Notification #

NOTIFICATION OF DEMOLITION Southwest Clean Air Agency

11815 NE 99th Street, Suite 1294 Vancouver, WA 98682

Voice: (360) 574-3058 Fax: (360) 576-0925 www.swcleanair.org

(10 day waiting period from date submitted) (Form must be filled out completely)

Date Received . ----- --· i

Must includ~

:1 DJ--~ (C; Notification F : $60.00 l~ iJ \'} it I' 1 1

Emergency Fee: $120.00

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MAY 5 l I '.I 1 2019 I c:.J I I _ _J

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1. TYPE OF NOTIFICATION (Iii Original D Revised D Cancelled): i SOUTHWE.S~.CI EAN i

2. TYPE OF OPERATION D Partial Demolition Iii Complete Demolition D Ordered Demolition ' AIR /\l.' 2Y SWCAA Reviewed - -~ -/l ~ '

D Emergency Demolition D Fire Training IV 3. FACILITY DESCRIPTION (Example: Residence, Barn, Carport) Shop / Commercial Name or Description:

Address: 3810 NE 82nd St

City: Vancouver State: wA County: Clark

Present use: empty I un-used Prior use: storage

4. FACILITY INFORMATION

Owner Name: Silver Buckle Homes, LLC Mailing Address: 2210 W Main St, Ste 107-391

City: Battle Ground I State:wA Zip Code: 98604

Contact: David Clark David@SilverBuckleHomes.com Phone: 360-702-9000

5. NAME AND AHERA CERTIFICATION NUMBER OF ASBESTOS INSPECTOR: Brian Fallen, #IR-19-0618B

6. ATIACH A COPY OF THE ASBESTOS INSPECTION REPORT Report must include laboratory name. analyst, sample type, location sample was taken and analytical method used to detect the presence of asbestos materials .

7. ASBESTOS REMOVAL CONTRACTOR (IF APPLICABLE): ii No asbestos present, see attached AHERA Report

Name: Address:

City: I State: Zip Code:

Contact: Phone:

8. DATES ASBESTOS REMOVAL OCCURRED (mm/dd/yy) Start: Complete: Asbestos Case Number:

9. DATES DEMOLITION WILL OCCUR (mm/dd/yy) Start: 5/25/19 Complete: 5/29/19

10. DEMOLITION CONTRACTOR or FIRE DEPARTMENT:

Name: KRG Underground, Inc

Address: PO Box 670

City: Battle Ground I State: WA County: Clark

Contact and Phone# Randy Matson 360-772-4255; Jamie Wilkins 360-952-0108

SWCAA FORM N0.23 REVISED 01/01/2019

11 . DESCRIPTION OF PLANNED DEMOLITION WORK, METHOD(S) TO BE USED:

Teardown shop with excavation equipment

12. FUGITIVE EMISSIONS/DUST FROM DEMOLITION ACTIVITIES MUST BE CONTROLLED/PREVENTED DURING ALL PHASES OF THE PROJECT.

13. IF UNEXPECTED ASBESTOS CONTAINING MATERIAL (ACM) IS FOUND DURING DEMOLITION, STOP WORK, NOTIFY SWCAA AND CONSULT/HIRE A CERTIFIED ASBESTOS ABATEMENT CONTRACTOR.

14. IF DEMOLITION IS ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW:

Name: I Title:

Agency:

Date of Order (mm/dd/yy): I Date Ordered to Begin ( mm/dd/yy ):

15. FOR EMERGENCY DEMOLITIONS: (Contact SWCAA prior to work)

Date and Hour of Emergency (mm/dd/yy) (hh/mm) :

Description of the Sudden, Unexpected Event:

EXPLANATION OF HOW THE EVENT CAUSED UNSAFE CONDITIONS OR WOULD CAUSE EQUIPMENT DAMAGE OR AN UNREASONABLE BURDEN: (ATTACH ADDITIONAL PAGE IF NECESSARY)

16. I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT.

David Clark Dav-d~ 05/15/19 (Type or Print Name) (Signature of Owner/Operator) (Date)

HAVE YOU PERFORMED A HAZARDOUS MATERIALS ASSESSMENT ON THE STRUCTURE? Iii YES D NO

The Washington State Dangerous Waste Regulations 0fVAC 173-303) require that demolition debris be evaluated to determine if it is dangerous. The evaluation should be completed before demolition to ensure that hazardous constituents are not released to the environment and do not present a risk to human health during or after demolition. These requirements apply to all buildings being demolished and are the responsibility of the property owner. The Washington Department of Ecology's website, https://ecology.wa.gov/Regulations-Permits/Guidance­technical-assistance/Dangerous-waste-guidance/Common-dangerous-waste/Construction-and-demolition, provides more information about the requirements and about sampling and testing construction materials to determine if they present a risk. For more information please contact a Hazardous Waste Inspector at the Washington Department of Ecology Southwest Regional Office: 360-407-6300.

SWCAA FORM N0.23 REVISED 01/01/2019

Tina Hallock

From: Sent: To: Cc: Subject: Attachments:

Hi Tina,

David Clark <david@silverbucklehomes.com> Wednesday, May 15, 2019 1 :38 PM Tina Hallock Brian Fallon Re: Demo I 3810 NE 82nd St, Vancouver, WA 98665 3810 NE 82nd St AHERA Survey.pdf; 82nd St_Demo Notification_signed.pdf

Thanks for the followup. Yes, please find the docs attached. I was slammed this morning and unable to get to this earlier.

I let the contractor (KRG) and the residents at 3810 NE 82nd know that it'll be ten days until demo can take place. There was some concern over the shop being broken into during that waiting period.

Thanks for your's and Brian's help with this process!

David Clark I Office Manager Silver Buckle Homes, LLC David@SilverBuckleHomes.com Phone: 360-702-9000 Mailing Address: 2210 W Main St, Ste 107-391, Battle Ground, WA 98604

www.SilverBuckleHomes.com

From: Tina Hallock <Tina@swcleanair.org> Sent: Wednesday, May 15, 2019 12:53 PM To: David Clark Cc: Brian Fallon Subject: RE: Demo I 3810 NE 82nd St, Vancouver, WA 98665

Good Afternoon,

Were you going to send over the paperwork?

Tina Hallock I Administrative Asst. Southwest Clean Air Agency 11815 NE 99 111 St, Ste 1294 I Vancouver WA 98682 P: 360-574-3058 x1 10 I F: 360-576-0925

1

Tues - Fri 7:00 - 5:30 http://www.swcleanair.org

The South11,est Clean Air Agency (SWCAA) 1s responsible for enforcing federal, state and local outaoor air quality standards and regulat10ns 111 Clark, Co11Nz, Lei l'is, Skamama and Wahkiakum counties of >outhwest Washington state. Our nuss/On is to prese111e and enhance air qualitJ 111 southi-.est Washington.

NOTICE OF PUBLIC DISCLOSURE: This email account 1s publk: domam. Any correspondence from or to this ematl account may be a public record. Accorc1111g/); this email, in 1 vl1ole or in part, may be sub;ect to disclosure pursuant to RCW 42.56, regardless of an) cla1/11 of confidentlaht) or prwilege asserted by an eYternal pait).

From: David Clark <david@silverbucklehomes.com> Sent: Tuesday, May 14, 2019 2:43 PM To: Brian Fallon <Brian@swcleanair.org> Cc: Tina Hallock <Tina@swcleanair.org> Subject: Re: Demo I 3810 NE 82nd St, Vancouver, WA 98665

Hi Brian,

I received the attached results from Advantage Environmental - no asbestos present. Do I now come into your office with the money and Notice of Demo?

Thanks,

David Clark I Office Manager Silver Buckle Homes, LLC David@SilverBuckleHomes.com Phone: 360-702-9000 Mailing Address: 2210 W Main St, Ste 107-391, Battle Ground, WA 98604

www.SilverBuckleHomes.com

From: Brian Fallon <Brian@swcleanair.org> Sent: Tuesday, May 7, 2019 2:03 PM To: David Clark Cc: Tina Hallock Subject: RE : Demo I 3810 NE 82nd St, Vancouver, WA 98665

David,

I wanted to do a quick follow up to our conversation. Given the photos you provided, I saw two suspect asbestos containing materials (SACM) that need to be sampled before I can issue a report.

Option 1: you as the property owner can take a sample of the 3-tab and underlaying tar paper( http://www.swcleanair.org/asbestos/sampling.asp) and take it to a lab (http ://www.swcleanair.org/asbestos/analyticallabs.asp) for analysis. Then submit the results to me. If no asb is found, I write the report and you submit notice of demo. If asbestos is found the further discussion is warranted; or

2

Option 2: Hire an AHERA Contractor ( http://www.swcleanair.org/asbestos/aherainspectors.asp ) to perform a full

survey on the structure. If no asbestos it found, submit the report with the notice of demolition. If asbestos is found the further discussion is warranted.

Thanks.

Brian Fallon Southwest Clean Air Agency 11815 NE 99th St.

Suite 1294 Vancouver, \NA 98685 360-57 4-3058

From: Tina Hallock <Tina@swcleanair.org> Sent: Tuesday, May 7, 2019 12:37 PM To: Brian Fallon <Brian@swcleanair.org> Subject: F\N: Demo I 3810 NE 82nd St, Vancouver, \NA 98665

From: David Clark< > Sent: Tuesday, May 7, 2019 12:32 PM To: Tina Hallock <Tina@swcleanair.org> Subject: Demo I 3810 NE 82nd St, Vancouver, \NA 98665

Hi Tina,

I was in the office earlier today talking to Brian about a shop demolition. Brian asked to see photos to make an asbestos determination. Attached are photos for his review. Please forward them to him. If Brian would like to see more photos, I please follow the link below.

https://drive.google.com/drive/folders/19qh3fUjsHjAKQiBidslpQpijW05 IJbS?usp=sharing

Thank you!

David Clark I Office Manager Silver Buckle Homes, LLC David@SilverBuckleHomes.com Phone: 360-702-9000 Mailing Address : 2210 W Main St, Ste 107-391, Battle Ground, WA 98604

www.SilverBuckleHomes.com

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SW CAA Southwest Clean Air Agency

May 14, 2019

David Clark Silver Buckle Homes 2210 W Main St Suite 107-391 Battle Ground, WA 98604

11815 NE 99th St reet, Suite 1294 Vancouver, WA 98682

{360) 574-3058 www.swclean air.org

Re: Demolition of Detached Garage Only (Residential Building(s) Excluded)

Mr. Clark:

Based on the infonnation and photos you provided of the garage at 3810 NE 82"d St, Vancouver, WA 98665, I find no evidence of asbestos containing materials that would require further action prior to the demolition/ deconstruction of this structure (residential buildings excluded).

These conclusions are based on the infonnation you provided, the attached pictures and sample results emailed to me. SWCAA is not responsible for any asbestos-containing material that might be behind walls, under floors, underground or in any area not depicted in the referenced photographs. If suspect asbestos containing material is discovered during demolition, the project must stop and an AHERA certified asbestos contractor should be consulted. An AHERA inspection must also be performed prior to the demolition of any residential structure or other building not depicted in the attached photos.

A Notification of Demolition must be submitted at least to working days prior to commencement of demolition activity. A copy of this letter must be included with the Notification of Demolition.

If you have any questions regarding this matter, please call me at 360-574-3058 x 138.

AHERA Certification #IR-19-06188

Our Mission is to Preserve and Enhance Air Quality in Southwest Washington

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Photographs of 3810 NE 82"d St, Vancouver, WA Garage Only (Residence Excluded)

- - ·-- - ----- - - - -------

ASBESTOS CHAIN OF CUSTODY ADVANTAGE 9317 NE Hwy 99. suite A • (360) 356-7628

Lab Use Only

Environmental INC. LEGAL DOCUMENT - PLEASE PRINT LEGIBLY Survey D Lab No. / 'Z?. 1 <j -Walk-In )Q) ~ Reject

AHERA Inspector/ Sampled By Project Information

Date: !5//y/19 Company Name: StLvai:IL (JC-'&~(.,;.- ,r./?,;WtL·-..>

Name: SU~r"M 12ce> r Project Name: fg.;ltVO sm~1:.r

Phone: 3t:O -?'~ - 'I ~co Project Location: 3Sto 1ve 5~1vp !f-v t: Email: 5HA-w.IV(!/ 5iLYt::.~tflvc~ H'OMd .,,.COll-f P.O. Number: I

RELINQUISHED B DATE & TIME VIA RECEIVED BY DATE &TIME

Name :SHkV'tV t?co I Date Drop Off ~.JluL \l2:r-JrN~ lJ: ~"'2-Sign -- - Time .:r;- . Jt/ . 11 .,,.

REQUESTED SERVICES

PLM TURNAROUND TIME

Bulk Analysis D Verbal ~ Rush D Same Day D 24-Hour ~ 3-Days

No. Sample ID Color Description Volume/ Area

(as applicable} Comments I Notes

1 · l 1.ri.r11 JI . ~r-L - 0 --2

3

4

5

6

7

8

9

10

11

ADVANTAGE Environmental INC.

Clean your world.

9317 NE Hwy 99, Suite A, Vancouver, WA 98665 I 360-356-7628

Polarized Light M icroscopy Results

Lab No: 122792 Property Address: 3810 NE 82nd Ave

City, State, Zip: Vancouver, WA

Job Number: 82nd Street Date Received: 5/14/2019 Client Name: Shawn Root

Received By: Bekah Barnes Client Address: Date Analyzed: 5/14/2019 City, State, Zip: Analyzed By: Sidney Carter Phone & E-mail : 360-902-9000 - shawn@silverbucklehomes.com

AEI Client Color/ Non-Asbestos Non Fibrous Sample ID Sample ID Composition Description Asbestos (%) Fiber(%)

001 1 Layered Gray/Black Roofing Asbestos Not Present 25% Glass Fiber Sand-Tar

OOlA Layered Green/Black Roofing Asbestos Not Present 40% Cellulose Sand-Tar

- ------~-----------

A SWCAA Southwest Clean Air Agency

May 14, 2019

David Clark Silver Buckle Homes 2210 W Main St Suite 107-391 Battle Ground, WA 98604

11815 NE 99th Street, Suite 1294 Vancouver, WA 98682

(360) 574-3058 www.swcleanair.org

Re: Demolition of Detached Garage Only (Residential Building(s) Excluded)

Mr. Clark:

Based on the information and photos you provided of the garage at 3810 NE 82"ct St, Vancouver, WA 98665, I find no evidence of asbestos containing materials that would require further action prior to the demolition/ deconstruction of this structure (residential buildings excluded).

These conclusions are based on the information you provided, the attached pictures and sample results emailed to me. SWCAA is not responsible for any asbestos-containing material that might be behind walls, under floors, underground or in any area not depicted in the referenced photographs. If suspect asbestos containing material is discovered during demolition, the project must stop and an AHERA certified asbestos contractor should be consulted. An AHERA inspection must also be performed prior to the demolition of any residential structure or other building not depicted in the attached photos.

A Notification of Demolition must be submitted at least 10 working days prior to commencement of demolition activity. A copy of this letter must be included with the Notification of Demolition.

If you have any questions regarding this matter, please call me at 360-574-3058 x138.

AHERA Certification #IR-19-0618B

Our Mission is to Preserve and Enhance Air Quality in Southwest Washington

@

Photographs of3810 NE 82nd St, Vancouver, WA Garage Only (Residence Excluded)

ADVANTAGE 9317 NE Hwy 99. Suite A. (360) 356-7628 Lab Use Only .

Environmental INC. LEGAL DOCUMENT- PLEASE PRINT LEGIBLY Survey D Lab No. / '2-Z.1 j i ~

ASBESTOS CHAIN OF CUSTODY

Walk-In J:d) ~ Reject

AHERA Inspector / Sampled By Project Information

d ate: s 1¥//'1 Company Name: 5 tLVJ4R- (Jc .. c.A:.t-~ ;-,b~.L--:>

Name: S'J.;~A.I' l<?w r Project Name: ~atVo ~m.~t.T Phone: 360 -:?"~ - '1 GCIO Project Location: 30 IO IV t; f3d,.1V(? 11-vt: I

Email: 5Hll-'t'../Altf.!J .SiLVi=.'2....6'.~ H'oM&f ,,C.01-f P .0. Number: I

RELINQUISHED BY DATE & TIME VIA RECEIVED BY DATE&TIME

Name :5~1h~M ~I Date Drop Off ~n JI r.1" ~rN~ 11: s---z--

Sign C-' - Time ~ .)C/- I '9 ....,. REQUESTED SERVICES

PL!VI .:.

TURNAROUND TIME

Bulk Analysis D Verbal ~ Rush D Same Day D 24-Hour · ~ 3-Days

No. Sample ID Color Description Volume/ Area

(as applicable) Comments I Notes

1 ·· l 1ola1JL .. ~'ff --2 v 3

4

5

6

7

8

9

10

11

ADVANTAGE Environmental INC.

Clean your world.

9317 NE Hwy 99, Suite A, Vancouver, WA 98665 I 360-356-7628

Polarized Light Microscopy Results

Lab No: 122792 Property Address: 3810 NE 82nd Ave

City, State, Zip: Vancouver, WA

Job Number: 82nd Street

Date Received: 5/14/2019 Client Name: Shawn Root

Received By: Bekah Barnes Client Address: Date Analyzed: 5/14/2019 City, State, Zip: Analyzed By: Sidney Carter Phone & E-mail: 360-902-9000 - shawn@silverbucklehomes.com

AEI Client Color/ Non-Asbestos Non Fibrous Sample ID Sample ID Composition Description Asbestos (%) Fiber(%)

001 1 Layered Gray/Black Roofing Asbestos Not Present 25% Glass Fiber Sand-Tar

OOlA Layered Green/Black Roofing Asbestos Not Present 40% Cellulose Sand-Tar