HomeMy WebLinkAbout715 S Lincoln St - Engineering pORTANGELES
WASHINGTON,
PUBL. IG WORKS & UT[I-ITIE$ DEPARTMENT
March 14, 2003
Crescent Development, Inc.
P.O. Box 41
JoYCe, WA 98343
RE: Port Angeles Landfill Waste Disposal Application, WDA 03-05; Building demolition
at 715 South Lincoln Street, Port Angeles
We have received your application for disposal of building demolition debris 15om the referenced
site and reviewed the testing results for lead content. Based on the testing results the debris
appears to be acceptable for use in the landfill. A copy of your approved application is attached.
This approved application must be shown to the landfill scale attendant at the tirde of disposal.
Please be advised that this disposal application is only for the materials and quantities listed in
the application. Materials not listed or in excess of the quantities noted may require separ/tte
applications and approval.
Please call if you have questions.
Very truly.yours,
Gary W. Kenworthy, P.E.
City Engineer
Deputy Director of Engineering Services
321 EAST ~IFTI~ STREET ® P. O. BOX 1150 ® PORT ANGELES, WA 98362-0217
PHGNE: 3150-4 ~ 7-4805 ® PAX: a60-417-4542 ® TTY: 360-417-4645
E-MAIL pU BWORKS~Cl .PORT-AN GELES.WA. U S
PORT ANGELES LANDFILL
WASTE DISPOSAL APPLICATION
To: City of Port Angeles, City Engineer Phone: (360) 417-4803
321 E Fifth Street FAX: (360) 417-4709
P.O. Box 1150
Port Angeles, Washington 98362
NOTE: All questions must be answered for waste to be approved.
1. Generator Information:
Company Name: (/-.~,~.,4,~' ~.~/~,,/.~'.,~t,,~,.~ ~.~___.
Mailing Address: .~, O. ~Z)'K.. ~' I . ,
Contact: 0~(,¢~ $ ~ .,~.~.c
Phone: ;3~o -72~ - 535'6
Project Name:
Project Location: "7/.~
2. Other Contacts {if applicable):
Consulting Firm: ~4~u~v[,' .~' x~s~c/~,,~j o~'~v~-.
Conta~: ~ ~G~
Phone: ~ ~ ~o~O (
Contractor Name: ~ ~~ ~ ~4,
Contact: ~5 ~C
Phone: ~ ~ ~- ~
Laborato~: ~C ~e~ ~
Contact: ~Y ~
Phone: ~- ~- ~(00
City of Port Angeles - Landfill Waste Disposal Application Pag_e - 1
6. Estimated Quantity of Waste for Disposal:
~2.~" Cubic yards / .~ O Tons (estimate both)
Drums / Tons (estimate both)
Other
NOTE: Estimated quantity for disposal must be within 20% of the quantity actually disposed.
(10% for projects over 7,500 tons or 5,000 cubic yards.)
7. Frequency of Disposal:
~ One time __ Monthly __ Annual __ Other
8. Waste Sampling:
Proper characterization of the waste for disposal requires the collection of representative
samples. The methods and equipment necessary for obtaining representative samples of a
waste, and the frequency of sampling, will vary with the type and form of the waste. Check the
appropriate box and bdefly descdbe how and where the waste was sampled. Include site maps
with sampling locations if possible.
Number of COMPOSITE samples J & number of discrete samples per composite ~
Number of DISCRETE samples ~
NOTE t: Unless prior approval has been granted by Pod Angeles, the following sampling
frequency will be used:
0 - 25 cubic yards = 1 composite sample
25 - 100 cubic yards = 3 composite samples
101 - 500 cubic yards = 5 composite samples
501 - 1000 cubic yards = 7 composite samples
1001 - 2000 cubic yards = 10 composite samples
>2000 cubic yards : 10 plus one sample for each additional 500
cubic yards
NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete
samples.
Cily of Port Angeles - Landfill Waste Disposal Application Page - 3
112. Certification:
We, THE UNDERSIGNED, certifY that this application is true to the best of our knowledge. All
information provided is correct and the enclosed analytical results represent the proposed wast~
material to the best of our abilities.
W~i.O Genemtor%ignature
~rinted Name
Company
Date
N:~J:~OLICY_I~ 1000_S W~ 1009_01 .WPD
City of Pod Angeles ~ Land~ill Waste Disposal Application Page - 5
_ NV[- Laboratories. Inc. CHAIN of CUSTODY BATCH ID
470~ Aurma Ave N. Se.le, WA 98103 2302947 00
T~: 20e.547.0~00 Em~g. P,~,: 20e.344.~87~ SAMPLE LOG
1.888.NVLTLABS (685.5227) ·
Clie~ Zenovic & Associete$~ Inc. ~ Batch Number
Street 519 South Peatx)dy Street, Suite 4 c~t Job#umber
To~l S~mp~es t
po~^nge~es Tum;~undT, me ~I-H~ [~4~rs ~4~Days
[] A~e~IOs Ai~ [:] PCM (NIOSH 7400) [~ TEM (NIOSH 7402) [~ ~EM (/~-IERA) [] TEM (EPA Lev~
[] Asl~stos Bulk r-IPLM(EPA/6001R-93/116) [] PLM (EPA Point Count) []PLM(EPAGravimefly) I--i'ITcM,,Bulk.
e/~"TALS ~ Lima ?~etHx RCRA ~ ~1 All ,B
~)~ Metals ~ (AAS) [] AJ~ Filte, [::] Paint Chigs [~ Arsenic (As) [:] Lead (Pb) j...~ Ait 3
[~oDb(GFAA}lOOlinkislgweter [] P,im Chip$ (Area) []Badum(E~a) []Me~cu~/(14g)
, r~. ' (::] Dust/wipe ~ Waste Water [] Cadmium (Cd) O Selenium (~e)
[] ~'lypes [] Fiberglass E] Nuisance Dust [:) I~otome(ef Calit~afion O O~her ~Specify) .
CondilJon o~ Pack~ge; [] Good [] Damaged (no sp~ige) [] Severe damage (spillage)
Seq. a LablO I C#eflt S~ple Number
$
., Print Below Si~n Beli3w j [ C<m)pan¥. _D..a~.. Tine
TOTRL P. 03