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1125 Spring Hill Road - 26-118-23-43-0004
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Last modified
8/22/2023 4:18:56 PM
Creation date
3/7/2019 12:31:21 PM
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x Address Old
House Number
1125
Street Name
Spring Hill
Street Type
Road
Address
1125 Spring Hill Road
Document Type
Misc
PIN
2611823430004
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��� �. <br /> ' �� ��„ � a <br /> ^ y �� � 'k <br /> f- Y � <br /> ,,. �escribe in detail the following procedures SPECIFIC TO THIS SITE: �ussasR�ra�s' ' <br /> a. Asbestos abatement emissions control procedures: � . " <br /> < � <br /> � 'see attached sheet ; ; , _ �= <br /> � � � ���� �r. _; ` ._-°� ;. .;;.. �a�,� z <br /> �. _� ... :. <br /> b. Waste handling emission control procedures: . : �. ��� ,' <br /> ., . : <br /> see attached sheet ' _ , , ;. , , �. #; � ��,�� <br /> ,� �.... <br /> � c. Description of procedures to be followed in the event that ur expected RACM is found or Cat N nonfriable�� i <br /> ACM becomes crumbled, pulverized,or reduced to a powder: Y � ,. ��� <br /> see attached sheet " -. ; ' �- ��: ��.�- ."� <br /> , d. Desc�iption of work practice, including specific abatement procedures and techniques to be used: '" <br /> see attached sheet ` ----- <br /> 7. For Emergency Renovation/Demolition Abatement Projects: Telephone MDH and MPCA for guldance on fhls opBon <br /> , a. Date and hour of emergency: N/A <br /> b. Description of the sudden and unexpected event: <br /> N/A <br /> ' c. Explanation of how the event caused unsafe conditions or would cause equipment damage: <br /> N/A <br /> �8. Waste Transporter(s)Information: 9. Waste Disposal Information: <br /> Transporter Name: Veit and Company ' Landfill Name: Elk River Landfilt <br /> Transporter Contact: Don Rachel Owner/Operator: Wast�e':Managerr�ent . � ;�: ' <br /> � Transporter Address: 140Q0 Veit Place . Address/Location: 22460 Highway iB8 NW <br /> City, State, Zip: Ro ers, MN '55374' City, State, Zip: :Efk River, MN;55330 <br /> Phone Number: 763 428-2242 Phone Number: (612)4412464 �= " � . ' <br /> ' 10. Permit Fee: (Check the one that applies) <br /> �$35 permit fee <br /> � For all residential projects with less than 260 linear and 160 square feet but more than 10 linear&6 squar�feet of RACM. <br /> OX 1% permit fee Total Cost of Project: $7,500.00 <br /> 1 For all projects, residential and nonresidential, with more than 260 lineal or 160 square feet of RACM. <br /> Attach a signed copy of the bid acceptance document or other cost verification document. <br /> Does this 1% permit fee include air monitoring costs? yes x' no <br /> ' Is this a"Time and Materials" Project? yes no <br /> I certify that an individual trained in the provisions of Federal Regulations 40 CFR Part 61, <br /> Subpart M (a MinnesotaSite Supervisor)will be on-site during the asbestos abatement project. <br /> ' I certify that the above information is correct and I am a bonafide r�presentative of the abatement <br /> contractor or building owner and have autho y o enter into agreements for my employer. <br /> 1 Signature of Contractor and/or Owner: ' !� = Date: ° 8/22/2002 ` ' <br /> Ro er pokke <br /> Send a copy of this notice to: Send a copy of this notice, permit fee and cost verification to: <br /> � Asbestos Coordinator Asbestos/Lead Compliance Unit <br /> Minnesota Pollution Control Agency Minnesota Department of Health <br /> , Metro Districts-Regular Facilities Section P.O. Eox 64975 <br /> 520 Lafayette Road North St. Paul, fy1N 55164-0975 <br /> St. Paul, MN 55155-4194 Received at/east 5 ca/endar days before the beginning of <br /> Postmarked or delivered at least 10 working days(Mon.-Fri.) the project. <br /> � before RACM disturbance for all projects. <br /> ' For Questions Call: For Questions Call: <br /> 651-296-6300 or 1-800-657-3864 651-215-0900 Revised 3/00 <br /> � <br />
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