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HomeMy WebLinkAbout5372 Quail Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Vs Job Address: ;7!z- Permit Number: 2 ' k" -Z 3� ❑ No one available for inspection: Time YAM/PM Re -Inspection required: Yes :No When corrections are complete, schedule re -inspection online. Date: 5t,"" : Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Single Family - New PERMIT - 202002381 PERMIT NO: 202002381 ISSUED: 02/11/2021 JOB ADDRESS: 5372 Quail St EXPIRES: 02/11/2022 JOB DESCRIPTION: Station 53 - New single family townhome with attached 2 car garage a€" 2,177 sq ft total (Bl/Lot 7) *** CONTACTS *** OWNER (303)915-4340 WONDERLAND HOMES GC (303)567-7630 KOLBY O'HERRON 202128 WONDERLAND AT STATION 53 SUB (303)650-3393 LAWRENCE GILL 022483 GILL ELECTRIC SUB (303)289-3441 ROBERT D. GROSS, SR. 019659 R&R HEATING & COOLING, INC SUB (303)978-1051 TODD WOODFORD 070071 C&T PLUMBING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 234,755.00 FEES Total Valuation 0.00 Plan Review Fee 120.00 Use Tax 41929.86 Permit Fee 21002.80 Engin. Review Fee 100.00 ** TOTAL ** 71152.66 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. No C.O. may be issued until public improvements are complete as identified in the Subdivision Improvement Agreement. All landscaping shall be installed in accordance with the approved landscape plan (Case No. WZ-18-13) prior to C.O. and pursuant to the phasing identified in the Subdivision Improvement Agreement. Per the SIA, installation of landscaping, street trees, and irrigation is not required prior to Certificate of Occupancy if issuance of the C.O. occurs outside of the planting season, generally October to June. As part of the foundation inspections and PRIOR TO proceeding with any further construction/inspections, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. 1* � � i City of Wheat Ridge Single Family - New PERMIT - 202002381 PERMIT NO: 202002381 ISSUED: 02/11/2021 JOB ADDRESS: 5372 Quail St EXPIRES: 02/11/2022 JOB DESCRIPTION: Station 53 - New single family townhome with attached 2 car garage a€" 2,177 sq ft total (Bl/Lot 7) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 02/11/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Farm is Subject: Online Form Submittal: New Single -Family TOWNHOME UNIT Date: Monday, November 2, 2020 1:41:08 PM New Single -Family TOWNHOME UNIT THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Has the Master Plan Yes been approved for this project? Name of Project Wonderland at Station 53 PROPERTY INFORMATION Property Address - Only enter one unit on this application Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address 5372 Quail Street Wheat Ridge, CO 80033 Wonderland at Station 53 LLC 720-505-1880 metcalf@wonderlandhomes.com PLAN REVIEW CONTACT INFORMATION What is your role? Owner Business Name Wonderland at Station 53 LLC Main Contact Name for tach Metcalf Plan Review Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Questions/Comments 720-505-1880 metcalf@wonderlandhomes.com Retype Contact Email metcalf@wonderlandhomes.com Address DESCRIPTION OF WORK Detailed Scope of Work - Example: New single family townhome with 2 car garage - 1,525 sq ft total (Bldg 1, B -unit) Square Footage of New Construction Foundation Plans for Specific Building Elevations of Building Site Plan showing Unit Highlighted Floor plan of Unit Station 53 - New single family townhome with attached 2 car garage — 2,177 sq ft total (131/1-ot 7) 2177 5372 Quail St -Foundation Plan.odf 5372 Quail St. - Elevation Plan.odf Construction Plans Field not completed. scanned on 11'x17" or larger Project Value (contract 175749 Conditioned: 1747sf x $122.46 = $213,938 value or cost of ALL Garage: 431sf x $48.30 = $20,817 materials and labor) Total: $234,755 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for tach Metcalf Permit APPROVED 12/17/2020 J. Jefferies Email not displaying correctly? View it in your browser. A ` City of Wheat Ridge Residential Demolition PERMIT - 202000579 PERMIT NO: 202000579 ISSUED: 03/16/2020 JOB ADDRESS: 5372 Quail St EXPIRES: 03/16/2021 JOB DESCRIPTION: Demo all structures onsite including house, garage, sheds, outbuildings and septic system. Onsite wells will be capped and recorded; 2,350 sq ft total *** CONTACTS *** OWNER (303)567-7636 WONDERLAND AT STATION 53 LLC GC (303)662-1877 LARRY AMES 202033 BEMAS CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Dsion. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance pr regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building fficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. WLily CA* heat IZ�dge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: yermits&,ci.wheatridge.co.us I FOR OFFICE USE ONLY Plan/Permit #Ox x0m l` ((„JJ Plan Review Fee; Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: S11-1- Q inks s- Property Owner (please print): Wotj0EA-LA*io /kr S'i" oM S3 LLL Phone: 30 3 - (* 4 - T w Property Owner Email: o �e rr•on. @ u✓�tider��n� ti a,.^e S 00� Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (lf different than property address) Address: 5(,(,u G AEr-Aiyiogo t'c42 A 64.VA S vi>r Jul V City, State, Zip: O n.FFNW000 VILLrA-6F' Cg &Ol 11 Architect Engineec 12 E ur}r/0 Architect/EngineerE-mail: ikrc,4_1ef G re�L&r-J,U'-Phone: -410- LbT-(o483 Contractor Name: 9IFM A S GO rJ STA uc.Tl O t -J City of Wheat Ridge License #: 2011)33 Phone: 303 - L to Contractor E-mail Address: e �re-Y%A5 c-�LG, @ hew S - ru—t For Plan Review Questions & Comments (please print): CONTACT NAME (please print): C✓AW PnCM S c H-474— Phone: 3 03 - Cf2 4 -v0/ 9 CONTACT EMAIL(p/ease print): E' P��+� sc,Gcal� Iotr�.tiC. sL Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. [—]COMMERCIAL ® RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. -'E r10 Pn-L_ Sri c ry nES 0 -1 % t(IF )Nc LLJ01 ti, c 14,6 U s F r c (+/114 CEI SdkFuS r 0�,—�3�r �,^I6j �4 S��rrc SySfZrM. ONS r/F �t-tt (,vrc i3E CAPPED !}w0 2C C,0&b 0 (Zt-s r 0ewc e= SF Sq. FtJLF 21 S--�) S F BTUs lv) A- Gallons NI R Amps u 4 squares -A4 For Solar: NLA Kw ouA of Panels Requires strucwmi For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: _ Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 1 S, tom. coo 0MI�MR/CO—N-" ACTOR SIGNATURE I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ONTRA r V NORIZEDREPRESENTATIVE) of (OHNER (CONTRACTOR) Signature (first mW last_sasner AAI"E: 3 Iv LO tU Printed Name: EVAN Q fetCMS G! DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 —Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment. Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Iminediately notify the AsbestosAAQ Unit of project modifications by fax (number above) or a -,nail (address above) and the appropriate county health department by fam Project modiftcations include changes in the scope of iuork or the scheduled work dates, etc This demolition approval notice is valid beginning 3/9/2020. The actual scheduled work dates are from 3/9/2020 through 4/9/2020. Approval issued on: 3/6/2020 Record number: 15 73 61 Fee Paid: $60.00 Notice Number: 20JE1430D Check number: 011771 For the location specified below: Residence 5372 Quail St. Wheatridge Jefferson County This notice has been issued to: Bemas Construction, Inc 80 Inverness Drive East Englewood, CO 80112 Asbestos Building Inspector: John P. Casellano Cerification No.: 25706 Inspection Date: 02/20/2020 Issued by: SM f' oF'Coto ye / X90 iKE1_ei * DEMOLITION NOTIFICATION APPLICATION FORM ** 1876 APPLICATION FEE MUST ACCOMPANY THIS FORM 7019 INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado Department Tm"_Olotice will be mailed to the demolition contractor unless specified otherwise) of Public Health and Environment Fee: $50 + $5 per 1000 ftz of area to be demolished = $ (r0 (See instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co.us Category I nonfriable ACM that will be or has been i sub ected to sanding, rind' w1 ` Itmo1v r noninaote A(:M that has become friable, (c) 9, Q_ng, tom, or abrading or (d) Category II nonfriable ACM that -has'a high probability of becoming or has become crumbled, pulverized, or reduced to powder by t#te forces, . petctedto aid on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos r;o(ainrig shget jnYl acid 'n` Ieum must be properly abated/removed prior to demolition. -s. T, - Form: DNA06 Company Name: Building Name: 8FA4 AS CpnJSTnucT10-.) Street Residence 0 Square footage of footprint of facility or portion of facility to be demolished 8o r Nye-krdr s PIt:✓1: E A5T v City: oaf 1, 5� State: Zip Code: Street E�GI EW�04 C I i-ofiZ :3 C 5372 trail Street Telephone # Fax # City: L) County; ztp Code: 3 W. C Project Manager. O Wheatrjd a Jefferson 80033 = w CeII Phone # Proposed Start Date Propad�om�le Date �Jt1-n5 Pr! rnts� I {,qu„ 0 ) � 2�t - Lb � O v 1`l %D O I certify that the Certified Asbestos Building Inspector has informed me 0 Method/Means of Demolition: about any remaining asbestos -containing materials in the E facility to be demolished. D Sig Print Name: kwrecking D Burning" [3 Implosion D Moving D Other, specify: EVA Prt FM iL Landfill R ving Building Debris: RFf0 d LIC. SEh.161IC.0 — b0.-17tf LILI tBurning requires additional authorization – Please call (303) 692-3100 and ask to speak to the Open Burning Permit Coordinator General Abatement Contractor (GAC) Owner's Name: Premier Environmental, LLC c E O _ e, wo.,� 4-rT�o� 11 c L C n CDPHE Asbestos Permit # Total Quantity of Asbestos Removed 3 Street 20JE0405A-02 509 sf 0 SLr,o Gna,JwoC_'s0 Pc -A24 fS&O c Su r rF i l o nJ Q 0 Date Removal Completed Telephone # _ City: State: Zip Code: 2/12/2020 303 993-8121 GfLtr"W000 ✓1l LAGirr CO QType(s) 60 /r r of Asbestos Containing Material Removed: m Contacts Name: Telephone # VAT/Mastic 1 Sink, Texture, 3 Windows 1�b c gy o ' I FEhYz c�.! ( 30 3 ) S 6 -7 _ 3 b With my signature below, I certify that I possess current AH ERA accreditation and state of Colorado certification o` m as an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had CL all samples analyzed for the presence of asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the facility.! I also certify that I have informed the owner/operator of the facility or the demolition contractor that Hin c W any asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) of ACM remaining, below: (check appropriate box(es)): Z Q v ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic coatings .a pip ®S ra -a lied tar coatin s ❑ Caulkin ❑ Glazin Other, s eci : "� D. �,lr 4 fo;rJ f�Cx � �_,,s d + Signature: ( lu nk) Printed Na d V � to of fina IInspection CO Cert # Expiration ate Tele hone # 21 0/ �Q Z31M ©��0 p I Cell Phone # (3o3)Cv21,-�1��12j (7-2cD} Get F5& ` I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered In accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further w verify that all luminous exit signs (containing radioactive material) have been disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements 303-692-3320). CID ` call CHECK THE APPROPRIATE BOX: = m O O V ElBuilding Owner{' Contractor -tel ❑ Other Date: Signature: .3 S 2A 2 O Print Name: - -- - - FV4-„/ Pn-CA, j'C Im-h— THIS BOX Is FOR CDPHE USE ONLY: Postmark or Hand Delivery Date: ( t Approved By: 7 Code: [3�ia1-310 ❑ transfer -380 / Form of Payment & #:, ; vi I !/ �o J ijSe R Recgt Date Issued: ` Regulated asbestos -containing materials means rat friahba ...:.:__ "I I_ _ . _ _ - _ _ - Category I nonfriable ACM that will be or has been i sub ected to sanding, rind' w1 ` Itmo1v r noninaote A(:M that has become friable, (c) 9, Q_ng, tom, or abrading or (d) Category II nonfriable ACM that -has'a high probability of becoming or has become crumbled, pulverized, or reduced to powder by t#te forces, . petctedto aid on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos r;o(ainrig shget jnYl acid 'n` Ieum must be properly abated/removed prior to demolition. -s. T, - Form: DNA06 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted Deceinber 21, 2007. and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the' -work is being performed. The Colorado Department of Public Health and Environment. Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACINI) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the AsbestoslMQ Unit of project modifications bjfax (number above) or e-mail (address above) and the appropriate countj, health department by fax. Project modifications include changes in the scope of ►vork or the scheduled work dates, etc. This demolition approval notice is valid beginning 3/9/2020. The actual scheduled work dates are from 3/9/2020 through 4/9/2020. Approval issued on: 3/6/2020 Record number: 157362 Fee Paid: $55.00 Notice Number: 20JE1432D Check number: 011772 For the location specified below: Exterior Bldg. 5372 Quail St. Wheatriidge Jefferson County This notice has been issued to: Bemas Construction, Inc 80 Inverness Drive East Englewood, CO 80112 Asbestos Building Inspector: John P. Casellano Cerification No.: 25706 Inspection Date: 02/20/2020 Issued by: SM 'O�•COREi LO. DEMOLITION NOTIFICATION APPLICATION FORM 1876 + MAR 0 5 2019 APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado Department fNbilice will be mailed to the demolition contractor unless specified otherwise) of Public Health and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ EE (See instruction #1 on reverse side) Submitform to: Permit Coordinator Colorado Dept of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 60246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbastos@state.co.us * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become frig le, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cuttin , or abrading or (d) Category 11 nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note:q�sbest�s containiq Sheet vinyl and linoleum must be properly abated/removed prior to demolition. T Company Name: Building Name: OF -Al A-sC n u Exterior Building Street: Square footage of footprint of facility or portion of facility to be demolished 0a iN✓Ehnl'SS Il/trvr 0 v City: -N State: Zip Code: Street; ` C Co Qa ! t L «% 5372 Quail Street G M Telephone # Fax # City: County: Zip Code: 0 3 03) (f6L - 18-t-1 341 G6L -149 c Wheatrid a Jefferson 80033 Project Manager. Cell Phone # Proposed Start Date Proposed Completion Date l' y, &?Es 3 )9.0-0011 2•vo q I certify that the Certified Asbestos Building Inspector has informed me Method/Means of Demolition: E O about any remaining asbestos -containing materials in the facility to be a E demolished IWrecldng [IBumingt ❑Implosion E3 Moving [I Other, specify: Sig 44�� Print Name: 1C-1/R�+ f 2EMSc q*v- 0 Landfill Re Ing Building Debris: tBurning ^, G �� `L� Ju � S� � LO Wr requires additional authorization –Please call (303) 692-3100 and ask to speak to the Open Burning Permit Coordinator General Abatement Contractor (GAC) L Owner's Name: ` N/A uEkc 0 Z t r C 3 0 lv wCUNHE O Asbestos Permit # Total Quantity of Asbestos Removed Sti-L n(00 Cnf&.jw0W A UA I;L✓Q ` E � ✓'r rr 110 = Date Removal Completed Telephone # C City: State: Zip Code: I; �11L_C frfv e Type(s) ofAsbestos-Containing Material Removed: m Contact's Name Telephone # N/A IL6e.Qy O 1+E1'lAo'-_3 ( L )X.6 .4 - 3!. With my signature below, I certify that I possess current AH ERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of Q- asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the _ facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any H o asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) NCc of ACM remaining, below: (check appropriate box(es)): 0ElVinyl asbestos floor tile (VAT) ElVAT mastic Vc Tar/asphalt impregnated roofing ElAsphaltic pipe coatings V v ❑ Spray-appried tar coatings ❑ Caulking ❑ Glazin ❑ Other, specify: 0 Signature: (In Blue ik) Printed Name, 1 r d t e4 LCj 44 V Date nal Inspection CO Cert # Expirali n Dae Telephone # Cell Phone # /ZUIzD 2570 ==-M3!2. (1-20 "(7 -51s8 i (3o.306-7bW I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been pdisposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303--692-3320). a` CHECK THE APPROPRIATE BOX: C w mO ❑ Building Owner Contractor ❑ Other Date: 3 5 6 2 0 Signature: Print Name: THIS BOX Is FOR CDPHE USE ONLY: Postmark or Hand Delivery Date: 3 1/sl l Zr) Approved By: 1~r' 1 Code: EJKi_fia1-310 ❑ transfer -360 Form of Payment & #:i ( ___ i LLI�� I Recon ate Issued: Jt1 f * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become frig le, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cuttin , or abrading or (d) Category 11 nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note:q�sbest�s containiq Sheet vinyl and linoleum must be properly abated/removed prior to demolition. T CTfLITHOMPSON k March 6, 2020 Wonderland Homes 5660 Greenwood Plaza Boulevard Suite 101-N Greenwood Village, Colorado 80111 Attention: C.J. Kavan Subject: Asbestos Air Monitoring Services Quail Run 5372 and 5392 Quail Street Wheat Ridge, Colorado Project No: DN49,619.000-228-L1 On February 10, 11 and 12, 2020 Trevor J Truett, Colorado Department of Pub- lic Health and Environment (CDPHE) Air Monitoring Specialist (AMS) CDPHE # 17816 for CTLIThompson, Inc. (CTL), performed post -abatement final visual inspections for removal and clean up in the asbestos abatement areas established at the residences located at 5372 and 5392 Quail Street in Wheat Ridge, Colorado. After initially failing (February 10, 2020 at 5372 Quail Street and February 11, 2020 at 5392 Quail Street), on February 12, 2020 the interior regulated areas passed final visual inspections and aggressive air clearances. On February 14, 2020, Dana Harris, CDPHE AMS # 10152 for CTL, performed a post -abatement final visual inspection and an aggressive air clearance for removal and clean up in the asbestos abatement area within a RV trailer located in the rear of the 5392 Quail Street residence. The analytical method for the work zone air clearances was Phase Contrast Mi- croscopy (PCM), which was performed in accordance with CDPHE Regulation 5 CCR 1001-10 Regulation Number 8 Control of Hazardous Air Pollutants, Part B, Section III.P. Samples collected were in compliance with state and federal standards for re - occupancy. Results of analytical testing and the asbestos air clearance documentation are attached. The inspected asbestos abatement areas were established by Premier Envi- ronmental, LLC, the CDPHE Certified General Abatement Contractor for this project, under the direct supervision of Supervisor Mr. Arturo Hernandez. Any remaining Cate- gory I Non -Friable ACM is to stay in place as part of standard demolition at a later date. Based on CTL's visual inspections and air monitoring results for the abatement work areas, asbestos abatement cleanup was completed in general accordance with applicable federal, state, and local regulations. At the end of the project, air monitoring 1971 Test 12th Avenue I Denver, Colorado 80204 1 Telephone: 303-825-0777 Fax: 303-825-4252 data indicated that concentrations of airborne fibers were less than the concentra- tions required by the EPA and CDPHE for re -occupancy following asbestos abatement (0.01 fibers per cubic centimeter of air/f/cc). This report reflects the air quality after the abatement work at the time of our final air monitoring services. CTL's services were performed in a manner consistent with that level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the locality of the project. No warranty, expressed or implied, is made. This project was intended to identify the level of airborne fibers subject to regula- tion based on existing industry and regulatory standards. This letter has been prepared for the exclusive use of Wonderland Homes and Groundworks Development for as- sessing indoor air quality and to document asbestos abatement at the selected areas at the time of this study. Our services have been designed using accepted environmental principles. The accuracy and reliability of environmental studies are a reflection of the number and types of samples taken and the extent of the analyses conducted and are thus inherently limited and dependent upon the resources expended. If we can be of further service discussing the contents of this letter, please call us CTLITHOMPSON, INC. 1-, ( 0�� Trevor J Truett Environmental Staff Scientist Certified Asbestos Inspector Certified Air Monitoring Specialist Reviewed by: Matthew L. Wardlow, P.E. Environmental Department Manager TJT:MLW/nn Attachment A: Summary of Federal and State Asbestos Regulations Attachment B: CTL Documentation/Laboratory Reports Attachment C: CTL Certifications Via e-mail: J�groundworksdevelopment.com WONDERLAND HOMES 2 QUAIL RUN CTLIT PROJECT NO. DN49,619.000-228-L1 ATTACHMENT A SUMMARY OF FEDERAL AND STATE ASBESTOS REGULATIONS WONDERLAND HOMES QUAIL RUN CTLIT PROJECT NO. DN49,619.000-228-L1 SUMMARY OF FEDERAL AND STATE ASBESTOS REGULATIONS OSHA: U.S. Department of Labor, Occupational Safety and Health Administration, including but not limited to: • Occupational Exposure to Asbestos, Tremolite, Anthophyllite, and Actinolite; • Final Rules Title 29, Part 1910, Section 1001 and Part 1926, Section 1101 of the Code of Federal Regulations; • Respiratory Protection Standard Title 29, Part 1910, Section 134 of the Code of Federal Regulations; • Construction Industry Title 29, Part 1926, of the Code of Federal Regulations; • Access to Employee Exposure and Medical Records Title 29, Part 1910, Section 2 of the Code of Federal Regulations; • Hazard Communication Title 29, Part 1926 Section 59 of the Code of Federal Regulations; and • Specifications for Accident Prevention Signs and Tags Title 29, Part 1910, Section 145 of the Code of Federal Regulations. DOT: U.S. Department of Transportation, including but not limited to: • Hazardous Substances Title 29, Part 171 and 172 of the Code of Federal Regulations. EPA: U.S Environmental Protection Agency, including but not limited to: • Asbestos Hazard Emergency Response Act (AHERA) Regulation; • Asbestos Containing Materials in Schools Final Rule & Notice Title 40, Part 763 Sub -part E of the Code of Federal Regulations; • Training Requirements of (AHERA) Regulation; • Asbestos Containing Materials in Schools Final Rule & Notice Title 40,Part 763, Sub -part E, Appendix C of the Code of Federal Regulations; • National Emission Standard for Hazardous Air Pollutants (NESHAPS); and • National Emission Standard for Asbestos Title 40, Part 61, Sub -part A, Sub- part M (Revised Sub -part B) of the Code of Federal Regulations. CDPHE: Colorado Department of Public Health and Environment, including but not limited to: • Air Quality Control Commission, Regulation No. 8, Part B "Emissions Standards for Asbestos"; and • Hazardous Materials and Waste Management Division, 6 CCR 1007-2, Section 5 "Asbestos Waste Management." WONDERLAND HOMES A-1 QUAIL RUN CTLIT PROJECT NO. DN49,619.000-228-L1 ATTACHMENT B CTL DOCUMENTATION/LABORATORY REPORTS WONDERLAND HOMES QUAIL RUN CTLIT PROJECT NO. DN49,619.000-228-L1 EMSL Analytical, Inc. EMSL Order: 222000915 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Project ID: w httpi//www.EMSL.com/denverlab@emsl.com Attention: Trevor Truett Phone: (303) 356-6808 CTL Thompson Fax: 1971 West 12th Avenue Received Date: 02/10/2020 03:18 PM Denver, CO 80204 Analysis Date: 02/11/2020 Collected Date: 02/10/2020 Project: QUAIL Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method - A Rules, Revision 3, Issue 3, 6/15/2019 Sample Date Volume LOD Sample Location (L) Fibers Fields (fib/cc) Fibers/mm' Fibers/cc Notes 1 CLEARANCE 02/10/2020 1399 7 100 0.002 8.92 0.002 222000915-0001 2 CLEARANCE 02/10/2020 1296 <5.5 100 0.002 <7.01 <0.002 222000915-0002 3 CLEARANCE 02/10/2020 1328 <5.5 100 0.002 <7.01 <0.002 222000915-0003 4 CLEARANCE 02/10/2020 1300 <5.5 100 0.002 <7.01 <0.002 222000915-0004 5 CLEARANCE 02/10/2020 1404 <5.5 100 0.002 <7.01 <0.002 222000915-0005 This method requires the submission of field blanks with each sample set. No discernable field blanks were submitted, samples are not blank corrected. Analyst(s): Caroline Liegey PCM 5 f'c C Melanie Rech, Laboratory Director or other Approved Signatory Limit of detection is 7 fibers/mm'. Fiber counts outside the recommended fiber density range of the method (100-1300 f/mm2) have greater than optimal variability and are probably biased. 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, vnthout written approval by EMSL. EMSL bears no responsibility for data reported that relies on information provided by the client, sample collection activities, or analytical method limitations. Interpretation and use of test results are the responsibility of the client. Results have been blank corrected as applicable. The report reflects the samples as received. Measurement of uncertainty available upon request. The results in this report meet all requirements of the NELAC standards unless otherwise noted. Intra -laboratory Sr values: 5-20 fibers = 0.25, 21-50 fibers = 0.21, 51-100 fibers = 0.19. Inter -laboratory Sr values (Average of EMSL round robin data) = 0.34. Samples analyzed by EMSLAnalytical, Inc. Denver, CO Initial report from: 02/11/2020 09:07 AM Printed 02/11/2020 09:07 AM ASB PCA! AloSia 0003 0001 Page 1 of 1 3 OrderID: 222000915 EMSL ANALYTICAL, INC. uww.m�r. rnoourn.rww.n Asbestos Chain of Custody EMSL Order Number (tab use only): EMSL ANALYTICAL, INC. 200 ROUTE 130 NORTH CiNNAMINSON, NJ 08077 PHONE: (800) 220-3675 FAx: (856) 786-5974 Com an Name : C_i 1 1 i�c�rM S O EMSL Customer ID: Street: )Ct'7' I� city: ne-r State or Province: ! Zi /Postal Code: 9 C)DO Country: VS A Telephone #: Ta'3-356 Fax #: Report To (Name): ``,r tip ✓ `P +?- i Please Provide Results via: ❑ Fax a Email 1 email Address: -7L� v 6 4 7 Purchase Order Number: Client Project iD: ,f EMSL Project ID /ntemal use only): C State or Province Collected: CT only ❑ Commerciairraxable ❑ Residentiall'Tax Exempt EMSL-Bill to: ❑ Same ❑ Different - if bill to is different note instructions in comment Third party billing requires written authorization from third party- arty Turnaround Turnaround Time TAT Options Please Check [� 3 Hrt I❑ 4-4.5Hr1 AOt",y� I ❑ 6 Hr' I ❑ 24 Hr 10 32 Hr2 I ❑ 48 Hr i ❑ 72 Hr I ❑ 96 Hr I ❑ 'I Week ❑ 2 Week 'Premium Service Charge applies for 3 Hour TEMAHERA orEPA Level I/ TAT— you will be asked to sign an authorization toren. TEMAIr 3-6 Hour, please call ahead to schedule { 732 Hour TATavailable torselect tests only,, sam les must be submitted by 11:30 am. PCM - Air 16 NIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM — Air' ❑ AHERA 40 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Level II ❑ ISO 10312 TEM- Settled Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 1 ❑ Carpet Sonication (EPA 600/J-93/167) PLM - Bulk (reporting limit) ❑ PLM EPA 600/R-93/116 (<1%) ❑ PLM EPA NOB (<1%) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<O.1%) ❑ NYS 198.1 (friable - NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NYS 198.8 SOF-V ❑ NIOSH 9002 (<I%) Soil — Rock — Vermiculite (reportinn limit) { ❑ PLM EPA 600/R-93/116 with milling prep (<0.25%) I ❑ TEM EPA 600/R-93/116 with milling prep (<O.1 %)' ❑ TEM Qualitative via Filtration Prep ❑ TEM Qualitative via Drop Mount Prep ❑ Cincinnati Method EPA 600/R-04/004 — PLMfrEM TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198A (non -friable -NY) ❑ TEM EPA 600/R-93/116 with milling prep (<O.1%)' TEM -- Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking "Lower reporting limits avaiafble on request Other test (please specify): { ❑ Stop At First Positive Lclearly identify homogenous areas below Filter Pore Size Air Samples): ❑ 0.8pm ❑ 0.45pm Sampler's Name: Sampler's Signature: Sample # Sample Description/Location Volume, Area or Homogenous Area DatefTmme Sampled i l c, C-E 1, 3C� 1 � ao aC. Client Sample # s :- Total # of Samples: Relinquished by (Client): Date:- (c) Time: Received by (Lab): Date: Time: Comments/Special instmetlons: `#-!sem^, CG-L� �} I o� ,n iti. s - �' l�r`p ✓ • C�- E ,�`F� cJ ConTOtSed Document— COC -05 Asbestos —R12 1-11 /0112019 EMSL Analytical, Inc.'s (DBA: LA Testing) Laboratory Terms and Conditions are incorporated into this chain of custody by reference in their entirety. Submission of samples to EMSL Analytical Inc. constitutes acceptance and acknowledgment of all terms and conditions. Page 1 of pages 4 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http:/twww.EMSL com / denverlab@emsl.com Attention: Trevor Truett CTL Thompson 1971 West 12th Avenue Denver, CO 80204 Project: QUAIL EMSL Order: 222000916 Customer ID: CTLT34 Customer PO: Project ID: Phone: (303) 356-6808 Fax: Received Date: 02/10/2020 3:18 PM Analysis Date: 02/10/2020 Collected Date: 02/10/2020 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Analyst(s) Amanda Hammer (5) l c &'yu Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final') version of the method. 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. All samples received in acceptable 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. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 02/10/2020 19:42:20 ASB—PLM-0008-0001 - 1.78 Printed: 2/10/2020 5:42 PM Page 1 of 1 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type W1 -Mastic WALL Black 100% Non-fibrous (Other) None Detected Non -Fibrous 222000916-0001 Homogeneous W1 -Plaster WALL White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 222000916-000IA Homogeneous W2 -Plaster WALL White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 2220009160002 Homogeneous W3 -Mud WALL Beige 98% Non-fibrous (Other) 2% Chrysotile Non -Fibrous 222000916-0003 Homogeneous W3 -Plaster WALL Beige 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 222000916-0003A Homogeneous Analyst(s) Amanda Hammer (5) l c &'yu Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final') version of the method. 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. All samples received in acceptable 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. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 02/10/2020 19:42:20 ASB—PLM-0008-0001 - 1.78 Printed: 2/10/2020 5:42 PM Page 1 of 1 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Phone/Fax: (303) 740-5700 / (303) 741-1400 http://www,EMSL.com/denverlab@emsl.com Attention: Trevor Truett CTL Thompson 1971 West 12th Avenue Denver, CO 80204 Project: QUAIL EMSL Order: 222000916 Customer ID: CTLT34 Customer PO: Project ID: Phone: (303) 356-6808 Fax: Received: 02/10/2020 3:18 PM Analysis Date: 02/11/2020 Collected: 02/10/2020 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. Quantitation using 400 Point Count Procedure Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type W3 -Mud WALL Beige 98.3% Non-fibrous (Other) 1.75%Chrysotile 222000916-0003 Analyst(s) Timothy Kleehammer (1) Non -Fibrous Homogeneous Melanie Rech, Laboratory Director or other approved signatory Disclaimer:Some samples may contain asbestos fibers present in dimensions below PLM resolution limits. The limit of detection as stated in the method is 0.25%. EMSL Analytical Inc suggests that samples reported as <0.25% or none detected undergo additional analysis via TEM. The above test report relates only to the items tested. This report may not be reproduced, except in full, without written approval of EMSL Analytical Inc. This test report must not be used by the client to claim product endorsement by NVLAP or any agency of the United States Government. EMSL Analytical Inc., bears no responsibility for sample collection activities, analytical method limitations, or the accuracy of results when requested to separate layered samples. EMSL Analytical Inc., liability is limited to the cost of sample analysis.The test results contained within this report meet the requirements of NELAC unless otherwise noted. Samples received in good condition unless otherwise noted. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 02/11/2020 09:16:54 Printed 2/11/2020 9:16:58AM Page 1 of 1 -derID: 222000916 Asbestos Chain of Custody EMSL ANALYTICAL, INC. EMSL Order Number (lab use only): 200 ROUTE 130 NORTH CINNAMINSON, NJ 08077 - PHONE: (8800) 220-3067751 EMSL ANALYTICAL. INC. FAx: (856) 786-5974 waw�ran.n.00ucn•r'u�nrc Company Name: 7:L_ ( G.n pr'} EMSL Customer ID: Strppt- 1.Ce. 1 I 1„ iZ4-1 , /-� t �r- City: Do State or Province: Zi /Postal Code: c)> -w Country: tis Tele hone #: -3 - Fax #: _ Report To (Name)- e r r vt✓ �"' Please Provide Results via: ❑ Fax Email 4 email Address: `�"��n E C-� Purchase Order Number: i Client Pro ect ID: a✓C EMSL Project ID internal use only): i State or Province Collected: CT only ❑ Commercial/Taxable ❑ Residential/Tax Exempt I EMSL-Bill to: ❑ Same ❑ Different - if bill to is different note instructions in comment. Thirdparty billing requires written authorization from third party Turnaround Time TATO tions Please Check J8 3 Hrt I ❑ 44.5Hr' « 'Premium Service Charge applies for 3 Hour TE 232 Hour TAT available for select tests only, sa PCM -Air El NIOSH 7400 El w/ OSHA Shr. TWA PLM - Bulk (reporting limit) PLM EPA 6 0 018-9 311 1 6 (<1%) ❑ PLM EPA NOB (<I%) Point Count El 400 (<0.25%) [—]1000 (<O.1 %) Point Count w/Gravimetric ❑ [:11000 400 (<0.25%) (<0.1 %) [I NYS 198.1 (friable -NY) [I NYS 198.6 NOB (non -triable -NY) El NYS 198.8 SOF-V ❑ NIOSH 9002(<1 %) n Stop At First Positive fcleariv id ❑ 6 Hr' 10 24 Hr i C]32 Hrz I E]48 Hr I ❑ 72 Hr i [196 Hr I ❑ 1 Week I El2 Week I M AHERA orEPA Level// TAT- you will be asked to sign an authorization form. TEM Air 3-6 Hour, please call ahead to schedule i mples must be submitted by 11:30 am. TEM — Air' ❑ AHERA 40 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Level II ❑ ISO 10312 TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198.4 (non -friable -NY) ❑ TEM EPA 600/R-93/116 with milling prep (<0.1%)* TEM —Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking TEM- Settled Dust ❑ Microvac - ASTM D 5755 i ❑ Wipe - ASTM D6480 4 ❑ Carpet Sonication (EPA 600/J-93/167) Solt —Rock — Vermiculite (reparting limit) ❑ PLM EPA 600/R-93/116 with milling prep (<0.25%) ❑ TEM EPA 60D/R-93/116 with milling prep (<0.1%)' ❑ TEM Qualitative via Filtration Prep ❑ TEM Qualitative via Drop Mount Prep ❑ Cincinnati Method EPA 600/R-04/004 — PLM/ I tM I 'Lower reporting limits avaialble on request areas below) I Filter Pore Size 0. Sampler's Name: Sampler's Signature: Volume, Area or Date/Time } Sample # Sample Description/Location Homogenous Area Sampled w I 7 a�)o a0 a 1 Client Sample # (s): i - Total # of Samples: Relinquished by (Client): Date: o Time: ( (I Received by (Lab): Date: Time: I Comments/Special Instruction's!,�� Uj Controlled Document- COC -05 Asbe=s- R12.t - lifOV2019 EMSL Analytical, Inc.'s (DBA: LA Testing) Laboratory Terms and Conditions are incorporated into this chain of custody by reference in their entirely. Submission of samples to EMSL Analytical Inc. constitutes acceptance and acknowledgment of all terms and conditions. Page 1 of pages EMSL Analytical, Inc. EMSL Order: 222000945 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Project ID: http://www.EMSL com / denverlab@emsl.com Attention: Trevor Truett Phone: (303) 356-6808 CTL Thompson Fax: 1971 West 12th Avenue Received Date: 02/11/2020 02:42 PM Denver, CO 80204 Analysis Date: 02/11/2020 Collected Date: 02/11/2020 Project: QUAIL Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method - A Rules, Revision 3, Issue 3, 6/15/2019 Sample Date Volume LOD Sample Location (L) Fibers Fields (fib/cc) Fibers/mm' Fibers/cc Notes 1 AIR 02/11/2020 Overloaded 222000945-0001 2 AIR 02/11/2020 1702 <5.5 100 0.002 <7.01 <0.002 222000945-0002 3 AIR 02/11/2020 1741 6 100 0.002 7.64 0.002 222000945-0003 4 AIR 02/11/2020 1461 <5.5 100 0.002 <7.01 <0.002 222000945-0004 5 AIR 02/11/2020 1562 <5.5 100 0.002 <7.01 <0.002 222000945-0005 This method requires the submission of field blanks with each sample set. No discernable field blanks were submitted, samples are not blank corrected. Analyst(s): Stuart Printz PCM 5 Melanie Rech, Laboratory Director or other Approved Signatory Limit of detection is 7 fibers/mm'. Fiber counts outside the recommended fiber density range of the method (100-1300 f/mm2) have greater than optimal variability and are probably biased. 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 data reported that relies on information provided by the client, sample collection activities, or analytical method limitations. Interpretation and use of test results are the responsibility of the client. Results have been blank corrected as applicable. The report reflects the samples as received. Measurement of uncertainty available upon request. The results in this report meet all requirements of the NELAC standards unless otherwise noted. Intra -laboratory Sr values: 5-20 fibers = 0.25, 21-50 fibers = 0.21, 51-100 fibers = 0.19. Inter -laboratory Sr values (Average of EMSL round robin data) = 0.34. Samples analyzed by EMSLAnalytical, Inc. Denver, CO Initial report from: 02/11/2020 04:43 PM Printed 02/11/2020 04:43 PM Page 1 of 1 -derID: 222000945 EMSL ANALYTICAL, INC. -0MT0M. MCDU0f8 •TRA[ -p Asbestos Chain of Custody EMSL Order Number (lab use only): Z r--- EMSL ANALYTICAL, INC. 200 ROUTE 130 NORTH CINNAMINSON, NJ 08077 PHONE: (800) 220-3675 FAX: (856) 786-5974 Compan Name : ��-- T11,0 L EMSL Customer ID., Street: `7 vv t- t') Ak/ city. er State or Province: Zi /Postal Code: f Cr 0-�,O u Count Telephone #: -3 - Fax #: Report To (Name)- re -A ✓' "-le- Please Provide Results via: Fax Email email Address: Purchase Order Number: I Client Pro ect ID: 0✓ EMSL Project ID intemal use on! y): I State or Province Collected: CT only ❑ Commercial/Taxable ❑ Residentiairrax Exempt I EMSL-Bill to: ❑ Same ❑ Different - If bill to is different note instructions in comment. Third party bitting requires written authorization from third arty Turnaround Time TATO tions Please Check i 3 Nr' I ❑ 4-0.5Hr' OM;`" ❑ 6 Hr' ❑ 24 Hr ❑ 32 Htz ❑ 4$ Hr ❑ 72 Hr ❑ 96 Hr ❑ 1 Week ❑ 2 Week 'Premium Service Charge applies for 3 Hour TEM AHERA or EPA Level 11 TAT- you will be asked to sign an authorization form. TEM Air 3-6 Hour, please calf ahead to schedule 2 32 Hour TAT available for select tests on samples must be submitted by 11:30 am PCM - Air MNIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM — Air' ❑ AHERA 40 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Level II ❑ ISO 10312 TEM- Settled Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 i a ❑ Carpet Sonication (EPA 600/J-93/167) PLM - Bulk (reporting limit) ❑ PLM EPA 63=R-931116 (<1%) ❑ PLM EPA NOB (<1%) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<0.1 %) ❑ NYS 198.1 (friable - NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NYS 198.8 SOF-V ❑ NIOSH 9002 (<1%) Soil — Rock -- Vermiculite (reporting limit) ❑ PLM EPA 600/R-931116 with milling prep (<0.25%) ❑ TEM EPA 600/R-93/116 with milling prep (<0.1%)' ❑ TEM Qualitative via Filtration Prep ❑ TEM Qualitative via Drop Mount Prep Cincinnati Method EPA 600/R-04/004 — PLMfrEM I TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198.4 (non -friable -NY) ❑ TEM EPA 600/R-93/116 with milling prep (<O.1 %)- —El TEM —Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking 'Lower reporting limits avaialble on request Other test (please spec_ify): ❑ Stop At First Positive (clearly identify homogenous areas below I Filter Pore Size Air Samples): ❑ 0.8pm ❑ 0.45pm Sampler's Name: Sampler's Signature: Sample # Sample Description/Location Volume, Area or Homogenous Area DateMme Sampled i 1�� ri65 alr �0 r) 7v � � l S � l Client Sample # s : - Total # of Samples Relinquished by (Client): Date: I Time: 2- I Received by (Lab): Date: Z. l Time: rL: Comments/Special Instructions: MO ( i �/ TtV (�V�©ter Con>rotted Qacisneni —COC 05 Rsbeslos — R12.5 —11 1010019 EMSL Analytical, Inc.'s (DBA: LA Testing) Laboratory Terms and Conditions are incorporated into this chain of custody by reference in their entirety. Submission of samples to EMSL Analytical Inc constitutes acceptance and acknowledgment of all terms and conditions. Page 1 of pages Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental OA Manuat QIQAQC1Lab\Reservoirs Environmental OA Manual.doc Reservoirs Environmental, Inc. REI LAB February 12, 2020 Trevor Truett CTL/Thompson (Denver) 1971 West 12th Place Denver CO 80204 Dear Trevor, Subcontractor Number: Laboratory Report: Project #/P.O. #: Project Description RES 456271-1 None Given Small House Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 456271-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, by Alejandro Mejia Jeanne Spencer President P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV F:(303) 477-4275 Page 1 of 2 www.reilab.com Reservoirs Environmental, Inc Reservoirs Environmental OA Manual RESERVOIRS ENVIRONMENTAL, INC NVLAP Lab Code 101896-0 AIHA Certificate of Accreditation #480 LAB ID 101533 TABLE: 1 ANALYSIS: FIBER COUNT ANALYSIS IN AIR RES Job Number: RES 456271-1 Client: CTL/Thompson (Denver) Client Project/P.O.: None Given Client Project Description: Small House Date Samples Received: February 12, 2020 Analysis Type: REI PCM SOP / NIOSH 740OA-M Turnaround: Rush Date Samples Analyzed: February 12, 2020 Client ID Number Air Fields Fiber Reporting Fiber Volume Analyzed Count Limit Density Sampled (L) (F/mm-) (F/mm') 1 1316 100 7 7.01 8.92 2 1304 100 2 7.01 BRL 3 1399 100 5 7.01 BRL 4 1284 100 5 7.01 BRL 5 1361 100 7 7.01 8.92 TB 0 ---- ---- Not Analyze FB 0 ---- ---- Not Analyze 'Unless otherwise stated sample analyses have been blank corrected. Laboratory Quarterly Coefficient Variation(CV) by Fiber Count Range - Oct 1, 2019 - Dec 31, 2019 5-20 CV = 0.28 >20-50 CV = 0.24 >50-100 CV = 0.17 P:(303)964-1986 5801 Logan St, Suite 100, Denver, CO 80216 F:(303)4774275 Page 2 of 2 Reservoirs Environmental, Inc Reservoirs Environmental QA Manual REI Reservoirs Environmental, Inc. T SUBMITTED BY INVOICE TO CONTACT INFORMATION SEF Company: CTL(THOMPSON (DENVER) .................................................................................................................................................................................................................................................. Company: CTUTHOMPSON (DENVER) Contact: TREVOR TRUETT ...................................................................._................................................... .1 Address: 1971 WEST 12TH PLACE ....................................................................................................................................................._..........._..........................................................I................... Address: 1971 WEST 12TH PLACE Phone: (303) 356-6808 ......................................................................................................................... .....................................................................................................................................................__._............................................................................................................................................................................................................... € Fax: DENVER, CO 80204 DENVER, CO 80204 Cell: •PRIOR Project Number and/or P.O. #: NONE GIVEN ......................................................................................................................................................._............ ...........-.................................................................. Final Data Deliverable Email Address: " Project Description/Location: SMALL HOUSE TTRUETT@CTLTHOMPSON.COM (+ 3 ADDNL. CONTACTS) NOTICE REQUIRED FOR SAME DAY TAT Metals RUSH PRIORITY STANDARD ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VAL PLM / PCM / TEM DTL IRUSHI PRIORITY STANDARD Air = @ € o = 3 o ' ......................... Dust Paint = ...................... Surface CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm€ Dust RUSH PRIORITY STANDARD •PRIOR " _ ' " ......................... NOTICE REQUIRED FOR SAME DAY TAT Metals RUSH PRIORITY STANDARD o •. 8 •••Tape [ Orgal SAME DAY RUSH PRIORITY STANDARD o 'm € .0 ¢ 2 a LL y: 3 S?@ dau a "ASTM E17 MICROBIOLOGY LABORATORY HOURS: Weekdays: Sam - 5pm Viable Analysis** PRIORITY STANDARD —TATDEPENDENTON SPEED OF MICROBIAL GROWTH oo ai E m o f oa 3 i s Medical Device Analysis RUSH STANDARD �-' i . g g. o i E 3i 3? vE t u o e g J O m i E i m to o al Mold Analysis RUSH PRIORITY STANDARD o ' ;' o a _ y e � € — � N E ¢ ca $ o a m **Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays.— n ? T-3 € d„ T 2 : y ° o a v u a` z> g E j Special Instructions: 'o K w; o ONLY READ BLANKS IF ABOVE THE MARL a: 3 3 a i i' o Viables d E Client Sample ID Number (Sample ID's must be unique) ASBESTOS CHEMISTRY MICROBIOLOGY n 1 1 a X i 1316E 2 2 ..............0........$......0..................e......4......... t I ......p..............y........e ......3..............d........; i e ..............y........y......4.................. X ? E ........................d......e...........................i......a.........................e.... e X I i ...... i .................. e ...... i ............................ X i a.4...........................0......0...... ................p......4...... ......d...... ...................i.... 1304L 1399L ................... e.... 1284L ............... q.... 3 3 4 4 5 i :: .............. X .................. a...... j........................... X i ..............e........a......:..................?.................................:..............................:.... X E i 3......e i ...... 1361L ................... 4.... OL OL 6 TB 7 FB REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/mmpany representative agrees that submission of the following samt an analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge. (Relinquished By: ' `J` Z TREVOR TRUETT Date/Time: 02/12/2020 17:25:09 ; (Received By: g' _ HANNA MART( Date/Time: 02/12/2020 17:25:09 P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 F:(303)4774275 Page 1 of 1 Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc Reservoirs Environmental, Inc. REI LAB February 12, 2020 Trevor Truett CTL/Thompson (Denver) 1971 West 12th Place Denver CO 80204 Dear Trevor, Subcontractor Number: Laboratory Report: Project #/P.O. #: Project Description RES 456272-1 Big House None Given Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 456272-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, by Alejandro Mejia �l Jeanne Spencer President P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV F:(303) 477-4275 Page 1 of 2—.reilab.com Reservoirs Environmental, Inc Reservoirs Environmental 0A Manual RESERVOIRS ENVIRONMENTAL, INC NVLAP Lab Code 101896-0 ANA Certificate of Accreditation #480 LAB ID 101533 TABLE: I ANALYSIS: FIBER COUNT ANALYSIS IN AIR RES Job Number: RES 456272-1 Client: CTL/Thompson (Denver) Client Project/P.O.: Big House Client Project Description: None Given Date Samples Received: February 12, 2020 Analysis Type: REI PCM SOP / NIOSH 740OA-M Turnaround: Rush Date Samples Analyzed: February 12, 2020 Client ID Number Air Fields Fiber Reporting Fiber Volume Analyzed Count Limit Density Sampled (L) (F/mm2) (F/mm2 1 1247 100 7.5 7.01 9.55 2 1343 100 3 7.01 BRL 3 1273 100 4 7.01 BRL 4 1273 100 5 7.01 BRL 5 1343 100 6 7.01 7.64 TB 0 ---- ---- Not Analy2 FB 0 ---- ---- Not Analy2 *Unless otherwise stated sample analyses have been blank corrected. Laboratory Quarterly Coefficient Variation(CV) by Fiber Count Range - Oct 1, 2019 - Dec 31, 2019 5-20 CV = 0.28 >20-50 CV = 0.24 >50-100 CV = 0.17 P:(303) 964-1986 5801 Logan SI, Suite 100, Denver, CO 80216 F:(303)477-4275 Page 2 of 2 Reservoirs Environmental, Inc Reservoirs Environmental QA Manual REEII LABReservainq Environmental, Inc. T SUBMITTED BY INVOICE TO CONTACT INFORMATION SERII Company: CTL/THOMPSON (DENVER) ............................. _.......................................................................................... Company: CTLrrHOMPSON (DENVER) ........................... ...._...._.._......_.._..__._....__.........._.._............................... Contact: TREVOR TRUETT ......................... _............................................................................. __............. -1 P( Address: 1971 WEST 12TH PLACE Address: 1971 WEST 12TH PLACE _.»... _..».. _................................................. Phone: (303) 356-6808 .................................................................................................... . ................... ..................................................................................................................................................................»»».». _.......... .............................. Fax: ......................................................................................................................... .............................................................................................................................................................._._..._ DENVER, CO 80204 -__._._..... DENVER, CO 80204 Cell: Project Number P.O.#: BIG HOUSE and/or ...................................... ..............................................................................................................._...................._................................................................ Final Data Deliverable Email Address: - Project Description/Location: NONE GIVEN TTRUETT@CTLTHOMPSON.COM (+ 3 ADDNL. CONTACTS) 'PRIOR NOTICE REQUIRED FOR SAME DAYTAT ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALI[ PLM I PCM 1 TEM DTL RUSH PRIORITY STANDARDAir = A ............................. = o ' v o Dust = C Paint = F Surface = ...Tape CHEMISTRY LABORATORY HOURS: Weekdays: 8am - Spm Dust RUSH PRIORITY STANDARD Q- - =T 'PRIOR NOTICE REQUIRED FOR SAME DAYTAT p` -Dril Metals RUSH PRIORITY STANDARD o o = z N , LD = M Organics* SAME DAY RUSH PRIORITY STANDARD € : o - m ? " °n < Y €6 ? v - -. 3 nLL: m 3 E : ~ - a e - B � 'E m a ° E E v ......................... "ASTM E179: MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm Viable Analysis" PRIORITY STANDARD "TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH n i m y �' < i u. i .E a y° 5 02 i Medical Device Analysis RUSH STANDARD �' z m ` o o € 5 x a` `oi093: rd?— 0331 Ee mw `mU1-im Mold Analysis RUSH PRIORITY STANDARD a 1 - _`: j o m a i a ; <` 1 m': �' o s o a .__ g o. mi o a '• x "Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays." ol Z5 < a" 3 's 0, is Fi QOaai a1 v w a o g o g g o Oui ¢`z> i € of w o v — i '„ Special Instructions: ONLY READ BLANKS IF ABOVE THE MAAL. a i; a I 1 Viables i E Client Sample ID Number (Sample ID's must be unique) ASBESTOS CHEMISTRY MICROBIOLOGY n 1 1 i i..............:........+......i.................. X j......i........................... 4 ...... 1247L ................... 2 2 ...... X ........................... 1343L .....»...........r........ 3 3 ....................................i..................t...... i X i ? ......i..............:........:......+..................:......d...........................i......:....» 1273L i ..................:........ 4 4 X 1273L ....»-..................... 5 5 ....................+...............i...................................................�............ F X i ........i......i»................. ...... t .... ............ ......... i......i....... 1343L i ......»».........i........ 8 TB ......i............... X OL e 7 FB i X ! OL REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following sample an analyticalservicesagreement with payment terns of NET 30 days. Failure to complywith payment terms may result in 1.5% monthly interest surcharge. Relinquished By: - ' TREVOR TRUETT DatelTime: 02/12/2020 17:28:49 Se Received By: c. HANNA MARTI Date/Time: 02112/2020 17:28:49 P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 F:(303)4774275 Page 1 of 1 Ce CTL I THOMPSON, INC. PRE -CLEARANCE VISUAL INSPECTION (Please Print Neativi Client: Wonderland Homes Project Contact: Location: CTL Repres( Arturo Hernandez 5392 Quail Street, Wheat Ridge, CO Dana Harris Project #: DN49619.000-228 Date: Time: Contractor: Work Area: 2/14/2020 Premier Environmental Outbuilding f interior/lin( Inspection: First Inspection Reinspection Contractor Certification of Visual Inspection In accordance with the project specifications, the EPA regulations and CDPHE Regulation #8, Part B - Asbestos, t hereby certifies that they have visually inspected the Work Area (all surfaces, including pipes ams, ledges, wall decontamination unit, sheet plasti tc.), an av n B und remaining asbestos contai g m terials, dust and/o 01, Contractor: l�G YCTL Rep sentative's Certification of Visual Inspection Pass FIFail Comments -cr ('Cr -v CTL Thompson, Inc. Representative: CTL I THOMPSON, INC. PRE -CLEARANCE VISUAL INSPECTION Please Print Neatly) a Project Contact: Location: CTL Representative: f -.2.0 S oZ r4 txc J -5 T_ Time: Contractor: Work Area: on: First Inspection Reinspection for Certification of Visual Inspection Project specifications, the EPA regulations and CDPHE Regulation #8, Part B - Asbestos, the Contractor ley have visually inspected the,Work Area (all surfaces, including pipes, beams, ledges, walls, ceiling, floor, sheet plastic, /etc.), and pave hot found remaining asbestos -containing materials, dust and/or debris. resentative's Certification of Visual Inspection s Fail is ?CkSs �E,� CA�CI d'` d �J r' S'� v►% ,o S n l-9 C -L C npson, Inc. Representative: i ✓ {� ✓� f kt 15 ction: CTL I THOMPSON, INC. PRE -CLEARANCE VISUAL INSPECTION Please Print Neatly) ct Contact: Location: CTL Representative: Contractor: Work Area: 10.06) _First Inspection actor Certification of Visual Inspection Reinspection the project specifications, the EPA regulations and CDPHE Regulation #8, Part B -Asbestos, the Contractor they have visually inspected the Work Area (all surfaces, including pipes, beams, ledges, walis, ceiling, floor, it, sheet plastic, etc , and have qpt ffo_un -remaining asbestos containin erials, dust and/or debris. ictor:- ' ' (Print Name) representative's Certification of Visual Inspection 'ass Fail ants c, d d , 'J, - _,_ _ t tompson, Inc. Representative: VG �` 4 CTL I THOMPSON, INC. PRE -CLEARANCE VISUAL INSPECTION (Please Print Npativl E First Inspection Reinspection r Certification of Visual Inspection project specifications, the EPA regulations and CDPHE Regulation #8, Part B - Asbestos, the Contractor y have visually inspected the Work Area (all surfaces, including pipes, beams, ledges, walls, ceiling, floor, heet plastic, etc.), and have not found remaining asbestos containing materials, dust and/or debris. (Print Name) (Signature) !sentative's Certification of Visual Inspection FIFO II ti v.SsE. � 7��•^ t C,C j. �-_CA_ C% t,: v� .` `"- q 13 V % 5 c w IJ ( c S C' ­�- I Lc) VA C_i'G +-CO t— �I �C_ f -k. �E.j C`�Q l(C>l"7��J ; pson, Inc. Representative: Tri Project Contact: Location: - CTL Representative: l 7 1J Time: Contractor: Work Area: P E First Inspection Reinspection r Certification of Visual Inspection project specifications, the EPA regulations and CDPHE Regulation #8, Part B - Asbestos, the Contractor y have visually inspected the Work Area (all surfaces, including pipes, beams, ledges, walls, ceiling, floor, heet plastic, etc.), and have not found remaining asbestos containing materials, dust and/or debris. (Print Name) (Signature) !sentative's Certification of Visual Inspection FIFO II ti v.SsE. � 7��•^ t C,C j. �-_CA_ C% t,: v� .` `"- q 13 V % 5 c w IJ ( c S C' ­�- I Lc) VA C_i'G +-CO t— �I �C_ f -k. �E.j C`�Q l(C>l"7��J ; pson, Inc. Representative: Tri CTL ( THOMPSON, INC. PRE -CLEARANCE VISUAL INSPECTION Please Print Neatly) Project Contact: Location: lo:I-S CTL Representative: G / Work Area: ction: First Inspection Reinspection actor Certification of Visual Inspection 4,' , S p I S F,,,- (C d— the project specifications, the EPA regulations and CDPHE Regulation #8, Part B - Asbestos, the Contractor they have visually inspected the Work Area (all surfaces, including pipes, beams, ledges, walls, ceiling, floor, it, sheet plastic, etc.), and have not found remaining asbestos containing materials, dust and/or debris. actor: (Print Name) (Signature) '.epresentative's Certification of Visual Inspection ass LJ Fail ents fi, ✓\ s -I-- r � Tompson, Inc. Representative: / U- CTL I THOMPSON, INC. DAILY AIR SAMPLING RECORD (Please Print Neativ) Client: Wonderland Homes Project #: DN49619.000-228 Project Contact: Arturo Hernandez Location: 5392 Quail Street, Wheat Ridge, CO Sample Col Dana Harris Date: 2/14/2020 Means of Pump Calibration _Primary Standard _X—Calibrated Rotameter Rotameter # CTL -Dana -2 Filter ECA _X_385 sq mm sq mm Microscope Field Area: _X_0.00785 sq mm sq mm PCM Filter: _X_0.8um 25 mm Mft. 0.8um 37 mm Lot # TEM Filter _MCE _ PC _ Sample # Sample Type Sample Description Time (24 Hour Clock) Flow Rate (UMin) Air Volume Liters Sample fbrs fids Location Start Stop Total Minutes Start Stop Average Field Blank ............ I . ..... .. XXX X X >< Field Blank . . ..... ..... ..... . X X X C t_- C L C�>.��►-.tea • WVJ t-�ja ,471b 10 117at ►(at is O�F ITtJ Ib, toy LLr 4,. - ,� s�✓ t3ov m3o 06) 1C a8 i 15•2t u.- - 3 u.- iyza ISS' ttxr ►f- Ifo CL, - `� �-�- C>s. - 13vb tH�o 9v ��a>r tS �r if :1k Cl� SE ti0p )yap �o 1S.v Ifs" loll SAMPLE TYPE: P=Personal, P-30=Personal Excursion, B=Background IWA=Inside Work Area, OWA=Outside Work Area, HEX=NEPA Exhaust, CL=Clearance Please use reverse side of form to map sampling locations if drawing is not available NOTES CTL I THOMPSON, INC. FINAL CLEARANCE MONITORING Phase Contrast Microscopy (Please Print Neatly) Client: Wonderland Homes Project #:DN49619.000-228 Project Location: 5392 Quail Street, Wheat Ridge, Contractor: Premier Environmental Work Area: Linoleum flooring Approxima CTL Representative: Dana Harris Aggressive Sampling X Yes Sample #'s 4�— L r 1 Results 0_ o0 3 f/cc G L C- t104 f/cc C L— ' n _ go a�� f/cc C L U . 0a �"1[ f/cc < L' S a 'J a f/cc Final Clearance Samples: [` Passed clearance standards Failed clearance standards Clearance Standards: As stated in specification section f/cc a'09E;A clearance guideline of 0.01 f/cc As per CDPHE Regulation #8 Clearance Standard All clearance samples to be less than background samples other (list) f/cc Samples were analyzed utilizing the NIOSH 7400 Method as reference. Comments: Comments must be made when less than five samples were collected. AHERA regulations require five samples for s Signature: ` a�t�t� ab (Date) ATTACHMENT C CTL CERTIFICATIONS WONDERLAND HOMES QUAIL RUN CTLIT PROJECT NO. DN49,619.000-228-L1 has met the registration requirements of 25-7-507, C.R.S. and the Air Qualit- Commission Regulation No. 8, Part B, and is hereby authorized to perform asbestos I' activities a , s required under Regulation No 8, Part B, in the state of C Issued. �� ���_� �� ��-_� �`� ��_'� �`� �� •••���- ��- .`.�u_� •.moi- -•.. ���. �`i. City of Wheat Ridge Residential Asbestos Abatement PERMIT - 202000409 PERMIT NO: 202000409 ISSUED: 02/25/2020 JOB ADDRESS: 5372 Quail St EXPIRES: 02/24/2021 JOB DESCRIPTION: Asbestos abatement - 509 sq ft total; State Permit No. 20JE0405A-02 *** CONTACTS *** OWNER (720)369-6999 KAVAN CJ SUB (303)993-8121 CHAD MORTENSON HOWARD SCHENKER 190217 PREMIER ENVIRONMENTAL LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, an all pplicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the pr a and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further atte le ally authorized to include a1I entities named within this document as parties to the work to be performed and that all or performed is disclosed in this document and/or its' accompanying approved plans and specifications. Is Signature of OWI1F orrCDNTRACTOR (Circle one) Date I. This permit was is ued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtamed. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Drvision in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheatp j, COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: n) i G /V Plan/Pennit # �ul_'*� a�ooq Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 5372 Quail Street, Wheat Ridge CO 80033 Property Owner (please print): C.J. Kavan Phone: 720-369-6999 Property Owner Email: Tenant Name (Commercial Projects Only) N/A Property OddiesWailing Address: (if different than property address) 6999 Chatford Court City, State, Zip: Castle Rock, CO 80227 Architect/Engineers N/A Architect/Engineer E-mail: Phone: Contractor Name: City of Wheat Ridge License M Phone: 303-993-8121 Contractor E-mail Address:—A.Hernandez@premierenviro.net For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Arturo Hernandez Phone: 720-281-0176 CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical - W. R. echanical:W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ® RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiencyy tyyppe and amount of materials to be used, etc. Asbestos Abatement of 334 sf acm texture 175 sf VAfi/1Vlastic, 1 sink and 3 windows. All work will be performed to CDPHE regulation 8 standards. Utilizing hand tools and wet methods for removal. All waste will be double bagged and transported to an EPA approved landfill. Best Environmental will conduct final all monitoring clearances. Sq. Ft./LF 509 SF Amps Squares BTUs Gallons For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the appl jpati�n. CIRCLE ONE: (OWNER) (CONTRACT11977 atJ (q U7HORIZED REPRESENTA77YE) Simature (first and last name): _ Printed Name:• •tom ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: a� OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver,, Colorado 80246-1530 Phone: 36-692-3100—Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25_-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being perfonned. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify theAsbestos/IAO unit ofproject modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 1/31/2020 through 11:59 PM on 2/29/2020. The actual scheduled work dates are from 1/31/2020 through 2/12/2020. Approval issued on: 1/22/2020 Fee paid: Record number: 156038 Check number: Notice Number: 20JE0405A-02 - Project Supervisor: - Variance: None Armando Tello Comments: None Cerification No.: 18477 For the location specified below: Residence Main floor, Hitchen, basement, exterior win 5372 Quail St. Wheatridge Jefferson County This permit has been issued to: Premier Environmental LLC 1655 Jasper St. Unit A Aurora, CO 80011 Project AMS: Susan Bailey Cerification No. Project Manager: 13996 Issued by: TS lam''' ��c✓ CK � Fll!zl $ o y NUy. f+) N U to dNNO� N O y Eopm2Oron oU o cu rUOA@ ow o0 •ooc0oaoiia �doma mm t cn a U < -V 0 (L m r -101 C4 L)0 0o 04 N aW L N > o Lal ¢ a m mU W � o E m ca omco N .O - N 3 0 3 O VE¢�c v E E m m Q m c co a) E m n. a co N H m3 j 2 00 0 75 o) Y O U CYx�2 u. 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(U E m "..' .0 m f ma > mLj m'-- oy E ul com CL >o U u.m a)_y=EOE Eyam o mm co z N (A o et to a C N a) m p O U wC-, y us a `o N °" N m 3 c t¢ a) w m -o C: yo _ > m cm o `o E W m U U ¢ U co 'N S N Cn O U a C -0a cn ¢. City of COMW heat�idge MUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 December 5, 2019 OFFICIAL ADDRESS CHANGE NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: NEW ADDRESS: See Page 2 CURRENT ADDRESS: 5372-5392 Quail Street • Tract/Key 56 and 44, Section Parcel #: 39-162-00-002 and 39-162-00-001 NOTES: This is a courtesy notification. AUTHORIZED BY: DATE: DISTRIBUTION: 1. Property Owner 2. Addressing@,jeffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections: Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel 3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033 5. Email to arlene.a.vickreyAusps.g_ov; mariann.szasznusps.gov; carmen.s.suarez(a-,usps.gov; theresa.a.kraftAusps.gov 6. Xcel Energy, iacob.van.laere(&xcelenergy.com 7. Century Link, robert.davis(a centurylink.com; rachel.weaver(a,centurylink.com 8. Comcast, scott_moore(a,cable.comcast.com 9. Valley Water District: v.waterdist ardieAcomcast.net 10. Clear Creek Valley Sanitation District: nelsonm29(a),aol.com 11. Fire Department: stevenparker&arvadafire.com 12. Wheat Ridge Planning Division 13. Wheat Ridge Building Division 14. GIS Specialist 15. Log File NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: www.ci.wheatridge.com s DATE: r l , Vicinity Map 5 �* 5394 r- - 1 ffiU.E 5378 Ll ICE. 1 ffiU.E 5378 =: 4)- 5370 ... N -'u -E5362 - , ...Sr FLO.W.: ,, � 5354 •.w::c:•.::::::..- : :411 NUE Ll • City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 December 29, 2016 NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: CURRENT ADDRESS: 5290 Quail Street NEW ADDRESS: 5372 Quail Street SUBDIVISION: LOT(s): KEY: 56 SECTION:- 16 PARCEL NO: 39-162-00-002 NOTES: This is a courtesy notification. AUTHORIZED BY: DATE: ao 113f3rin-1111 12 - 2-9 -/( 1. Property Owner 2. Jefferson County Assessor, ATTN: Data Control, Lacey Baker email to lbaker(ajeffco.us 3. Jefferson County Elections, ATTN: H. Roth, 3 500 Illinois St., Laramie Building, Suite 1100, Golden, CO 80401 4. Email to Jeffco IT (Mapping) Services at smitch us and edelynko(djeffco.us nji�el &�effco.� 5. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 6. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033 7. Email to erlinda.i.mart' nez(a-),usi)s.2ov andkdssy.j.surnmerf1eld usps.gov and qrlene.a.vickrgy( us s. ov 8. Xcel Energy, sandra.cardenasgxceleiiergy.com 9. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221 10. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112 11. Valley Water District 12. Clear Creek Valley Sanitation District 13. Arvada Fire District 14. Wheat Ridge Planning Division 15. Wheat Ridge Building Division 16. Wheat Ridge Police Department 17. GIS Specialist 18. Log File NOTE: Please notify all other parties concerned. EVOMDTIMNW�' '' www.cl.wheatridge.coms 163,1141 Vicinity Map N,,