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Home My Public Portal About12-0086 NikolaDATE ISSUED: 02 -13 -2012 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP CITY OF TYBEE ISLAND BUILDING PERMIT DEMOLITION - SF 20 TAYLOR KYLE NIKOLA 5 WHITAKER ST 304 SAVANNAH GA 31401 B & B DEMOLITION AND BOBBY L ADAMS SAVANNAH GA 31405 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 250.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $33,500.00 PERMIT #: 120086 TOTAL BALANCE DUE: $ 250.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT 1-2 -o bg� Location: 2 �f)- /C; % 5r NAME ADDRESS PIN # ><. TELEPHONE Owner (I � \15t' IV Architect or Engineer Building n 47/, Contractor Deno. .O I MIT 1 a� �1 •�/ ye S 512 /'ih /i (Check all that apply) ❑ Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: j. ❑ Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial n Footprint Changes n discovery Demolition Remo r(2 {/oiJ$' d f (- T 7/1 z /V & &Y u ke r L 4tv1•� /IL e r ik Estimated Cost of Con ':'Rion: $ 33 c'n�a onstruction Type (1 Wood Frame (2) ood & Masonry (3) B ' k Vener r Propose. se: Remarks: (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the followin nform.tion based on the construction drawings and site plan: # Unit Lot ea # 0 - street parking spa. -s Tr :-s located & listed on ' to plan A cess: riveway (f) etbacks: Front # Bedrooms # Bathrooms Living space (total sq. ft.) With culvert? Rear With swale? Sides (L) (R) # Stories Height Vertical distance measured from the average adjacent grade of the building to the extreme high point of the building, exclusive of chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through Pc t '-ftd On -site waste and debris containers will be provided by Co f\) fifA -/-or Construction debris will be disposed by Goh; trm -C by means of NO 1 . 1 9 P A , I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: Fes®, a Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification Approved rezoning /variance? Street address and number: New Is it in compliance with City map? If not, has street name and /or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached NFIP Flood Zone Existing RECEIVED Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm /Drainage Inspections City Manager FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL LEAD -BASED PAINT Adapted from http: / /www.epa.gov /lead /pubs /renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead -safe work practices. • Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800- 424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors .- As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. • Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead -safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead -safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010. • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. S.{ 1F YOU'RE NOT LEAD-SAFECERTIFIED, .DISTURBING JUST SIX SQUARE FEET :COULD COST YOU -BIG TIME. atY shh4Iy f 1.j j Printed Name ;2pj:Je(/2 Date DEPT. OF 111110UKES GEORGIA Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. Undersigned Printed Name Date Office Use Only: Project Address: Permit Number: 02/13/2012 13:04 9127866538 TYBEE ISL HIST SOC Febrl 1+13, 2012 Ms. Die Otto Adminiitrative Assistant City of tybee Island Buildini and Zoning P.O. Bo il 2749 Tybee I4Iand, Georgia 31328-2749 1 V PAGE 01 swt7 FEB 13 2012 Sj: Dear Dame; I have Made a site visit to #2o Taylor Street in regards to the request f Please pitceed with the request as the building cannot be moved. The has alre‘tly been negatively impacted. Sincerelir, Cullen *ambers HistoriciPreservation Advisor Tybee land Historic Preservation Commission •7j 931 (Wolin tic i gitty TX Result Report P 1 02/02/2012 19:34 Serial N0. CM35228060004 TC: 313408 Destination Start Time Time Prints Result Note 7866538 02 -02 19:34 00:00:38 001/001 OK Note TMR: Timer TX. POL: Polling. RS: Original Size Setting. FME: Frame Erase TX. MIX: Mixed Original TX. CALL: Manual TX. CSRC: CSRC. FWD: Forward. PC: PC -Fax. RLY: Double-Sided MBX: Confidential. : BulletPinC1SIP rSIPnFax.FIPADR:FIPOAddress Fax, I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M -Full :Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. Date: City of Tybee Island BUIJ.DING AND ZONING P.O. Box 2749 — 403 tler Avenue, Tybee Island, Georgia 31328 -2749 (912) 786-4573 — FAX (912) 786 -9539 www_cityortybee _ org FAX TRANSMITTAL SHEET _!2 Number of Pages Including Cover Sheet: 1 To: Cullen Chambers Company Name: Tybee Island Historic Review Commission Faz Number: 786 -6538 From: Dianne K. Otto Title: Administrative Assistant Phone Number: 786 -4573 extension 1 14 Fax Number: 786 -9539 NOTICE OF APPLICATION F'OR DEMOLITION Date of Application Name of Applicant Phone Number Location of Structure .2- —f *-12, C G?tz�CoSS— (01 ov Tove. 6�..i= L- eav:..s !c -erin a December 12, 2011 /� WHITAKER LABORATORY, INC. P.O. Box 7078 2500 Tremont Road Savannah, Georgia 31418 (912) 234 -0696 Fax (912) 233 -5061 Email: info aC�.whitakerlab.net www.whitakerlab.net Report No: 12 -12 -11 -503 ��I Client: de Levis Designs 41 Park of Commerce Way, Suite 301 Savannah, Georgia 31405 0.912- 236 -5757; C. 912 -547 -1300 Attn: Paul de Levis delevis.com Job: Lead Based Paint & Asbestos Containing Materials Assessment for 20 Taylor Street, Tybee Island, Georgia Subject: Preliminary Asbestos Tests Limited Lead Assessment Lead Donald R. Martin, Jr. Assessor: 2500 Tremont Road, Savannah, Georgia (912) 234 -0696 Certified GA EPD Lead Inspector / Risk Assessor License: # 50 CMB 02107087 Lead Assistant: Lead Firm: Christian Lamont, EPA Lead Inspector Whitaker Laboratory, Inc. 2500 Tremont Road Savannah, Georgia 31405 GA EPD Lead Firm License: # 1002102373 Asbestos Christian Lamont Inspector: 2500 Tremont Road, Savannah, Georgia (912) 234 -0696 License # BI- 001075 Page 2 Lead Based Paint & Asbestos Containing Materials Assessment for 20 Taylor Street, Tybee Island, Georgia Dear Paul: On December 7, 2011, Whitaker Laboratory, Inc. performed a limited sampling event within the home located at 20 Taylor Street, Tybee Island, Georgia. Samples of suspect exterior stucco, interior caulk, interior stucco, sheetrock, sheetrock mud, exterior caulk, roof shingles and roof paper (felt) were obtained from this home in order to determine if any asbestos containing materials (ACM's) were present before limited demolition can begin. As directed, the samples collected on December 7, 2011 have been analyzed for the presence of asbestos. These samples were received, bagged and sealed, tagged and shipped overnight to EMC Labs, Inc. of Arizona, (NVLAP #101926 -0) a nationally accredited US EPA laboratory for bulk asbestos analyses by polarized light microscopy (PLM). Upon analyses of the results, the collected suspect samples were found NOT to contain asbestos. Therefore, no specialized abatement of these individual, specific materials appears necessary at this time. Due to the nature and suspected age of paints within the home, a sample of each type and character were received, bagged and sealed, tagged and shipped overnight to EMC Labs, Inc. of Arizona, (NVLAP #101926 -0) a nationally accredited US EPA laboratory for lead in paint chip samples (EPA SW -846, Method 7420) by weight by volume. This report documents technical data generated by the collection of paint chip sampling and analyses as submitted to and performed by EMC Labs, Inc., via SOP Method #L01/1 and EPA SW-846 Method 7420. All physical sampling and collection of paint chip samples were performed within general accordance to the EPA §745.227 (f) sampling protocol methodology. Lead Based Paint (LBP) is determined as positive when the percentage of lead by dry weight is equal to or greater than (1.0 mg /cm2) or (0.5 %, 5,000 ug /g or 5,000 pprn). Upon review of the laboratory analyses, please be aware that one (1) of the ten (10) paint samples from the home contains a detectable level for lead. However, this sample (number 4, Step Red Paint) as collected does not exceed the federal maximum contamination level (MCL) as established by the US EPA for the determination of a "positive" action level reading for lead based paint. Therefore, no specialized abatement of any of these individual, sampled paints should require specialized abatement procedures. Sample Number Sample Location Sample Description Action Level Detected ? Percent Lead Federal MCL* 4 Exterior Step Red Paint N 0.045 0.5% Page 3 Lead Based Paint & Asbestos Containing Materials Assessment for 20 Taylor Street, Tybee Island, Georgia Please find the certified analytical results from EMC Labs, Inc. attached to this report. We believe we have prepared this report in accordance with the applicable standard of care necessary and scope of work as requested. It is possible, however, for unknown and /or hidden site conditions to exist that were not revealed during this inspection. It is, therefore, our recommendation that a licensed asbestos inspector be available to you during all phases of renovation and /or demolition. Please note this report only encompasses the type of material(s) actually tested and /or evaluated, and does not warrant nor guarantee that the entire site is homogeneous in nature. We would like to take this opportunity to thank you for your confidence in our ability to serve your Environmental Testing needs. We welcome the opportunity to assist you with your testing needs and look forward to a continuing relationship in the future. If at any time you feel the need to contact us, our staff is readily available to answer your questions or to schedule new or additional testing for your construction requirements. Sincerely: Donald Martin, Jr. Environmental Professional Asbestos Program Manager GA EPD Lead Inspector Assessor License # - SMB 50 210 7087 Joseph Whitaker, PE Project Engineer Christian Lamont US EPA, AHERA / Licensed Asbestos Inspector License # - SC BI- 001075 CERTIFIED ANALYTICAL RESULTS EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800- 362 -3373 or 480- 940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 Client: WHITAKER LABORATORY Job# / P.O. #: Address: 2500 TREMONT RD Date Received: SAVANNAH, GA 31418 Date Analyzed: Collected: 12/06/2011 Date Reported: Project Name/ 420 TAYLOR ST, TYBEE ISLAND, GA EPA Method: Address: Submitted By: Collected By: Laboratory Report 0107185 12/08/2011 12/09/2011 12/09/2011 EPA 600/M4 -82 -020 DONALD MARTIN Lab ID Sample Client ID Location Layer Name / Sample Description Asbestos Asbestos Type Non - Asbestos Detected ( %) Constituents 0107185 -001 LAYER 1 No 1 Ext. Stucco - Scratch Coat, Gray Gypsum Carbonates Mica Quartz Binder/Filler 100% LAYER 2 No Cellulose Fiber <1"/ Ext Stucco - Finish Coat, White Gypsum Mica Quartz Carbonates Binder/Filler 99% 0107185 -002 LAYER 1 No Cellulose Fiber <1% 2 Ext Stucco - Scratch Coat, Gray Gypsum Carbonates Mica Quartz Binder/Filler 99% LAYER 2 No Ext. Stucco- Finish Coat, White Gypsum Mica Quartz Carbonates Binder/Filler 100% 0107185 -003 Interior Caulk, White No 3 Gypsum Carbonates Binder/Filler 100% 0107185 -004 Interior Caulk, White No 4 Gypsum Carbonates Binder/Filter l00% Page 1 of 6 Client: Address: EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800 - 362 -3373 or 480- 940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 WHITAKER LABORATORY 2500 TREMONT RD SAVANNAH, GA 31418 Collected: 12/06/2011 Project Name/ #20 TAYLOR ST, TYBEE ISLAND, GA Address: Job# / P.O. #: Date Received: Date Analyzed: Date Reported: EPA Method: Submitted By: Collected By: Laboratory Report 0107185 12/08/2011 12/09/2011 12/09/2011 EPA 600/M4 -82 -020 DONALD MARTIN Lab ID Client ID Sample Location Layer Name / Sample Description Asbestos Asbestos Type Detected ( %) Non - Asbestos Constituents 0107185 -005 5 0107185 -006 6 0107185 -007 7 LAYER 1 Int Stucco- Scratch Coat, Gray LAYER 2 Int Stucco - Finish Coat, White LAYER 1 Int. Stucco- Scratch Coat, Gray LAYER 2 Int Stucco - Finish Coat, White LAYER I Sheetrock, White/ Brown LAYER 2 Joint Compound, White No No No No No No Cellulose Fiber <1% Gypsum Carbonates Mica Quartz Binder/Filler 99% Carbonates Gypsum Mica Quartz Binder/Filler 100% Cellulose Fiber <1% Gypsum Carbonates Mica Quartz Binder/Filler Cellulose Fiber <1% Carbonates Gypsum Mica Quartz Binder /Filler Cellulose Fiber 10% Fibrous Glass 1% Gypsum Mica Binder/Filler 89% Cellulose Fiber <1% Carbonates Mica Binder/Filler 99% 99% 99% Page 2 of 6 EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800 - 362 -3373 or 480 - 940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 Laboratory Report 0107185 Client: WHITAKER LABORATORY Job# / P.O. #: Address: 2500 TREMONT RD Date Received: 12/08/2011 SAVANNAH, GA 31418 Date Analyzed: 12/09/2011 Collected: 12/06/2011 Date Reported: 12/09/2011 Project Name/ #20 TAYLOR ST, TYBEE ISLAND, GA EPA Method: EPA 600/M4 -82 -020 Address: Submitted By: DONALD MARTIN Collected By: Lab ID Sample Layer Name / Asbestos Asbestos Type Non - Asbestos Client ID Location Sample Description Detected ( %) Constituents 0107185 -008 Sheetrock, White/ Brown No Cellulose Fiber 10% 8 Fibrous Glass 1% Gypsum Mica Binder/Filler 89% 0107185 -009 I.AYF.R I No Cellulose Fiber <1% 9 Sheetrock Mud, White Carbonates Mica Binder/Filler 99% LAYER 2 No Cellulose Fiber 95% Tape, Off White Binder /Filler 5% LAYER3 No Texture, White/ Off White Carbonates Mica Binder/Filler 100% 0107185 -010 LAYER 1 No 10 Shectrock Mud, White Carbonates Mica Binder/Filler 100% LAYER 2 No Cellulose Fiber 95% Tape, Off White Binder/Filler 5% LAYER3 No Texture, White/ Off White Carbonates Mica Binder /Filler 100% 0107185 -011 Sheetrock, White/ Brown No Cellulose Fiber 10% 11 Gypsum Mica Binder/Filler 90% Page 3 of 6 EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800 - 362 -3373 or 480 -940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 Laboratory Report 0107185 Client: WHITAKER LABORATORY Job# / P.O. #: Address: 2500 TREMONT RD Date Received: 12/08/2011 SAVANNAH, GA 31418 Date Analyzed: 12/09/2011 Collected: 12/06/2011 Date Reported: 12/09/2011 Project Name/ #20 TAYLOR ST, TYBEE ISLAND, GA EPA Method: EPA 600/M4 -82 -020 Address: Submitted By: DONALD MARTIN Collected By: Lab ID Sample Client ID Location Layer Name / Sample Description Asbestos Asbestos Type Non - Asbestos Detected ( %) Constituents 0107185 -012 12 LAYER 1 No Cellulose Fiber l0% Sheetrock, White/ Brown Fibrous Glass l% Gypsum Mica Binder/Filler 89% LAYER 2 No Cellulose Fiber <I% Joint Compound, White/ Beige Carbonates Mica Binder/Filler 99% 0107185 -013 LAYER I No 13 Sheetrock Mud, White Carbonates Binder/Filler 100% LAYER 2 No Cellulose Fiber 95% Tape, Off White ° Binder/Filler 5/° LAYER 3 No Cellulose Fiber <1% Texture, White/ Beige Carbonates Mica Binder/Filler 99% 0107185 -014 LAYER I No 14 Sheetrock Mud, White Carbonates Mica Binder/Filler 100% LAYER 2 No Cellulose Fiber 95% Tape, Of White Binder/Filler 5% LAYER 3 No Cellulose Fiber <1% Texture, White/ Beige Carbonates Mica Binder/Filler 99% 0107185 -015 Exterior Door Caulk, White/ Off No 15 White Gypsum Carbonates Binder/Filler 100% Page 4 of 6 EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800 - 362 -3373 or 480 - 940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 Laboratory Report 0107185 Client: WHITAKER LABORATORY Job# / P.O. #: Address: 2500 TREMONT RD Date Received: 12/08/2011 SAVANNAH, GA 31418 Date Analyzed: 12/09/2011 Collected: 12/06/2011 Date Reported: 12/09/2011 Project Name/ #20 TAYLOR ST, TYBEE ISLAND, GA EPA Method: EPA 600/M4 -82 -020 Address: Submitted By: DONALD MARTIN Collected By: Lab ID Sample Client ID Location Layer Name / Sample Description Asbestos Asbestos Type Non - Asbestos Detected ( %) Constituents 0107185 -016 Exterior Door Caulk, White/ Off No 16 White Gypsum Carbonates Quartz Binder /Filler 100% 0107185 -017 Exterior Window Caulk, White/ Off No Wollastonite <1 % 17 White Gypsum Carbonates Quartz Binder /Filler 99% 0107185 -018 18 Exterior Window Caulk, White/ Off No Wollastonite <1% White Gypsum Carbonates Quartz Binder/Filler 99% 0107185 -019 Shingles, Gray/ Black No Fibrous Glass 15% 19 Gypsum Carbonates Quartz Binder/Filler 85% 0107185 -020 Shingles, Gray/ Black No Fibrous Glass 15% 20 Gypsum Carbonates Quartz Binder /Filler 85% 0107185 -021 Roof Paper, Black/ Brown/ Gray No Fibrous Glass 15% 21 Carbonates Quartz Binder/Filler 85% 0107185 -022 Roof Paper, Black/ Brown/ Gray No Fibrous Glass 15% 22 Gypsum Carbonates Binder/Filler 85% Page 5 of 6 EMC LABS, INC. 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800- 362 -3373 or 480- 940 -5294 - Fax: (480) 893 -1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP #101926 -0 Laboratory Report 0107185 Client: WHITAKER LABORATORY Job# / P.O. #: Address: 2500 TREMONT RD Date Received: 12/08/2011 SAVANNAH, GA 31418 Date Analyzed: 12/09/2011 Collected: 12/06/2011 Date Reported: 12/09/2011 Project Name/ #20 TAYLOR ST, TYBEE ISLAND, GA EPA Method: EPA 600/M4 -82 -020 Address: Submitted By: DONALD MARTIN Collected By: Lab ID Client ID Sample Location Layer Name / Asbestos Asbestos Type Non - Asbestos Sample Description Detected ( %) Constituents Analyst - Paul Hofer KAA- Signatory - Lab Director - Kurt Kettler Ds'.ncty shaLbed easry separable layers or samples are merged at subsamples of he whole one are moaned sep.raley 01 each Recemable layer N andys.s are decayed from ealbralrd woad stmt,[ and mna..rred m peight p.rcenl orders ouu.M.e noted The report appl.a lathe standard: or procedures iden0'.d and to he sarnete(,) tested. The leaf resuts are not necessary arduted of rep rsentabaa of he 10 00l1es of Ine IM Mom whch om eamptr ors Won of al appaaenhy .dnobcah w iamb, podacb. not do they repreaml an engang warty nstwanee rowan unless so noted These reports are for he occlusive use 01 lb{ addressed e.em .t,7 Dud they eel not be reproduced May of an part for edvnwing or Mar ;sagest, over our aprranue or in ennnecten wcm our name v/hout special wt•aen perm-Men The report shag not be rep:educed except m Mt. Morsel wtnen appovd Dy awe laboratory The samples not destroyed n testing are retuned a maradum of that, days 101040,0.0014 meawremonl al uncertainly for dm lest method n apprenmately • IV, by vreoht &cradled by the Nalwnal Institute of Standards and Technology. Voluntary Laboratory &eradiation Program for selected teal meted for *abetros The accrodt.bon or any report, generated by Ras laberateryn no sway comalufes ., enptes podr1 eerb0crtwn, approved or endorsement by the Netond test ode el Stalely& and Technology The report most net Ds wed by any 000141e clean product endorsement by NVLAP or any agency of he V S Government Parented Light M.rooa :opy ',myna? be tonsotenty reha0le n detecting asoe.to. n star eavn0ga and svmle, e100- 01.bre orgone.sy bowb re arena?, Page 6 of 6 EMC LABS, INC. 9830 South 51't Street, Suite 8 -109 / PHOENIX, ARIZONA 85044 / 480 -940 -5294 or 800 -362 -3373 / FAX 480 -893 -1726 emclab @emclabs com LEAD (Pb) IN PAINT CHIP SAMPLES EMC SOP METHOD #L01/1 EPA SW -846 METHOD 7420 EMC LAB #: L43994 DATE RECEIVED: 12/08/11 CLIENT: Whitaker Laboratory REPORT DATE: 12/09/11 DATE OF ANALYSIS: 12/09/11 CLIENT ADDRESS: 2500 Tremont Rd. Savannah, GA 31418 P.O. NO.: PROJECT NAME: #20 Taylor St. Tybee Island, GA PROJECT NO.: Paul de Levis EMC # L43994- SAMPLE DATE /11 CLIENT SAMPLE # DESCRIPTION REPORTING LIMIT ( rPbbyweight) %Pb BY WEIGHT 1 12/06 Ll Exterior Paint Tan 0.010 BRL* 2 12/06 L2 Gray Step Paint 0.010 BRL* 3 12/06 L3 Wall Paint Blue 0.081 BRL# 4 12/06 L4 Step Paint Red 0.010 0.045 5 12/06 L5 Interior Wall Tan 0.010 BRL* 6 12/06 L6 Ceiling Paint Pink 0.010 BRL 7 12/06 L7 Floor Paint Tan 0.017 BRL* 8 12/06 L8 Floor Paint Yellow 0.010 BRL 9 12/06 L9 Exterior Paint White 0.010 BRL* 10 12/06 L10 Trim Paint 0.010 BRL ^ = Dilution Factor Changed * = Excessive Substrate May Bias Sample Results SRL = Below Reportable Limits # = Very Small Amount Of Sample Submitted, May Affect Resu This report applies to the standards or procedures identified and to the samples tested only The test results are not necessarily indicative or representative of the qualities of ttre lot from which the sample was taken or cf apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted Unless otherwise noted, alt quality control analyses for the samples noted above were within acceptable limits Where it is noted that a sample with excessive substrate was submitted for laboratory analysis, such analysis may be biased The lead content of such sample may, In actuality, be greater than reported EMC makes no warranty, express or implied, as to the accuracy of the analysis of samples noted to have been submitted with excessive substrate Resampting is recommended in such situations to verify original laboratory results, These reports are for the exclusive use of the addressed client and are rendered upon the condition that they will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without spedal written permission Samples not destroyed in testing are retained a maximum of sixty (60) days ANALYST: QA COORDINATOR: Jason Thompson Rev 11/30/08 Kurt Kettler Page 1 of 1 FIELD NOTES and CHAINS OF CUSTODY UP5rR,rz,5 '9F1/4Thefo a,..� �:...:. r "--' S1*-'Ar2 s 1 page ,•j. of A. COMPANY NAME: CONTACT: PhonolFarx Email: Now Accepting: CHAIN OF CUSTODY EMC Laboratories 9830 S. 51" St, Ste 13.109 Phoenix, AZ 65044 (800) 3624373 Fax (480) 893 -1726 WHITAKER LABORATORY 2500 Tremont Rd Savannah, GA 31418 Natasha Smith (912) 2340696 / (912 233 -5061 nareahas�whltakertab.not� VISA — MASTERCARD y E 1.4130 : 107 if8s Rec d: r 01� Eric um cz5L(' BILL TO: of Different Location) • Prier Quoted: $ / Sample $ / Layers COMPLETE ITEMS 1-4; (Failure to complete any Inns may cause a delay In processing or enalyzing your samples) 1. TURNAROUND TIME: [4hr rush} [Shr rush) "" oonflrmation of tumaround time la ;LAW ""••Addltlonai charges for rush analysis (plea. "'laboratory analysis may be subject to 2. TYPE OF ANALYSIS: 3. DISPOSAL INSTRUCTION Bulk ) [2 -Day) [3-Day) 15 -Day) [6-10 Day) tali marketing dap'ET6nent for pricing details) credit terms are OM TM/ M fr -PCMJ [Lead] [Point Count) [Fungi: AOC, W-C, Sulk, Swab, 'Tape) i Isp • • e of samples at EMC) / [Return samples to me at ) n�lsf asference EMC wl!! d /sAase of samples from enfvsts.) 4. Project Name: ?.0y /..� 1:viet / J 1 P.O. Number: ' Number• Project EMC SAMPLE $1 CLIENT SAMPLE # DATE & Th.4E SAMPLED _ LOCATIOWMAArER)AI. TYPE Samples Accepted Yoc / No ,ua aum INFO r CO.4 SNTO ol+ OFF FLOW NAVR / Ai -d►- 1 4y. karrC«I. S /u�c4 Y N Y N ME t a rl 3 'nit', Alt R w1k Y N ,I 11 X�= II t1 ri �7,P4e Sr ` / 7 r >"lls...-ft reee e yt, f 1 st, N Y i � 6•/ ii f /1 ._ r �I ket' eed( - Y N / fir,' = 1,�'ir �l �yl; 00 I 1Y `4 V 1 +�� ,' +t 'a 4nv1%4 Ma SPECIAL INSTRUCTIONS: Sample Collector: (Print) '4" Gj► - b c ' (Sinnahrte) ot/ Relinquished by: a Dat &TTime:1/ Received by: °It'm Detefrime :12/7 6 Received b Relinquished by: _ OA-01 Relinquished by: , -_z Date/Tlma £/Z d 6905£02664 " 66£Z£ #41 Date/Time: "Z Date/Time: O :90 60- Zb-160Z Page 2 of CHAIN OF CUSTODY EMC Laboratories 9830 S. 51" St, Ste B•109 Phoenix, AZ 85044 (800) 3623373 Fax (480) 893 -1726 COMPANY NAME; WHITAKER LASORATORY BILL TO: 2500 Tremont Rd Savannah, GA 31418 CONTACT: Natasha Smtth ' Phone/Fax: J912) 23406961(912) 233 -5061 noteeha=4whttakerlab.not � Now Accepting: VISA - MASTERCARD Price Quoted: $ / Sample $ / Layers COMPLETE ITEMS 14: (Failure to complete any items may cause a delay in processing or analyzing your samples) LAB Reed: t E21C 17SE ONLY (M DIffnront Location) 1. TURNAROUND 11ME: [4hrrush) IBhr rush} Il -Day) [2 -Day] [3 -Day) [5•Day) [6-10 Day) '""apt confirmation of turnaround ttmo is Lam `"'"Add�lonol ctwrpoa for rush analysts jplaaaa call marketing dapartmont for pricing dotelis) •'"'•Laboratory /Wye; ratty bo subject to delay N cr,dit terms aro not mat 2, TYPE OF ANALYSIS: [Bulk -PLR [A lr -PCM) heed) (Pont i Count] [Fungi; AOC, WC, Sulk, Swab, Tape] 3. DISPOSAL INSTRUCTIONS: [Dlspose of samples at EMC) / [Return samples to me at rnv Ax enval (Jf you do net indicate prmferanre EMC wA1 dlspoce of samples s from anal 4. Project - 1 Name: "to ' Al • , ,. p/ P.O. Number. prof I Number: EMC ~`mow SAMPLE dY CUENT SAMPLE# DATE & TIMIE SAMPLED LOCATlONIMMTERIAL TYPE Sample Acc.ptod Yen / No AIR sompix a ro1CCMNII!NTa ow daft snTQ 17 �A' krh re. k.Jo..i to& Y N le k t ti Y N I9 $its IBS I4 Y N Y N q44 t I s., �ir 1e- Y N 22 `U t r .. Y K Y N Y N Y N Y N J Y N --�.r- - ......r - Y N -- - . -. _............r SPECIAL INSTRUCTIONS. Sample Collector: (Print) e+rliltlel tItild utt+v�l _�,�; _0107 (Signature) Reiinquished by: Dale/Time: Relinquished by: Iv! : } Date/Time: Relinquished by: Date/Tlmre £!£ d 6905£EM,66 « Received by: Qatetfime:, - Re3t:eivate/Tima r 66£z£ #Q [ X0:80 60- zt-b6oz Page _L.of 1 COMPANY NAME: CONTACT; Phone/FOk: Email: Now Accepting: CHAIN OF CUSTODY EMC Labalatorlos 9830 S. 51" St, Ste B -109 Phoenix, AZ 85044 (800) 3624373 Fax (480) 893.1726 WHITAKER LABORATORY 2500 Tremont Rd Savannah, CA 31418 Natasha Smith (912) 234-0696 f (912) 2331061 naueneigmr aocertebmm VISA — MASTERCARD COMPLETE ITEMS 14: (Failure to complete any 1. TURNAROUND TIME: (4hr rush) (8hr rush) "..& confirmation of turnaround thno lF gga 4 ""Addfionol charges for rue' analysts (please call marketing dapnrtrnon "^"laboratory analysis rosy be subject** delay If credit terms ars not 2. TYPE OF ANALYSIS: (Sulk -P PCM) 3, DISPOSAL. INSTRUCTIONS: l� ttfvaado not !n• Y Al epos:. BILL TO: LA.B..4=7":13. ti TAT: f Rec'd:j ls'MC USE ! I (If (lfl r nt Location) Price Quoted: $ /Sample $ / Layers may cause a delay In processing or analyzing your samples) (2 -Day] , (3 -Day] (5-Day) (6-10 Day) ng details) [Point Count] (Fungi: AOC, W -C, Buik, Swab, Tape] of samples at EMC) / (Return samples to me at ggyjamfail' renre EMC wit! dl boo of semnlos �C).itts from enalysls) 4, project P.O. Number; Number. Project t� de Pau• - rj 1 EMC I SAMPLE IT DATE &TIME SAMPLED LLCATIONNATERIAL TYPE Samples Accoptid Ysc ! No AHISAWINAWOICOMMaN7a 0+4 or * now rota 1111311111111111111111111111111111111111111111EMEMIIIIIMIll r��r�irr� I� 11111111111M111111111 11131111111111=1111111 111110111111111116110111111 =1111111 11111111111111111111111111111111111111 Mill 7- r�� .1'04 -. 'AJ f !t -k 11111111111111111111111111111 11111111111111111111111111111 11ort MN /-.4 6,.1- 11111 OIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII v N Y N Y N NM IIIII IIIIIIIIIIIIIIIIIIIII Ms Min SPECIAL INSTRUCTIONS' Sample Collector: (Print) Relinquished by: a. Relinquished by cQ.aa� -1 8I; a/07r ,(Signature Date/Time Date/Time: 5'' Received by ' Received by Relinquished by: Date/Time._� Z%Z d 490S££ZZ464 66£Z£ #41 Date/Time: Date/Time: 9£ :04 60-24 -4402 CHAIN OF CUSTODY Asbestos Lead LICENSURE • demi& ail. .ii.ii►.d&411.4iir . fAPPLIED BUILDING SCIENCES INC. !!!� ENDINEEAS, ARCHITECTS AND ENYIAONMENTAL CONSULTANTS I ago Milford Street, Charleston, South Carolina z9 io5 e r t -7zt -1475 Christian Lamont 55N xxx -xx -911 s This is to certify that the above named student has completed the requ.stc training foras6cstos accreditation under( 5CATitle 11 and has met the requirements of and passed the examination for an EPA approved: AHEIZA Asbestos Inspector initial Course Locat,on: Charleston 5C Certificate (fnmbenzollo ?zsAbjoo -at :I! 5tartDate -July zs,zo11 End pate July z7, WI 1 Exam prte: July z�7,zolt Expiration Date July z6,zoiz 1 ijii P,:-.y.I 1,...r,x; T....g Ad.....� T A R..1.,4 Ill D.. I. it LICENSURE bomb Enteuntal Protectlai Division Lead -eased Pabt sad Asbestos Prooram cartlf btbl. Aaradltat* IAtaniAq Ott F. Allen Barnes. Director 4244 International Parkway. Suite 104 Atlanta, Georgia 30354 Certification To Conduct Georgia Regulated Lead -Based Paint Activities jay Cw't111at10B Tyr Combined Inspector /Risk Assessor /021412/ ' 50 CMB 0210 7087 wax to Donald Martin, Jr. Gofer INN kW of 111-4A Male 6 0 245 7/9/1964 CBapsy Whitaker Laboratory, Inc. Ulm 2500 Tremont Road aty ttlt! Savannah Georgia • Row 31405 '1912)234-0696 flirelmatImMu kb I drltlathnW 1tiwleu t tratttAeeliralldty 7/29/2011 5/17/2012 5/17/2011 Rh arttlltsta arras al sh I orstad dry lbw Ell No 311-3-2t std abuts tie abon 9x911 MNId to mesdo) Combined Inspector/Risk Assessor arollau mot M It yew Isaaa& with NMI% whines e'aOter ly balls hha 2814 24- esrtMootlmIt sly yid tartlMls 'fsoaof enrols r di kat olkittlos s1 who an*yedby a Carib (*MI Masud tent Fin A rsawal sat M sYytai at leant thirty till deya Irlar tlr 1*111 n •u ahanL sr a rolholr tai al ono sat be tarts Won no hat Iota of trabitt Issue Date I Expiration Date 7/29/2011 5/17/2012 Georgia Lead Finn License Number 50 CMB 0210 790 tli dk ,i !here l'rnyrnnr Alnnagrr Lead - Based Paint and Asbestos Program (404) 363 -7016 lsarrt 8vdh Georgia Environmental Protection Division Lead -Based Paint Certified Firm License F. Allen Barnes, Director 4244 International Parkway, Suite 104 Adams, Georgia 30354 This Is To Certify Thai Mita@La6oratory, Inc. Joseph M. Whitaker Owner/President Having Satisfied the Requirements of The Georgia Lead Poisoning Prevention Act, O.CG.A. 31 -41 -1, a seq and the Rules for Lead -Bared Paint Abatement Certification. and Accreditation, Chapter 391 -3-24, The Above Referenced Firer it Hereby Certified To Perform Lead-Bated Paint Activities lie the State of Georgia. This License May Be Subject to .Revocation, Suspension, or Mod cation by the Director for Cause Including Evidence ofNom+amplianee or For Airy Misrepresentation Made In the Application, Supporting Data or Subsequent Submittals Emend Therein or Attached Thereto. or bailed to Maintain Required Reeords. The Certiflectlon Holder Agrees to Use Only Georgia Certified individuals When Conducting Georgia Regulated Lead -Baud Pain) Activities Granted By This License. issue Dale Expiration Date 1126r2011 112612012 Georgia Lead Firm License Nunrher �44ts I f OLIAC4 _ ' l AlJo* Larkins, Technical Assistant (404) 363 -7026 Print Date Wrduesaor. Amway 26.2011 ACORD.. INSURANCE CERTIFICATION Client#. 718232 62WHITALAB CERTIFICATE OF LIABILITY INSURANCE 1 DATE eaiamoIYYY'I) 9/26/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 11115 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(i es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenlis) PRODUCER BB &T Insurance Services, Inc. 2280 East Victory Drive PO Box 3597 Savannah, GA 31414 Cp,rC- NAVE PHONE no; No E't1912 353.3980 flc.Nnl 8005638661 INSURERISI AFFORDING COVERAGE NAICR Hartford UnderwrttefSlnsunnce 30104 INSURED Whitaker Laboratory Inc. PO Box 7078 Savannah, GA 31418 disu R a Hartford Casualty Insurance Com _29424 mune; c Hartford Accident & Indemnity 1 22357 INSURER D Evanston Insurance Company 325378 NSURER E INSURE.. F y THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .1R A GENERAL X X ADCLSUap TYPE OF INSURANCE M'R 1wp LIABILITY , 1 131 /PD Ded:5,000 .- POLICY NUMBER 04RHUOJ3605 aOLEer NM.,. 'e eve 09102/2011 PM4CAYI LIMTS R.14d; 0910212012_ 11.000900 _a 300,000 x10.000 ,r 1.000_000 • _ < - . ,::,..,,. 'x2.000.000 Xi .. 1 112.000,000 A AUTOMOBILELIAEIUTV — X %pnve X Oth Car 04RHUOJ3605 04RHUOJ3605 04WE0J3604 79/0212011 09102/2011 09/02/2011 0910212012`. ,11,000,000 09/02/2012 - .t4.000 000 t4.000,000 O O X UMBRELLA LIAR EXCESS LIAR (X IL - , X -.: - . -. 00000 09/02/2012 X 1 1 umeuRLO.ERa, �.. NrA Wand...,y e, Ntn _ 11,000,000 [1.000.000 41,000,000 0 Professional Liability AE821176 0910212011 0910212012 S1, 000,000 Occur x1,000,000 Aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101 Additional Rom arMs Sohed4 .1 II101 e'puce FregsINdi CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lhtt.tna.a CoJ..Lttc.laie g ACORD 2512010/05) 1 of 1 The ACORD name and Togo are registered marks of ACORD #S7489630/M7403656 LSO