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i i i i i i City of Northampton Mail- Highview of northampton Water tower https://mail.google.com/maill u/0/?ui=2&ik=3921 lafc3d&view=pt&se... Charles Miller<cmiller @northamptonma.gov> Norftunpton Highview of northampton Water tower 1 message PhysicalPlant @highviewnh.com <physicalplant @highviewnh.com> Mon, Dec 14, 2015 at 8:31 AM To: "cmiller @northamptonma.gov" <cmiller @northamptonma.gov> Good morning The pneumatic fire suppression system in the garage is 100% online, Captain Larry Therion did a walk thru with us 12/10/15 and was ok with us decommissioning the old water tower and using the new system for fire suppression system. Thank you Joe Jazab 1 of 1 12/14/2015 10:50 AM I i i I i I i I i I i i E I I j i i I i i i i i i s Commonwealth of Massachusetts __.___..._._.__......_.., 100234018 Asbestos Notification Form ANF-001 �-- - �� Asbestos Project # F- Project Revision F Project Cancellation C.Asbestos Transportation& Disposal: (cont.) 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: EAST COAST SYSTEMS ENGINEERING 6 CEDAR STREET Temporary Storage Location Name Address COTUIT MA 02635 5086480448 City/Town State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA ENTERPRISES,INC. MINERVA ENTERPRISES,INC. Final Disposal Site Name Final Disposal Site Owner Name 9000 MINERVA ROAD Address WAYNESBURG OH 44688 3308663435 City/Town State Zip Code Telephone D. Certification "I certify that I have personally examined the foregoing and am CHARLES HUGHES CHARLES HUGHES familiar with the information Name Authorized Signature contained in this document and SR.PROJECT ESTIMATOR 12/3/2015 all attachments and that, based on my inquiry of those Position/Title Date(MM/DD/YYYY) individuals immediately 4133227190 AMERICAN ENVIRONMENTAL,INC. responsible for obtaining the Telephone Representing information, I believe that the 18 CANAL STREET HOLYOKE information is true,accurate,and Address City/Town complete. I am aware that there MA 01040 are significant penalties for submitting false information, State Zip Code including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of 4 I i I t I i I E 1 I i I i i i `7 Commonwealth of Massachusetts _.__...._._....._.___....; 100234018 Asbestos Notification Form ANF-001 Asbestos Project# F Project Revision f' Project Cancellation B. Facility Description 1. Current or prior use of facility: ELEVATED TANK 2. Is the facility owner-occupied residential with 4 units or less? j Yes (v No 3.HIGHVIEW OF NORTHAMPTON 222 RIVER ROAD Facility Owner Name Address LEEDS MA 01053 4135848457 City/Town State Zip Code Telephone 4.JOSEPH JAZAB 222 RIVER ROAD Name of Facility Owner's On-Site Manager Address LEEDS MA 01053 4135848457 City/Town State Zip Code Telephone 5.COSTELLO DISMANTLING CO. 45 KINGS HIGHWAY Name of General Contractor Address WEST WAREHAM MA 02576 5082912324 Note:Temporary storage of Asbestos City/Town State Zip Code Telephone containing waste STATE NATIONAL INSURANCE COMPANY material is only allowed at the place Contractor's Worker's Compensation Insurer of business of a DLS NFA082409301 3/26/2016 licensed Asbestos Policy# Expiration Date(MM/DD/YYYY) contractor or a transfer station is y' permitted ed by 6. What is the size of this facility? 100 1 MassDEP and operated in Square Feet #of Floors compliance with Solid P Waste Regulations C. Asbestos Transportation & Disposal 310 CMR 19.000 1. Transporter of asbestos-containing waste material from site of generation: f— Directly to Landfill or [7 To Temporary Storage Location/Transfer Station AMERICAN ENVIRONMENTAL INC. 18 CANAL STREET Name of Transporter Address HOLYOKE MA 01040 4133227190 City/Town State Zip Code Telephone 2. If a temporary storage location/transfer station is used, list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: EAST COAST SYSTEMS ENGINEERING 6 CEDAR STREET Name of Transporter Address COTUIT MA 02635 5086480448 City/Town State Zip Code Telephone Note:Contractor must sign this form for DLS Revised: 11/13/2013 Page 3 of 4 i i i i i i i i I i I i i i I i i Commonwealth of Massachusetts _. _.__..__....__..._._.__. ;100234018 Asbestos Notification Form ANF-001 Asbestos Protect# I— Project Revision F- Project Cancellation A.Asbestos Abatement Description: (cont.) 12. Abatement procedures(check all that apply): Glove Bag f Encapsulation r— Enclosure r- Disposal Only f— Cleanup [7 Full Containment Other- Please Specify: SAFE WORK PRACTICES 13.Job is being conducted: f— Indoors f7 Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 50 0 Linear Feet(Lin.Ft.) Square Feet(Sq.Ft.) Boiler,Breaching,Duct, Transite Pipe 50 Tank Surface Coatings Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Pipe Insulation Transite Shingles Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Spray-On Fireproofing Transite Panels Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. Cloths, Woven Fabrics Other-Please Specify: Lin.Ft. Sq.Ft. Insulating Cement Lin,Ft. Sq.Ft. Lin.Ft. Sq.Ft. 15. Describe the decontamination system(s)to be used: 3 STAGE DECONTAMINATION UNITW ITH SHOWER AND/OR REMOTE DECONTAMINATION UNIT ADJACENT TO THE WORK AREA 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): DOUBLE BAGGING IN 6-MIL LABELED BAGS OR WRAPPED IN 2 LAYERS OF 6-MIL POLY SHEETING 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of MassDEP Official Title of MassDEP Official Date of Authorization(MM/DD/YYYY) Waiver# Name of DLS Official Title of DLS Official Date of Authorization(MM/DD/YYYY) Waiver# 18. Do prevailing wage rates as per M.G.L. c. 149, §26,27 or 27A—F apply to this j-- Yes rv— No project? Revised: 11/13/2013 Page 2 of 4 i I i i i j i i i i i i i i i i i i i i I i f i I i i i i i i i i t `071 1 Commonwealth of Massachusetts ....-. .....- .. Asbestos Notification Form ANF-001 100234018 .. ........_........ . Asbestos Project# F- Project Revision F- Project Cancellation A. Asbestos Abatement Description 1.Facility Location: LEEDS ELEVATED TANK 222 RIVER ROAD Name of Facility Street Address Instructions 1.All NORTHAMPTON MA 01053 4135848457 sections of this form Cityfrown State Zip Code Telephone must be completed in JOSEPH JAZAB PROJECT MANAGER order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: BASE OF TANK CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? F Yes F No notification requirements of 453 CMR 6.12 3. Is this a fee exempt notification (city, town, district, municipal housing authority, state facility, or owner-occupied residential property of four units or less)? 17— Yes Fl No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval I D# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor: Massachusetts AMERICAN ENVIRONMENTAL INC 18 CANAL STREET P.O.Box 4062 Boston,MA 02211 Name Address HOLYOKE MA 01040 4133227190 City/Town State Zip Code Telephone AC000639 Contract Type: P Written F Verbal DLS License# 7. DALE A.HARDY AS071733 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. N/A Name of Project Monitor DLS Certification# 9. SMITH&WESSELASSOCIATES INC AA000161 Name of Asbestos Analytical Lab DLS Certification# 10. 12/16/2015 12/31/2015 Project Start Date(MM/DD/YYYY) End Date(MM/DD/YYYY) 7AM-3:30PM N/A Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11. What type of project is this? 17, Demolition F— Renovation I— Repair (` Other-Please Specify: Revised: 11/13/2013 Page 1 of 4' i i i i I r i i i i i r Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality , BWP ANF-001 Pre-Form a Notification Prior to Construction or Demolition F his is a revision to an existing form. Project ID for existing form to be revised: F This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: F This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: f I am a non-licensed contractor removing or disturbing non-friable shingles only. 1, None of the above conditions apply,generate a new form Revised: 11/13/2013 Page I of 1 e, 4,/F, l ,� Massachusetts Department of Environmental Protection Lill eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: METROREMEDIATOR Transaction ID: 794194 Document: AQ04-Asbestos Removal Notification Form ANF-001 Size of File: 109.13K Status of Transaction: In Process Date and Time Created: 12/3/2015:10:07:32 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. i I i i I i I i E i I f I 1 I i i i J Are you doing the asbestos and then dropping the tank? Glenn Nelson Smith& Wessel 978-580-6882 -------- Original message -------- From: Tom Berenz <tom ticostellodismantling.com> Date: 12/01/2015 2:54 PM (GMT-05:00) To: Glenn Nelson<gtielson"r%smitliw ssel.com>, Ted Sherry <tslzerrN'cr'smithwessel.com> Cc: 'Sandi Cloutier' <sands,Y,,costellodismanilingy.com>, 'Michael Barry' <mbarry!ci-costellod.ismantlin�T.corn>, 'Charles Hughes' <chughes'r_%amerenviro.corn> Subject: Leeds Elev Tank=Al Inspector Name and Number for 6inch ACM Pipe Glenn, We have recently been approved for the Leeds Elevated Water Project to start ASAP (Dec 14?—Dec 15th?) We are preparing our(10 day) DEP Notice for Demolition and need to insert the Name and (Al)Cert Number of your Asbestos Inspector. American Environmental will be performing the abatement and they will need that information as well. We would appreciate receiving that information today if possible. Thanks. Tom Berenz, P.E. COSTELLO DISMANTLING CO., INC. Celebrating our 30th year! 45 Kings Highway) West Wareham, MA 102576 Cell: 508.958.9259 1 Phone: 508.291.2324 1 Fax: 508.291.2325 tom(d-)costellodismantling.com www.costellodismantling.com Proud Winners of. 2013,2011&2009 World Demolition Award- "Recycling&Environmental'; "Collaboration" 2015,2014,2013&2012 National Demolition Association's "Environmental Excellence Award" 2014 World Demolition Award—Urban Demolition Award Runner-Up "Our mission is to continue as a leader in the dismantling industry by embracing a culture of innovation,safety,integrity and respect for our employees,clients and the environment." 3 i I i i I i i i i f i i I 4 i �-- Cc: 'Charles Hughes'; 'Michael Barry'; 'sganz09'; Steve,,acostellodismantlin om; lean a:costellodismantling.com Subject: Leeds Elev Tank = 6inch ACM Pipe Abatement Glenn, We will check to see how much insulated pipe is above ground and perform that right away—before we drop the tank. If there is underground piping, we will wait until after we drop the tank to chase that piping. We have reviewed the photos and cannot see that pipe. DO YOU HAVE ANY PHOTOS OF THE ACM INSULATED PIPE ?? IF YES, PLEASE EMAIL BACK TO US. THANKS. a T ' k1, YLYa ,i Tom Berenz C: 508-958-9259 COSTELLO DISMANTLING P: 508-291-2324 From: Glenn Nelson [mailto:gnelson @smithwessel.com] Sent:Wednesday, December 02, 2015 4:52 PM To:Tom Berenz<tom @costellodismantling.com> Subject: RE: Leeds Elev Tank=Al Inspector Name and Number for 6inch ACM Pipe Tom, 2 1' .16 A CoA Q e0T 'f>t Pe Tom Berenz From: Glenn Nelson <gnelson @smithwessel.com> Sent: Thursday, December 03, 2015 12:5 To: Tom Berenz - Subject: RE. Leeds Elev Tank— ACM Pipe Abatement= Suggested Project Procedure I don't see why not Glenn Nelson Smith& Wessel ©AJ '' V 978-580-6882 -------- Original message -------- From: Tom Berenz <tom @costellodismantling.com> Date: 12/03/2015 12:42 PM (GMT-05:00) To: Glenn Nelson <gnelson @smithwessel.com> Cc: 'Charles Hughes' <chughes @amerenviro.com>, 'sganz09' <sganz09 @yahoo.com>, steve @costellodismantling.com, sean @costellodismantling.com, 'Michael Barry' <mbarry @costellodismantling.com> Subject: Leeds Elev Tank= ACM Pipe Abatement= Suggested Project Procedure Glenn, I Can we protect this vent? (with heavy timbers) -- Drop the Tank—Process/blend the lead contaminated soils— Excavate/disposal of the soils--then chase/abate the transite pipe (into the vault)?? Note that we have to hammer the footings/piers and vault down at least 2 feet. Tom Berenz C: - -925 COSTELLO DISMANTLING P: 508-291-2324 From: Glenn Nelson [mailto:gnelson @smithwessel.com] Sent:Thursday, December 03, 2015 11:13 AM To: 'Tom Berenz'<tom @costellodismantling.com>;Ted Sherry<tsherry @smithwessel.com> Cc: 'Charles Hughes'<chughes @amerenviro.com>; 'Michael Barry'<mba rry@costellodisma ntling.com>; 'sganz09' <sganz09 @yahoo.com>; steve @costellodismantling.com; sean @costellodismantling.com Subject: RE: Leeds Elev Tank= 6inch ACM Pipe Abatement Tom, It is cementitous transite pipe. See indicated in attached photo log From: Tom Berenz [mailto:tom costellodismantling.com] Sent: Thursday, December 03, 2015 10:23 AM To: Glenn Nelson; Ted Sherry 1 i r i i i i i I �. i www.costellodismantling.com Proud Winners of.• 2013,2011&2009 World Demolition Award- "Recycling&Environmental "Collaboration" 2015,2014,2013&2012 National Demolition.Association's "Environmental Excellence Award" 2014 World Demolition Award—Urban Demolition Award Runner-Up "Our mission is to continue as a leader in the dismantling industry by embracing a cultnre of innovation,safety, integrity and respect for our employees,clients and the environment." 4 Test Report: Toxicity Characteristic Leaching Procedure (SW846, 131117420) 5"vT119", Lv, 1D A finh-4,4 Coe( T CA P 01 1 f I f)rz?0 V, I 1(.1?2f) 5 Srt, !bider Tank N,E S ide Jor, So 4) P Site, Urwer Tank',;:E Sk (Top F� I C,v 20 5 Sits 5 trchps ftom 13,W Tank S'tan(hion Desc Near Eloctnc Shed flop SrAl) TCLP iA .0f`3 7 Site 10 lnche,: fain 5"F ion Top 1304) Sample # Location Result (ppm) 01 North:'east stanchion between center circular section and 496 ppm.0"to 1'depth stanchion(surface sod s.unple) 351 ppm 1' to 2' depth 02 Nortli"-west stand-lion between center circular section and 670 ppin 0"to V depth stanchion(surface soil sample) 314 ppm 1'to 2' depth 03 South.ivest stanchion bemveen center circular section and 430 ppm 0"to 1'depth stanchion(surface soil simple) N3 ppm 1'to 21' depth 04 South.east stanchion bemveen center circular section:and 10.100 ppin 0"to 1'depth stanchion(Surface soil s.aniple) 604 ppm 1'to 22'depth 05 Northleast stanchion 5-feet out from base (surface soil Simple) 93'9 ppin 0"" to 1'depth 341 ppm 1'to 2' depth 06 North st stanchion 5-feet out from base(surface soil sample) 151 ppm 0"to 1'depth 396 ppm 1'to 2' depth 07 South,�'ivest stanchion 5-feet out from base near electric shed 942 ppm 0"to I'depth (surface soil simple) 634 ppm 1'to 2' depth 08 South east stanchion 5-feet out from base(surface soil simple) 10.200 ppm 0"to 1'depth 586 ppm 1'to 2' depth 09 Northeast stanchion 10-feet out from base(surface sod -437 ppm 0"to 1'depth sample) 159 ppm Vto 2'depth 10 Northwest stanchion 10-feet out from base (surface soil 173 ppm 0""to l' depth sample) 413 ppi-n 1' to 2'depth 11 South,"west stanchion 10-feet out from base near electric shed =436 ppm 0"to I' depth (surface soil sample) 1 651 ppm 1'to 2'depth 12 Southeast stanchuon 10-feet out from base (surface soil 10,100 ppm 0"to 1'depth I sanTle) 721 ppm 1'to 2' depth Tom Berenz, P.E. COSTELLO DISMANTLING CO., INC. Celebrating our 30th year! 45 Kings Highway) West Wareham, MA 102576 Cell: 508.958.9259 1 Phone: 508.291.2324 1 Fax: 508.291.2325 tom(a)costellodismantling.com 3 i I I I I i I t 1 i I I I I j I { i i From: Tom Berenz[mailto:tom @costellodismantling.com] Sent: Friday, November 06, 2015 1:27 PM To: Motamedi, Saadi (DEP) Cc: Tina Larson' Subject: Hazardous Lead Soils Removal and Treatment Saadi, P:413-755-2131 Thank you for your prompt response and phone call. We have a project site in Northampton with an elevated water tank that had been coated with lead containing paint. The lead leached down to the soils below. We have provided the test results at the end of this email, however, in summary,the surrounding soils now have 2 out of 4 lead leachate readings over 5.0 mg/L and total concentration levels with 3 results over 10,000 ppm. The suggested soil removal area is 70 ft x 70 ft x 1 ft deep centered below the tank. According to our discussion, if we handle the soil as a hazardous material (due to leachate over 5.0),obtain a temporary EPA ID Number(MV plus phone#),excavate,dispose of the soil (as"a hazardous material"at an approved facility and keep track of all the records,we do not need to apply for any permits,or submit any work plans, to the MA DEP. However, if we start excavating the material as is (leachate over 5.0), with the intention of creating a large pile for on- site blending, we would have generated hazardous materials by excavating the soil before treating them. This action would require a RCRA license for handling/treating Hazardous Materials, and require direct involvement of the MA DEP. As an alternate, if we leave the soils in place and "till in"an encapsulant (similar to farm tilling), mixing it like fertilizer, we could then re-test the soil, hopefully achieving leachate levels now less than 5.0 mg/L. If that was achieved,we could then excavate the treated materials and dispose of them as now only"contaminated" (versus hazardous) and reduce the disposal cost for our client. With this approach,again, we would not be required to submit any notification or work plan to the MA DEP. Please send back a confirmatory email that what has been stated above, per our phone discussion,is the correct MA DEP interpretation. Thank you for your assistance and cooperation. Tom Berenz, P.E. COSTELLO DISMANTLING CO., INC. Celebrating our 30th year! 45 Kings Highways West Wareham, MA 102576 Cell: 508.958.9259 1 Phone: 508.291.2324 1 Fax: 508.291.2325 tom(cDcostellodismantling.com www.costellodismantling.com Proud Winners of.• 2013,2011&2009 World Demolition Award- "Recycling&Environmental"; "Collaboration" 2015,2014,2013&2012 National Demolition Association's "Environmental Excellence Award" 2014 World Demolition Award—Urban Demolition Award Runner-Up "Our mission is to continue as a leader in the dismantling industry by embracing a culture of innovation,safety,integrity and respect for our employees,clients and the environtnent." 2 i I, I I i i i i I I i i i I I, i i i i i I i i i I i i I i i i i I �0 -7 V- "DEPte . Tom Berenz From: Motamedi, Saadi (DEP) <Saadi.Motamedi@MassMail.State.MA.US> Sent: Monday, November 09, 2015 12:50 PM To: Tom Berenz Cc: 'Tina Larson'; Paterson, James (DEP) Subject: RE: Hazardous Lead Soils Removal and Treatment Tom: As discussed, the following is MassDEP's response to your email: 1. No permit is required from MassDEP if the soil,that has failed the TCLP test (5.00 PPM), is to be excavated and removed from the site. In this case, the soil must be managed as hazardous waste in accordance with applicable provisions of 310 CMR 30.000 including on site management. The waste material must be shipped to a permitted Treatment, Storage or Disposal Facility(TSDF)via a hazardous waste manifest by a licensed hazardous waste transporter within 90 days of generation. A hazardous waste generator ID number must be obtained in order to ship the material off site. A temporary number may be issued. Please see the weblink for assigning a temporary number at: http://www.mass.gov/eec/agencies/mossdep/recycle/hazardous/self-assi nin -a-hazardous-waste- generator-id-number.htm1 2. You have the option of treating the soil in-situ without excavating the soil by introducing the encapsulating/stabilizing agent directly to the soil and tilling/mixing it in place. Once the material is stabilized/cured, if confirmatory samples of the treated soil show below TCLP levels, then the waste material may be disposed of as solid waste at a permitted solid waste facility as long as it can satisfy the requirements of MassDEP's solid waste POLICY#COMM-97-001 (http://www.mass.gov/eec/docs/dep/recycle/lows/bwi)97001.pdf). No hazardous waste treatment permit is needed from MassDEP for this option. 3. If the contaminated soil is excavated and treated ex-situ,then a hazardous waste permit for such treatment will be required. If you have any other questions or concerns, please contact me. Sincerely, Sandi Motamedi, Section Chief Compliance and Enforcement Bureau of Air and Waste Massachusetts Department of Environmental Protection Western Regional Office 436 Dwight Street,Springfield,MA 01103 Phone: 413/755-2131 Fax:413/784-1149 E-Mail: Saadi.Motomedi @state.ma.us -The information transmitted is intended solely for the individual or entity to which it is addressed and may contain confidential and/or privileged material. If you are not the intended recipient,please do not retransmit or disseminate. If you have received this email in error please contact me and delete the material from your computer. i i I I i I i i I i i i i i i i I I G i I I i i i i i i i i ET, __ - Tom Berenz From: Tom Berenz <tom @costellodismantling.com> Sent: Friday, December 04, 2015 11:21 AM To: 'Glenn Nelson'; 'Ted Sherry'; 'PhysicalPlant @highviewnh.com' Cc: 'Charles Hughes'; 'Michael Barry'; 'sganz09'; 'steve @costellcdismantling.com'; ,sea n @costellodismantling.com'; 'David A. Quelle'; 'davidaquelle @gmail.com'; 'Sandi Cloutier'; John Hastings; 'Tina Larson' Subject: Leeds Elev Tank= Mobilization = Dec 14th :: PROPOSED SCHEDULE Glenn, Costello is still anticipating December 14`'"as our mobilization date to Leeds. We have prepared a Proposed Schedule listed below. PROPOSED PROJECT SCHEDULE: Dec 7 to Dec 8=CALL DIGSAFE(Costello to coordinate with Highview). Demolition Permit Application by Highview (License,Documents,Insurance Cert to be provided by Costello). Dec 9 to Dec 11= Pre-Project Blood Lead and Zinc Testing of Crew(off-site). Demolition Permit received. Dec 14=Mobilization of equipment(Excavator,Man-lift,Skid-steer, Rubber sheets,some short timber blocking around vent pipe,oxygen/propane torch set-ups,respirators, PPE,harnesses/lanyards for man-lift work,fire extinguishers,cables set-up).Air monitoring stations(4)provided around the work zone. NOTE:State MA DEP AQ-06 Demolition Notice(#100233768)already sent and approved for Start= Dec 14,2015 and End=by Jan 31,2016. Dec 15=Final torch cutting of front legs; Excavator in position with cables;Wedge cut into Riser Pipe; Toppling of Tank; Demobilization of Man-lift. Dec 16 to Dec 18=Processing of steel tank with shear attachment; Torch-cutting remainder of Tank Column Legs down to top of concrete piers; Load out of steel sections;Collection of paint chips into 55g drum;Clean-up of rubber sheeting. Dec 21 to 24= Mobilization of Lead soil Agent Materials,Soil Treatment Expert on-site;80 x 80 x 1 ft blending/excavating/mixing of chemical agent into specified impacted lead soil area;Testing of blended materials; Abatement of Transite Riser Pipe. NOTE: NO DEP Notifications required for"In-Situ"Soil Blending. Costello/American Environmental to coordinate exact date of Transite Pipe Abatement/Removal for On-site inspection by Smith and Wessel,after soil blending operation. Dec 28 to Jan 1=Costello IS NOT WORKING BETWEEN Christmas and New Year's. Test Results from Blended Soils are received (normally requires 5 days after sampling). Jan 4 to Jan 8=Excavator with bucket attachment;Impacted Lead Soil Disposal (anticipated 400 tons=20 trucks). Jan 11 to Jan 13=Excavator with hammer attachment; Hammering concrete piers and vault down to 2 feet below grade;Concrete Debris Disposal; Punch List Inspection. Jan 14 to Jan 15= Finish Debris Disposal; Rough grade site;Punch List Completion; Demobilization of Equipment; Post- Project Blood Lead and Zinc Testing of Torch Crew(off-site). If there are any concerns with this Proposed Schedule, please contact me early next week. I will be out of the office Thursday and Friday(Dec 10-11)in Buffalo. Thanks. 1 i i i i i i i i i I f I I i i i Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton.MA CorrTech.Inc.Job No.7255 Page 5 Exterior Roof The roof coating had wide spread coating de-lamination and edge corrosion along seams and bolts. Surface corrosion was apparent where the coating had de-laminated but there was no deep pitting or pack rust in the seams. The dry film thickness readings were taken in 45-test location ranging from a low of 7.2 mils to a high of 26.9 mils with an average of 11.86 mils. These readings show moderate coating thickness remaining on the intact coating areas. Adhesion of the paint system was not tested due to the high percentage of coating failure. Ultrasonic thicknesses were taken on the roof from the lift. The roof plates measured from 185 — 190 mils thick. The UT measurements confirm that the original steel is still uniform in thickness. Vent The tank was not originally constructed with a vent due to numerous open areas between the roof and the shell plates, which was considered sufficient in early water tank construction. The finial ball on the peak of the roof is not a vent and is primarily there to secure the revolving ladder. Ladders/Railings/Balcony The roof of the tank is accessed by a revolving ladder that runs from the finial ball to the balcony. The ladder ends about 2-3ft off the balcony floor. The ladder was not structurally sound to climb and was deemed unsafe which lead to the use of a man-lift for this inspection. When the ladder was shaken the bottom two rungs broke free. The ladder's current measurements are 12-inches rung to rung, 22-inches rung to shell, and 15-inches in rung width. The balcony had a width of 24-inches. The balcony was equipped with a railing that was 36- inches and tall, no horizontal mid-rail and had a 4-inch kick plate. The railing does not meet current OSHA requirements. Shell The shell exterior has large amounts of coating de-lamination on 60% of the surface area. Surface corrosion has formed where the coating is de-laminated. The remaining coating still adhered to the steel substrate exhibited mild chalking. The dry film thickness readings ranged from a low of 5.6 mils to a high of 31.2 mils and an average of 15.01 mils. These readings show good remaining thickness despite chalking. See the appendix for more detailed readings. Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton,MA CorrTech,Inc.Job No.7255 Page 6 Ultrasonic thicknesses were taken on the shell which ranged from 265 —295 mils. The tank bowl is in slightly better condition due to the decreased UV exposure and direct weather deterioration. The coating is in good overall condition with failure localized to the riveted joint between bowl and riser. Overflow The tank had no visible overflow pipe. The tank may overflow through the gaps between the roof and the shell. Legs/Riser/Bracing The tank had four legs which were constructed with two solid sides attached by steel lattice supports. The legs varied in coating de-lamination. There was no significant pitting or structural damage from corrosion. The rivet heads show no section loss or separation from the channels. The legs are connected by tension rods that are 1 '/4-inches in diameter. All the turn buckles were engaged and the clevis points on the legs were intact. The tension rods have a slight vertical bowing. The riser pipe coating was in similar condition to the roof and shell. The coating has de- laminated on more than 60%of the surface area. The dry film thickness readings ranged from a low of 7.9 mils to a high of 16.0 mils and an average of 15.01 mils. Ultrasonic thicknesses were taken on the riser pipe ranged from 285 —290 mils. Foundation The legs and riser pipe all rest on concrete foundation pads. The riser pad measures 7-ft x 7-ft and is 1-ft high. The concrete had some cracking and efflorescence. The leg concrete pads measured 42-inches x 42-inches with a height of 1-ft. The concrete had small amounts of surface cracking. The leg anchor bolts were all tight with no signs of significant metal loss. I i i I i I i I i G I i i I I i i I i i i i i i I i I i i i I i Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton,MA CorrTech.Inc.Job No.7255 Page-4 Roof(ceiling) The roof is a steep sloped, conical structure with riveted s ams. The roof plates still have the majority of the coating intact however there is extensive edge corrosion on the plate seams and fasteners. Surface corrosion has formed on the central pressure plate. Daylight can be seen through gaps between the roof plates and the shell walls. The roof is attached to the tank shell by means of angle clips bolted to the top of the shell and bolted to the top shell angle. The clip bolts and the connecting threaded bolts show no section loss due to corrosion. Shell There are large sections of coating de-laminations along the I5t submerged horizontal rivet seam. This section was about 10 ft wide by 4 ft tall and had corrosion cells formed where the coating was missing. There was small diameter shallow pitting noted under the corrosion cells. The rivet heads have minor surface corrosion but showed no section loss. Overall the tank had many small corrosion cells along 50%of the seams of both the shell. The coating on the bowl plates was intact except for small areas of de-lamination and corrosion cells which appeared on 2%of the plate surface area. Floor The tank floor had localized surface seam corrosion, but had no deep pitting or rivet head loss. Sediment accumulation was from a thin film to I-inch deep near the riser opening. Riser The interior of the riser exhibited the same degree of edge corrosion that was viewed on the shell. No significant pitting was viewed behind brushed corrosion cells. The bottom of the riser pipe had approximately 6-inches of sediment. Inlet/Outlet piping The combined inlet/outlet pipe is located at the base of the riser and is raised from the base to a height of about 4—5ft above the floor. i i I i I i i I i i j I I I i i i i i i i c i i i I i 1 Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton,MA CorrTech,Inc.Job No.7255 Page 3 OBSERVATIONS Interior and exterior photographs provided in the report were developed from a digital camera and were captured in digital format from the interior video. The interior images are as clear as our printing technology will allow. The interior videosnaps in the report provide a reference for our comments. Keep in mind that the video provides the greatest detail and should be viewed as part of the report. Each videosnap (VS) is marked with the time stamp from the video. This allows the reader to easily view the original footage for each feature. Narration on the videotape is done in the field and some of the comments may be different than the written report. The written report is the official document and contains the formal opinion of CorrTech. A Posi-Tector 6000 was used to gather dry film thickness measurements on the exterior roof and shell surfaces. A Cygnus Basic UT gage was used to measure steel plate thickness. 100 K Elevated Tank The elevated tank was constructed in the 1920's. The tank is approximately 110-feet to the balcony and 140-feet overall. The tank is supported on four lattice type legs fabricated from riveted "C"channel and has numerous tension rods and horizontal bracing to aid in support. The central riser is 6-feet in diameter. It is not known when the last time the tank was rehabilitated. The existing coatings are suspected to be alkyd on the exterior and epoxy on the interior. It is highly probable that the exterior paint contains Lead. The tank was previously used for both drinking and fire water storage but has since become solely used for non-potable fire water storage. The tank was last inspected in 2005 while out of service. Interior The interior of the tank was accessed through the 21 x20-inch rectangular roof hatch, which was not locked at the time of the inspection. The hatch was not equipped with 4-inch neck or overlapping cover but as a firewater tank these are not required. I I i I j I i i I I I i 1 I i i i Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton,MA CorrTech.Inc.Job No.7255 Page 2 EXECUTIVE SUVINIARY The condition and recommendations for the tank is briefly summarized in this section. For detailed information regarding detailed tank conditions and the specific recommendations please refer to the designated section for the tank. Due to the unsafe condition of the ladder above the balcony this inspection was conducted using a 150-ft mobile lift. The ladder is not safe for anyone to climb and reach the roof at this point. The tank coatings are failing over most of the interior and exterior. There was no serious metal loss identified on the rivets, legs, shell or riser that raised concerns for the general stability of the tank. The tank needs to be rehabilitated and upgraded in order to be utilized as a long term fire water storage tank and in order to meet the requirements of NFPA-22. Based on the tanks current condition it is suitable to store water with no visible leakage and no visible structural concerns. Please see the Recommendations section of this report for a list of upgrades and estimates for rehabilitation. i i i i i i i I I i I I i i I i i i i i i i i I i i i I i I Masonic Health System of Massachusetts 75K Elevated Water Storage Tank-Northampton,MA CorrTech.Inc.Job�lo.7255 Page 1 INTRODUCTION On July 6, 2013 CorrTech inspection representatives, Ben Palmer and Garth Lund performed a corrosion, coating and structural condition assessment of the exterior and interior of the Masonic elevated steel water tank for Masonic Healthcare System. The inspection was conducted to establish the current condition of the tank's coating, substrate steel, safety and sanitary equipment. 100K Masonic Elevated Tank The tank was inspected in general accordance with the latest version of NFPA-25, AWWA D 10 1 standard for water tank inspections as well as the AWWA M42 Tank Manual. Due to the in- service nature of the inspection strict adherence to the requirements of NFPA-25 was not met. The tank interior was inspected while full and in operation with the TankRover remotely operated vehicle (ROV). The TankRover is the only piece of equipment like it in the United States and was developed by CorrTech. By using the TankRover the tank was inspected with no special preparation, no additional disinfection, no confined space entry and no downtime. The exterior portions of the tank was inspected by walking the roof, shell portions that were accessible from the balcony and vertical ladder, and portions that could be inspected from the tank's base. A lift was used for the inspection due to safety concerns with the existing shell and roof ladder. The objectives of the assessment were to: 1. Perform field inspections and tests to assess the structural and coating integrity of the tank 2. Review the safety compliance of tank ladders and access. 3. Determine if sanitary screens on vents and pipes are intact. 4. Formulate a report to document the assessment findings. 5. Provide recommendations for rehabilitation. i i I i i i i I i i i i i i f TABLE OF CONTENTS INTRODUCTION..........................................................................................1 EXECUTIVESUMMARY................................................................................2 OBSERVATIONS..........................................................................................3-6 RECOMMENDATIONS..................................................................................7 APPENDIX A Photographs APPENDIX B Dry Film Thickness Readings STATEMENT OF LIMITATION The conclusions presented in this document are based on the services described and not on tasks or procedures beyond the scope of the described procedures or the time and budgetary constraints imposed by the contract limitations. CorrTech, Inc. has performed this assessment in a professional manner using that degree of skill and care exercised for similar projects under similar conditions by reputable and competent consultants,and in accordance with the procedures established within CorrTech's quality assurance, quality control protocol. CorrTech, Inc. shall not be responsible for conditions or consequences arising from relevant facts that were concealed, withheld or not fully disclosed at the time the evaluation was performed. Report Prepared by: Ted Lund NACE Certified Coating Inspector 4050 API-653 Inspector July 2013 i i i i i i i E II 1 i I i Comprehensive Fire Water Storage Tank Report 100,000 Gallon Riveted Steel Elevated Tank CorrTech Job No. 7255 Prepared For: Masonic Health System of Massachusetts Leeds, Massachusetts Prepared By: f!f ■ TEcH CorrTech, Inc. 25 South Street Hopkinton, MA 01748 July 2013 222 River Street, Leeds, MA O ", t't � � x View of center circular portion of water tank View of paint chips beneath the water tank w4' P F View of 1-foot depth test area beneath tank View of 5' &10'test areas dug from stanchion r r. View of stanchion peeling lead based paint 222 River Street, Leeds, MA Y View of water tank View of water tank lower sections EMW h � 5 ' s View of peeling paint on water tank View of ground at stachion rz a�. yyt _ e r. '.1' +L 4 III kri View of metal pipe riser around transite View of cementitous pipe riser f Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality ' BWP AQ 06 100233768 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: This project r- Construction rv— Demolition is: 12/14/2015 1/31/2016 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects, indicate dust suppression techniques to be used r— Seeding 17, Wetting r— Covering 1W Paving l— Shrouding j"' Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number D. Certification "I certify that I have personally THOMAS BERENZ examined the foregoing and am Print Name familiar with the information THOMAS BERENZ contained in this document and Authorized Signature all attachments and that, based PROJECT MANAGER on my inquiry of those individuals immediately Position/Title responsible for obtaining the COSTELLO DISMANTLING CO.,INC. information, I believe that the Representing information is true,accurate,and 12/1/2015 complete. I am aware that there Date(MM/DDNYYY) are significant penalties for 31210 submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 Massachusetts Department of Environmental Protection .- .- Bureau of Waste Prevention • Air Quality - BwP AQ 06 i100233768 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: COSTELLO DISMANTLING CO.,INC. 45 KINGS HIGHWAY Name Address WEST WAREHAM MA 025760000 5082912324 City/Town State Zip Code Telephone STEVE GANZ 4014734175 General Contractor's On-site Manager/Foreman Telephone General C. General Construction or Demolition Description Statement:If asbestos is found 1.Construction or demolition contractor: during a Construction or Demolition COSTELLO DISMANTLING CO.,INC. 45 KINGS HIGHWAY operation,all Contractor Name Address responsible parties must comply with 310 WEST WAREHAM MA 025760000 5082912324 CMR 7.00,7.09,7.15, City/Town State Zip Code Telephone and Chapter 21 E of STEVE GANZ the General Laws of 4014734175 the Commonwealth. Construction and Demolition On-site Manager Telephone This would include, but would not bw 2.Licensed Contractor Supervisor: limited to,filing an asbestos removal DANIEL T.COSTELLO CSO43330 notification with the Department and/or a Supervisor Name License Number notice of release/threat of 3. Is the entire facility to be demolished? F Yes F No release of a hazardous 4.Describe the area(s)to be demolished: substance to the Department,if 4-LEGGED ELEVATED WATER TANK&PARTIAL FOUNDATIONS applicable. �i MassDEP Use Only 5. If this a construction project,describe the building(s)or addition(s)to be constructed: Date Received N/A , 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? lv Yes F No 7.Was asbestos containing material(ACM)found? I✓ Yes r No If a survey was conducted,who conducted the survey? G EL) M;Qa X56• A I- Name Ivgdr iluT y 6N% a W,4.f4IU) Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 i Massachusetts Department of Environmental Protection . Bureau of Waste Prevention • Air Quality 100233768 BWP AQ 06 L Lij Notification Prior to Construction or Demolition Asbestos Project Number# A. Applicability A Construction or Demolition operation of an industrial, commercial, or institutional building, or residential building with 20 or more units is regulated by the Department of Environmental Protection (MassDEP), Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. Is this a fee exempt notification(city, town, district, municipal housing authority, state facility, owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r Yes f No Type of Notification: r Revision of an Existing Form r Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: 1.All sections of this 2,Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID# form must be completed in order to Approval ID# comply with the B. General Project Description Department of ] p Environmental 1.Facility Information: Protection notification ELEVATED WATER TANK 222 RIVER ROAD requirements of 310 CMR 7.09. Name of facility Street Address NORTHAMPTON MA 010530000 4135848457 2.Submit Original City/Town State Zip Code Telephone Form To: Commonwealth of JOSEPHJAZAB DIRECTOR OF PHYSICAL PLANT SERVICES Massachusetts Facility Contact Person Contact Person Title P.O.Box 4062 4135848457 Boston,MA 02211 PHYSICALPLANT HIGHVIEWNH.COM Facility Contact Person Telephone Facility Contact Person Email Facility Size: 1600 1 Square Feet Number of Floors Was the facility built prior to 1980? F Yes r No Describe the current or prior use of the facility: WATERTOWER Is the facility a residential facility? f Yes F'No If yes,how many units? 2.Facility Owner: HIGHVIEWOF NORTHAMPTON 222 RIVER ROAD Facility Owner Name Address LEEDS MA 010530000 4135848457 City/Town State Zip Code Telephone JOSEPH JAZAB 222 RIVER ROAD On-Site Manager/Owner Representative Address LEEDS MA 01053 4135848457 Cityfrown State Zip Code Telephone Revised:03/17/2014 Page 1 of 3 OF Massachusetts Department of Environmental Protectio � T Bureau of Waste Prevention• Air Quality CJOJ BWP AQ 06 IL Notification Prior to Construction or Demolition ( \,U:: * This is a revision to an existing form. Project ID for existing form to be revised: * This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: i �_.� * This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: �� 1✓ None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 C sTELLc3 D1sMANTLiNG CO . , INC . R � a t i g 4t LEEDS ELEVATED TANK Page 6 of 6 s C TELLO DISMANTLING CO . , INC . REVISED TANK DEMOLITION(with SOIL REMOVAL) •Mobilization of Equipment/Shear/Loader/Man-lift $ 4,000.00 •Lead Paint Protocols for Medical Surveillance $ 2,500.00 •Perimeter Air Monitoring during Demolition (4 stations) $ 2,000.00 •Labor and Equipment - Tank Toppling $ 15,000.00 •Materials (cable, sheeting, respirators, cartridges) $ 2,000.00 •Disposal of Lead Paint Chips/Sheeting $ 1,500.00 •Labor and Equipment—Site Clean-up $ 2,500.00 •Concrete Removals $ 8,500.00 •Treatment Program with Chemical Reagent $14,000.00(R2) Includes Sampling, Testing, Materials, and Reports •Treatment Supervisor On-site $ 4,750.00(R2) •InSitu Blending Operation (utilizing Excavator) $ 18,000.00(R2) •Loading of Lead Soils (20 trucks) $18,000.00 (R2) •Disposal and Transportation of Lead Soils (400 tons) $56,000.00(R2) •Asbestos Abatement of Piping(Allowance) $ 5,000.00 EVISED PROPOSAL = Tank Demolition w 1400 tons of Soil Removals$153,750.00 R2) OTE:Any Lead Soil Removal tonnage over 400 tons shall be billed at$3001 per ton (R2).1 Page 5 of 6 i I i C SiTELLd Q1SMALNT1 1NO Ca . , INC . 9. Costello will supply all labor. materials.. equipment and insurance to fully and finally complete the work a,� defined in the site walk-through, subject to the conditions as noted in this proposal. 10. We are fully insured for General Liability and Workers Compensation coverage. 11. All salvage shall be credited to Costello Dismantling Co., Inc. 12. Removal of Riser Pipe foundation and Four Column footings down to two feet (2.00) below grade. 13. Due to the presence of high leachate lead soils, the tank footprint(80 ft x 80 ft x I ft deep) will be treated in place with a chemical reagent, with the soils being re-tested for leachate levels, and eventually disposed as non-hazardous.(R2) 14. In this way, the concrete footings (debris)to be removed (down to two feet below grade) will not mix with the contaminated soils, or new planned site elevation. 15. Tank footing locations will be left rough graded with on-site materials. 16. No imported backfill has been included. This Proposal Does Not Include: a) Any termination of utility lines (instrumentation, electrical,water, etc). b) Any local Demolition Permit. c) Any local fire department Fire Watch details (if required) d) Any tree removals. e) Any hazardous materials testing or abatement. f) Any soils testing. g) Any restoration of disturbed soils from the tank toppling. h) Any loam and seed. FROM THE S&W Report:Asbestos Abatement is required: Suspect:asbestos Bulk Material N hile oil site `�W,,observed a 6`° diameter cernentitous pipe riser adjacent to the center tark bast, Reportedly this pipe riser is related to a shut off valve. At least a portion of the riser is tilled with sand and exterids Belo,v grade approxiillately 6 feet and theii apparently-extends horizontally towards the -vest s�ooded area. SWA collected a sample of the pipe and delivered it to E:��1.SL ckf��`obiu��r.Ivlassachtrsetts to be analyzed for asbestos content via polarized light niicroscopy i,FLyS). PLM resiilts indicate the pipe coiitaiiis 8%Chrysotlle and 40 0 Crocidolite asbestos as part of its composition. Because the pipe contains or greater asbestos. it must be renloTOed by qualified asbestos abatement persotuiel prior to beul!z impacted. Page 4 of 6 ` Lmd z-I b c�n�d ypah owaup arron uke Sod) rcu"�z 20/m,7f0-Jno /mszo 10,'l D;20/u zumg;!_ Site:smche from�wrunkutanuhmn Shed So } ono�m Inches from S/eotuncmo"jupSoil) 8) : The elevited tank -was con,,tructed 'ill the 19:0's, The tank is approxuiiiately 110-feet to the balcony and 1404,L-,�-t overall. The tank is suppol-ted on four lattice type legs f1bricated frorn riveted --C"' channel and has nutilerous tension rods and hiarizontal bfacin,a toald ili support. The central riser is 6-feet in diameter, It is not kno,,vii�-heri the last tinie the tank %vas reliabilitited, The existing coatings are suspected to be alk-yd on the exterior and epoxy On The iliterior. It i-� highly probable that tfie exterior paint contains Lead. The tank- Ava� previousl-,f used for both diinkinla and fire 1,vater storaae but his since beconie solely u�_-d for non-potable fire water storage. BASE BID SCOPE = TANK DEMOLITION TO GRADE l. From our site visits and confirmation discussions io the fic|d, the existing tower can bc dismantled bycutting the legs and allowing the tank tn topple tothe ground. 2. The tank will he guided to Eu|| in u direction that will not impact any structures or site features to ccrnnin. For the Buse Bid, the structural steel tank components will be removed down to, and inuluding8hcconcretefowtings down tn two (2.00)feet below grade(R2). The lead impacted moils will bo removed/nmm00ft x00ft xyft area centered wn the tank. 3. We are considering that the Physical Plant Services will provide the uoccmaory tree o|raziug (roughly 200 feet) to allow the tank b/ drop unimpeded byany site feature. 4. The toppling approach will be accomplished by utilizing a 135 ft man-lift to attach a steel cable to the upper tank shell and connecting ittn our excavator(or loudch. 5. After the legs and riser pipe are notched to facilitate the directional collapse, the cable will bc pulled with our equipment and the tank will lean over until the rear legs yield and it eventually topples onto sheeting (to provide ground cover for paint chip recovery). 0. After the tank is down, we will provide temporary warning tape around the perimeter of the structure. 7. Our shear equipped excavator will then mechanically cut up the tank structure for processing and loading into trucks or roll-off containers. N. The drop zone will be inspected for fugitive paint chips and they will be collected and disposed. Page 3of6 I i i i C S -rE: LL- E3 O 1 S M A NTL1 N E C0 . , INC . A) The Smith and Wessel Soil Assessment Report dated August 25, 2013, which confirms that the existing lead concentrations (1,360 ppm to 2,047 ppm) are all above the residential (200ppm) and commercial (600 ppm) limits for AM DEP Class S-1 Soils. The results are listed below in the boxed tables. The initial results are listed below. Results of XRF Testing for Lead in Soil Overlook at Northampton Leeds, MA Location Sample Type Result(ppm) Water tank,northeast corder at stanchion Grain Soil 1.970 ppm water tank.,north side Grab Soil 2.047 ppra Water tank-northwest corner Grab Soil 1.-169 ppin Water tank,south side Grab Soil 1.369 ppm Water tank direct1v under center of basin Grab Soil 1 1.377 ppm The Results from the Smith and Wessel Report(1011412015): Results of XRF Testing for Lead in Soil Highview of Northampton Leeds.MA sample= Location Result( m 01 Northeast stanchion between center circular section and 496 ppm 0"to 1'depth stanchion(surface soil sari le) 3>1 ppm l'to 2'depth 02 North iwest stanchion beteveen center circular section and 670 ppm 0"to 1'depth stanchion(surface soil sample) 31.1 ppm 1'to 2'depth 03 Southwest stanchion beticeen center circular section and 430 ppm 0"to 1'depth stanchion(surface soil sample) 203 ppm 1'to 2'depth 04 Southeast stanchion between center circular section and 10.100 ppm 0"to l'depth stanchion(surface soil sample) 604 pptax 1'to 2'depth 05 Northeast stanchion 5-feet out from base(surfice sail sample) 939 ppin 0"to l'depth 341 vviii 1'to 2'de th 06 Northwest statcluon 5-fret out front base(surface soil sample) 151 ppm 0"to 1'depth 396 ppm l'to 2'depth 07 Southwest stanchion;_feet out from base near electric shed 942 ppm 0"to 1'depth (surface soil sample) 634 pprn 1'to 2'depth 0s South east stanchion 5-feet ottt from base(surface'soil sample) 10.200 ppm 0"to 1'depth 536 ppm 1'to 2'depth 09 N'orth`east stanchion 10-feet out from base(surface soil 437 ppm 0"to 1'depth sample) 159 ppni l'to 2'depth 10 North-west stanchions 10-feet out from base(surface soil 173 pptat 0"to 1'depth sau le) 413 ppm 1'to 2'de th 11 South,west stanchion 10-feet out from base near electric shed 436 ppm 0"to 1'depth (surface soil sa lest 651 ppm 1'to 2'de th 12 Southeast stanchion 10-feet out fiom base(surface soil 10.100 ppm 0"to V depth simile} 721 ppm P to 2'depth Page 2 of 6 G S'TELLO L 1S MANTLING CC3 INC . REVISION 2 =November 23, 2015 Previous Revision =October 23. 2015 ATTN: Joseph Jazab C: 413-588-1367 Highview of Northampton P: 413-584-8457 Physical Plant Services F: 413-585-8735 222 River Road Email:physicalplant @highviewnh.com Leeds, MA 01053 FROM: Thomas Berenz, PE C: 508-958-9259 Costello Dismantling Co., Inc. P: 508-291-2324 45 Kings Highway F: 508-291-2325 West Wareham, MA 02576 Email: tom Lcostellodismantlin.com RE: Elevated Water Tank @ Overlook at Northampton,222 River Road,Leeds,MA REVISED PROPOSAL (R2) Costello Dismantling Company Inc. is pleased to provide a REVISED quotation for the demolition services required for this four-legged 100,000 gallon elevated water tank. This Proposal(R2) includes the enlarged lead impacted soils removal area (80 ft x 80 ft x I ft=400 tons) that has been recommended by Smith and Wessel, who conducted the soil testing program. During this value engineering approach, the existing soil area will be treated "in situ"(in place-per the MA DEP) with a chemical stabilizing reagent due to effectiveness in controlling heavy metals(lead). This permanent treatment controls the leachability of the blended soils with the purpose of reducing the hazardous classification levels to lower the cost of disposal. We have checked with the MA DEP and have been informed that this process does not require any special permits. The Lead Soil Treatment Procedure Program will include the following: • Preparation of a Soil Stabilization Plan • Preparation of a Job Safety Analysis • Transportation/Delivery of 20 tons of Chemical Reagent • Treatment Supervisor during complete stabilization process • Confirmation Sampling(3 per 400 tons)for TCLP Lead Leachate • Treatment Summary Report. This proposal is based on stabilizing a minimum quantity of 400 tons of lead impacted soil to Toxicity Characteristic Leaching Procedure(TCLP)Lead Levels of LESS than 5 milligrams per liter(above which is the hazardous classification definition). This level(<5.0 mg/l) will allow a reduced disposal cost than our previous proposal. We are aware that the exterior tank surface is most likely coated with a lead-based paint. We will conduct a blood monitoring program for our assigned team for entry and exit data, requiring medical surveillance and air monitoring. During this work, we will set-up and maintain four perimeter work zone air sample units to monitor the air quality. We have read the available documents including: Page 1 of 6 Dig Safe System, Inc. Locate Request Form 888-DIG-SAFE digsafe.com Today's Date 11/9/15 Dig Safe Number 2015-500-4309 Job Name/# 15124-- Elevated Water Tank— Leeds (Northampton), MA Caller Details Contr I.D. #12751 Caller Name Sandi Cloutier Title Office Manager Phone # 508-291-2324 Fax # 508-291-2325 Alt# Email address sand i(cD-costellodismantling.com Business Hours 8:00 to 5:00 Company Name COSTELLO DISMANTLING COMPANY, INC. Address 45 Kings Highway City W. Wareham State MA Zip 02576 Location Details (Check one) State: MA X ME NH RI VT Address/Intersection 222 River Rd. City/Town Leeds (Northampton) 2 Streets that intersect: Audubon Road and Fort Hill Road Type of Work Demo Elevated Water Tower Add'I Information Is Area more than 500 ft from center line of road? Yes, appx. 1000 Area (i.e. St to house, in the st, sidewalk area, rt. side of house, private property) Rear of the property, water tower at 25' ft Pre-marked ? Y X N Start: Month Dec. Day 11th (Fri) Year 2015 Time 4:30 p.m. Excavator Doing Work (if not same as above) Members Notified: Dig Safe Renewal Numbers: Comcast National Grid Electric Verizon Columbia Gas | | ! i | | ! � | i � | � | || / | i / / / | | | � � ! | ! � | � | � � | / COSTELLO DISMANTLING December 8, 2015 Town of Northampton Puchalski Municipal Building 212 Main Street Northampton, MA 01060 Attn: Building Department Re: Signature Allowance for Permitting Documentation Demolition at 222 River Road, Leeds (Northampton To Whom It May Concern: Please accept this letter as Authorization for Thomas Berenz or Stephen Ganz to sign any documentation on behalf of Costello Dismantling Company, Inc. with regard to the above-named demolition project permitting. Should you have any questions, please don't hesitate to contact our office at (508) 291-2324. Respectfully, COSTELLO DISMANTLING CO., INC. k_,)� Z�� — Daniel T. Costello President DTC/slc Costello Dismantling Co., Inc., 45 Kings Highway, West Wareham, MA 02576 508-291-2324 508-291-2325 FAx www.costellodismantling.com HIGHVIEW o f Northampton ton p I_ To the City of Northampton I would like to inform you that Leeds MA SNF LLC will demolish the fire suppression tank at 222 river road in Leeds Massachusetts will be drained of water and all electrical has been disconnected in preparation for Costello Dismantling to demolish the tower on December 15 2015. Physical Plant Director te Jazab 222 River Road . Leeds, MA 01053 . Tel:413.584.8457 . Fax:413.585.8735 athenanh.com/highview Managed by Athena Health Care Systems <COMMONWEALTN 4F MASSACHUSETTS moll • • • � • • B©AIRR OP ENGlNEERlNG ; ,, . ISSUES TI4E FOLLOWING LlGENSI;.A l REG/PROF STRUCTURAL ,ENG CNE£R ! T1faMAS'M 9ER1±N� ; PONDEROSA QR ` J. j HANOtI>=R pia 0233:9 ��7?+ E' CONTROL# F 3 K,, IMPORTANT It your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mass.gov/dpi for instructions to ensure the Application proper ' on and any othercorrresponden f your Renewal o This license is subject to Massachusetts General Laws and regulations.Your license is a privilege,and cannot be lent or assigned e on your person or posteduas required rred by law and/o r this r lice regulations. City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: '-;I-I- 41,v4 ' 0 —/44505 The debris will be transported by: 61�114 Ju tel&/g-X/ �q� The debris will be received by: ul�j1� Building permit number: Name of Permit Applicant Lp '�y� � r• 0A Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Costello Dismantling Company, Inc. Address: 45 Kings Highway City/State/Zip: W. Wareham, MA 02576 Phone#• ( 508) 291 -2324 Are you an employer?Check the appropriate box: Type of project(required): 1. ❑ I am an employer with 4 0 +/ 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. X Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers'comp.insurance comp. insurance.I required] 5.0 We are a corporation and its 10. ❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required]t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees.[no workers' 13. ❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: Great Divide Insurance Company Policy#or Self-ins.Lic.#: WCA 1 523267— 1 5 Expiration Date: 11 -1 -16 Job Site Address: 222 River Road City/State/Zip: Leeds, MA 01053 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration(date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: i Print Name: Sandi Cloutier, Office Mgr. Phone #.• ( 508) 291 -2324 Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing Authority(circle one): I.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Joseph Jazab as Owner of the subject property hereby authorize Thomas Berenz or Stephen Ganz, Costello Dismantling Co., Inc. to ac n Xmbelhaln ll mers relative to work authorized by this building permit application.of O Date as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. SignEA under he pains penalties perjury. — h"�-L Pri t me Te&-lp C,Z Signature of ner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Daniel T. Costello CS 043330 License Number 48 Summit Lane,E. Falmouth,MA 02536 02/02/2017 Address _ Expiration Date (508)291-2324 Signatu a Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No 0 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Thomas M. Berenz Name Area of Responsibility 283 Ponderosa Drive, hanover,MA 02339-1174 31210 Addreskf Registration Number (508) 958-9259 06/30/2016 Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Costello Dismantling Company,Inc. Not Applicable ❑ Company Name: Thomas M. Berenz Responsible In Charge of Construction 45 Kings Highway,West Wareham,MA 02576 Addreaft �� (508) 291-2324 ignature Telephone I i I 1 I i i i I I i i i I. i i i I i i i _.� Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size Frontage Setbacks Front Side L: __ R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO () DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW () YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. i i i i Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs El Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Removal of 100,000 gallon 4-legged elevated water tank. Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1St 1st 2nd 2"d 3rd 3rd 4th 4th Total Area(sf) Total Proposed New Construction(so Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone[] Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 Department use only - ity of Northampton Status of Permit: wilding Department Curb Cut/Driveway Permit - 1 212 Main Street Sewer/Septic Availability DEC — 9 2015 Room 100 Water/Well Availability No thampton, MA 01060 Two Sets of Structural Plans s 13 587-1240 Fax 413-587-1272 Plot/Site Plans n i , N,r,.to.G;,o Other Specify APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: 222 River Road Map Lot Unit Leeds (Northampton), MA 01053 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Highview of Northampton 222 River Road, Leeds,MA 01053 Name(Print) Current Mailing Address: (413) 584-8457 Signature Telephone 2.2 Autho ized Agent: Joseph Jazab 222 River Road, Leeds,MA 01053 Name(Print) Current Mailing Address: (413) 584-8457 Signature Telephone SECTION 3 ESTIMAT db CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0771 APPLICANT/CONTACT PERSON COSTELLO DISMANTLING CO INC ADDRESS/PHONE 2 ROCKY GUTTER ST MIDDLEBOR002346(508)946-0880 PROPERTY LOCATION 222 RIVER RD MAP 05 PARCEL 001 001 ZONE RR(101)/WPLZ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 4 ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REMOVE 100,000 WATER TANK / New Construction V Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 043330 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORI\ ION PRESENTED: proved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay ature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 222 RIVER RD BP-2016-0771 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 05-001 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate-,ory: demolition BUILDING PERMIT Permit# BP-2016-0771 Project# JS-2016-001304 Est. Cost: $153750.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: COSTELLO DISMANTLING CO INCO43330 Lot Size(sq. ft.): Owner: HIGHVIEW OF NORTHAMPTON Zoning: RR(lol)/WP(7)/ Applicant: COSTELLO DISMANTLING CO INC AT: 222 RIVER RD Applicant Address: Phone: Insurance: 2 ROCKY GUTTER ST (508)946-0880 Workers Compensation MIDDLEBOROMA02346 ISSUED ON.1211412015 0:00:00 TO PERFORM THE FOLLOWING WORK.REMOVE 100,000 WATER TANK - fire pumps must be operational POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 12/14/2015 0:00:00 $50.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner