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DEMO-0680-2022 r Office Use Only E� DEMOLITION APPLICATION Permit#:,b��Q�©- 202Z Permit Fee:$ �� 1i)wn of oycenshur}• Invoice#: 5vD�,a 742 Bay Road,Qkueensbury,IVY 12804 P:518-761-8256 va�a t�:.tii� rasnurv,ne, Flood Zone? Y N viewed Demolition Location: 11 Pershing Rd. Tax Map ID#: 302.14-1-10 DEMOLITION INFORMATION: 1. Where will demolition material be disposed? Greenrid a Landfill r-- CD ,3 o 9 2. Type of structure demolished: C a. Reside d.Storage Building s j 51 b. Garage e.Other: .0 s C. Business n 3. What type ilities are connected to the structure: < a. Gas LJ f.Well-Water P M b. Fuel Oil g.Public Sewer c. Propan h.Othe ptic d. Electric i. None e. Public Water J— 4. Have ALL utilities(water,electric,etc.)been disconnected? Yes Fy� No 0— 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 and agree to the above: PRINT NAME: Michael P.Cristo Jr. SIGNATURE: DATE: 11/9/2022 Demolition Application Revised tune 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): M.Cristo Inc. Mailing Address, C/S/Z: 2425 Kraft Rd.,Castelton,NYT 12033 Cell Phone: 518-365-2307 Land Line: NIA Email: MCristotnc@gmaii.com • Primary Ownerls): Name(s): Jennffer Haskins Mailing Address, C/S/Z: 11 Pershing Rd.,Queensbury, NY 12804 Cell Phone: 518-321-8283 Land Line: NIA Email: sidns529@yahoo.com ❑ 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): Michael P.Cristo Jr. Contractor Trade: Demolition and Asbestos Contractor Mailing Address,C/S/Z: 2425 Kraft Rd.,Castleton,NY 12033 Cell Phone: 518-365-2307 Land Line: NIA Email: MCristoinc@gmail.com "Workers' Comp documentation must be submitted with this application" Contact Person for any questions regarding this project: MichaelCrist0 Cell Phone: 518-365 2307 Land Line: NIA Email: mcristoinc@gmail.corn Demolition Application RevisedJune 2022 Ne�lfo��k State�Deprtrnerrt af.1!abo � .•, ' Division oSafety pnd Flealth i1. License and Cettifificat 'm"q N �t ��•"� a.a s State Campus;Bupdi 12' z : _ sr - Albany .. y ti+ry . y �Zr } 3 ° gASBESTOS HANDLING LICENSE=p_, a '-� 1 WILMsto•,Inc. ,4 VI LE NUMBER: 05=109 M r � « LICENSE NUMBER:`� 904°7 s N �I , !!t �242-5 Kraft Rd. ati . � r LICENSE CLASS: FULL' ;r ;DATE OF ISSUE: 07/1412.t)?2 •k �few xt & t ` ett;NYC 12033y F ( EXPIRATIOU DATE: 07/3 0 WA "_� F' `1; xY � 4•p ``.,�� � -'—� t, ,� s , 1 Zvi +tIX l 1 F f . � j�:� i t7j�4•}��� L—_:.-.. f• aft "�+��(�rj ~y ':��'ir1.a�R� �� ��,j ,_., ly Authorl edgepresentative 1MichaelrCristo� r -.;_.-' `;, g` +, S [ S /'t L....;_ i'•':.lf ,j�'y"re, I - rye ar R hhis� C -c j11, J 7,. 1. ry been issued in ac rdauce i1n h le raves o o hAitic of the or Law of NewoState and of y- the I ew Y-dirk Stag Codes Rules _ Regtiatt 13 I�i'GR tPart` 6 Ttrs eject to susL'Lion or revocation.for a(1)s � �`�� - the nduc= as iesto�Profeq or(2)demo at dlack 6f s Woos vto ono Mate,federal om i7 s 1�vitb• ti. re p3onsibili y the ionduct of any�c int!oli in as X o`0, Fv 08tiw��$ AF A } t `r`t _.`,;ii�' �._ lam. F'.w'.r„"i-'-s �." 'I h ce e a3i only,for the contractor�: o a and ing,ji ease a- photQgopy must h��omigently disPlaye gat/ e asbestos prof t 4t! beT�e verifies that rsons-empl ed� lice' ee on an�a�bestoproye��in Nevv York q � x- °' State h e NN- flied an As estos Certificat`e,-approRr:6 e bgrjffi, ;ietof- vox,.•they perform,by the ew Yoik Departure t ou'Zor. �''+� ���1 f;•l � f r.. was�'"'VIA � � �}t. ` •`� r K •4. `� . . ' �.��'�-cam-.' AiiiyPhillips,Director SH 432(8112) For the Commissioner of Labor 790 Watervliet-Shaker Road ;�P A R A ® - Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.paradietnenv.com Phase Contrast Microscopy (PCM) Airborne Fiber Analysis NIOSH 7400 Method,Issue 3,June 14, 2019, Counting Rules"A" Client: Client Project Number: Sampled by: Ms.Jennifer Haskins Scott McAvoy/Paradigm Project Description: Paradigm Job Number: Sampling Phase: Single-Family Residential Controlled Demolition 22.3040A Abatement(IIB) Project Location: Date Sampled: Date Received at Lab: 11 Pershing Road,Queensbury,New York 12804 Wednesday,November 23,2022 Wednesday,November 23,2022 Client Name: Client Contact: Date Analyzed: Date Reported: Ms.Jennifer Haskins skins529!ftahoo.com Wednesday,November 23,2022 Wednesday,November 23,2022 ov Sample LAB 1D Number Number Sample Description v y c E y W q w A g 1 15543 within 10'of Personal Decon-In 5.00 185.0 925.0 <0.003 <7.006 2 15544 within 10'of Personal Decon.Out 5.00 185.0 925.0 <0.003 <7.006 3 15545 Inside Work Area-North 5.00 184.0 920.0 <0.003 <7.006 4 15546 within 10'of Critical Barrier I-North 5.00 183.0 915.0 <0.003 <7.006 5 15547 within 10'of Critical Barrier 2,West 5.00 184.0 920.0 <0.003 <7.006 6 15548 within 10'of Perimeter-Upwind,West 5.00 184.0 920.0 <0.003 <7.006 7 15549 within 10'of Perimeter-Upwind,South 5.00 184.0 920.0 <0.003 <7.006 8 15550 within 10'of Perimeter-Downwind-Northeast 5.00 184.0 920.0 <0.003 <7.006 9 15551 within 10'of Perimeter-Downwind-Southwest 5.00 183.0 915.0 <0.003 <7.006 10 15552 within 10'of Perimeter-Downwind-East/Driveway 5.00 183.0 915.0 <0.003 <7.006 11 15553 Outside Building-Backyard/Pool 5.00 183.0 915.0 <0.003 <7.006 FBI 15554 Field Blank NA NA NA NA <7.006 Analyzed by: Date: Approved by. Date: Mr.Mark De Amoritn Pereira-Analyst 11/23/2022 11/23/2022 Analyzed by NYSDOH ELAP#12138 Mr.Mark Ling,Technical Laboratory Director Disclaimer:All Air Samples are Collected and Analyzed in Accordance with the NIOSH 7400 A Counting Rules Method.Please note that Phase Contrast Microscopy(PCM) Analysis using NIOSH 7400 is a means of analysis for fiber counting.This method is not specific for die analysis of airborne asbestos fibers.The analytical results presented in this report and the laboratory procedures used are considered to be accurate and reliable for the samples analyzed.This report may not be reproduced without die written approval of Paradigm Environmental,LLC.(PARADIGM)and then only in full.All analysis is performed using an Olympus CH-2 Microscope(SN 4A0289)."NA"-Not Applicable.Please note that final flow rates are corrected against a primary calibration.Fiber counts outside die 100-1300 fiber/mmr range shall be reported as having"greater than optimal%ariabiliry"and as being"probably biased." Relative Standard Deviations:As per NISOH 7400 A Counting Rules Method,PARADIGM is required to report estimated laboratory intercounter precision:Inter-Counter 5-20 fibers-0.395;21.50 fibers-0.351;51-100 fibers-0.250(as of 06.30.22). page 1 of 2 PARA 'D- 1 M 790 Watervliet Shaker Road Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.paradigmenv.com Phase Contrast Microscopy (PCM) Airborne Fiber Analysis NIOSH 7400 Method,Issue 3,June 14, 2019,Counting Rules"A" Client: Client Project Number: Sampled by: Ms.Jennifer Haskins Scott McAvoy/Paradigm Project Description: Paradigm Job Number: Sampling Phase: Single-Family Residential Controlled Demolition 22.3041A Abatement(IIB) Project Location: Date Sampled: Date Received at Lab: 11 Pershing Road,Queensbury,New York 12804 Wednesday,November 23,2022 Wednesday,November 23,2022 Client Name: Client Contact: Date Analyzed: Date Reported: Ms.Jennifer Haskins skins529 ftahoo.com Wednesday,November 23,2022 Wednesday,November 23,2022 o v v c Sample LAB 1D a H 5 Sample Description oa a q A Number Number F d 0 w v F132 15555 Field Blank NA NA NA NA <7.006 Analyzed by: Date: Approved by: Date: Mr.Mark De Amorim Pereira-Analyst 11/23/2022 G4 Za,;An')�Vbto, 11/23/2022 Analyzed by NYSDOH ELAP#12138 Mr.Mark Ling-Technical Laboratory Director Disclaimer:All Air Samples are Collected and Analyzed in Accordance with the NIOSH 7400 A Counting Rules Method.Please note that Phase Contrast Microscopy(PCM) Analysis using NIOSH 7400 is a means of analysis for fiber counting.This method is not specific for the analysis of airborne asbestos fibers.The analytical results presented in this report and the laboratory procedures used are considered to be accurate and reliable for the samples analyzed.This report may not be reproduced without the written approval of Paradigm Environmental,LLC.(PARADIGM)and Bien only in full.All analysis is performed using an Olympus CH-2 Microscope(SN 4A0289)."NA"-Not Applicable.Please note that final flow rates are corrected against a primary calibration.Fiber counts outside the 100-1300 fiber/mniz range shall be reported as having"greater than optimal variability"and as being"probably biased." Relative Standard Deviations:As per NISOH 7400 A Counting Rules Method,PARADIGM is required to report estimated laboratory intercounter precision:Inter-Counter 5.20 fibers-0.395;21.50 fibers-0.351;51-100 fibers-0.250(as of 06.30.22). page 2 of 2 1 . IGM 790 Watervliet-Shaker Road PARAD Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.baradigmeny.com i'sbestos Air Sampling Chain-of-Custody/Sample Record Client Name: Sampling Phase: Date of Sample Collection: s Project Description: Type of Abatement: Paradigm Job Number: o4_�Olkd &r-Wio i,l /1 erg 22- 30�oA- P{roject Address: f � / Rotameter 1D Number: Cassette Lot Number: Client Contact Name: Client Contact Phone Email: Rotameter Calibration.TSI Model 4146(SN 41462238002)Calibrated: 10.22.22 JeXYI I y�'� S i�5 Rotameter Calibration Good hrou:;h:01.22.23 Flow Rate(Liters/Minute) Time(24 Hour Format) Sampling LAB FIELD Sample Duration 1D ID Description/Location Initial Final On Off (total minutes) A, - „- 5545 0 554V r ' (0- 11 h 5=0 l5 S 4, i 0: �'Rdz.- G{/rs� 1 SC> i 5"-01559 ?' ( �GI 1 11) f.A S� 5.0 , 13'0 2- 14 S4- r _ JA I SU S-0 ! •'0'zl_ 1 4 gd-- 55 50 �h�b� 50 Sect �� iv' 6c� �8� 15 5 51 :-, v rrl- ��tn,�h wis f 5�v �o p 10.Q /3 ICE 4�3 1r111nl alt/ r /� sl//32 :d1 I 6�0 .�_C1 1L`)�L' L�-1 —. t E All Air Samples are Collected and Analyzed in Accordance with NIOSH 7400(A Rules)Methods. K'V Before signing this document,verify that the content you are signing is correct Sam le locations sketch identih•in A proiect air sample locations and/or Print- / Date: related notes: - —> 3. 1 F Ik 1 D' fin:n:,i c Sign: Time: \ — /c3`3O Print: Q / Date: �kA r1 i = n Sign: Time i 1360 ,(�� Print: Date.: Ko&' ZZ sign7: Time: All PARADIGM 790 Watervliet-Shaker Road Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) W%N'%V.naradi-menv.com Asbestos Air Sampling Chain-o£-Custody/Sample Record Client Name: n Sampling Phase: Date of Sample Collection: Project Description: Type of Abatement: Paradigm Job Number: 22- 3040 fq- Project Addfess: U c Rotameter ED Number: Cassette Lot Number: Client Contact Name: Client Contact Phon /Email: Rotameter Calibration:TSI Model 4146(SN 41462238002)Calibrated: 1' 10.22.22 [t�S 1r7S Rotameter Calibration Good Through:01 22.23 Flow Rate(Liters/Minute) 'rime(24 Hour Format) Sampling LAB FIELD Sample Duration ID ID Description/Location Initial Final On Off (total minutes) i r C 4 5 S a 4 FBI All Air Samples are Collected and Analyzed in Accordance with NIOSH 7400(A Rules)Methods. 9 -5 5 e C FBZ Before signing this document,verify that the content you are signing is correct. Sample locations sketch, identifying all project air sample locations and/or Print: Bate: related notes: nSign: Time: Print: 'R 1 Date: G CtA-a Sign: Time 6zw y t� lea:30 Print: Date: .n Sign �� � Time: LLD ISi iNIIC AIif.A-- 9IAL1 BE iJIT+ItA kEAVY Co I1D rCR IN-20 am. 'La►$Jll4c. 1 �� PROPME5 WATH CF MOM C 1 CRAW itiAT" rK-41 CM ROA 1 j ���' '• 1 - 11 M. SETBACK LM-E 001 ALL SM FROM PROP. ! LINE TO ALL SEWAGE Ckr*"05 '••,dP-I�x�0• 1 1 CXriAlpl'1!0L1�117r 1 I _ —I?t�STALL NEW 0-aOX 1 1 ��'` '_�•PT�'1;' �'.* I __�-"-_� Kl-F£P1./lCE EYaSTIt+G _ .1=- f/ i P'i1G TAr`1d 'IA al 1 \ 7 Lo it 1 1 1 1 F 1 _ 1 ~ DIS-BNO DJVP CUT 1 VAT" CRAK SPACC 1 I I ' q 1 1 ` WATER L1'1E LocATION to* ". Tad ALL SLWIWE OCr�'OS�+L CX3u�O+c�1 TS -� lr PERSHING ROAD TOWN OF QU 302.14-1-19 DEMO-0680-2022 BUILDING & O PT° Haskins, Jennifer Reviewed By° 11 Pershing Rd Date, Demolition of SFD (due to fire) 1 nationalgrid November 8, 2022 -_ C> i c uz Via Email: skins5290)yahoo.com I Re: National Grid GSR #: 30685617 -- -" Service Address: 11 Pershing Road, Queensbury This letter is to advise you that the natural gas service line to the above location was physically disconnected on October 31, 2022. The service has been retired at the property line, therefore, there is no live gas to the building as of October 31, 2022. If you feel that the location where the service was terminated (as stated above) will interfere with your planned excavation, please contact us immediately and do not start excavation. New York State law requires anyone planning underground excavation work to notify local utilities by calling"811", or 800-962-7962. This confirmation letter of disconnect does not relieve the excavator of making this"811"call. Respectfully, VA X?? Debi Melsom Gas Connections UNY Phone: (518) 603-4015 Email: debra.melsom(d-)nationalgrid.com 302.14-1-19 DEMO-0680-2022 Haskins, Jennifer 11 Pershing Rd Demolition of SFD (due to fire) 1125 Broadway,Albany,NY 12204 _ J Nationalgrid = 300 Erie Boulevard West ` =' Syracuse,New York 13202 DATE 11/8/2022 J RE: Service Removal for Building Demolition. -""—p This letter is to confirm that, per your request,National Grid has confirmed electrical service and meters have been removed from 11 Pershing RD., Queensbury. The work was processed on work request#30685616. 'If you have any questions or need further assistance,please feel free to contact us at 800-260-0054. Sincerely, Lydia Styb ESR3 Customer Connections UNY nationalgrid .t• 11/9/22,9:34 AM Asbestos Notification Home M.Cristo,Inc.29047 Asbestos Notification Home M.Cristo,Inc. 29047 District Information Questions or concerns regarding this project should be directed to the New York State Asbestos Control Bureau at the following district office: District: Albany District Phone Number: (518)457-2072 Notification Information Reference Number: 26825071 Date Submitted: 11/7/2022 Status: Notification Received Type of Notification: Initial Notification Date Received: 11/7/2022 Payment Status: Paid in full Project Information Project Start Date: 11/17/2022 Project End Date: 12/31/2022 Worker Compensation Information Worker Compensation 46-681097-01-05 Will temporary workers No Policy#: be used?: WC Exemption If yes,name of Certificate#: temporary agency: Number of your 3 employees you expect to be on project: Employer Information FEIN: 141491766 Asbestos License 29047 Number: Company: M.Cristo,Inc. Mailing Street 1: Apt/Suite: Mailing Street 2: Street 1: 2425 Kraft Rd. Mailing City: Street 2: Mailing Province: City: Castleton Mailing State: =- State: New York Mailing Zip: p t Zip: 12033 'J Duly Authorized Representative(DAR)Information nd n Name: Michael P Cristo Jr ;'_ President: Officer Phone Number: 518-365-2307 Email Address: mcristoinc@gmail.com .� ---- -� Project Location Building Information - -- -- - - -------- ---... - - ---- -- - —- County: Warren Current Use: Vacant Building Name: 11 Pershing Rd. Prior Use: Residential-1 family Room or Location: Entire House Age of Building: 68 Street 1: 11 Pershing Rd. Size(sq.ft): 950 Street 2: Federal Building: No City: Queensbuy State: New York Zip: 12804 Building Representative/Site Contact https:Uwps.labor.ny.gov/Curam/ 1/2. J` f 11/9/22,9:34 AM Asbestos Notification Home M.Cristo,Inc.29047 Name: Michael Cristo E-mail Address: mcristoinc@gmail.com Phone Number: 518-365-2307 Cell Phone Number: same Phase Details Phase Start Date Phase End Date Phase Location Phase Type of Work _ Sub-Contractor Details Sub-Contractor Name Asbestos License Number https://wps.labor.ny.gov/Curam/ 2/2 STATE OF NEW YORK DEPARTMENT OF LABOR STATE OFFICE BUILDING CAMPUS ALBANY, NEWYORK 12240-0100 JU Variance Petition Of File No. 22-1315 Paradigm Environmental, LLC Petitioner's Agent on Behalf of DECISION Jennifer Haskins Cases 1-4 Petitioner ICR 56 in re Premises: Residential Structure 11 Pershing Road Queensbury, New York 12804 Controlled Demolition of Fire Damaged Residential Structure The Petitioner, pursuant to Section 30 of the Labor Law, having filed Petition No. 22-1315 on November 8, 2022 with the Commissioner of Labor for a variance from the provisions of Industrial Code Rule 56 as hereinafter cited on the grounds that there are practical difficulties or unnecessary hardship in carrying out the provisions of said Rule; and the Commissioner of Labor having reviewed the submission of the petitioner dated November 8, 2022; and Upon considering the merits of the alleged practical difficulties or unnecessary hardship and upon the record herein, the Commissioner of Labor does hereby take the following actions: Case No. I ICR 56-9.2 (d) (1) Case No. 2 ICR 56-11.5 (c) (2) Case No. 3 ICR 56-11.5 (c) (7) Case No. 4 ICER 56-11.5 (c) (11) w I Page 2 of 5 File Number 22-1315 VARIANCE GRANTED. The Petitioner's proposal for controlled demolition removal of the subject premises as listed by the petitioner, in accordance with the attached 7-page stamped copy of the Petitioner's submittal, is accepted; subject to the Conditions noted below: THE CONDITIONS Full-Time Project Monitor: 1. A full-time independent project monitor (PM) shall be on site and is responsible for oversight of the abatement contractor during all abatement activities to ensure compliance with ICR 56 requirements including but not limited to ICR 56-3.2(d)(8) and variance conditions. 2. In addition, the PM shall ensure that no visible emissions are generated during abatement activities. If visible emissions are observed, work practices shall be altered according to the PM's recommendations. 3. The PM shall perform the following functions during asbestos abatement projects in addition to functions already required by ICR-56: a. Inspection of the interior of the asbestos project work area made at least twice every work shift accompanied by the Asbestos Supervisor. b. Observe and monitor the activities of the asbestos abatement contractor to determine that proper work practices are used comply all applicable asbestos laws and regulations. C. Inform the asbestos abatement contractor of work practices that, in the PM's opinion, pose a threat to public health or the environment, and are not in compliance with ICR-56 and/or approved variances or other applicable asbestos rules and/or regulations. d. Document in the Project Monitor Log observations and recommendations made to the Asbestos Supervisor based upon the interior/exterior observations of the asbestos project made by the PM. e. Duties specified in variances issued forthe project. 4. The PM shall alert the local District Office of the NYSDOL Asbestos Control Bureau whenever, after the PM has provided recommendations to the Asbestos Supervisor, unresolved conditions remain at the asbestos project site which present a significant potential to adversely affect human health or the environment. r . Page 3 of 5 File Number 22-1315 5. The PM is not onsite to direct the abatement workers in their work. That is the responsibly of the Contractor's designated Supervisor. The ultimate caliber of work performance and quality of the completed project is the responsibility of the contractor who performs the work. 6. The PM is not responsible for enforcing Local, State, Industry, or Federal regulations, rules or codes which are not directly applicable to the contracted asbestos abatement activities. These would include, but not limited to, fire codes, electrical codes, building codes, wage rates schedules, etc. While the PM is not responsible for enforcement of these items, the Contractor is still responsible for compliance with such requirements as applicable. 7. The PM is responsible for any duties specified in his/her contract with the Owner. Work Practices: 8. Demolition work shall comply with ICR 56-11.5 (a, c) except as modified by this variance. 9. For areas where compliance with the twenty-five feet barrier/fence requirement isn't possible, the areas shall be cordoned off to the maximum distance possible, and a daily abatement air sample shall be taken at the reduced barrier. Perimeter Air Sampling: 10. In addition to the requirement of Subpart 56-4.9(c), air monitoring shall be conducted daily at the perimeter of the work area. 11. A minimum of two upwind air samples shall be collected. The samples shall be spaced approximately 30 degrees apart from the prevailing wind direction. 12. A minimum of three downwind samples shall be collected. The samples shall be equally spaced in a 120-degree arc downwind from the source. 13. If more than one shift daily is required to accomplish the work, air monitoring within the work area during abatement shall be performed on each shift. Soil/Earth/Dirt Cleanup: 14. After demolition debris has been removed, the site shall be inspected. Any required cleanup shall include all visible asbestos or suspect Page 4 of 5 File Number 22-1315 asbestos debris. Soil removal shall meet ASTM 1368 (latest edition), Section 9.1.1-9.1.5 inspection criteria. 15. No pieces of ACM shall be present on top of the soil. 16. Visibly contaminated soil or soil suspected of being contaminated shall be removed down to the level where no visible contamination is observed. 17. The Project Monitor shall write in the project log that the area has been cleaned and has passed a visual inspection. Preparation of Waste Transfer Equipment: 18. Trailers or other equipment used to haul bulk demolition materials offsite do not need to be doubled lined as required by ICR 56-11.5 (c) (11). 19. Demolition debris shall be adequately wet during handling and loading into trailers or other equipment. 20. Debris shall be secured to prevent movement during transport. 21. Such trailers or other equipment must be made air, dust and water-tight prior to leaving the site. Clearance: 22. After removal and cleanings are complete an authorized and qualified Project Monitor shall visually inspect the work area as per ICR 56-9.2 (e). If the area is determined to be acceptable and the most recent daily abatement air sample results (including perimeter air samples listed above) meet 56-4.11 clearance criteria, the final dismantling of the site may begin. 23. Usage of this variance is limited to those asbestos removals identified in this variance or as outlined in the Petitioner's proposal. In addition to the conditions required by the above specific variances, the Petitioner shall also comply with the following general conditions: GENERAL CONDITIONS 1. A copy of this DECISION and the Petitioner's proposals shall be conspicuously displayed at the entrance to the personal decontamination enclosure. 2. This DECISION shall apply only to the removal of asbestos-containing materials from the aforementioned areas of the subject premises. 'P Page 5 of 5 File Number 22-1315 3. The Petitioner shall comply with all other applicable provisions of Industrial Code Rule 56-1 through 56-12. 4. The NYS Department of Labor Engineering Service Unit retains full authority to interpret this variance for compliance herewith and for compliance with Labor Law Article 30. Any deviation to the conditions leading to this variance shall render this variance Null and Void pursuant to 12NYCRR 56- 12.2. Any questions regarding the conditions supporting the need for this variance and/or regarding compliance hereto must be directed to the Engineering Services Unit for clarification. 5. This DECISION shall terminate on February 8, 2023. Date: November 8, 2022 ROBERTA REARDON COMMISSIONER OF LABOR By (�—Rl�.c4 173MI Edward A. Smith, P.E. Professional Engineer 2(Industrial) PREPARED BY: Edward A. Smith, P.E. Professional Engineer 2 (Industrial) REVIEWED BY:Edward A:Smith,P.E. Professional Engineer 2(Industrial)