Cedar Run Apartment Asbestos Permits.pdf

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ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
SingleFamilyResident
alDwalling(SFRD) Publicand CommarcialBuilding,School,andSlng1e-Famlly SubmBform to:
> 50IFor32SFor 855-gal.drum,but:’260LF or 160SFor a55.gaUondrum ResidentiatDIW ’I/l. >260 LFor 160SFor a 55-oalondrum Permit Coordtnator
code’200 $0 CoUrtesy Notice r oodo1 $0 Courtesy Notice Colorado Dep{.ofPubUc He 1h
code 205 $60 Non-Public Acooss Nolice tOot Out) roode105 S80 Non-PubRc Aooess Nolic
and EnvlfOllment
APCD-IE-81
oode21h Notloe roode110 Notice 4300Chiill}’Creak Drive South
f r Mffe 230 I $180) 30.oav Permit r code 1301232 $400 300m,P&c/SFRD Permit Denver.CO 802A6.1630
PhoIlo;303-692-3100
co -s:mo OO-Day Permit r code 190/2.92 $800 OB-Dav P&C/SFRD Permit
oode266 $420 allS.Day Permit r codO 1661~a7 $1200 a06..oav P&ClSFRD Permit
Fax: 303-782-0278
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code 180/230J $65 Nolce or Permit Transfer [eade177] $80 Pha8e _ofMultiple
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Please describe below the work practices and procedums to be employed In Conducting the abatement ofasbestos.~ .
Indicate type(s)ofACBM to b abated (e.g.VAT,
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ano~erpage If necessary.
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I’. ,~~_ASBESTOSABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
1U1~ Z U LuJ FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS Will BE RETURNED.
SingleFamily Residenl
81DweUing(SFRD) PublicandComm8fCslBuilding,School.andS/ngle-Family Su
H form 10;
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Plea8e describe below the work practices and procedures to i)e amployed In conducting the abatement ofasbestos. .
Indicatetypa(s)ofAOOM to be abated (e.g.VAT,
ceiling tile.TSI.elc.). U88 another page If necessary.
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FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WilL BE RETURNED.
Singf9Family ResidentialDwelling(SFRD) Publicand Commercia!Building, School,and Single-Family Submitform tQ:
> 50IFor 32SFor a 55-gal.drum,buts260LF or l611 SFor a 55-ga!lon drum ResidentialDwelling:>260IFor 160SFor a 55-lIa1lon drum Perml!Coordinator
code 200 $0 Coultew Nollce r ooda 100 $0 Courtesy Nollce Colorado Delli. of Public Hoallh
anti Environment
code 205 $60 Non-Public Access Notice (OlllOut) I oodo 105 $80 Non-Public ACCSS Nollca
APCD-IE-B1
code 210 $60 Noflco r code 110 $60 Nolioo 43DO Chorry Creek Drlvo South
)> coda 230 $180 30-01lY Permit r code 13{)f232 $40D 3D-Day P&C/SFRD Permfl Denver,CO 6D246-1630
code 290 $300 GO-Day Permit r code 190/29.2 $600 90-Day P&C/SFRD Permit Phono:303-692-3100
FOK: 303-782-0278
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CC# 7542- $180
20DE2575A
158940 5/15/20
By SEK at 2:56 pm, Apr 29, 2020
Approved by:
By SEK at 3:09 pm, Apr 29, 2020

phase 1
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20DE2575A-01 158992 5/15/20
By SEK at 2:56 pm, Apr 29, 2020
Approved by:
By SEK at 3:09 pm, Apr 29, 2020

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phase 2
20DE2575A-02 158993 5/15/20
By SEK at 2:57 pm, Apr 29, 2020
Approved by:
By SEK at 3:09 pm, Apr 29, 2020

x
phase 3
20DE2575A-03 158994 5/15/20
By SEK at 2:57 pm, Apr 29, 2020
Approved by:
By SEK at 3:09 pm, Apr 29, 2020

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SingleFamily Residential Dwelling(SFRD) Public8ndCommercialBuilding, School,and Singla~F8mily ~mltform IQ:
> 50IFor32SFor 11 5!).ga1. drum,bul S260IF or 160SF or a 65-gaUon drum R98identi81OwoH/f/g:> 260LF or 160SFor a 55-gaVoll drum Permit Coordinator
oode200 $0 CoilrtesY Notice !
CQde1 $0 Courtosv Notloe Colorado Delli. of Public Hoallh
and Elwlronmenl
co~e 205 $60 Non-Public Access Notice (OptOut) r oode105 $80 Non-Public Acce8s Nalleo
APC!HE-B1
code 210 $60 NollGe r code 110 $80 Notice 4300Cllorry Creek Drlvo Soulh
? code 230 $160 30.D~y Permit r coda 1301232 ~ .$400 30-Day P&C/SFRD Permit Denver,CO 80246-1630
codEl290 $300 ilO-Dav Permit r code 190/292 $600 9()..()ay P&G/SfRD Perm!l PilanD:303-692-3100
oodG266 $4~() 365-0av Perm!! [code .P rml!
Fax: 303-782-0278
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[code180/2601 L- $66 Nollce or Permit Transrer
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Company Name
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Please describe below the work practices and procedures to be employed In conducting the abatement of asbestos. BE SPE4
.
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ASBESTOS ABATEMENT NOTIF~CAT’ON and PERMIT APPUCAT~ON FORM
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Single Family ResidentialDW8/fing (SFRD)
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R63idoJltlalDwolllnrr.> 260 IFor 160SFor a 65-nllUon drum Parmi( Coortllnnlor
Icode’200-j $0 Courlooy Notice
Toodo ’&001- $0 Courlofl~ Nolloe Colorodo Dopt. o[ Put>l1c !’Ionllh
and Envlronmonl
r codo2051 $60 Non-Public ACC068 Notlco lO1l1 QuO [oDd!)106] $00 NOli-PUblic ACCOGlI fOI~-’
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r coda 2301 $300 gO.OayPermit
[c~~o190/2021 $600 90-0av P&C/SFRO Permit
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Plea!! describe below tho work pi-acllc8s and procedures to be amploy d in coildllc~ingiiho abatomentofas il3tos_’
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OCT -
3 2019
ASBESTOS ABATEMENT NOTfFWCATJON and PERMIT APPUCATION FORM
s~S~~ FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATiONS WILL BE RETURNED.
~
Sou es
’.SingleFamily ResidentialDWBll
ng (SFRD) Public and CommercialBuilding, SGhool,and Single-Family l!lWllllQ>uLlQ;
> 50IFor 32SFor !l 5I)..gal drum,buf:S;26(jIF or 160SF or 355-gallon drum
RB,~id8ntlalDwolllng:> 260 LF or 160SFor II 55-guUon drum Porml!Coordlnnlor
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(.’Ode’2001 $0 Courtooy Notice
r oode 100 !
()
CourtoBl Nolloa
._____
Colorado Dopt_ or PoiJll" Honllh
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and Envlronmonl
fcodo205] $60 Non-Public ACC068 Nollca (OplOut) [ood 105 $00 Non-Publlc ACC088 Nollco
APCI)-IE- 1
I code 210) $60 Nolleo
r ood 110 $30 Molice
4300 Chorry Cruok Dr/Vi> Soulh
r
{coda2301 $160 30J)~y Pormll
f code 130/232 ~ $400 30.Day P&C/SFBD P~rmll Donvor, CO 00240-1630
fcoda 2901 $300 gO-Day ParmI!
[
Goda 190121)2L $600 gO-Day P&C/SFRD
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ceiling tile, TSI, etc.). Use anolher page If necessary. __ .
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5-{l8Uon drum ResidentialDWiJlllnIJ:> 280LFor 160SFor a 65-lIsUon drum Permit Coordinator
code.200 $0 Courtesy Nollce
[<>ode100 $0 Courtosy Notice Colorado DepL of Publlo Health
and Environment
code 205 $60 Non.Publlc AcCss Notice (OotOut) I.oodo 105 S80 Non’PUbllc Access Nollca
APeD-IE-Bt
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r codo 110 ~BO Notice
4300Chllfry Crook Dr/lID South
F-rcoue.c:.oO $16U 31r-11!1f"PGm fcode 130/232 $400 30-Day PS.C!SFRP PermIt Donver,CO 80246-1530
co 0310. $300 gO.pav ParmI! r code 190/.202 $600 90-Day P&C/SFRD Permit PhDne:303-692-3100
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Start Date
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EndDote
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Slart TIme End TIme
7 AM
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Please describe below the work practlc 8 and procedures to be employed in conducting the abatement of asbestos.
ceiling tile, TSI.etc.}. Use another page If necessary.
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SEP-62019 ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
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,
"
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of-PJ}bl~ ;
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and Envlt()nntent
SingfeFamily ResidentialDweliing(SFRD) Publicand Commerci81Building, School,and SIngle-Family Submitform to:
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code 200 $0 Courtesv Notloe lood..’iOO $0 CourtoSY Notice Co!Ofodo DellI. or Public HoatLh
code 205 $60 Non-Public Access NotlGB (OptOu) loode105 $80 Non-Publlc Access Nollce
and Environment
APGD-IE-1
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Notice r oode110 "$80 Notice
4300Cherry Croak Orivu Soulh
V coqe230 30-0av Pennl! rcode 130/232 $400 3o.0av P&C/SFRD Permit Denver,CO 80246-1630
c
dll290 90-Dav Perml! -rCOda 190/292 $800 9o.Dav P&C/SFRD Perml! Phol’lo;303-692-3100
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$42 3(!5-0av Permit r coda 161>/287 f1200 365-0av P&C/SFRO Pennl! FBX: 303-782-02’76
[code180/280I $55 Nollce or Permit Transfer [
code 117] $ O Phas _ofM ltlple
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credit card # 7542 / $180
X X X
Unit J-#106
20DE3069A
159530 06/05/2020
By Severen McGowan at 1:55 pm, May 13, 2020
By Severen McGowan at 1:55 pm, May 13, 2020

Company
StmelAddress
CRy
RECEHJLD
JAN Z ,
2020
APeD
-
SingleFamilyResidentialDwelling(SFRD)
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PublicandCommercialBuilding.SdlooI,andSlng/&-FamiIy I t..l’
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LF~r 160SFor a55l1a11ondrum RflBid8lllIBJDwtIIInic>28f)u:or180~Fora SS
drum PermitCoonIhaklr
code200 $0 Court!1N No1loe (coda’1 $0 CourtesY No’IIDe
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cade205 $00 NOJ)-Publlo Access NoUce IOptOut) l,c
e106 $80 Non..publ/c Acceaa Notice
and EnvIronment
APOI).IE..81
coda 210 $ O Notloe
.’
Notice 43011CllertYCnrek Prive Soulh
’/’ cod 2S0 $180 30.DltvPermit
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P&CISFRD Permit Denv,r.0080246.1630
code’290, S300 gOoPay Permit DI)-Dav P&CISFRD Permt Phone:308-692-3100
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[code1 51200 3 y P&ClSFRDPermlt
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celUngtll~.TSI.etc.). Use
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APPROriD
)ATE~/to CQPHEAZ’ Rev,OlllOl2
8

Colorado Department
ofPublicHealth
and Environment
Single Family Residential Dwelling (SFRD) Public and Commercial Building, School, and Single-Family Submit form to:
> 50 LF or 32 SF or a 55.gal.drum,but ~ 260 LF or 160 SF or a 55-gallon drum Residential Dwelling:> 260 LF or 160 SF or a 55-gallon drum Permit Coordinator
code 200 0 $0 Courtesv Notice code 100 0 $0 Courtesy Notice
Colorado Dept. of Public Health
and Environment
code 205 0 $60 Non-Public Access Notice (OptOuO code 105 0 $80 Non-Public Access Notice APCD-IE-B1
code 210 0 $60 Notice coda 1<. Nntice 4300 Cherry Creek Drive South
code 230 0 $180 30-Dav Permit v code~232 181 $400 30-Day P& it Denver, CO 80246-1530
code 290 0 $300 90-Dav Permit code I HllILHL rmit Phone: 303-692-3100
code 265 0 $420 365-Day Permit code 165/267 0 $1200 365-Day P&C/SFRD Permit
Fax: 303-782-0278
[
code 180/280 ]0 $55 Notice or Permit Transfer [code177]0 $80 Phase _of Multiple
asbestos@state.co.us
Phase Permit #
Abatement Contractor Abatement Site Building Owner
Company Name Building Name Owner Name
KK Environmental Services Inc. Cedar Run Aoartments Maxx Properties
Street Address Specify location in the building where work will take place (e.g.floor, room,wing, etc.) Contact
12656 E Jamison Place, Unit 5 Master Permit Chris Dohrman
City
I
State
I Zip code Street Address Street Address
Englewood CO 80112 888 S. Oneida Street 888 S. Oneida Street
Telephone #
I Fax # City
I countt-- .
r Zip code City State
I Zip code
(720) 876-0808 (720) 862-2099 Denver Denver ) 80224 Denver CO 80224
Project Supervisor
I CO.%:( Building Contact
T1;ell Phone # Telephone #
I Fax#
Eligio Deleon 2360 Chris Dohrman (720) 621-4894 (720) 621-4894 ( )
StartDate~
End Date landfill Name
-----
23/19 2121/19 Tower landfill ~
Cell Phone #
~t
Designer # Start Time End Time Street Address
( ) 7:00 AM PM AM 3:30 PM 8480 Tower Road
CO Project
Desi~e Check the day(s)of operation: Su M Tu W Th F Sa City State
I Zip code
0 181 181181 1811810 Commerce City CO 80022
fellPh~ I CO Project Designer # Emergency?
I Type of ACM: TSI, Texture, VAT, etc.
CDPHE Use Only
yO NI8I Drywall texture & Linoleum
I R~ftion#
Linear Feet 1 Type Square Feet 1 Type 55 gal. Drums Postmark or Delivery date
[fer fl?
Approved by:
Tullio Environmental 18820 ~.
Form of
payment~ ’Tl
.v
A.M.S. Name
::tWiD
PM req’d?
jj’)’
Kathy Tullio qo 5(= ~JJ- 8&,{Q y W
Cell Phone #
I CO A.M.S. Cert #
/ fO/~l/{()A+~~
7
f)>ateIssued:
(303) 842-6261 14550
Please deSCribe below the work practices and procedures to be employed In conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s)of ACBM to be abated (e.g.VAT,
ceiling tile, TSI, etc.). Use another page if necessary.
This is the master permit and each phase will have quantities and work practices described.
Form: AANPA08
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s
Qj
MULTIPLE PHASE PROJECT SCHEDULE SHEET
This form must be completed and submitted with each application for a multiple phase permit. In addition, A SEPARATE NOTIFICATION AND PERMIT
APPLICATION FORM,INCLUDING WORK PRACTICES AND PROCEDURES,MUST BE SUBMITTED FOR EACH PHASE. If there are any changes,
additions or deletions in this schedule,this form must be updated and resubmitted a minimum often working days prior to the start ofthe affected phase(s).
If the modification is due to a new phase being added,a separate notification and permit application form must be submitted along with a $55notification fee.
PROJECT DESCRIPTION OR NAME GAC NAME DATE PERMIT No. (IFISSUED)
Cedar Run Apartments KK Environmental Services Inc 1/9/19
PHASE ROOM/LoCATION WORK DATES WORK TIMES AMOUNT TO BE TYPE OF MATERIAL
No.
BUILDING/SITE ADDRESS
OF PHASE START DATE END DATE START TIME END TIME ABATED TO BE ABATED
1 888 S Oneida St F313 1/28/19 1/30/19 7a 4p 90 SF Texture
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Colorado Department
ofPublicHealth
and Environment
Single Family Residential Dwelling (SFRD) Public and Commercial Building, School, and Single-Family Submit form to:
> 50 IF or 32 SF or a 55.gal.drum,but $260 IF or 160 SF or a 55.gallon drum Residential Dwelling:> 260 IF or 160 SF or a 55-gallon drum Permit Coordinator
code 200 0 $0 Courtesy Notice r code 100 0 $0 Courtesy Notice
and Environment
code 205 0 $60 Non-Public Access Notice (OptOut) r code 105 D $80 Non-Public Access Notice APCD-IE-B1
code 210 0 $60 Notice r code 110 D $80 Notice 4300 Cherry Creek Drive South
code 230 0 $180 30-Day Permit r code 130/232 D $400 30-Dav P&C/SFRD Permit Denver, CO 80246-1530
code 290 0 $300 90-Dav Permit r code 190/292 0 $800 90-Dav P&C/SFRD Permit Phone: 303-692-3100
r code 265 0 $420 365-Day Permit r code 165/267 0 $1200 365-Dav P&C/SFRD Permit
Fax: 303-782-0278
[code 180/280 1 0 $55 Notice or Permit Transfer
crroae 1 f ’
1""O
~
Phase ~ofMultipl~
Company Name Building Name Owner Name
KK Environmental Services Inc. Cedar Run Apartments Maxx Properties
Street Address Specify location in Ihe building where work will take place (e.g.Hoor, room,wing, etc.) Contact
12656 E Jamison Place, Unit 5 UnitF313 Chris Dohrman
City
I
State
I Zip code Street Address Street Address
Telephone #
I Fax# City
I County
I Zip code City State
I Zip code
(720 876-0808 (720 862-2099 Denver Derver~ 80224 Denver CO 80224
Project Supervisor
I CO.
CJJ!::!. Building Contact
I Cell Phone # Telephone #
I Fax#
Eligio Deleon 2360 Chris Dohrman (720 621-4894 (720) 621-4894 ( )
StartDat~
End Date Landfill Name
1/28/1 1/30/19 Tower Landfill -
Cell Phone #
IcoP~r#
Start Time End Time Street Address
CO Project Designer
N~ Check the day(s)of operation: Su M Tu W Th F Sa City State
I Zip code
0 ~ ~~ ODD Commerce City co 80022
cellPho~ I CO Project Designer # Emergency?
I Type of ACM: TSI, Texture, VAT, etc.
CDPHE Use Only
( ) yO N~ Drywall texture
Const11ing Firm Name
I Regi~On# Linear Feet 1 Type Square Feet 1 Type 55 gal. Drums Postmark or Delivery date
I fer (fey
Approved by:
Tullio Environmental 8820 ?’7’
A.M.S. Name
~FTexture Form of Payment & #
-
PM req’d?
Y~W
Kathy Tullio
Cell Phone #
~
/)rtIL/l(JllrMclJdIA7
-
I CO A.M.S. Cert #
/ ~ateIssued:
(303) 842-6261 14550 )(j7fl.ltf I I 17
Please describe below the work practices and procedures to be employed In conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s)of ACBM to be abated (e.g.VAT,
The asbestos abatement area will be set up in full containment including critical barriers and the work area will be placed under -0.02 negative air using HEPA filtered negative air machines. After the work area
enclosure has been constructed the materials will be removed in small pieces using utility knives and small hand scrapers. The material will be kept wet with amended water using airless sprayers during the
removal process and then double bagged and labeled with the Generator information in preparation for disposal. All surfaces in the asbestos abatement area will be HEPA vacuumed and wet wiped prior to the
visual inspection and air clearance performed by a 3rd party inspector.
Fonn: AANPA08
RI.C,_:- J
JX’l a C rJ
-t;’PROVED
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Rev. 01/3012008
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SingleFamily ResidentialDWfJlOng(SFRD)
> 50IFor 32SFor a 55-gal.drum,buts260IF or 160SFor a55i18Hondrum
0000200 $0 Cour1eav Notice
coda 205 $60 Non-Public Access Notice (OptOut)
code 2fO $60 Nolkla
l’" code 230 $180 30.Dav Permit
coda 290 $300 90-Dav Permll
coda 266 $420 31!5-0av Permit
[
coda 180/280] $56 NoUce or Permit Transfer
Public and CommercialBuilding, School,and Single-Family
Resident/sl wsIHnQ.>280IFor 100 SFor a 55-galon drum
J oode 100 $0 Courtesy Notice
Leode 105 $80 Non-Publlo Access Nollce
J oode 110 ~Rn NoliOR
VI’code M2 ~ $400 3().Oay P&C!SFRO Permit)
,
"’V’"I’
(
coda 1661267 $1200 365.Day P&CfSFRO Permit
[coda177] $80 Phase _ofMulllple
Phase Peymlt #
SUbmit form 10:
PermitCoonllnalor
Colorado Dept.of Public Heelth
and Environment
APeD-IE-B1
4300Cherry Creek Drive South
Denv r. CO 60246.1630
Phone:30~9~100
Fax: 303-782.0278
o,BbBSt09@stato.co.U9
Abatement Contrator
Owner
Company Name
Building Name
CO Project Mgr. Name
Landfill Name
o
Street Address
La. d.()/1
Cell Phone #
( )
PM
-:3S00 5. K.d,
City 11 State Zip code
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Air Pollution Control Division
Multiple phase asbestos project schedule
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This form must be completed and submitted with each application for a multiple phase permit. In addition, A SEPARATE NOTIFICATION AND
PERMIT APPLICATION FORM,INCLUDING WORK PRACTICES AND PROCEDURES,MUST BE SUBMITTED FOR EACH PHASE.If there are
any changes,additions or deletions in this schedule,this form must be updated and resubmitted a minimum of ten working days prior to the start of
the affected phase(s). If the modification is due to a new phase being added,a separate notification and permit application form must be submitted
along with a $80 notification fee.
PROJECT DESCRIPTION OR NAME GAC NAME DATE PERMIT No. (IF ISSUED)
,r ((~Y /l-O/-i -/-me/l./-5 PlA.re. !lba+erJ1--cr7+-: 7/79//9
WORK DATES WORK TIMES TYPE OF
PHASE
BUILDING/SITE OR ADDRESS
ROOM/LoCATION AMOUNT TO BE
MATERIAL TO BE
No. OF PHASE
START DATE END DATE
START END ABATED
TIME TIME
ABATED
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SubmHfoqn10;
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01PuI!llc Hoallh
andEnvJronm
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4SOO~Cr8llk 011118 Soulh
D8IIII/I1,CO807AI!-1630
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CEDAR RUN
APARTMENTS
08/22/2019
To whom it may concern,
A water leak was found to be leaking quite some time at 838 South
Oneida Street #D202 on 08/20/2019.The leak is in the ceiling so it
needs to be removed so the plumber can access it. There is secondary
growth due to the water leaking over time so I am asking that the 10
day waiting period be waived due to health concerns of my Resident
that is currently living there. He has been displaced during this time so
we can start working on it immediatley.
Thank you,
Nicole Benn
’2’"l.-11~
Community Manager
303-399-0526
crnmgr@amcllc.net.
~l(G- AbecleMen./:.
~ylilV1 ()e:::>/-017
fr--
-u;;itf-
Cf> {ZL!I1-
Cedar Run Apartments
888 S. Oneida Street
Denver,Co 80224
303.399.0526
www.cedarrunapts.com

Coloma :.~)llCtmcm
of.P.il.bJidir:alill
and llnvl~nment
FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WIll BE RETURNED.
Sing/9Family ResidentialDw /l
ng (SFRD) Public and CommercialBuilding, School,and Singla-Family ~.
mlL
> 50IFor 32SFor a 56-gal.drum,but:s:260IFor 160SF or ~ 55-goDoll dTllm RBs/dentlBIDW Jllnn:> 260LF or 160SFOT B 1
5’!1o~on dnlm Pormll ConrulnnloT
[coda’200 $0 Courtoe!Notice
r cnde 100 $0 Courtoev NoUoe Colorado DaPt.or Public HonUh
ond Envlmnmont
--Icodo 205 $60 Non-Public ACC68 Notice (OptOut) l.ooda105 $80 NOlI-PUblic ACGOBU Nollco
APCO.IE-1l1
COd92 O $60 NolleD
1~~:l232
<tOO Notioo 4300CholTy Crook Drlvo Soulh
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co~e 230 $100 30.DoV Permit
~ $lfP<) 30-DQlP&C/SFRD Permit ()onvor.CO 002411-1530
code 290 $300 gO-Dav Perml!
-1" 00 9D-Oay P&ClSFRD Ptumll Phono:303.602-’1100
Fsx; 303-702-0276
ood 265 $420 365-0av Permit [eotle166/267 $1200 a 6.DIlIY &C/SFRD’Pormlt
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ceiling tII(l. TSI. elc.). Usa another page If necessary.
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CEDAR RUN
APARTMENTS
11/08/2019
To whom it may concern,
Secondary growth o(er 30ft has been reported in 888South Oneida
Street #0303 on 11/07/2019. I am asking that the 10-day waiting
period be waived due to health concerns of my Residents that are
currently living there.They have been displaced during this time so we
can start working on it immediately.
Thank you,
Community Manager
303-399-0526
crnmgr@amcllc.net.
~lre.. A~t/ktl1ef/1j
QfaYl ()e5kn
~.~ I//X//9
Cedar Run Apartments
888 S, Oneida Street
Denver,Co 80224
303,399.0526
www.cedarrunapts.com
fSltWl~7

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ResidelltialDws/llnn:> 260IFor 160SFor 855-onUon drum ParmllCoordinator
code’200 SO COUJt(,HV Nollce
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code 205 $60 Non-Public Access Notlco (OmOut) Looife 105 Too Non-PUblic Accoss Nollco
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Please describe below the work practices and procedures to be employed in conducUng (he abatement of asbestos.
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r; II:"../e~5 5frc;y..r) 4.:Jt’/d -r;;,:>(5 (I.J<imm’" -flcd- h,.-:; t/lt:t.:/yh1aJ.
i;J(~s-l-t?_ w. 1/ .be
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.
’-Vle;( Cle4,rCit1c.e5 (,J./I be P(’ +~,.~,"’1ed by Cl, "3~ Pt1f"".f-y.
Project Mgr. Name
c rPh
---’
( )
,101m ^ANPA()lf
Abatement Site
Owner
13ull<2ITl9 erne
5FR
Spoollyloo,,’lon In tho building wI,orowOIk wlll taka pluco (0.1).floor,room.wlno.ole.)
’
ilJ fLJin,’/- 301 If’vI~J Jg~k+4 ’11.
StrcelAd as
’3’i5 S. ~ e,’det
’
CItV ^
Jle}1ueY’
Building Contact
j!J1C
Contact}) I
1C. tldne..y
SIrootAddreS8
/-
’3?5-g. 5. Oael
d4--5-n----.--J.-.-.-.---’-’..-.
C’J_eJ1JL~C_..__..____..__,.-_.--.__L.c:,........~z.:?~_
TOlophone # Fax II
ZO "2?>9 :Yi47
Olsposil’Site
landfill Name
I .
’~
’.
~---12 ;.1 L S ~dDL__________
Slreo!Addro88
End Date
1-z../z.t1j9’
EndT~
AM ~
_
:-JSCO S.
City ,1J
F1.l-1>"Cl’r
PM
Emorgonoy’l
yo
Llneor Foot!Type
Approv dhy:----.--
S’50 5r:
w
AP.PROVE~
DATE]!JJJi~CDPHE~ Il~_ OIl.luf]OnR

~ Air Pollution Control Division
~ Multiple phase asbestos project schedule
W This form must be completed and submitted with each application for a multiple phase permit. In addition,A SEPARATE NOTIFICATION AND
PERMIT APPLICATION FORM,INCLUDING WORK PRACTICES AND PROCEDURES,MUST BE SUBMITIED FOR EACH PHASE.Ifthere are
any changes,additions or deletions n this schedule,this form must be updated and resubmitted a minimum of ten working days prior to the start of
the affected phase(s). If the modification is due to a new phase being added,a separate notification and permit application form must be submitted
PROJECT DESCRIPTION OR NAME GAC NAME DATE PERMIT No. (IFISSUED)
~~v K-.,(Y] Afl&{ .fvr,er1.J5 .
Ye- ;/b ~;ne.Y1’( iI //9-//9
W RKDATES WORK TIMES
TVPEOF
PHASE
RooM/LoCATION AMOUNT TO BE
MATERIAL TO BE
No. OF PHASE START END ABATED
START DATE END DATE
TIME TIME -ABATED
""
f ~503 rz!rS/’?
g<<6. ’)" Onel’~ sJ. 17./9/19 7e:ir,// 51’#7 ’](;:c?$f "’;x~.--c--d
".
’L btJ1ve &.~ :2.
t{ "3o/ 11./16/’9- rzJz/I/9 ~n-? 5f7rYl 3505~ W;ryv-JQ-I r
.!Q;;C):’h
AtJt ..f’.))
19~n."
-1
PC/)
..’(1
Ip"
Page_of_
Form: MFS08
Rev.021I6

Submit form to:
Permit Coordinator
and Environment
APCD-IE-B1
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Phone:303-692-3100
Fax: 303-782-0278
Colorado Department
ofPublicHealth
and Environment
ASBESTOSIDEMOLITION
NOTIFICATION and PERMIT
MODIFICATION FORM
Facility Location:
CV Q <Y /},
a...I,
fs. ()
()0-
:J-
(/Oe,
elf’1 v r (nile. Ct? 9
l’Z~f
Phone # Fax #
(7’l-,?)Z~’’Z3’Z.1 (
Permit Number (ifalready issued):’ ’
.tt"N7en.j,LOrJ/7 7
-)(’/ Ir -
L’ I )
Please check the appropriate box(es)in A,Band C,as applicable:
A. Upgrade to: 030-day permit o90-day permit o I-year pem1it
r’J { -f’ I
B. 0
Request to cancel above notice/permit. (Allbut $80 ofthe application fee will be returned. Ifyou paid by check or money
order,a state ofColorado Warrant will be mailed to the company appearing in the contractor box on the application. Ifyou
paid by credit card,a credit will be issued to the same account used to pay for the original application fee.)
c. Change in:
oSupervisor: Certification #
lQ:C/i’
JVk;})
/I(J~
191018
.4PCD
/Ep
OA.M.S.: Celtification #
D Project Manager:
~StartDate:rZ/ II9
D Work Times:
Certification #
D End Date: 1’7../"7./1JCf
oDisposal Site: oCounty:
~Additional Scope ofwork (includetype of ACM,quantity,location in or on facility and work practices):
"1""~e. ,
~iJ,~tll fu’",,’./- WCl2 f>c2Y Ur?’J, D 303" TIt’_ ~t1!b1’’= 5I-c(y~d
Un:J- Pr/!:v-e...,b~ /AS {’un Sk.rj"’? .
? ’.~ 301 J.o r WorK dC’J?c,
:JSOC;f (J’(. ’T
.lwY-d dvywtJlL ~
:: to 5 5P
I certify that I am the person auth0l1zed to sign this modification on behalf ofthe General Abatement Contractor and that all
statements made in this modification are, to the best of my knowledge,correct and complete. (Note:Making false statements
on this application constitutes second-degree perjury as defined by 18-8-503 C.R.S., and is punishable by law.)
~-U-d-
Authonzed Representative Signature
Py6h UGSkn
Printed Name
II/;9./;9
Date
Prt?g~,_,f tU/lJ’l’(jec
Posi on or Title
Postmark or Hand Delivery Date:
Form of Payment & #:
I THIS Box rs FOR CDPHE USE ONi,
Y:
i (/I q /Iq Approved By: 6 :.v
, ,
Permit #:
I Record #:
I Code: --
I Date Issued:
Form: NPM08
APPROVED.c --,
DATE.fl!lB1..COPHE_ <ft%
Rev. 01/30/08

~
’:1’1.
~t’
~ ~
~u
~
’ona
SU~tces
$Ov
Colorado Department
ofPublicHealth
and Envirorunent
ASBESTOSIDEMOLITION
NOTIFICATION and PERMIT
MODIFICATION FORM
Submit foon to:
Peonlt Coordinator
and Environment
APCD-IE-B1
Denver, CO 80246-1530
Phone:303-692-3100
Fax: 303-782-0278
esbestos@state.co.us
Name ofFacility:
n e,’d(A 5
..f.
Fax #
(
Please check the appropriate box(es)in A,Band C,as applicable:
S.7,? t.,
A. Upgrade to:~)O-day pe o90-day permit o I-year pennit
8. Request to cancel above notice
.
All but $80 ofthe application fee will be re you paid by check or money
order,a state ofColorado Warrant will be maile 0 mg In t e contractor box on the application. Ifyou
paid by credit card,a credit will be issued to the same accouni used to pay for the original application fee.)
C. Change in:
oSupervisor: Certification #
DA.M.s.: Certification #
oProject Manager: Certification #
oStart Date: oEnd Date:
oWork Times: oDisposal Site: oCounty:
Additional Scope of work (includetype ofACM,quantity,location in or on facility and work practices):
rt P:fe. WCcS .e"’ltd .t-"’tlJ- (UII7.2 ..t-l~(",,- IMLJI.’I2/e UI1.’J~ +h J -eed5 "’-0
Jk. e’)(f~Sed ,Cv- reftt.’r War k:
I certify that I am the person authorized to sign this modification on behalf ofthe General Abatement Contractor and that all
statements made in this modification are, to the best ofmy knowledge,correct and complete. (Note:Making false statements
on this application constitutes second-degree perjury as defined by 18-8-503 C.R.S.,and is punishable by law.)
~K~--"-
Authorized Representative Signature
((ytl’n Ue 5kn
Printed Name
10/3//9
Date
{}e
’
-ec.-I dlttJ111~
Position or Title
. . ~---.- . - --. ...._ _,_ -
_._ .__.,.H__ _ H"__.
’_’_""’_"__,.___,’__"_",_,,__ .’ ..’.,._’._. _....
,.___.."._... "" ... ’___ ___ ......,._._.___.....
___ ,. _,_ _.’, _...___...... _
,_._. ’.’ _,. _
Postmark or Hand Delivery Date: l I ’!::>/ q
Form ofPayment & #:
Cc 75L1;.:2 /"it
THIS Box IS FOR CDPHE USE ONt.
y:
Approved By: /11
v
Permit #:
Code: fJ,q0
I Reci~DateIssued:
Form: NPM08
Rev. 0[/30108

/~..
"t
;~
~t, ~
~’~
S~o~~C:
This form must be completed and submitted with each application for a multiple phase permit. In addition, A SEPARATE NOTIFICATION AND
PERMIT APPLICATION FORM,INCLUDING WORK PRACTICES AND PROCEDURES,MUST BE SUBMITTED FOR EACH PHASE.If there are
any changes,additions or deletions in this schedule,this form must be updated and resubmitted a minimum of ten working days prior to the start of
the affected phase(s). Ifthe modification is due to a new phase being added, a separate notification and permit application form must be submitted
Air Pollution Control Division
Multiple phase asbestos project schedule
PROJECT DESCRIPTION OR NAME GAC NAME DATE PERMIT No. (IF ISSUED)
Cedar ((Uv1 JjI)A~JmJ’~h pU ~. .4babeY7J- 10/3//9 t9-0 ~G3’f7,4
/
WORK DATES WORK TIMES
TYPE OF
PHASE
ROOM/LOCATION AMOUNT TO BE
MATERIAL TO BE
No. OF PHASE
START DATE END DATE
START END ABATED
TIME TIME ABATED
’. .
White; loh-J/’? 1507F
~ <
’W $. tJJ1e.’d’l. S+-. Un,’} It2~ 7a SfJ’Z7 10’J.w..-ed. c!rv;....>t I
3 De;lVV" e. .
8"07%.’-f.
UVl.’.J.- 107 lolz’!/;<; 10177//’1 7a~ C;PP1 J305r <JPlX.1tt".~d drv"",r.,
(,(:}d :c.. li -
I ,Ii
--’
(fl<t’"rn.:j, lo /51/’)
,
-
1 .
.’: .
V7C, t: 19C lh:’S47A- fAY?:.J- ioC6 loli l9 7a~ ~Pf11 5o~r:- fexJ.""...-cd. j,-V’w[,.
-.J J .
’/
If.
..,/1
Page_of_
~
~
~
Fonn:MFS08
Rev. 02/16

saESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM
.’-. F;EE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED.
("’" .
’’Single Family Residential Dwelling (SFRD) Public and Commercial Building, School, and Single-Family Submit form to:
> 50 IF or 32SF or a 55-9al.drum,but s; 260 IF or 160 SF or a 55-gallon drum Residential Dwelling:> 260 IF or 160 SF or a 55-gallon drum Permit Coordinator
code 20010 $0 Courtesy Notice [code10010 $0 Courtesy Notice
[code205]0 $60 Non-Public Access Notice (OptOut) [code105]0 $80 Non-Public Access Notice
and Environment
APCD-IE-B1
code 210 0 $60 Notice ~^rI^ 11n <ton tI"tir
code 230 0 $180 30-Day Permit I (fcode 130/Clt 181 $400 30-Day P&C/SFRD PermiD Denver, CO 80246-1530
code 290 0 $300 90-Day Permit [coae Il:tU/Ll:tL LJ $BPO 90-Day P&C/SFRD Permit Phone: 303-692-3100
code 265 0 $420 365-Day Permit r code 165/267 0 $1200 365-Day P&C/SFRD Permit
Fax: 303-782-0278
[code 180/280]0 $55 Notice or Permit Transfer [code 177]0 $80 Phase _of Multiple
Phase Permit #
Colorado Department
ofPublicHealth
and Environment
Company Name
KK Environmental Services Inc.
/ Building Name Owner Name
Office BuildinQ Maxx Properties
Street Address Specify location in the building where work will take place (e.g.floor, room,wing, etc.) Contact
12656 E Jamison Place, Unit 5 File Room Chris Dohrman
City
I
State
I
Zip code Street Address Street Address
Telephone #
I Fax #
/
City
I count( )
I Zip code City State
I Zip code
(720) 876-0808 (720) 862-2099 Denver Denver 80224 Denver CO 80224
Project Supervisor
I CO. Cert#
J Building Contact
1 Cell Phone # Telephone #
I Fax #
Eliqio Deleon 2360 Chris Dohrman (720) 621-4894 (720) 621-4894 ( )
Stae:Tee )
End Date Landfill Name
February 21,2017 February 24, 2017 Tower Landfill
/
Cell Phone # CO Project Designer # Start Time End Time Street Address
J
CO Project Designer Name Check the day(s)of operation: Su M Tu W Th F Sa City State
I Zip code
0 0 181181 1811810 Commerce City CO 80022
Cell Phone # CO Project Designer # Emergency?
I Type of ACM:TSI, Texture, VAT, etc.
CDPHE Use Only
( ) vl8I NO Drywall texture
.J I Registration # Linear Feet 1 Type Square Feet 1 Type 55 gal. Drums Postmark or Delivery date
APprove~
DS Consulting 14912
~FTextur;)
2/11,f?
A.M.S. Name
/ Form of Payment & #
.
/11
PM req’d?
V (fj) W
Alex Johnson Cc P3:.!1 4c>J
Cell Phone # CO A.M.S. Cert #
l ~q3Jf1-llrY.Y"L oDate Issued:
(970) 286-9094 20533
Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicati3 type(s)of ACBM to be abated (e.g.VAT,
The asbestos abatement area will be set up in full containment including critical barriers and the work area will be placed under -0.02 negative air using HEPA filtered negative air machines. After the work area
enclosures have been constructed the materials will be removed in small pieces using utility knives and small hand scrapers. The material will be kept wet with amended water using airless sprayers during the
removal process and then double bagged and labeled with the Generator information in preparation for disposal. All surfaces in the asbestos abatement area will be HEPA vacuumed and wet wiped prior to the
visual inspection and air clearance performed by a 3rd party inspector.
.APPROVED
;)ATE2/t7/1J CDPHE
Fonn: AANPADS Rev.OI/30/2ooS

2117/2017 iPhone-2017.02.14-11.49.57.024 (Large).jpg
https://mail.google.com/mail/b/305/u/0I#inbox/15a4dd637e87b3bd?projector=1 1/1

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