CmDv Demolition Services Bid Packet #1804

Transcription

1 CmDv Demolition Services Bid Packet #1804 # CDBG Demolition Addendum #2 published 5/22/18 The following are errors / clarifications in the original bid packet to be edited: 1. Contractor questions in regards to Terracon s Asbestos Testing report and AAC-2(a) or (b) recommendations for 8 properties are responded to by Terracon s written response and attached forms for replacement. See attached documents. Other document references remain the same. a. 208 N. 13th St: pages b. 1117/1119 Cole Street: pages ; replace pages with Addendum attachment pages 7-10 c Levin Street: pages d Fenner Street: pages ; replace pages with Addendum attachment pages e Huffman Street: pages f. 319 Daspit Street: pages ; replace pages with Addendum attachment pages g. 628 Douglas Street: pages h Alma: pages Page 22 (Contractor s Bid Proposal Price Sheet): Be sure to write in / identify / acknowledge Addendums # and # on the applicable line of the bid sheet submitted for consideration. 3. Page 302 (Subject Property Identification) 1912 Levin Street: The page itself has not been replaced as this is for correction only - the side fence has been correctly identified / marked by orange paint, indicating that it is to be removed in the bid price submittal. 4. Page 538 (Subject Property Identification) 1512 Huffman Street: a. The page itself has not been replaced as this is for correction only the property map has been corrected to identify the correct address of this structure. The corrected page has been attached to this addendum. Other document references remain the same. b. One Contractor noted that the building address was not identified on the front of the structure. It was found that the structure was properly identified, however, the screen door was blown open and covered the orange paint numbering. The screen door has been closed to show the address again. There are thirteen (13) document pages to be replaced in this Addendum. There shall be a total of eighteen (18) pages in this Addendum # All other information in the original bid packet is applicable. Should you have questions, please contact the Demo Program Manager at or cda@cityofalex.com.

2 CD Huffman Street 31 17'41.2"N 92 26'56.7"W

3 May 21, 2018 City of Alexandria Community Development Department 625 Murray Street Alexandria, Louisiana Attn: Re: Ms. Shirley Branham P: (318) E: Response to Asbestos Related Questions CmDv Demolition Bid Packet #1804 Alexandria, Louisiana Ms. Branham: Terracon Consultants, Inc (Terracon) has received the questions from prospective bidders regarding the CmDv Demolition Bid Packet #1804. The following asbestos related questions were received with responses by Terracon provided below each question: 1) A prospective bidding contractor provided a summary spreadsheet requesting the City of Alexandria to review for correctness. Is there a summary of asbestos containing materials? Response: The City of Alexandria is requesting an individual bid for each individual structure in the Bid Packet. A summary of asbestos-containing materials in all 25 properties was not provided, nor relevant to the individual bids. A review of Contractor provided summary spreadsheet will not be performed. 2) 208 N 13 th Street. Note that there is 2,200 square feet of floor tile and mastic in the structure. The specs call for ACM present is not RACM and will not be made RACM by the demolition according to the AAC-2 form. Contractor does not believe this material in its currently condition can be demolished properly following the bid guidance of: Removing in relative whole pieces by the prescribed methods. There are numerous other structures in the bid that call for abatement of this material. Will this remain the guidance for this structure? Response: Per the Asbestos Survey Report, there are 2,200 square feet of asbestos containing floor tile; however, the mastic was not found to contain asbestos. Per Bid Packet Scope of Work Attachment #3 Line Item 10: Contractor is responsible for the removal and disposal of any and all ACM from structures, as required by regulations. The City of Alexandria nor Terracon has attempted to remove this floor tile by any of the methods provided as an example in Attachment #5 of the Bid Packet and; therefore, are unable to provide an opinion regarding the ease or difficultly in removal without the intent of making the material RACM. Terracon Consultants, Inc Knight Street, Suite 101 Shreveport, Louisiana P [318] terracon.com

4 Response to Asbestos Related Questions CmDv Demolition Bid Packet #1804 May 21, ) 1117/1119 Cole Street. Note there was 300 square feet of floor tile and linoleum noted by the inspector. However, the inspector noted in the report that areas were not accessible in the interior. Therefore, Contractor believes the entire structure should be treated as ACM due to the condition of the structure. Will this remain the guidance for this structure? Response: Per the Asbestos Survey Report; the structure is being requested to be removed by a RACM demolition due to the extensive damage by fire. 4) 1912 Levin Street. Can this transite be removed by a non-license abatement contractor? Response: Such that the material is removed and handled in a way that it does not become RACM, a licensed abatement contractor is not a regulatory requirement. Contractor must still comply with applicable transportation and disposal regulatory requirements. 5) 1321 Fenner Street. The structure was fire damaged and not accessible. Inspector notes unknown quantities for floor tile and linoleum. Therefore, Contractor believes the entire structure should be treated as ACM due to the condition of the structure. Will this remain the guidance for the structure? Response: Per the Asbestos Survey Report; the structure is being requested to be removed by a RACM demolition due to the extensive damage by fire. 6) 1510 Huffman Street. Note that there is 350 square feet of floor tile and mastic in the structure. The specs call for ACM present is not RACM and will not be made RACM by the demolition according to the AAC-2 form. Contractor does not believe this material in its currently condition can be demolished properly following the bid guidance of: Removing in relative whole pieces by the prescribed methods. There are numerous other structures in the bid that call for abatement of this material. Will this remain the guidance for this structure? Response: Per the Asbestos Survey Report, there are 350 square feet of asbestos containing floor tile; however, the mastic was not found to contain asbestos. Per Bid Packet Scope of Work Attachment #3 Line Item 10: Contractor is responsible for the removal and disposal of any and all ACM from structures, as required by regulations. The City of Alexandria nor Terracon has attempted to remove this floor tile by any of the methods provided as an example in Attachment #5 of the Bid Packet and; therefore, are unable to provide an opinion regarding the ease or difficultly in removal without the intent of making the material RACM. 7) 319 Daspit Street. Note that there is 750 square feet of floor tile and mastic in the structure. The specs call for ACM present is not RACM and will not be made RACM by the demolition according to the AAC-2 form. Contractor does not believe this material in its currently condition can be demolished properly following the bid guidance of: Removing in relative Responsive Resourceful Reliable 2

5 Response to Asbestos Related Questions CmDv Demolition Bid Packet #1804 May 21, 2018 whole pieces by the prescribed methods. There are numerous other structures in the bid that call for abatement of this material. Will this remain the guidance for this structure? Response: This structure has significant fire damage and will require a RACM demolition per the Asbestos Survey Report. An updated AAC-2(a) form is attached. 8) 628 Douglas Street. Note that there is 150 square feet of floor tile and mastic in the structure. The specs call for ACM present is not RACM and will not be made RACM by the demolition according to the AAC-2 form. Contractor does not believe this material in its currently condition can be demolished properly following the bid guidance of: Removing in relative whole pieces by the prescribed methods. There are numerous other structures in the bid that call for abatement of this material. Will this remain the guidance for this structure? Response: Per Bid Packet Scope of Work Attachment #3 Line Item 10: Contractor is responsible for the removal and disposal of any and all ACM from structures, as required by regulations. The City of Alexandria nor Terracon has attempted to remove this floor tile by any of the methods provided as an example in Attachment #5 of the Bid Packet and; therefore, are unable to provide an opinion regarding the ease or difficultly in removal without the intent of making the material RACM. 9) In the CmDv Demolition Services Bid Packet Asbestos Summary, Guidelines, and Best Practices it stated in 1.b.iii that Category I and/or nonfriable ACM removal cab be removed by a non-licensed abatement contractor. It states that The use of a licensed asbestos abatement contractor is recommended but not required. In the individual asbestos assessment reports, the inspector designates where these materials are damaged or significantly damaged at the time of inspection. Therefore, if the material is already damaged, then it should be removed by a licensed abatement company. Is this correct? If so, could these materials be listed appropriately? Response: The intent of the City of Alexandria s inclusion and provided guidance to asbestos containing materials is to insure these materials are handled in such a way that is in compliance with local, state, and federal regulations. In situations where the inspector noted damage to asbestos containing material, these materials were either determined to be RACM or remain Category I or II non-friable based on the overall extent of damage. 10) 2447 Alma A form recommended, but showing no ACM, table showed none detected but cover page said there was no interior access so the report appeared conflicting? Response: See Asbestos Survey Report and AAC-2 (a) form indicated a RACM demolition recommended. Responsive Resourceful Reliable 3

6 Response to Asbestos Related Questions CmDv Demolition Bid Packet #1804 May 21, 2018 Based on Terracon s review of the submitted questions, the only revision to the Bid Packet is to provide an AAC-2 (a) for 319 Daspit Street. To aid in further clarification for the prospective bidder questions, Terracon also offers revisions to AAC-2 (a) forms 1117 & 1119 Cole Avenue and 1321 Fenner Street; although these revisions do not change the recommendation of RACM Demolition at either site. Terracon Consultants, Inc. appreciates the opportunity to provide this service to the City of Alexandria. If you have any questions regarding this report, please contact the undersigned at (504) Sincerely, Terracon Consultants, Inc. Jason M. Maloney, P.E. Project Engineer Zack L. Dial, P.E. Senior Engineer Responsive Resourceful Reliable 4

7 NOTIFICATION OF DEMOLITION AND RENOVATION AND ASBESTOS CONTAMINATED DEBRIS ACTIVITY FORM AAC-2(a) Louisiana Department of Environmental Quality Office of Environmental Services Public Participation and Permit Support Division Notifications and Accreditations Section Phone (225) Please type and complete all required sections. No. of Asbestos Disposal Verification Forms (ADVFs) Requested A.I. No. For LDEQ Use Only Ck./Voucher No. Amt. Received Postmark Date ADVF No. Note: This form is to be used only when requesting ADVFs for Asbestos Contaminated Debris Activities (ACDA), Demolition, Renovation, and/or Response Action projects where Regulated Asbestos-containing Material (RACM) is present, or assumed to be present, above the established thresholds or as otherwise required by LAC 33:III.5151.F.1. For demolitions where RACM is absent or amount present is below established thresholds, use Asbestos Negative Declaration Demolition Notification Form AAC-2(b). Emergency Revision Cancellation Note: Emergency notification is allowable only for a sudden, unexpected event that would cause an unsafe condition (or health hazard), equipment damage, or would pose an unreasonable financial burden, per LAC 33:III.5151.F.2.d.xvi. ADVF #s to be revised ADVF #s to be canceled I. Type of Notification (check only one box) II. Original Disposal Only Additional Latest ADVF# Issued Annual (Maintenance) Check if Form AAC-2(a) is for non-scheduled operations for repair or maintenance less than 1 Cubic Yard of RACM per operation. (Indicate total volume in Section V as bin size) Type of Operation (check only one box) Reno & Demo (ACM* or RACM removal & subsequent demo) Renovation ACDA RACM Demo (entire structure treated as RACM) Response Action (schools & state buildings) Is structure being demolished under order of a state or local government agency? No Yes (Complete Sec. XIII) *ACM=Asbestos-containing Material III. Facility Description Facility Name Former Residence Project Designer La. Accreditation No. (schools & state buildings) Physical Address 1117 & 1119 Cole Avenue Parish Rapides City Alexandria State LA Zip Building Size (sq.ft.) 2,500 Owner Name No. Floors 1 Age of Building (Yrs) 40 years Location on site (Bldg, Floor, Room, etc.) where work is done Full Demo City State Zip Contact Phone ( ) Contact Present Use Prior Use School State Bldg. Residential Industrial Other Blighted Residence School State Bldg. Residential Industrial f Public/Commercial Installation Public/Commercial Installation Other 09/19/2016 Page 1 of 4

8 IV. Determination of Asbestos Present Known or Assumed Asbestos Present (if checked, all suspect materials are ACM) Asbestos Determined to be Present Per Inspection and/or Lab Analysis (if checked, complete the items below) Inspector s Name Bradley Kennon Certified Lab Name Moody Labs, Inc. Inspector s Accreditation No. 9I Lab Accreditation No Inspection Date (mm/dd/yy) 03/05/18 Analysis Date (mm/dd/yy) 03/16/18 Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material Attach the following copies: PLM Signature page of inspection report for inspection date indicated (above) Lab Analysis Report for analysis date indicated (above) NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without these attachments if inspection or lab analysis was performed. V. Approximate Amount of Asbestos Removal Times (check applicable times) Business Hours After Hours Weekends Holidays Type of Asbestos Material Material to be Removed Nonregulated ACM Not to be Removed Prior to Demolition (if applicable) RACM CAT I/CAT II CAT I/CAT II TSI Ceiling VAT Transite VAT Asphalt Roofing Fireproofing VAT Piping Mastic Mastic Other RACM Demo Other Other Amount of Asbestos Linear Feet Linear Feet Linear Feet Square Feet Square Feet Square Feet RACM Cubic Yard ACM Cubic Yard ACM Cubic Yard ACD* Cubic Yard *ACD-Asbestos-contaminated Debris VI. Asbestos Removal Contractor Information for RACM/ACD Asbestos Removal Contractor Name LA Contractor s License No. Name of On-site Supervisor On-site Supervisor Accreditation No. Supervisor Accred. Expir. Date City State Zip Phone ( ) A.I. No. Contact VII. Other Operator/Demolition Contractor Contractor Name Contact City State Zip Phone ( ) 09/19/2016 Page 2 of 4

9 VIII. Scheduled Dates for Asbestos Removal or Activities that may disturb Asbestos Material in a Demolition, Renovation, Response Action, or ACDA Start Date (mm/dd/yy) Completion Date (mm/dd/yy) IX. Scheduled Demolition Dates Start Date (mm/dd/yy) Completion Date (mm/dd/yy) X. Solid Waste Transporter to Landfill for RACM/ACD Transporter Name LDEQ SW Transporter No. T- Contact Contact Phone ( ) City State Zip XI. Solid Waste Transporter Only if Taken to Offsite Premises and Stored Prior to Disposal (RACM/ACD) Physical Location Transporter Name of Drop Off Area LDEQ SW Transporter No. T- City State Zip City State Zip Contact Contact Phone ( ) XII. Recognized Asbestos Landfill (RAL) for RACM/ACD Name Physical Address Contact Phone ( ) City State Zip City State Zip XIII. Governmental Agency Ordered Demolition (Complete only if you checked Yes in Section II) Gov t Agency Representative Name Shirley Branham Government Agency City of Alexandria CmDv Representative s Title Administrator Date Issued (mm/dd/yy) 03/07/2017 Date Ordered to Begin (mm/dd/yy) Attach a copy of the Demolition Order from the governmental agency identified (above). City Resolution NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without this attachment. XIV. Emergency Renovations Involving RACM (Complete only for emergency event indicated by checked Emergency box on page 1) Date of Emergency (mm/dd/yy) N/A Time of Emergency N/A Describe the sudden, unexpected event requiring immediate attention N/A 09/19/2016 Page 3 of 4

10 Explain how event would cause an unsafe condition (health hazard), equipment damage, or pose unreasonable financial burden (per LAC 33:III.5151.F.2.d.xvi) N/A XV. Planned Demolition, Renovation Work, Response Action, or ACDA Description of activity including techniques of removal and facility components Description of work practices & engineering controls including asbestos removal and waste handling emission control procedures Describe procedures to be followed in the event unexpected RACM is found or CAT II nonfriable becomes RACM (per LAC 33:III.5151.F.2.d.xvii) Demolition activities will be halted and Asbestos Consultant will be contacted for testing prior to completing demolition. XVI. Comments Provide any additional comments /information relevant to this notification XVII. Certification I certify that the above information is correct and that personnel performing Demolition or Renovation Activities, Response Action, or ACDA are trained and accredited in accordance with LAC 33:III.5151 when RACM is present, and that the evidence of the required training will be available on the project site for inspection by LDEQ personnel. Printed Name of Owner or Operator/Contractor Signature of Owner or Operator/Contractor Date (mm/dd/yy) ADVF Fees $66 each For non-emergencies (minimum of 10 working days notification given). $99 each For emergencies (less than 10 working days notification given). No vouchers will be accepted for emergencies. NO FEE For revisions or cancellations. Submittal Information For Emergencies-Information may be submitted by: fax ( ); (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV); phone ( ); or hand-delivery. If faxed or ed, a follow-up form with original signature and applicable fee payment must be submitted to the LDEQ by one of the methods of delivery (below) within 5 working days. For Non-emergencies-Information MAY NOT BE FAXED. Forms may be submitted by (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV) with a follow-up form with an original signature submitted within 5 working days. The form with an original signature and applicable fee payment must be submitted to the LDEQ by one of the following methods of delivery: By Mail: or By Overnight or Hand-delivery: LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section P. O. Box 4313 Baton Rouge, LA LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section 602 North 5 th Street Baton Rouge, LA Pursuant to La. R.S A&B, be advised that no construction or renovation can begin until the plans and specifications are reviewed by the Office of the State Fire Marshall or it is determined by that Office that plans are not required to be submitted. 09/19/2016 Page 4 of 4

11 NOTIFICATION OF DEMOLITION AND RENOVATION AND ASBESTOS CONTAMINATED DEBRIS ACTIVITY FORM AAC-2(a) Louisiana Department of Environmental Quality Office of Environmental Services Public Participation and Permit Support Division Notifications and Accreditations Section Phone (225) Please type and complete all required sections. No. of Asbestos Disposal Verification Forms (ADVFs) Requested A.I. No. For LDEQ Use Only Ck./Voucher No. Amt. Received Postmark Date ADVF No. Note: This form is to be used only when requesting ADVFs for Asbestos Contaminated Debris Activities (ACDA), Demolition, Renovation, and/or Response Action projects where Regulated Asbestos-containing Material (RACM) is present, or assumed to be present, above the established thresholds or as otherwise required by LAC 33:III.5151.F.1. For demolitions where RACM is absent or amount present is below established thresholds, use Asbestos Negative Declaration Demolition Notification Form AAC-2(b). Emergency Revision Cancellation Note: Emergency notification is allowable only for a sudden, unexpected event that would cause an unsafe condition (or health hazard), equipment damage, or would pose an unreasonable financial burden, per LAC 33:III.5151.F.2.d.xvi. ADVF #s to be revised ADVF #s to be canceled I. Type of Notification (check only one box) II. Original Disposal Only Additional Latest ADVF# Issued Annual (Maintenance) Check if Form AAC-2(a) is for non-scheduled operations for repair or maintenance less than 1 Cubic Yard of RACM per operation. (Indicate total volume in Section V as bin size) Type of Operation (check only one box) Reno & Demo (ACM* or RACM removal & subsequent demo) Renovation ACDA RACM Demo (entire structure treated as RACM) Response Action (schools & state buildings) Is structure being demolished under order of a state or local government agency? No Yes (Complete Sec. XIII) *ACM=Asbestos-containing Material III. Facility Description Facility Name Former Residence Project Designer La. Accreditation No. (schools & state buildings) Physical Address 1321 Fenner Street Parish Rapides City Alexandria State LA Zip Building Size (sq.ft.) 1,000 Owner Name No. Floors 1 Age of Building (Yrs) 40 years Location on site (Bldg, Floor, Room, etc.) where work is done Full Demo City State Zip Contact Phone ( ) Contact Present Use Prior Use School State Bldg. Residential Industrial Other Blighted Residence School State Bldg. Residential Industrial f Public/Commercial Installation Public/Commercial Installation Other 09/19/2016 Page 1 of 4

12 IV. Determination of Asbestos Present Known or Assumed Asbestos Present (if checked, all suspect materials are ACM) Asbestos Determined to be Present Per Inspection and/or Lab Analysis (if checked, complete the items below) Inspector s Name Bradley Kennon Certified Lab Name Moody Labs, Inc. Inspector s Accreditation No. 9I Lab Accreditation No Inspection Date (mm/dd/yy) 03/06/18 Analysis Date (mm/dd/yy) 03/10/18 Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material Attach the following copies: PLM Signature page of inspection report for inspection date indicated (above) Lab Analysis Report for analysis date indicated (above) NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without these attachments if inspection or lab analysis was performed. V. Approximate Amount of Asbestos Removal Times (check applicable times) Business Hours After Hours Weekends Holidays Type of Asbestos Material Material to be Removed Nonregulated ACM Not to be Removed Prior to Demolition (if applicable) RACM CAT I/CAT II CAT I/CAT II TSI Ceiling VAT Transite VAT Asphalt Roofing Fireproofing VAT Piping Mastic Mastic Other RACM Demolition Other Other Amount of Asbestos Linear Feet Linear Feet Linear Feet Square Feet Square Feet Square Feet RACM Cubic Yard ACM Cubic Yard ACM Cubic Yard ACD* Cubic Yard *ACD-Asbestos-contaminated Debris VI. Asbestos Removal Contractor Information for RACM/ACD Asbestos Removal Contractor Name LA Contractor s License No. Name of On-site Supervisor On-site Supervisor Accreditation No. Supervisor Accred. Expir. Date City State Zip Phone ( ) A.I. No. Contact VII. Other Operator/Demolition Contractor Contractor Name Contact City State Zip Phone ( ) 09/19/2016 Page 2 of 4

13 VIII. Scheduled Dates for Asbestos Removal or Activities that may disturb Asbestos Material in a Demolition, Renovation, Response Action, or ACDA Start Date (mm/dd/yy) Completion Date (mm/dd/yy) IX. Scheduled Demolition Dates Start Date (mm/dd/yy) Completion Date (mm/dd/yy) X. Solid Waste Transporter to Landfill for RACM/ACD Transporter Name LDEQ SW Transporter No. T- Contact Contact Phone ( ) City State Zip XI. Solid Waste Transporter Only if Taken to Offsite Premises and Stored Prior to Disposal (RACM/ACD) Physical Location Transporter Name of Drop Off Area LDEQ SW Transporter No. T- City State Zip City State Zip Contact Contact Phone ( ) XII. Recognized Asbestos Landfill (RAL) for RACM/ACD Name Physical Address Contact Phone ( ) City State Zip City State Zip XIII. Governmental Agency Ordered Demolition (Complete only if you checked Yes in Section II) Gov t Agency Representative Name Shirley Branham Government Agency City of Alexandria CmDv Representative s Title Administrator Date Issued (mm/dd/yy) 03/07/2017 Date Ordered to Begin (mm/dd/yy) Attach a copy of the Demolition Order from the governmental agency identified (above). City Resolution NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without this attachment. XIV. Emergency Renovations Involving RACM (Complete only for emergency event indicated by checked Emergency box on page 1) Date of Emergency (mm/dd/yy) N/A Time of Emergency N/A Describe the sudden, unexpected event requiring immediate attention N/A 09/19/2016 Page 3 of 4

14 Explain how event would cause an unsafe condition (health hazard), equipment damage, or pose unreasonable financial burden (per LAC 33:III.5151.F.2.d.xvi) N/A XV. Planned Demolition, Renovation Work, Response Action, or ACDA Description of activity including techniques of removal and facility components Description of work practices & engineering controls including asbestos removal and waste handling emission control procedures Describe procedures to be followed in the event unexpected RACM is found or CAT II nonfriable becomes RACM (per LAC 33:III.5151.F.2.d.xvii) Demolition activities will be halted and Asbestos Consultant will be contacted for testing prior to completing demolition. XVI. Comments Provide any additional comments /information relevant to this notification XVII. Certification I certify that the above information is correct and that personnel performing Demolition or Renovation Activities, Response Action, or ACDA are trained and accredited in accordance with LAC 33:III.5151 when RACM is present, and that the evidence of the required training will be available on the project site for inspection by LDEQ personnel. Printed Name of Owner or Operator/Contractor Signature of Owner or Operator/Contractor Date (mm/dd/yy) ADVF Fees $66 each For non-emergencies (minimum of 10 working days notification given). $99 each For emergencies (less than 10 working days notification given). No vouchers will be accepted for emergencies. NO FEE For revisions or cancellations. Submittal Information For Emergencies-Information may be submitted by: fax ( ); (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV); phone ( ); or hand-delivery. If faxed or ed, a follow-up form with original signature and applicable fee payment must be submitted to the LDEQ by one of the methods of delivery (below) within 5 working days. For Non-emergencies-Information MAY NOT BE FAXED. Forms may be submitted by (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV) with a follow-up form with an original signature submitted within 5 working days. The form with an original signature and applicable fee payment must be submitted to the LDEQ by one of the following methods of delivery: By Mail: or By Overnight or Hand-delivery: LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section P. O. Box 4313 Baton Rouge, LA LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section 602 North 5 th Street Baton Rouge, LA Pursuant to La. R.S A&B, be advised that no construction or renovation can begin until the plans and specifications are reviewed by the Office of the State Fire Marshall or it is determined by that Office that plans are not required to be submitted. 09/19/2016 Page 4 of 4

15 NOTIFICATION OF DEMOLITION AND RENOVATION AND ASBESTOS CONTAMINATED DEBRIS ACTIVITY FORM AAC-2(a) Louisiana Department of Environmental Quality Office of Environmental Services Public Participation and Permit Support Division Notifications and Accreditations Section Phone (225) Please type and complete all required sections. No. of Asbestos Disposal Verification Forms (ADVFs) Requested A.I. No. For LDEQ Use Only Ck./Voucher No. Amt. Received Postmark Date ADVF No. Note: This form is to be used only when requesting ADVFs for Asbestos Contaminated Debris Activities (ACDA), Demolition, Renovation, and/or Response Action projects where Regulated Asbestos-containing Material (RACM) is present, or assumed to be present, above the established thresholds or as otherwise required by LAC 33:III.5151.F.1. For demolitions where RACM is absent or amount present is below established thresholds, use Asbestos Negative Declaration Demolition Notification Form AAC-2(b). Emergency Revision Cancellation Note: Emergency notification is allowable only for a sudden, unexpected event that would cause an unsafe condition (or health hazard), equipment damage, or would pose an unreasonable financial burden, per LAC 33:III.5151.F.2.d.xvi. ADVF #s to be revised ADVF #s to be canceled I. Type of Notification (check only one box) II. Original Disposal Only Additional Latest ADVF# Issued Annual (Maintenance) Check if Form AAC-2(a) is for non-scheduled operations for repair or maintenance less than 1 Cubic Yard of RACM per operation. (Indicate total volume in Section V as bin size) Type of Operation (check only one box) Reno & Demo (ACM* or RACM removal & subsequent demo) Renovation ACDA RACM Demo (entire structure treated as RACM) Response Action (schools & state buildings) Is structure being demolished under order of a state or local government agency? No Yes (Complete Sec. XIII) *ACM=Asbestos-containing Material III. Facility Description Former Residence Facility Name Project Designer La. Accreditation No. (schools & state buildings) Physical Address 319 Daspit Street Parish Rapides City Alexandria State LA Zip Building Size (sq.ft.) 1,500 Owner Name No. Floors 1 Age of Building (Yrs) ~40 years Location on site (Bldg, Floor, Room, etc.) where work is done Full Demo City State Zip Contact Phone ( ) Contact Present Use Prior Use School State Bldg. Residential Industrial Other Blighted Residence School State Bldg. Residential Industrial f Public/Commercial Installation Public/Commercial Installation Other 09/19/2016 Page 1 of 4

16 IV. Determination of Asbestos Present Known or Assumed Asbestos Present (if checked, all suspect materials are ACM) Asbestos Determined to be Present Per Inspection and/or Lab Analysis (if checked, complete the items below) Inspector s Name Bradley Kennon Certified Lab Name Moody Labs, Inc. Inspector s Accreditation No. 9I Lab Accreditation No Inspection Date (mm/dd/yy) 03/07/18 Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material PLM Analysis Date (mm/dd/yy) 03/13/18 Attach the following copies: Signature page of inspection report for inspection date indicated (above) Lab Analysis Report for analysis date indicated (above) NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without these attachments if inspection or lab analysis was performed. V. Approximate Amount of Asbestos Removal Times (check applicable times) Business Hours After Hours Weekends Holidays Type of Asbestos Material Material to be Removed Nonregulated ACM Not to be Removed Prior to Demolition (if applicable) RACM CAT I/CAT II CAT I/CAT II TSI Ceiling VAT Transite VAT Asphalt Roofing Fireproofing VAT Piping Mastic Mastic Other RACM Demo Other Other Amount of Asbestos Linear Feet Linear Feet Linear Feet Square Feet Square Feet Square Feet RACM Cubic Yard ACM Cubic Yard ACM Cubic Yard ACD* Cubic Yard *ACD-Asbestos-contaminated Debris VI. Asbestos Removal Contractor Information for RACM/ACD Asbestos Removal Contractor Name LA Contractor s License No. Name of On-site Supervisor On-site Supervisor Accreditation No. Supervisor Accred. Expir. Date City State Zip Phone ( ) A.I. No. Contact VII. Other Operator/Demolition Contractor Contractor Name Contact City State Zip Phone ( ) 09/19/2016 Page 2 of 4

17 VIII. Scheduled Dates for Asbestos Removal or Activities that may disturb Asbestos Material in a Demolition, Renovation, Response Action, or ACDA Start Date (mm/dd/yy) Completion Date (mm/dd/yy) IX. Scheduled Demolition Dates Start Date (mm/dd/yy) Completion Date (mm/dd/yy) X. Solid Waste Transporter to Landfill for RACM/ACD Transporter Name LDEQ SW Transporter No. T- Contact Contact Phone ( ) City State Zip XI. Solid Waste Transporter Only if Taken to Offsite Premises and Stored Prior to Disposal (RACM/ACD) Physical Location Transporter Name of Drop Off Area LDEQ SW Transporter No. T- City State Zip City State Zip Contact Contact Phone ( ) XII. Recognized Asbestos Landfill (RAL) for RACM/ACD Name Physical Address Contact Phone ( ) City State Zip City State Zip XIII. Governmental Agency Ordered Demolition (Complete only if you checked Yes in Section II) Gov t Agency Representative Name Shirley Branham Government Agency City of Alexandria CmDv Representative s Title Administrator Date Issued (mm/dd/yy) 03/07/2017 Date Ordered to Begin (mm/dd/yy) Attach a copy of the Demolition Order from the governmental agency identified (above). City Resolution NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not be processed without this attachment. XIV. Emergency Renovations Involving RACM (Complete only for emergency event indicated by checked Emergency box on page 1) Date of Emergency (mm/dd/yy) N/A Time of Emergency N/A Describe the sudden, unexpected event requiring immediate attention N/A 09/19/2016 Page 3 of 4

18 Explain how event would cause an unsafe condition (health hazard), equipment damage, or pose unreasonable financial burden (per LAC 33:III.5151.F.2.d.xvi) N/A XV. Planned Demolition, Renovation Work, Response Action, or ACDA Description of activity including techniques of removal and facility components Description of work practices & engineering controls including asbestos removal and waste handling emission control procedures Describe procedures to be followed in the event unexpected RACM is found or CAT II nonfriable becomes RACM (per LAC 33:III.5151.F.2.d.xvii) Demolition activities will be halted and Asbestos Consultant will be contacted for testing prior to completing demolition. XVI. Comments Provide any additional comments /information relevant to this notification XVII. Certification I certify that the above information is correct and that personnel performing Demolition or Renovation Activities, Response Action, or ACDA are trained and accredited in accordance with LAC 33:III.5151 when RACM is present, and that the evidence of the required training will be available on the project site for inspection by LDEQ personnel. Printed Name of Owner or Operator/Contractor Signature of Owner or Operator/Contractor Date (mm/dd/yy) ADVF Fees $66 each For non-emergencies (minimum of 10 working days notification given). $99 each For emergencies (less than 10 working days notification given). No vouchers will be accepted for emergencies. NO FEE For revisions or cancellations. Submittal Information For Emergencies-Information may be submitted by: fax ( ); (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV); phone ( ); or hand-delivery. If faxed or ed, a follow-up form with original signature and applicable fee payment must be submitted to the LDEQ by one of the methods of delivery (below) within 5 working days. For Non-emergencies-Information MAY NOT BE FAXED. Forms may be submitted by (DEQ.ASBESTOSNOTIFICATIONS@LA.GOV) with a follow-up form with an original signature submitted within 5 working days. The form with an original signature and applicable fee payment must be submitted to the LDEQ by one of the following methods of delivery: By Mail: or By Overnight or Hand-delivery: LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section P. O. Box 4313 Baton Rouge, LA LDEQ Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section 602 North 5 th Street Baton Rouge, LA Pursuant to La. R.S A&B, be advised that no construction or renovation can begin until the plans and specifications are reviewed by the Office of the State Fire Marshall or it is determined by that Office that plans are not required to be submitted. 09/19/2016 Page 4 of 4