVt,u111t1c1Wa1 Oervices,Inc. Phone: (518)2504047
438 New Karver Road Albany,NY 12205 016X&I
CHAIN OF CUSTODY
Client: Alpine Environmental Services, Inc. Project: 159 Cleverdale Rd, Queensbury,NY
438 New Karver Road Project Number: 16-19420-A
Albany,NY 12205 _ Sampled By: P. Van Zandt
Contact: Paul Van Zandt Date I Time Collected: 07115/16
Phone/Email: 518 250-4047 paulv@alpineenv.com Delivery: Fed Ex
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. I I I Performed
7-01 Back Porch Slate Mortar NYS PLM Stop at 1St
Positive
7-02 Back Porch Slate Mortar 7-01 to 7-02
st
8-01 1S1 Floor Bathroom Ceramic Floor Tile StoP at positive
8-02 1St Floor Bathroom Ceramic Floor Tile 8-01 to 8-02
st
8M-01 1st Floor Bathroom Floor Tile Mortar Stat I
op Positive
8M-02 I"Floor Bathroom Floor Tile Mortar 8 8 -0 t
St
8G-01 1st Floor Bathroom Floor Tile Grout at i
Pp Positive
8G-02 1St Floor Bathroom Floor Tile Grout 8G-01 to 8G-02
st
9-01 1St Floor Bathroom Ceramic Wall Tile Stop at I
Positive
9-02 151 FIoor Bathroom Ceramic Wall Tile 9-01 to 9-02
Si
9G-01 1St p Floor Bathroom Wall Tile Grout at I
Positive
9G-02 1St Floor Bathroom Wall Tile Grout 9G-P.1 to 96;;02
Disposition of Samples: Accept Reject Explain _,
Comments:
crti
Relinquished By: Received By: ate: Tif e: --
Cil n
Page 2of3 :
'i�t`C1t�►,1's 3'T ctvi
Or'derL YDa�Zi w 031620692 s n ,.services,Inc. Phone:(518)250--4047
438 New Karver RoadJ �
Albany,NY 12205
CHAIN OF CUSTODY
Client:Alpine Environmental Services,Inc. Project: 159 Cleverdale Rd,Queensbury,NY
438 New Kamer Road Project Number: 16-19420-A
Alb=.NY 12205 Sampled By:P.Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 paulv(c)alpineenv.com Delivery:Fed Ex
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. I I Performed
10-01 Master Bathroom Ceramic Wall Tile NYS FLM 'Stop at I"
Positive
10-02 Master Bathroom Ceramic Wall Tile 10-01 to 10-02
IOG-01 Master Bathroom Wall Tile Grout Stop at 1'
Positive
l OG-02 Master Bathroom Wall Tile Grout l OG-01 to
IOG-02
o t—
cn
c:
Disposition of Samples:Accept Reject Explain
Comments:
Relinquished By: Received By: Date: Time:
Page 3 of 3
'lilq fi �113'7dt1M
EMSL Analytical, Inc. EMSLOrder: 031620681
Customer ID: ALP150
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
htip:1Avww.EMSL.com I manhattanlab@emsl.com Project ID:
Attention: Alpine Environmental Services Phone: (518)250-4047
438 New Kamer Road Fax:
Albany, NY 12205 Received Date: 07/16/2016 11:13 AM
Analysis Date: 07/1812016
Collected Date: 07/15/2016
Project: 16-19420-A/159 CLEVERDALE ROAD/QUEENSBURY„ NY
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 9M-01 Description 1 ST FLOOR BATHROOM-WALL TILE ADHESIVE
031620681-0001 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 Brown 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 Brown 100.00%Other None Detected
Sample ID 9M-02 Description 15T FLOOR BATHROOM-WALL TILE ADHESIVE
031620661-0002 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOH 0711812016 Brown 100.00°/Other Inconclusive:None Detected
TEM NYS 198.4 NOS 07118/2016 Brown 100.00% Other None Detected
Sample ID IOM-01 Description MASTER BATHROOM-WALL TILE ADHESIVE
031620681-0003 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 White 100.00% Other None Detected
Sample ID IOM-02 Description MASTER BATHROOM-WALL TILE ADHESIVE
031620681-0004 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711 B/2016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 White 100.00% Other None Detected
Sample ID 11M-01 Description KITCHEN UNDER BOTTOM FLOORING-VAPOR BARRIER/MASTIC
031620681-0005 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOS 0711812016 Black. 100.00% Other None Detected
Report amended:0711912016 11:08:18 Replaces initial report from:0711912016 1047:28 Reason Code:Data Entry-Change to Appearance
ASB_195x0009-1.71 Printed 711912016 11:08:45AM Page 1 of 8
EIVISLArnalytical, Inc. EMSLOrder: 031620681
307 West 36th Street New York,NY 10018 Customer ID: ALPI50
Tel]Fax:(212)290-0051 1(212)290-0058 Customer PO:
http:llwww.EMS L.com 1 manhattanlab@lo emsi.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 11M-02 Description KITCHEN UNDER BOTTOM FLOORING-VAPOR BARRIER/MASTIC
031620681-0006 Homogeneity Heterogeneous
PLM NYS 198.1 Friable NotAnatyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Black 100.00% Other None Detected
Sample ID 11-01 Description KITCHEN UNDER LINOLEUM-FLOORING
031520681-0007 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Red 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Red 100.00% Other None Detected
Sample ID 11-02 Description KITCHEN UNDER LINOLEUM-FLOORING
031620681-0008 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Red 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Red 100.00% Other None Detected
Sample ID 11-03 Description KITCHEN TOP LAYER-LINOLEUM
031620681-0009 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Gray None 90.80% other 9.20% Chrysotile
TEM NYS 198.4 NOB 0711812016 Positive Stop(Not Analyzed)
Sample ID 11-04 Description KITCHEN TOP LAYER-LINOLEUM
031620681.0010 Homogeneity
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Positive Stop(Not Analyzed)
TEM NYS 198.4 NOB 0711812016 Positive Stop(Not Analyzed)
Sample ID 12M-01 Description KITCHEN-COVEBASE MASTIC
031620681-0011 Homogeneity HeterogeneouslHcmogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Yellow 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Yellow 100.00%Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:07/19/2016 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB 198x 0009-1.71 Printed 7/1912016 11:08:45AM Page 2 of 8
EMSL Analytical, Inc. EMSLOrder: 031620681
307 West 381h Street New York,NY 10018 Customer ID: ALP150
Tel/Fax:(212)290-0051 1(212)290.0058 Customer PO:
W http:/1w.,w.EMSL.com l manhattanlab@emsl corn Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 12M-02 Description KITCHEN-COVEBASE MASTIC
031620681-0012 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Yellow 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Yellow 100.00% Other None Detected
Sample ID 12-01 Description KITCHEN-COVEBASE
031620681-0013 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Brown 100,00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Brown 100.00% Other None Detected
Sample ID 12-02 Description KITCHEN-COVEBASE
031620681-0014 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 Brown 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 Brown 100.00% Other None Detected
Sample ID 13M-01 Description MASTER BATH UNDER LINOLEUM-VAPOR BARRIER/MASTIC
031620681-0015 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Black 100.00% Other None Detected
Sample ID 13M-02 Description MASTER BATH UNDER LINOLEUM-VAPOR BARRIER/MASTIC
031620661.0016 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Black 100.00% Other None Detected
Sample ID 13-01 Description MASTER BATH-LINOLEUM
031620681-0017 Homogeneity Heterogeneous
PLM NYS 198.11 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 White 100.00%Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:0711912016 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB 198x 0009-1.71 Printed 711912016 11:08:45AM Page 3 of 8
EMSL Analytical, Inc. EMSLOrder: 031620681
307 West 38th Street New York,NY 10018 Customer ID: ALP150
Tel/Fax:(212)290-0051 I(212)290-0058 Customer PO:
http//www.EMSL.com I manhattanlab@emsi.com Project ID:
Test Report:Asbestos Analysis of Bulk !Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 13-02 Description MASTER BATH-LINOLEUM
031620681-0018 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 White 100.00% Other None Detected
Sample ID 14-01 Description 2ND FLOOR BATH-LINOLEUM
031620681-0019 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 White 100.00% Other Inconclusive:None Detected
TEM NYS 196.4 NOB 0711812016 White 100.00% Other None Detected
Sample ID 14-02 Description 2ND FLOOR BATH-LINOLEUM
031620681-0020 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 White 100.00°/ Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 White 100.00% Other None Detected
Sample ID 15-01 Description BASEMENT TOP OF BLOCK WALLAT WOOD SILL PLATE-VAPOR BARRIER
031620681-0021 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Black 100.00°! Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 Black 100.00% Other None Detected
Sample ID 15-02 Description BASEMENT TOP OF BLOCK WALLAT WOOD SILL PLATE-VAPOR BARRIER
031620681-0022 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 Nob 0711812016 Black 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Black 100.00% Other None Detected
Sample ID 16-01 Description 2ND FLOOR BATH-SHOWER ADHESIVE
031620681-0023 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 White 100.00%Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:0711 91201 6 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB_198x0009-1.71 Printed 7/1912016 11:08:45AM Page 4 of 8
EMSL Analytical, Inc. EMSLOrder: 031620681
307 West 381h Street New York, NY 10018 Customer ID: ALP150
Tal/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http://wv w.EMSL.com 1 manhattanlab@ems3.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 16-02 Description 2ND FLOOR BATH-SHOWER ADHESIVE
031620681-0024 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 White 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 White 100.00% Other None Detected
Sample ID 17-01 Description ATTIC TOP OF STAIR ON DOOR-GLUE DAUB
031620681-0025 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Beige 100.00% Other inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Beige 100.00% Other None Detected
Sample ID 17-02 Description ATTIC TOP OF STAIR ON DOOR-GLUE DAUB
031620681-0026 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Beige 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Beige 100.00% Other None Detected
Sample ID 18-01 Description ATTIC TOP OF STAIR-FIBERGLASS INSULATION PAPER
031620681-0027 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 Silver 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 Silver 100.00% Other None Detected
Sample ID 18-02 Description ATTIC TOP OF STAIR-FIBERGLASS INSULATION PAPER
031620681-0028 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Silver 100.00% Other Inconclusive:None Detected
TEM NYS 196.4 NOB 07/1812016 Silver 100.00% Other None Detected
Sample ID 19-01 Description 2ND FLOOR ATTIC OVER STAIR-DUCT INSULATION PAPER
031620681-0029 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Black 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB (17118/2016 Black 100.00% Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:07/19/2016 10:47:28 Reason Code:Data Entry-Change to Appearance
AS8 198x 0009-1.7 Printed 7/1912016 11:08:45AM Page 5 of 8
EMSL Analytical, Inc. EMSLOrder: 031620681
307 West 381h Street New York, NY 10018 Customer ID: ALP150
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
http:l/www.EMSL.com 1 manhaHanlab@emstcom Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample 10 19-02 Description 2ND FLOOR ATTIC OVER STAIR-DUCT INSULATION PAPER
031620661-0030 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOS 07118/2016 Black 100.00% Other None Detected
Sample 10 20-01 Description EXTERIOR UNDER SIDING-FOIL VAPOR BARRIER
031620681-0031 Homogeneity Heterogeneous
FILM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Silver 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Silver 100.00% Other None Detected
Sample ID 20-02 Description EXTERIOR UNDER SIDING-FOIL VAPOR BARRIER
031620661-0032 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 Silver 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 Silver 100.00% Other None Detected
Sample ID 21-01 Description ROOF UNDER SHINGLES-VAPOR BARRIER
031620681-0033 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711 8/2 01 6 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 Black 100.00% Other None Detected
Sample ID 21-02 Description ROOF UNDER SHINGLES-VAPOR BARRIER
031620681-0034 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Black 100.00%Other Inconclusive:None Detected
TEM NYS 196.4 NOB 07/18/2016 Black 100.00% Other None Detected
Sample ID 22-01 Description ROOF-SHINGLE
031620681-0035 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/1812016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOS 0711812016 Black 100.00%Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:0711912016 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB-198x-0009-1.7; Printed 7/19/2016 11:08:45AM Page 6 of 8
EMSL Analytical, Inc. EMSLOrder: 031620681
Customer ID: ALP150
307 West 38th Street New York, NY 10018
Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO:
hitp://www.EMSL.com 1 manhattanlab@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 22-02 Description ROOF-SHINGLE
039620681-0036 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07118/2016 Black 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07118/2016 Black 100.00%Other None Detected
Sample ID 23-01 Description EXTERIOR-WINDOW GLAZING
031620681-0037 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 Gray 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 Gray None 98.60% Other 51.00%Anthophyllite
1.30% Chrysotile
1.4% Total
Sample ID 23-02 Description EXTERIOR-WINDOW GLAZING
031620681-0038 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 0711812016 Gray 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/1812016 Positive Stop(Not Analyzed)
Sample ID 24-01 Description CRAWLSPACE-FOUNDATION COATING
031620681-0039 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 071181206 Black 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 07/18/2016 Black 100.00% Other None Detected
Sample ID 24-02 Description CRAWLSPACE-FOUNDATION COATING
031620681-0040 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 07/18/2016 Black 100.00% Other Inconclusive:None Detected
TEM NYS 198.4 NOB 0711812016 Black 100.00% Other None Detected
Report amended:07/19/2016 11:08:18 Replaces initial report from:0711912016 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB 198x 0009-1.71 Printed 7/19/2016 11:08:45AM Page 7 of 8
EMSL Analytical, Inc. EMSL Order: 031620681
307 West 38th Street New York,NY 10018 Customer ID: ALP150
Tel/Fax:(212)290-0051!(212)290-0058 Customer PO:
http:ilwww.EMSL.com/manhattanlab@ems!,corn Project ID:
Test Report:Asbestos Analysis of Bulk Material
The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The
reference number for these samples is the EMSL larder ID above. Please use this reference number when calling about these samples.
Report Comments:
Sample Receipt Date: 7/16/2016 Sample Receipt Time: 11:13 AM
Analysis Completed Date: 7/18/2016 Analysis Completed Time: 12:04 PM
Analyst(s): `
LAU
r
Emily Myinf PLM NYS 198.6 NOB(39) Sean Scales TEM NYS 198.4 NOB(37)
Samples reviewed and approved by:
James Hall,Laboratory Manager
or OtherApproved Signatory
NOB=Non Friable Organically Bound NIA=Not Applicable VCM=Vermiculite Containing Material
-In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing.
All samples examined for the presence of vermiculite when analyzed via NYS 198.1.
-NYS Guidelines for Vermiculite containing samples are available at http:llwww.wadsworth.orgfabcerUelapcert/forms/VermiculiteinterimGuidance_RevO7O913.pdf EMSL
maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by
EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client.
Samples were received in good condition unless otherwise noted.
This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may
contain data that is not covered by the NVLAP accreditation.
Samples analyzed by EMSLAnaly0cal,Inc.New York,NY NYS ELAP 11506
Report amended:0711912016 11:08:18 Replaces initial report from:07/1912016 10:47:28 Reason Code:Data Entry-Change to Appearance
ASB 198x0009-1.71 Printed 7/1912016 11:08:45AM Page 8 of 8
OrderID:• 031620681
n.puic uuruwuucuua,oerviceS, Inc. It_ $� Phone:(518)250-4047
438 New Kamer Road �D
Albany,NY 12205
CHAIN OF CUSTODY
Client:-Alpine Environmental Services,Inc. Project: 159 Cleverdale Rd,Queensbary.NY
438 New Karver Road Project Number: 16-19420-A
Albany,NY 12205 Sampled By:P.Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 paulv@alpineenv.com Delivery:Fed Ex Cat "Z ?,5l l�
Turnaround Time. 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. I I Performed
9M-01 lst Floor Bathroom Wall Tile Adhesive NYS ELAP Stop at 1
198.4 Positive
9M-02 l"Floor Bathroom Wall Tile Adhesive 9 -O t
IOM-01 Master Bathroom Wall Tile Adhesive Stop at Is'
Positive
IOM-02 Master Bathroom Wall Tile Adhesive 1 OM-01 to
1 OM-02
11M-0I Kitchen Under Bottom Flooring Vapor Barrier/ Stop at Is'
Mastic Positive
I IM-02 Kitchen Under Bottom.Flooring; Vapor Barrier/ l IM-01 to
Mastic 11 M-02
11-01 Kitchen Under Linoleum Flooring Stop at I st
Positive
11-02 Kitchen Under Linoleum Flooring 11-01 to 11-02
11-03 Kitchen Top Layer Linoleum Stop at Is`
Positive
11-04 Kitchen Top Layer Linoleum 1I-03 to 11-04
12M-01 Kitchen Covebase Mastic Stop at Is'
Positive
12M-02 Kitchen Covebase Mastic
12M-01 to.
1 -02
Disposition of Samples:Accept Reject Explain r—
Comments:
rnC-)x
rn x
Z:!!;
r•n-�
Relinquished By: Received By: Date: Tim= --e-
gnA
Page 1 of 4 �� l 1'� � P 1-30
OfderID: 031620681
Alpine Environmental services,Inc. ` Phone:(518)250-4047
438 New gamer Road Iq
Albany,NY 12205
CHAW OF CUSTODY
Client:Alpine Environmental Services.Inc. Project: 159 Cleverdale Rd,Queensbury.NY
438 New Karver Road Project Number: 16-19420-A
Alby.NY 12205 Sampled By:P.Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 paulv@Alpineenv.com Delivery:Fed Ex
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. Performed
12-01 Kitchen Covebase NYS ELAP Stop at 1s
198.4 Positive
12-02 Kitchen Covebase �I1 6,7 12-01 to 12-02
13M-01 Master Bath Under Linoleum Vapor Barrier/ �? Stop at Is'
Mastic Positive
13M-02 Master Bath Under Linoleum Vapor Barrier/ 13M-01 to
Mastic 13M-02
13-01 Master Bath Linoleum Stop at I"
Positive
13-02 Master Bath Linoleum 13-01 to 13-02
14-01 2ad Floor Bath Linoleum Stop at 1St
Positive
14-02 2nd Floor Bath Linoleum 14-01 to 14-02
Basement Top of Block Wall at Vapor Barrier Stop at 1St
15-01 Wood Sill Plate Positive
15-02 Basement Top of Block Wall at Vapor Barrier 15-01 to 15-02
Wood Sill Plate
16-01 2a Floor Bath Shower Adhesive Stop at 1st
Positive
16-02 2ed Floor Bath Shower Adhesive 16-(fto 16-82
Disposition of Samples:Accept Reject Explain
Comments: -- C")
rn Mx
M
Relinquished By: Received By: Date: Time:
� 14
0" m4vq-
Page 2 of 4
OrclerID•' 031620681
ntPhone:(518)250-4047
�uic nttvuuttutti;utat aerYiCeS,Inc.1nC
438 New Kamer Road �b�(�j(p
Albany,NY 12205
CHAIN OF CUSTODY
Client:Alpine Environmental Services,Inc. Project: _159 Cleverdale Rd,Oueensbury,NY
438 New Kamer Road Project Number: 16-19420-A
Albany,NY 12205 Sampled By:P.Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 paulv@alpiieenv.com Delivery: Fed Ex
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. I Performed
17-01 Attic Top of Stair on Door Glue Daub NYS FLAP Stop at 1s`
198.4 Positive
17-02 Attic Top of Stair on Door Glue Daub 17-01 to 17-02
18-01 Attic Top of Stair Fiberglass Stop at 1st
Insulation Paper Positive
18-02 Attic Top of Stair Fiberglass 18-01 to 18-02
Insulation Paper
19-01 2nd Floor Attic Over Stair Duct Insulation Stop at lst
Paper Positive
19-02 2nd Floor Attic Over Stair Duct Insulation 19-01 to 19-02
Paper
20-01 Exterior Under Siding Foil Vapor Barrier Stop at 1s'
Positive
20-02 Exterior Under Siding Foil Vapor Barrier 20-01 to 20-02
21-01 Roof Under Shingles Vapor Barrier Stop at 1st
Positive
21-02 Roof Under Shingles Vapor Barrier 21-01 to 21-02
22-01 Roof Shingle Stop at 1st
Positive
22-02 Roof Shingle 22-0120 22-0FCI
Disposition of Samples:Accept Reject Explain C— t—
Comments: r-' m
rn
C-1 a:
a� rn—,
Relinquished By: Received By: Date: Tirtw.
Page 3 of 4
OrrlerID:' 03162osai
ruNutiPhone:(518)250-4047
uic uvviuucuta�oerVICES, Inc.1nC.
438 New Kamer Road Ostia Z+*S1
Albany,NY 12205
CHAIN OF CUSTODY
Client:Alpine Environmental Services,Inc. Project: 159 Cleverdale Rd,Queensbury,NY
438 New Karver Road Project Number: 16-19420-A
Albany,NY 12205 Sampled By:P.Van Zandt
Contact: Paul Van Zandt Date/Time Collected: 07/15/16
Phone/Email: 518 250-4047 paulyla-alnineenv.com Delivery: FedEx
Turnaround Time: 72 Hr
Log No. Sample Sample Location Sample Material Analysis Notes
No. I Performed
23-01 Exterior Window Glazing NYS FLAP Stop at 15t
198.4 Positive
23-02 Exterior Window Glazing 23-01 to 23-02
24-01 Crawlspace Foundation Coating Stop at 1st
Positive
24-02 Crawlspace Foundation Coating 24-01 to 24-02
N M
fn
C
rn rns
Disposition of Samples: Accept Reject Explain
Comments:
z
_ r
w �T
Relinquished By: Received By: Date: Time:
Page 4 of 4 Gr' °
� ' 1 Ni� �f��j ' l "-3 ��e �2
20'.21
STATE OF NEW YORK•DEPARTMENT OF LA80R t.=„
ASBESTOS CERTIFICATE j f+ Yj
PAUL W VANZANDT
CLASS(EXPIRES)
C ATEC(42/17) D fNSP(02/17)
H PM (02/17)
MUST BE CARRIED ON ASBESTd:)S PROJECTS �_
New York State—Department of Labor
Division of Safety and Health
License and Certificate Unit
State Campus,Building 12
Albany,NY 12240
ASBESTOS HANDLING LICENSE
Alpine Environmental Services, Inc. FILE NUMBER: 00-0320
LICENSE NUMBER: 29095
438 New Karver Road LICENSE CLASS: RESTRICTED
DATE OF ISSUE: 06/22/2016
Albany, NY 12205 EXPIRATION DATE: 07/31/2017
Duly Authorized Representative—Craig Petreikis:
This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of
the New York State Codes,Rules and Regulations(12 NYCRR Part 56). It is subject to suspension or revocation for a(1)
serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of
responsibility in the conduct of any job involving asbestos or asbestos material.
This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the
asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York
State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State
Department of Labor.
Eileen M.Franko, Director
SH 432(8/12) For the Commissioner of Labor
NEW YORK STATE DEPARTMENT OF HEALTH
WADSWORTH CENTER
'%— Expires 12:01 AM April 01, 2017
Issued April 01, 2016
CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE
Issued in accordance with and pursuant to section 502 Public Health Law of New York State
MR. JAMES HALL NY Lab Id No: 99506
EMSL ANALYTICAL, INC
307 WEST 38TH STREET
NEW YORK, NY 10098
Is hereby APPROVED as an Environmental Laboratory for the category
ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE
All approved subcategories andlor analytes are listed below.
Miscellaneous
Asbestos In Friable Material item 198.1 of Manual
EPA 600IM41821020
Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM)
Asbestos In Non-Friable Material-TEM Item 198.4 of Manuel
Lead In Dust Wipes EPA 70008
Lead In Paint EPA 70008
Sample Preparation Methods
EPA 30508
Serial No.: 54297
Property of the Now York State Department of Health. Certificates are valid only at the address
shown,must be conspicuously posted,and are printed on secure paper. Continued accreditation depends
on successful ongoing participation in the Program. Consumers are urged to call(518)485-5570 to
verify the laborator/s accreditation status.
Page 1 of 1
I-, _
— i
;1. -
- -
I : .
- -
- y-
11 I I I I I L - — - I � I I �. . - - f I . -� I — -- ------ - - � 11 � � -� - � �� ,
.
/n, - - i /,:
-
� ICJ
\� '< i _1 . GRAPHIC SCALE —1 P4 V-4
1 - - - 0 O
\ - — _ .
-
- - .
. I
� �-
- I -
i ''_. ti - as so zo la o 4a ea' - - I ,�, M
d iso
`11. �I�' FE;T) W
a - - - 1 INCH 4O F T. IN
i j 0 �D NELLING ;
L
REMOVE EXISTING ��-_ s .�: 1
- - D
WE LING
- 11
f - O Z
MAP REFERENCE: O
-
i 1.
LAKE GE❑RGE _` - EXISTING PATIO - THE EXISTING BOUNDARY, TOPOGRAPHY. AND SITE DETAILS WERE OBTAINEp z-i Q Z
I FROM MAPS-ENTITLED "SURVEY OF LANDS OF JEAN M. HOFFMAN" AND "AS
;: TO 'REMAIN - .
BUILT PLAN, SURVEY OF LANDS OF JEAN M. HOFFMAN" DATED JUNE 18,
PROJECT SITE �-- ffA, Z 2003 AND JULY 2, 2004 RESPECTIVELY BY CHARLES E. HARTNETT LAND >-+ no 0
r
227.17-1-9.11 �;. �� ' �2vv 1 � ' rd - i . . SURVEYING AND PLANNING. � E+ N Z
i. - itSilt fence to be installed as noted. - �� s- t \, � z ..r 0 _
- 11
1. Installation mint b completed &Inspected - 3' '– '� �� -
11 i #�o be ir�nineolition. ��r x%� j N ""r �'
BOAT HOUSE ' " ii
f - /� M
9e cdnta�t this efoe t� ed�al a : <: ��o , owELL� G
- W _ H
If, _ P4 'r
l;�s�eCtl�n of$rte �# t�. n` deml�tlnv 9� e 7 -
�., - - - -' - -- _ r — - �q EXIS�Tt / CID Q_ - _
e.._
_ _�
Hil_L.MAN ROAD - � _ - -' -- - ='t� _ - \,� .- _ - \ - - - -
- . - - ` V, GRAVEL REC. Z
11 , I �DR(VE ROOM � � � �
OQ Q LAKE GEORGE � \ W
'� a
�\: tdo A � � ,/�
- Q 0 Q O M Ji �{ / OSHED zI 11M 110
q/
d Q n R PURPORTED.LOCATION 6 \ �•-- \ " � W
�� Q d OF EXISTING:SEPTIC � o
at I SYSTEM."TO BE REMOVED p q� � ° �a � I n
o❑ �4 - I REMOVE EXISTING ` 09 IN
Cl0 / I :tWALKWAY AND PORTION OF o a
------ -04 !
EXISTING DRIVEWAY T
'/� BOAT HOUSE ROAD I S t �,
' , ■
I " I OA ` -
�1 � H
s) >>2 PLAYHOUSE �� �� ` - Z - ■
f pt
TAX MAP
\` \_ ` - Z Ir
SCALE: 1" = 500' \ ` _
ti
DECK ^ ^�N`\`7
19
,,�O ,,yyyy,,'' 2 0\_ — O ii Q
GUEST _ 1� 0 �� - /
� ��, ------� - \ W �w �i p -0
HOUSE _114 NDS N/F OF -`-r ___ M w
SOILS ANALYSIS
TEST PITS: TEST PITS WERE EXCAVATED AT THE HOFFMAN JEAN M. HOFFMAN N %
— �l 3.4�28f ACRES / - _�
T LOCATED AT 159 CLEVERDALE ROAD ON NOVEMBER - " - �_-
PROPER Y L T \ NOTE:
• � .4
11, 2015. THE PITS WERE OBSERVED AND LOGGED BY DENNIS REMOVE EXISTING TREES \ _-_
MACELROY, PE AND RICHARD ADAMS, A REPRESENTATIVE OF �� LOCATED IN THE VICINITY � 11
�\
i- I
THE TOWN ENGINEER'S OFFICE. THE RESULTS ARE AS l -
\� OF THE PROPOSED DWELLING \ \ �� OOT _ Q O y
FOLLOWS: i TREES WITHIN 35 FEET OF THE -- --�_ . CELLA ` i 4
DwELL1Nc -112 \�� LAKE TO REMAIN. �Fxrsr/n,- -- _ _i \ i a _: A �-+ U. Z
TEST PIT #1 (APPROX. 150 FEET NORTHEAST OF THE I \rr 1 �� GRq VE< H �+
BUNKHOUSE IN THE GRASS FIELD) �` -` ` R/VF Q
IO"-10" BLACK LOAMY TOPSOIL'. k s \ ��`
U)
x Wim ''
� ,
10"-66" SILTY CLAY, BROWN - -
NO GROUNDWATER OR MOTTLING t � � � �TP 3 �`�~_ `~_- t F-�-I w
, � (a V
TEST PIT #2 (APPROX. 34 FEET TO THE EAST OF TEST PIT #t) I ' # p A
IO"-10" BLACK LOAMY TOPSOIL i--i
(,�
- 10"-66" SILTY CLAY, BROWN ' —�---,, 114 �-- ��•. 1 E'r/s c` W .��' O [M w/
NO GROUNDWATER OR MOTTLING 3 �` A \ t - G,qq V6-1 ` IW -
1 - �111111� TO � �y
Y -_ R'� -- O - w O W W
TEST PIT #3 (APPROX. 30 FEET TO THE SOUTH OF TEST PIT
#2) IIIIIIIIIIIIIIIII
t1 \\ \\ SHED \7P#2 V If I _, a � Z '
0"-12" BLACK LOAMY TOPSOIL i 1 �� TP#1 Q .W
- _ _ t - :..i _ - `— \ - _ a _ . _
10"-78" SILTY CLAY, BROWN -. l\�~ ,1 4 �,� �--I e—+ �- : �_..0 V
NO GROUNDWATER OR MOTTLING „- =s Q. Q-
` �' Z
. : Loh W01: W
.
PREPARED PERCOLATION TESTS: PERC TESTS HOLES WERE P '� 7l N
p� \ -
__ r � - ' <_ ' - - -
AND P PRESOAKED PRIOR THE TESTING PREFORMED ON �N � � � I .� L .
-,. # 0
TEMPERATURES HAD BEEN
-- s ;;� -
DECEMBER 18, 2015. DECEMBER. TEMPER ,- :::- - ."'-
I
E TESTS WERE ,_ -
MILD AND THUS NO FROST WAS PRESENT. THE `� -.1 1:- - ; - � � ,r . / -1 - -1 � . . � .. � r � . -
CONDUCTED BY DENNIS MACELROY, PE.
- I
f
-
0
PT # 1 - ADJACENT TO TP #1 its .,, _ m _
,, - -.--
BUNKHOUSE x
_�,
STABILIZED RATE - 35 MIN./INCH -"
.
`�
PT # 2 - ADJACENT TO TP #2I- 11 �.� "-- E W N
. I ,..Q
10 :
STABILIZED RATE - 5 MIN./INCH
— _
- - —
-. _ . .
L' r
oR ,\ % _
,
P???3 - ADJACENT TO TP #3 _ - '- ` � I / '
.
-. - - -
STABILIZED RATE
- 5 MIN. INCH
fie: ,._,
- - IXI - -
1-
T ERC RATES FOR PT 2 AND - /� _
IT IS ACKNOWLEDGED THAT THE # -,- -" J `� r.
PT 3 DO NOT APPEAR CONSISTENT WITH THE SOILS
f 1-�-' o
DESCRIPTION. MULTIPLE TESTS WERE RUN AND EVEN AFTERi. - - _ - -
m ON
THE FINAL TEST RUN THE COMPLETE DISPERSAL OF THE r �/ _ :. � m �
- r�-� .Lr_ 0 O
BO TEST t Z f'�"1
REMAINING 5 INCHES OF WATER WAS OBSERVED IN BOTH
- - EXISTING-'. LANDS N 'r OF I- d.
HOLES AND WAS DISSIPATED WITHIN 20 TO 25 MINUTES. AS -
;. Q J
AN H AN
ATE USED WILL BE -_ ' ,_-__ - ✓E M.- OFFM C
A CONSERVATIVE APPROACH THE DESIGN R GRAVEL Q O
- - DRIVE - C W. /- ' �tQ
IN THE 16 - 20 MIN. INCH RANGE. -_ :. - 3.821E ACRES `V� X Q -
1. O �
-
-
-
<_
. _ p��_ (j h ii vii
- .
_ - '
- :- _ - - ? -
1 .
. � . I - *41\ � I-
-
�; / 1 � .
- � i
I . � .. /
-
� . � \ t / - -
-
-
.
I - % ' I ' ' -L �' �!:-,---;:,-: - -�- - - � I - - . . : -, . �1' I �
It-, f -
--, I - ,Q) -� .,� I I � / - �
1 I
- - - -
I f
- - - _ - - - - - 4 - - - - - _ - _ - _ - - - - - .
. .
.
-.. -l -' - '�- - - - - _ _ - -
__ - - _ - .- - - I - - - ! - -9 — - _ -
. - - -
- i� ,>
s
t d
_ - _ _ - - - - .4I - -
- \ I 11 ,y ,i-I - '1 'i '1 .
3
}}! qp
1
-. - - --- - - 7i� 9p - �. - - -
__ - _ - - _ _ _ - _ -
. - - ' - - - - - - -- - - - - - - - - - - - - - - - - - '- '
- .' - - '- - _ - _ - - - - - _-- - - - - -
_. -.- - .-
- .: . .-. - - - - - - - -i L - - - ..
a
- - -
:
- I .`s
I _., .a
- - __. . -
- ' '
-
- / -. . - / --
- -- .
r2p 7
f
. -
-
` - .:
- 1;
: - - -. '- -
,� \ -
: : . -
1 - ., -
-
-
„, 1L2/
�/ i
T 2 ` \.,
- �/
. / I I � - . -, : � - I I � I � .�, .
= : �ti '
. I" - - 1 . .
,
,' - J
-11 I . 1. : 1 J
- - --- I - .. - - - - - ! , - - I - - - -
��� °B -
Q .. m , -
227.17-1-9.11 OCJTH-000479- 016 W d-. Z
11 - 1) a - 11:,. : . (y
l; �^ �� Hoffman, Jean 1
.
.. ! Cleverdale Road I�
- / 159 _ W
/ Demo Onl 1700 s.f. Sip - W (n
- - M, Y (n
i - - - _
-
11
-, - - - - - - - - - - - - _ - - _. 1; ���� 0 - \ - -. . .-_--_-_ . - - - _ -
-. _ lull. i - I L. I — ai ii - 1 .I�-
. - - 5 - - I - - - - : - --. -
�I