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Home My WebLink About0035 MARSTONS LANE (5) r e_Wl D C wvvk rYICcLt-�eL O I-161.e18 .7 • • TOWN OF BARNSTABLE BUILDING;PERMIT APPLICATION Map 35-0 - Parcel a a ,'. N OF ; .N I'A E' Application # ` /O$ Health Division mil SEP tkli 10: 06 Date Issued Z Conservation Division 0AL" Application Fee Planning Dept. ISTOIMParmAMen.atetalserYONOMM.. Permit Fee 9 60• LP Date Definitive Plan Approved by Planning Board DIVISION Historic - OKH Preservation/ Hyannis Project Street Address "Ss t1A9-'5-1-0r $ LA Village `12- I1)*QN S icric3u= Owner at-)VA M -QU 18) C--+ - L(.U3 Address 3'S PLSi .) - az, - s Telephone .�V5 ZZ. ) v -L'S Permit/_ Request t. —," &)kid tion CSC QSCt 1 t ny 6�.48, i n5 V oL/-- e4J3/1OJ3- Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 114'1 1 Construction Type _ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) � Age of Existing Structure S� ` Historic House: ❑Yes �o On Old King's Highway: lta Y/ ❑es No Basement Type: ['�'Full ❑ Crawl �T Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area jf) -+ Number of Baths: Full: existing new Half: existing t fn w Number of Bedrooms: existing _new g -- o No 02 Total Room Count (not including baths): existing _new First Floor ?' om Comet r Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other P ca Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stave: UPYes 0 No y. Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use £Lug /i a5r Proposed Use ,5- tl'r'r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ati,3 i dc7/6a Telephone Number 71/ Y/- y Z 'O Address ,,,2-aeCid fil l 2 License# e " VO 01.1 AIak &Z--, ✓Y4' 0 4( Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L5 r.J .K. '0 SIGNATURE DATE 1 r'''''' = - - --- ., . r. FOR OFFICIAL USE ONLY APPLICATION# . DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER S t DATE OF INSPECTION: s . FOUNDATI.ON4OffiaML4-silAiU=4-i,11.w FRAME r- INSULATION , °_ _. I FIREPLACE ELECTRICAL: ROUGH FINAL - ." PLUMBING: ROUGH FINAL _ • GAS: ROUGH FINAL R' FINAL BUILDING yS t DATE CLOSED OUT . ASSOCIATION PLAN NO. g, a-o!t C6ce., Dig L-6ffee 04-Q0) G kA3 ow.° S C� c>,N S �, @ (\k,Rz1 i JJ s I ' 'A_iiD `"avcam# (lug: 6/ 7gt -a)2 -6ois6 I 6 V c)K-' -.J \*.„„,,Z.,""''' • ' — \J • ..$•--• - c.-> ,-(s) ••, • ) \! I - ( • k, I Town of Barnstable Regulatory Services K7INSTAB, Richard V.Scali,Director % 1639. 46. 440 1,04 Building Division Torn Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 vvww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder JOPM, ? lit() fllec9 1111 / ai 41 I, v-kiaVAirlte;A-L- , as Owner of the subject property hereby authorize Al'E.41-14- COII JC771c.1 to act on my behalf, in all matters relative to work authorized by this building permit application for 35- /Nies 701-it, c/u, co girnizi-sv , /44 (Address of Job) "'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final insp 'ons e performed and accepted. filla _AArN.,. ." 9,5,97 .‘na of Owner lgnaturiof Applicant jgcJ\C P‘ g•J Aelik• J a.F. S - 1 Print Name Print Name _ Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services . �.°F Toicyy Richard V.Scali,Director � ,s?� �� Building Division tIN-STABLE, Tom Perry,Building Commissioner s.634 �� 200 Main Street, Hyannis,MA 02601 F° '� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 • HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: • number street village "HOMEOWNER": • name home phone# work phone# CURRENT MAILING ADDRESS: city/town • state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside;on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he,/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner • • Approval of Building Official / '/ Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to-comply with the State Building Code Section 127.0 Construction Control. . .. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for'hire to do such work,that such Homeowner shall act as supervisor." I ) • I Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations fortLicensing Construction Supervisors,Section2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in "your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 . _ ri:477-.44..\ ail t,-1 lit . k , - ASBESTOS ABATEMENT CERTIFICATE OF COMPLETION SURVEY CONDUCTED BY: RUDY NELSON DOS LICENSE #AI61475 ti ri ABATEMENT PERFORMED BY: BANNER ENVIRONMENTAL SERVICES INC. ASBESTOS CONTRACTOR LICENSE # AC000627Iii . PR OPERTY ADDRESS: CUMMAQUID GOLF HOUSE 31401 5 9 MARSTONS 9 2014 LANE YARMOUTH PORT, MA 02675 D DATE OF CMPL ETION: ili O II: DEP DECAL #: 100206845 11 ASBESTOS CONTAINING MATERIALS REMOVED: Women's shower and locker room 11 Removal of— 1680 SF of drywall co ntaminated all co taminated with asbestos containing drywall compound 11 AIR CLEARANCE LAB: ENVIROTEST LABS LIC.# AA000128 APPROVED WASTE DISPOSAL SITE: MINERVA LANDFILL, WAYNESBURG, OH, �( ' PERMIT # 15- 1292 ` i 111.1 41 ' ef Ill DIANE NELSON, PRESIDENT . SEPTEMBER 10, 2014 r 0r '%` ` ENVIROTEST LABORATORY, Inc. �ytl�0 639 Washington Street Dedham,MA 02026 T:781-329-1133 F:781-329-1177 www.etestlab.com Banner Environmental Services, Inc. 16 Back River Way Duxbury, MA 02332 Attn: Mr Rudy Nelson Subject: Asbestos Air Testing: 35 Marstons Ln. . Yarmouthport, MA Project#: 65852 To Whom This May Concern, Please find enclosed the air results taken on September 8, 2014. Envirotest, was contracted to perform a visual inspection, and sampling for airborne fibers at the address cited above. All Samples collected, were analyzed by Envirotest Laboratory for the determination of an airborne fiber count. The analysis was performed in accordance with "Phase Contrast Microscopy NIOSH Method 7400." Envirotest Laboratory is accredited under the Proficiency Analytical Testing Program for air analysis by Phase Contrast Microscopy. Envirotest Laboratory is also certified by the State of Massachusetts for analytical Services. If you have any questions concerning your results,this report or the analytical methods employed, please feel free to call me at(781) 329-1133. Sincerely, - Sa.44 t, N Samuel N. Cohen 3 Industrial Hygienist enc. Envirotest Laboratory Is Accredited By The Proficiency Analytical Testing Program(AIHA) • �,vixoTF 4.°1"° .ENVIROTEST LABORATORY, Inc. • 639 Washington Street Dedham, MA 02026 T:781-329-1 133 F:781-329-1.177 www.etestlab.com SAMPLED BY:NEVINS ANALYZED BY:NEVINS PROJECT#:65852 LAB SAMPLE SAMPLE SAMPLE START TOTAL FLOW VOLUME GROSS RESULTS NUMBER DATE TYPE LOCATION TIME TIME RATE FIBERS/100 FIBER/CC MIN. BLANKI 090814 BLANK BLANK SAMPLE 1 XXXX XXXXX XXXX XXXX 0 F/100 0 -1 BLANK2 SAME BLANK BLANK SAMPLE 2 XXXX XXXXX XXXX XXXX 0 F/100 0 -2 LEFT OF SHOWER 2:17 BAN-1 SAME PCM CONTAINMENT LOCKER ROOM 3:31 74 15.0/15 1110 9.5/F100 0.005 RIGHT OF SHOWER 2:17 BAN-2 SAME PCM CONTAINMENT LOCKER ROOM 3:31 74 15.0/15 1110 9.5 /F100 <0.004 EPA RECOMMENDED RELEASE CRITERION OF 0.01 FIBERS/CUBIC CENTIMETER OSHA PERMISSIBLE EXPOSURE LIMIT OF 0.1 FIBERS/CUBIC CENTIMETER CONTRACTOR: BANNER ., ,..- . Asbestos IN otitication norm AIV I*-UU 1 . 1, Asbestos Project # • IT Revision [" Project Cancellation A. Asbestos Abatement Description • 1.Facility Location: CUMMAQUID GOLF COURSE 35 MARSTONS LANE-YARMOUTH PORT Name of Facility Street Address Instructions 1.All YARMOUTH MA 02675 5083604110 sections of this form City/Town State Zip Code Telephone must be completed in NEAL RENAULD MANAGER order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: WOMENS SHOWER&LOCKER ROOM CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facilityoccupied? notification p -Yes FNo 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)? F Yes I No MassDEP Use Only 4.Blanket Permit Project Approval, if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, if applicable: Approval ID# 2.Submit Original Form To: Commonwealth of 6. Asbestos Contractor: Massachusetts BANNER ENVIRONMENTAL SERVICES INC 16 BACK RIVER WAY Asbestos Program P.O.Box 120087 Name Address Boston,MA 02112- DUXBURY MA 02332 7819346873 0087 City/Town State Zip Code Telephone AC000627 Contract Type: IT Written IT Verbal DLS License# 7, RUDOLPH NELSON AS61476 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. ENVIROTEST LABORATORY INC AA000128 Name of Project Monitor DLS Certification# 9, ENVIROTEST LABORATORY INC AA000128 Name of Asbestos Analytical Lab DLS Certification# 10. 9/8/2014 9/12/2014 Project Start Date(MM/DD/YYYY) End Date(MM/DD/YYYY) 8-4 0 Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 1 I. What type of project is this? fl Demolition fl Renovation F Repair IT Other-Please Specify: Revised: 11/13/2013 Page 1 of 4 "milliw �'.. I,UIIIIIIVI1Wed1LI1 01 ividssacriuseits 100206845 L I Asbestos Notification Form ANF-001 Asbestos Project # r Project Revision 1. : Project Cancellation A. Asbestos Abatement Description: (cont.) 12. Abatement procedures(check all that apply): F Glove Bag r Encapsulation r Enclosure 17 Disposal Only E Cleanup r Full Containment ['. Other-Please Specify: 13. Job is being conducted: F. Indoors r Outdoors 14. Total amount of each type of asbestos Containing materials (ACM)to be removed,enclosed, or encapsulated: 1680 Linear Feet(Lin.Ft.) Square Feet(Sq.Ft.) Boiler,Breaching,Duct, Transite Pipe 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 DRYWALL 1680 Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. 15. Describe the decontamination system(s)to be used: WET METHHODS 16. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): WASTE WILL REMAIN WET AT ALL TIMES,PLACED IN DOUBLE 6MIL LBLD POLY BAGS 17. For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: CYNTHIA BARRON OFFICIAL Name of MassDEP Official Title of MassDEP Official 9/5/2014 SE 14-300 Date of Authorization(MM/DD/YYYY) Waiver# ONUNE ONUNE Name of DLS Official Title of DLS Official • 9/5/2014 10513-2014 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 r, Yes F No project? Revised: 11/13/2013 . r Page 2 of 4 " 1.0IIlII101lWeailI1011viassacllusells 1• 100206845 Asbestos Notification Form ANF-001 Asbestos Project # • IT: Project Revision J- Project Cancellation B. Facility Description 1. Current or prior use of facility: GOLF COURSE • 2. Is the facility owner-occupied residential with 4 units or less? fl Yes F No 3.CUMMAQUID GOLF COURSE SAME Facility Owner Name Address SAME MA 02675 0000000000 City/Town State Zip Code Telephone 4.NA NA Name of Facility Owner's On-Site Manager Address NA MA 02675 0000000000 City/Town State Zip Code Telephone 5.ACELLA CONSTRUCTION 62 ACCORD PARK Name of General Contractor Address NORWELL MA 02005 0000000000 City/Town State Zip Code Telephone Note:Temporary 00000 storage of Asbestos containing waste Contractor's Worker's Compensation Insurer material is only 00000 1/15/2015 allowed at the place Policy# Expiration Date(MM/DD/YYYY) of business of a DLS licensed Asbestos 6. What is the size of this facility? 10000 2 contractor or a transfer station that is permitted by Square Feet #of Floors MassDEP and C. Asbestos Transportation & Disposal operated in compliance with Solid Waste Regulations 1. Transporter of asbestos-containing waste material from site of generation: 310 CMR 19.000 r1 Directly to Landfill or F To Temporary Storage Location/Transfer Station BANNER ENVIRONMENTAL 1:6 BACK RIVER WAY Name of Transporter Address DUXBURY MA 02332 7819346873 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: • • RED TECH 173 PICKERING Name of Transporter Address PORTLAND • • CT 06480 8603421022 • City/Town State Zip Code Telephone Revised: 11/13/2013 Page 3 of4 I,01D1110I1WCalti1 01 1V1assaellUSCLIs 1100206845 Asbestos Notification Form ANF-001 Asbestos Project # 11 Project Revision n Project Cancellation Note:L ontractor must C. Asbestos Transportation & Disposal: (cont.) sign this form for DLS notification purposes 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: VFW DRIVE VFW DRIVE Temporary Storage Location Name Address • ROCKLAND MA 02370 0000000000 City/Town State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA MINERVA 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 BETHMCKINNON BETH MCKINNON familiar with the information Name Authorized Signature contained in this document and OFFICE MANAGER 9/5/2014 all attachments and that, based on my inquiry of those Position/Title Date(MM/DD/YYYY) individuals immediately 7819346873 BANNER ENVIRO responsible for obtaining the Telephone Representing information, I believe that the 16 BACK RIVER WAY DUXBURY information is true, accurate, and Address City/Town complete. I am aware that there MA 02332 are significant penalties for submitting false information, State Zip Code including possible fines and imprisonment. The undersigned • hereby states, under the penalties of perjury,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: 1 1/13/2013 Page 4 of 4 d../// /:,‘„ . ti )1 It ENVIRONMENTAL SERVICES. INC. Asbestos Containing Building Materials Survey Project: Neal Renaud Cummaquid Golf Club House Demolition 35 Marstons Lane Barnstable, MA 02675 Date: March 31 , 2014 Prepared for: Neal Renaud 35 Marstons Lane Barnstable MA 02675 Cell 508-360-4110 nealrenaud@comcast.net Prepared By: Banner Environmental Services Inc. 16 Back River Way Duxbury, MA 02332 ' Tel: 781-934-6873 Fax: 866-816-2374 Inspected By: Rudy W. Nelson DOS Asbestos Inspector License # Al 61475 M1 Table of Contents 1 Summary 2 Sampling Methodologies 3 Recommendations 4 Limitations 5 Property Photo 6 Table of Sample Results Laboratory Sample Analytical Results Bulk Sample Chain of Custody Form • • Asbestos Containing Building Materials Survey 14-69&14-69.01 1 Summary Banner Environmental Services, Inc. was retained by Neal Renaud to conduct an asbestos containing building material survey of the commercial building located at 35 Marstons Lane, Barnstable MA. The purpose of the survey was to determine the presence and location of asbestos containing building materials (ACBM) prior to planned demolition. This report should be reviewed in conjunction with the lab data and chain of custody. Please be aware, if areas of the building were inaccessible or unsafe during the time of the inspection, addenda to this survey may be produced at a later date once areas become accessible or restrictions are lifted from unsafe areas. Rudolph Nelson, MA licensed asbestos inspector#AI61475, conducted an on- site survey of the above-referenced property. A total of seventeen suspect asbestos containing building materials were sampled which represent all accessible suspect asbestos containing building materials. Three of the seventeen samples tested positive for asbestos. Materials containing greater than or equal to one percent asbestos are categorized as asbestos-containing materials. Specifically, all residential, commercial and institutional buildings are subject to Massachusetts Department of Environmental Protection (MassDEP) asbestos regulation 310 CMR 7.15. Asbestos removal is also regulated by the MA Division of Occupational Safety as well as OSHA, DOT, and the EPA. Additionally, some local authorities may have standards regarding the handling of asbestos. This property is a wood framed, two level building which functions as a clubhouse, pro-shop and dining area. According to public records, it was built in approximately 1950. The exterior is wooden clapboard/shingles. The windows have been updated to thermal pane. The roof has recently been replaced. The attic is insulated with fiberglass. The heating system is forced hot air and absent suspect asbestos containing materials. The flooring materials include carpet and floor tile. None of the floor tile, associated mastic or residual cement was positive for asbestos. The basement walls are homasote®fiber board, panel and drywall. The inspector noted there are two types of drywall compound, identified on the chain of custody as beige and white. The beige drywall compound sampled from the women's bath and locker area tested positive for asbestos. Therefore it must be assumed that any areas where beige drywall compound is present is asbestos containing and should be handled accordingly. All areas of the building were accessible at the time of inspection. Asbestos Containing Building Materials Survey 14-69&14-69.01 2 Sampling Methodologies Banner Environmental Services, Inc. employs systematic inspection and bulk sampling to include all representative suspect asbestos containing materials. Typical suspect asbestos containing building materials include the following: insulation on steam pipes, boilers, furnace ducts, and wood stoves, resilient flooring materials backing and adhesives, door gaskets in furnaces, wood and coal stoves, soundproofing or decorative material sprayed on walls and ceilings, patching and joint compounds, attic insulation, roofing materials, shingles and siding. Care is taken to avoid duplicate sampling as well as unnecessary sampling. However, the number of samples the inspector collects is governed by regulations. Regulatory guidelines mandate that adequate sampling be collected based on the category of the material as well as the size of the area. The inspector also assesses for friability and the condition of the material during the sampling phase of the survey. Friable materials are those that when dry, crumble by applying hand pressure. Examples of friable materials include but are not limited to, pipe insulation, drywall compound, wall plaster, and acoustical ceiling tiles. Common examples of non-friable material (material which does not crumble with hand pressure) include floor tile, mastic, roofing shingles, and transite shingles. When collecting bulk samples, every effort is made to choose areas with the least visual impact while minimizing disruption of ongoing activities in an occupied space. Representative samples are sent to an EPA accredited laboratory in labeled, individually sealed bags with a log sheet also known as a chain of custody. The chain of custody identifies the location where the sample was collected and a description of the sample. Laboratory analysis is performed using polarized light microscopy (PLM) which is the EPA's recommended procedure for bulk sample analysis. Typical requested turnaround time is twenty- four to forty-eight hours. 3 Recommendations -. Prior to a major renovation or demolition where asbestos fibers may be released, with few exceptions, all asbestos containing materials must be abated by an asbestos abatement contractor licensed in the Commonwealth of Massachusetts. The DEP requires notification of all asbestos abatement activity. Unless an emergency waiver is granted, asbestos abatement cannot commence prior to ten business days after the notification is made by the asbestos abatement contractor. Additionally, current regulations of the Commonwealth of Massachusetts DEP, require notification and permits for any interior or exterior demolition or facility • Asbestos Containing Building Materials Survey 14-69&14-69.01 • components. The Construction and Demolition Notification form (DEP BWP AQ 06) is used for operations involving industrial, commercial, institutional or residential buildings containing greater than twenty units. Please make note of the following information needed to complete Section C, Part 6: Structure Surveyed for presence of ACM —Yes Who conducted survey — Rudolph Nelson Division of Occupational Safety Certification # -AI61475 The EPA recommends 5 responses for handling asbestos hazards — removal, encapsulation, encasement, enclosure and when the asbestos is in good condition an operations & maintenance (O&M) plan. Asbestos is regulated by federal, state and local authorities. Before commencing activities which may disturb asbestos containing materials, it is advisable to consult with individuals familiar with the proper handling of asbestos. 4 Limitations The conclusions and recommendations of this survey are based on the conditions and accessibility of the property at the time the survey was conducted. Every reasonable effort was made to locate and sample all suspect asbestos containing building materials. Unless otherwise instructed, this included selective, minor destructive sampling in order to reveal possible asbestos containing materials not readily visible. However, no inspection can provide unequivocal guarantee that all asbestos containing materials have been identified. Demolition or renovation may uncover spaces previously inaccessible to the inspector or an application of asbestos not typically used in the construction industry. Therefore, should demolition or excavation reveal substances suspect for asbestos, further sampling and analysis is required. Until definitive characterization of the material is established, these materials should be considered positive for asbestos and handled accordingly. • • Asbestos Containing Building Materials Survey 14-69&14-69.01 5 Property Photo K am`4.$ `f,Y qz. p` -p . '" .. ;(iTr • s€ ''., ,, 'Yaz t.l,\ t�r'.F;3s r y "'a` € *•z ' • . .......... +S' zx g :,,.„,„..,.1.1.i...r. 11 r '. 1r' r j/s s ' ' I3 a V J( Y: .„ 3 „ ..:„......:_ ,. v�0.Fm zpq '6 " 4 ^i8'gr K xx'a r .. E ,r W �` ,W ,,5 .. S "^i is-R 3 #'y"cr9 a p�f l [i t,IF § :. r r.a's ..,« .. „r ..:'f «.ff- K ,f ' .. •- a, '• ` • • 1b f a r [F • i ... v , `"; - i r , .at '� . {J'y i :Pi 1' a ;4= Pfr tY cvaavmsr. 012 _ .4 g u. e'1i ;.:� tart' 9 : a ..• r 'z.y - €'^g t snP yiy ti g til�&n L 7,': # f. - i rt u s b:��a, I t § : ' Ate. 1 t e>ztam %s7 -.:. ti•%' 't .. , s a�sar'wi r 3i,•:::!,:.', ,;i:P.:?':,!°!IrtfWa;iiiOn 'v' ate% nrjv Zs<>„ u;,, °:.i✓ d Asbestos Containing Building Materials Survey 14-69&14-69.01 • • 6 Table of Sample Results Laboratory Sample Analytical Results Bulk Sample Chain of Custody Form Analysis was performed according to the EPA Interim Method per 40 CFR 763, subpart F, App. A. The highlighted results tested positive for asbestos. Materials containing greater than or equal to one percent asbestos are categorized as asbestos-containing materials. • Asbestos Containing Building Materials Survey 14-69&14-69.01 a¢ Y Res lu is Table ' Golf Club Hose DEMO 35 Marstons„LaneBsarnstable MAC T, Field Asbestos Type ID Lab ID Description Location Result 1 0 1 08974- Carpet Cement Tan Basement Women's Locker NAD 01 Rm 2 08974- Dry Wall Compound Beige Basement Women's Bathroom <1 Chrysotile 02 3 08974- 2'x2'Ceiling Tile White Basement NAD 03 4 08974- Residual Floor Tile Cement 1st Floor Waitress station NAD 04 Tan j 5 08974- 12"x12" Floor Tile Green 1st Floor Bar I NAD 05 1 6 08974- Mastic Tan 1st Floor Bar I NAD 'C 06 1 7 08974- Residual Mastic Yellow Bar Lounge j NAD 07 I 8 08974- Ceiling Plaster Kitchen 1 NAD 08 9 08974 2'x2'Ceiling Tile White Dining Room NAD 09• 10 08974- i 2'x2'Ceiling Tile White Bar Lounge 1 NAD 10 11 08974- Drywall Compound White Dining Room ? NAD 11 1 12 08974- Drywall Compound White Bar Lounge j NAD 12 • 13 08974- Ceiling Plaster White Pro Shop r NAD I - 8 • • sI.N$ 4 : , ,g, ' . ,, :,,,,,,:o„cr, MA License: AA000197 RI License:AAL-112A1 CT License: PH-0124 ME License:LB-0074 VT License:AL877888 February 27,2014 Client Name and Address: Banner Environmental Services Inc. 16 Back River Way - Duxbury,MA 02332 Re: Bulk Asbestos Results from Golf Club House DEMO •' 35 Marstons Lane;Barnstable,MA ` Client Project Number:Not Provided . AEC Laboratory Number: 08974.00 k Dear Rudy Nelson, . We at AEC Laboratories, LLC would like to thank you for your recent business. 13 sample(s)were received on 02/26/2014 from a job located at 35 Marstons Lane;Barnstable, MA for 24 Hour Turn Around Time. The final report . is enclosed for the aforementioned samples. Please note that this report conforms to all applicable State and Federal requirements. AEC Laboratories,LLC follows prescribed procedures for the analysis of bulk materials to identify and quantify asbestos type and content. • These results only pertain to this job and should not be used in the interpretation of any other job. This report may be reproduced only in its entirety. . If you have any questions please do not hesitate to call me at the number below. Regards, Lit'uf ' ,, ) .. Valerica Stanca ., _ . ' Laboratory Manager Enclosures: ' ' - Analytical results ' - Chain of Custody - Client Communications and/or Project Unconformities(If Applicable) 814 Broad Street Weymouth, MA 02189 P: 781-337-0567 F: 781-337-0986 4 *okit AEC Laboratories, LLC 8/4 Broad Street- Weymouth, MA 02189-Ph. 781.337.0567 Client: Banner Environmental Services Inc. AEC Laboratories Project Number 08974.00 16 Back River Way Client Project Number: Not Provided Duxbury, MA 02332 Attention: Rudy Nelson Date Sampled: 2/25/2014 Date Received: 2/26/2014 Phone: 781 934 6873 Fax: Date Analyzed: 2/27/2014 Re: Golf Club House DEMO Date Reported: 2/27/2014 35 Marstons Lane; Barnstable, MA Analysis by EPA Method 600/R-93/116 Client Sample/ Laboratory Location Description Asbestos Other Asbestos Total HA ID Sample ID Type(s) % Materials % Present Asbestos% 1 08974-01 Basement Tan, Homogenous, Cellulose <1 Women's Carpet Cement Tan Nonfibrous 100 Locker Rm No NAD Analyzed by: VS Date Analyzed: 2/27/14 2 08974-02 Basement Beige, Chrysotile <1 Nonfibrous 100 Women's Homogenous, Dry Bathroom Wall Compound Yes <1 Beige Analyzed by: VS Date Analyzed: 2/27/14 3 08974-03 Basement Off-White/Grey, Cellulose 40 Heterogeneous, Fibrous Glass 35 2'x2'Ceiling Tile Nonfibrous 25 No NAD • White Analyzed by: VS Date Analyzed: 2/27/14 . 4 08974-04 1st Floor Tan, Homogenous, Cellulose 2 Waitress station Residual Floor Tile Synthetics <1 Cement Tan Fibrous Glass <1 No NAD Nonfibrous 98 Analyzed by: VS Date Analyzed: 2/27/14 5 08974-05 1st Floor Bar Green, Cellulose 2 Homogenous, Nonfibrous 98 12"x12"Floor Tile No NAD Green Analyzed by: VS Date Analyzed: 2/27/14 Reporting Notes: NAD = "No Asbestos Detected" PS = "Positive Stop" PR = "Present" <t% = Trace Due to inherent Polarized Light Microscope limitations, fibers and/or bundles below the resolution of the light microscope (approximately <.25 microns in width) will not be detected. "NAD" and "Trace" samples should be confirmed by Transmission Electron Microscopy. AEC Laboratories, LLC (AEC) maintains liability limited to cost of analysis only. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by AEC. AEC is not responsible for sample collection activities or analytical limitations. Interpretation and use of results are the 1 responsibility of the client. AEC retains all samples for thirty (30) days after reporting. After this period AEC will dispose of all samples according to all local, state, and federal guidelines, unless requested in writing by the client. All results are expressed as a percentage based on Calibrated Visual Estimate (CVE), unless otherwise noted. Distinct layers are noted by.1,.2,etc.suffixes to lab ID. Page 1 of 3 attfaS4 AEC Y Lauorato_ies, , ,C 8/4 Broad Street- Weymouth, MA 02189-Ph. 781.337.0567 Client: Banner Environmental Services Inc. AEC Laboratories Project Number 08974.00 16 Back River Way Client Project Number: Not Provided Duxbury, MA 02332 • Attention: Rudy Nelson Date Sampled: 2/25/2014 Phone: Received: 2/26/2014 hone: 781-934-6873 Fax: Date Analyzed: 2/27/2014 Re: Golf Club House DEMO Date Reported: 2/27/2014 35 Marstons Lane; Barnstable, MA Client Analysis by EPA Method 600/R-93/116 Sample/ Laboratory Location Description Asbestos Other Asbestos Total HA ID Sample ID Type(s) % Materials % Present Asbestos% 6 08974-06 1st Floor Bar Tan, Homogenous, Cellulose 5 Mastic Tan Fibrous Glass <1 Nonfibrous 95 No NAD Analyzed by: VS Date Analyzed: 2/27/14 7 08974-07 Bar Lounge Yellow, Nonfibrous 100 Homogenous, Residual Mastic No NAD Yellow Analyzed by: VS Date Analyzed: 2/27/14 8 • 08974-08 Kitchen Off-White, Cellulose <1 Homogenous, Nonfibrous 100 Ceiling Plaster No NAD Analyzed by: VS Date Analyzed: 2/27/14 9 08974-09 Dining Room Off-White/Grey, Cellulose 35 Heterogeneous, Fibrous Glass 35 2'x2'Ceiling Tile Nonfibrous 30 No NAD White Analyzed by: VS Date Analyzed: 2/27/14 10 08974-10 Bar Lounge Off-White, Cellulose 2 ' Homogenous,2'x2' Fibrous Glass 95 • Ceiling Tile White Nonfibrous 3 No NAD Analyzed by: VS Date Analyzed: 2/27/14 Reporting Notes: NAD = "No Asbestos Detected" PS = "Positive Stop" PR = "Present" <1% = Trace Due to inherent Polarized Light Microscope limitations, fibers and/or bundles below the resolution of the light microscope (approximately <.25 microns in width) will not be detected. "NAD" and "Trace" samples should be confirmed by Transmission Electron Microscopy. AEC Laboratories, LLC (AEC) maintains liability limited to cost of analysis only. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by AEC. AEC is not responsible for sample collection activities or analytical limitations. Interpretation and use of results are the responsibility of the client. AEC retains all samples for thirty (30) days after reporting. After this period AEC will dispose of all samples according to all local, state, and federal guidelines, unless requested in writing by the client. All results are expressed as a percentage based on Calibrated Visual Estimate (CVE), unless otherwise noted. Distinct layers are noted by.1,.2,etc.suffixes to lab ID. Page 2 of 3 • • I Laboratories, LLC 814 Broad Street- Weymouth, MA 02189-Ph. 781.337.0567 Client: Banner Environmental Services Inc. AEC Laboratories Project Number 08974.00 16 Back River Way Client Project Number: Not Provided Duxbury, MA 02332 Attention: Rudy Nelson Date Sampled: 2/25/2014 Date Received: 2/26/2014 Phone: 781 934 6873 Fax: Date Analyzed: 2/27/2014 Re: Golf Club House DEMO Date Reported: 2/27/2014 35 Marstons Lane; Barnstable, MA Client Analysis by EPA Method 600/R-93/116 Sample/ Laboratory Location Description Asbestos Other - Asbestos Total HA ID Sample ID Type(s) % Materials % Present Asbestos% 11 08974-11 Dining Room Off-White, Cellulose <1 Homogenous, Nonfibrous 100 Drywall Compound No NAD White Analyzed by: VS Date Analyzed: 2/27/14 12 08974-12 Bar Lounge Off-White/Brown, Cellulose 8 Heterogeneous, Fibrous Glass 2 Drywall Compound Nonfibrous 90 No NAD White Analyzed by: VS Date Analyzed: 2/27/14 13 08974-13 Pro Shop White, Cellulose <1 Homogenous, Nonfibrous 100 Ceiling Plaster No NAD White Analyzed by: VS Date Analyzed: 2/27/14 • - Reviewed by: Valerica Stanca Analyzed by: Valerica Stanca • Signature: / ' ., y Signature: i i JJKz Reporting Notes: NAD = "No Asbestos Detected' PS = "Positive Stop" PR = "Present" <I% = Trace Due to inherent Polarized Light Microscope limitations, fibers and/or bundles below the resolution of the light microscope (approximately <.25 microns in width) will not be detected. "NAD" and "Trace" samples should be confirmed by Transmission Electron Microscopy. AEC Laboratories, LLC (AEC) maintains liability limited to cost of analysis only. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by AEC. AEC is not responsible for sample collection activities or analytical limitations. Interpretation and use of results are the responsibility of the client. AEC retains all samples for thirty (30) days after reporting. After this period AEC will dispose of all samples according to all local, state, and federal guidelines, unless requested in writing by the client. All results are expressed as a percentage based on Calibrated Visual Estimate (CVE), unless otherwise noted. Distinct layers are noted by.I,.2,etc.suffixes to lab ID. Page 3 of 3 Relinquished by, , i udy Nelson A161475 Date/Time: 2- - /y AEC Laboratories, LLC Received by: �t;) � Date/Time: .2/„2.(a (`' JLt00 810 Broad Street Relinquished by/ Date/Time: Weymouth, MA 02189 Received by: Date/Time: Phone: 781-337-0567 Fax: 781-337-0986 Client Name:_Banner Environmental Services Inc Phone:_781-934-6873 labreports@americanenviron.com_ Client Address:_16 Back River Way Duxbury MA 02332 • Project: -„/"C/U1 iiau..c� ,e14.10 Page / .of / Proj. Address: fir" iiia o c L.GlNG„ Was-s..s4/04.- State (Required):— BULK SAMPLE CHAIN OF CUSTODY ' Analysis: ElPLM 0 Positive Stop 0 Qualitative EllPoint Count 0 NOB Prep []TEM Chat ElLead 0 PCB AEC Laboratories ID: Turnaround Time:❑ RUSH Q 24 Hour 0 48 Hour ❑3 Day 0 5 Day e d2 9 7/ Sampled By: Rudy Nelson Verbal Results: Y/N Special Instructions: Date: 2-- 25-/el Cell#: 508-328-3417 Results to (PM): Name: Homogen- Material LAB ID FIELD ID LOCATION / O � SAMPLE DESCRIPTIONTI ous Area Type / 7w.� r• .' I4QIVeddlrf/d 4 Ai;e- / Y��e�'dti 7 JAW-. Z- in sre .1L 74)sNo� �C, . / ,a4T elfle ei ad", G JO.-"/01je''� 6`r - 3 jga S/�j -� 2 X 2: 1 ! ! �GJLi. '! /5:1-e>�BYLr.�2�74r' �' f0�- YP�rza/Lccs/ Gvtr2---174_0&.�4 f h _ Ice"ftre'" aY /2 j12" tear 7'/lei �,�� • 7 go,, as_.yg /MA / - y r L dt ,'e �., A L1 z ,o1�s�1.- 9 /6, . L,a k �4 a s2ar� _ 9 •7 l'�tli vs'li_ i.)4.i 1 - _ .. 1/ �^^JiKde.7 4,161702 etagyiOnAeArLd 4iilde 0115l,1�'l:S tableJIF - r § c�uid Gol glu 3 MA: ian$ Yar th''Po- Ju€5s a, - � � ' z •,,, � Feld �f . „ ` y 7 r x. �f �S1 �.'$it IDS fLa i ri tion � oC�tiQ ul f e 1 F,w of .l. .... 1 09142 Drywall Compound VUomen's Locker&Shower.Room° 2 Chrysotile 01 Beige 2 09142 Drywall Compound j Non ert's Locker Room"Srnk Area 2 IChrysotile I 3 09142- Drywall Compound- ' Women's Lockerr 02 Beige ? y p ; Room Center NAD 03 White ! Wall • 4 09142- Drywall Compound- Basement closet under front stairs. NAD 04 White • • • • • • • • • Laboratories, ; h� MA License:AA000197 RI License: AAL-112A1 CT License: PH-0124 ME License: LB-0074 VT License: AL877888 March 18,2014 Client Name and Address: Banner Environmental Services Inc. 16 Back River Way Duxbury, MA 02332 Re: Bulk Asbestos Results from Cummaquid Golf Club 35 Marstons Lane; Yarmouth Port,MA Client Project Number:Not Provided AEC Laboratory Number: 09142.00 Dear Rudy Nelson, We at AEC Laboratories,LLC would like to thank you for your recent business. 4 sample(s)were received on 03/17/2014 from a job located at 35 Marstons Lane; Yarmouth Port,MA for 24 Hour Turn Around Time. The final report is enclosed for the aforementioned samples. Please note that this report conforms to all applicable State and Federal requirements. AEC Laboratories,LLC follows prescribed procedures for the analysis of bulk materials to identify and quantify asbestos type and content. These results only pertain to this job and should not be used in the interpretation of any other job. This report may be reproduced only in its entirety. If you have any questions please do no`t hesitate to call me at the number below. Regards, • Valerica Stanca - Laboratory Manager • Enclosures: - Analytical results - Chain of Custody - Client Communications and/or Project Unconformities(If Applicable) 814 Broad Street Weymouth;MA 02189 P: 781-337-0567 F: 781-337-0986 r Laboratories, LLC 814 Broad Street-'Weymouth, MA 02189-Ph. 781.337.0567 Client: Banner Environmental Services Inc. AEC Laboratories Project Number 09142.00 16 Back River Way Client Project Number: Not Provided Duxbury, MA 02332 Attention: Rudy Nelson Date Sampled: 3/17/2014 Phone: Received: 3/17/2014 hone: 781-934-6873 Fax: Date Analyzed: 3/18/2014 • Re: Cummaquid Golf Club Date Reported: 3/18/2014 • 35 Marstons Lane;Yarmouth Port, MA • Analysis by EPA Method 600/R-93/116 Client Sample/ . Laboratory Location Description Asbestos Other Asbestos Total HA ID Sample ID Type(s) % Materials % Present Asbestos% • 1 09142-01 Women's Off-White/Tan, Chrysotile 2 Nonfibrous 98 Locker& Heterogeneous, Shower Room Drywall Yes 2 Compound-Beige Analyzed by: VS Date Analyzed: 3/18/14 2 09142-02 Women's Beige, Chrysotile 2 Nonfibrous 98 Locker Room Heterogeneous, Sink Area Drywall Yes 2 Compound-Beige Analyzed by: VS Date Analyzed: 3/18/14 3 09142-03 Women's White, Nonfibrous 100 Locker Room Homogenous, Center Wall Drywall No NAD - Compound-White Analyzed by: VS Date Analyzed: 3/18/14 4 09142-04 Basement closet White, Cellulose 2 under front Homogenous, Nonfibrous 98 . stairs Drywall No NAD Compound-White Analyzed by: VS Date Analyzed: 3/18/14 • Reviewed by: Valerica Stanca Analyzed by: Valerica Stanca Signature: i ' ,; Signature: W 1 Reporting Notes: NAD = "No Asbestos Detected" PS = "Positive Stop" PR = "Present" <I% = Trace Due to inherent Polarized Light Microscope limitations, fibers and/or bundles below the resolution of the light microscope (approximately <.25 microns in width) will not be detected. "NAD" and "Trace" samples should be confirmed by Transmission Electron Microscopy. AEC Laboratories, LLC (AEC) maintains liability limited to cost of analysis only. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by AEC. AEC is not responsible for sample collection activities or analytical limitations. Interpretation and use of results are the responsibility of the client. AEC retains all samples for thirty (30) days after reporting. After this period AEC will dispose of all samples according to all local, state, and federal guidelines, unless requested in writing by the client. All results are expressed as a percentage based on Calibrated Visual Estimate (CVE), unless otherwise noted. Distinct layers are noted by.1,.2,etc.suffixes to lab ID. Page 1 of 1 Relinquished by: Rudy Nelson AI61 -5 Date/Time: —/T../7 AEC Laboratories, LLC Received by: .- i1 Date/Time: ' �� y 810 Broad Street Relinquished by: Date/Time: Weymouth, MA 02189 Received by: Date/Time: Phone: 781-337-0567 Fax: 781-337-0986 Client Name:_Banner Environmental Services Inc Phone:_781-934-6873 Client Address: 16 Back. River Way Duxbury MA 02332 Project: Curer~ 6-a/f d/ar,' Page of Proj. Address: ,7,5'/ sA,,ts Lew.. ya,/,,, /O' State (Required): � BULK SAMPLE CHAIN OF CUSTODY Analysis: RI PLM ri Positive Stop Di Qualitative Point Count NOB Prep 9 TEM Chat F._� Lead ri PCB AEC Laboratories ID: Turnaround Time:9 RUSH Pl 24 Hour n 48 Hour 9 3 Day 5 Day ! _ Sampled By: Rudy Nelson Verbal Results: Y/ N Special Instructions: Date: Cell #: 508-328-3417 Results to (PM): Name: —` Homogen- Material LAB ID FIELD ID LOCATION //' SAMPLE DESCRIPTION ous Area Type o Cie, rC I C,41 h S -3 �J�►G-ma's L,ar1�.F„ Ca✓ ¢ter td- .i( 4..11 aail a Z.-...ce tv