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. � � � Minnesota Pollution Control Agency <br /> Notification of Intent to Perform a Demolition <br /> �� Type of I�lotification [ ] Original [ ] Amended [ ] Project Cancellation <br /> Demolition Contractor: Building InformaHon• <br /> Name: Building Name: <br /> Address: Address/Location: <br /> City,State,Zip: <br /> City,State,Zip: County: <br /> Contact Pcrson: � Phone Numbcr(s): <br /> Phone Number(s): Age of Bldg.(years): Size of Bldg.(sq. ft.): <br /> Number of Floors Including Bzscment Le�el(s): <br /> Buiiding O�vner: Present Use of Bld <br /> �.: <br /> Namc: Prior Use of Bld <br /> g.: <br /> Address: <br /> Dates when demolition or intentional burning <br /> will Begin & End <br /> City,State,Zip: <br /> Notification must be postmark:�or received ten(10)working days <br /> Contact person: before demolition begins. 'Se�i:�m#5 fer emergency demolitions. <br /> Phone Number(s): Boch Beginning and Ending dates should be amended in writing as <br /> necessary to reflect current projec;dates. <br /> If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containine�faterial (R�C�n in the building <br /> to be demolished, it must be remo�•ed by a licensed asbestos contractor prior to demolition. The State of l�Y- <br /> Notice of Intent to Perform an Asbestos Abatement Project must be used to notif�•for the asbestos removal. <br /> Is nonfriable AC�1 present in the structure to be demolished ? [ ] YES [�j NO <br /> If YES complete items 1-9. If�O complete items 3-9. <br /> 1. If ACI�I will be left in place for the demolition indicate the amount of Category I and/or Category II <br /> nonfriable ACI�I left in place. <br /> Categ.I Linear Feet Categ.II Linear Fzet <br /> Square Feet Square Feet <br /> Cubic Feet Cubic Feet <br /> ategorv I nonfriable ACM means 2zbestos-concaining packings, Cate�orv Ii nonfri�ble A ��;neans a:_v rnaterial,excluding <br /> g�skets,resilient floor covering,and asphalt roofing products Category I nonfriable AC�1,containir.g nore than onz percent <br /> containing more than one percent asbestos, asbestos thac,when dry,ca:.not be cn:.:.b1ed,pulverized,or <br /> •Category I nonfriable ACII is not allow•ed to remain in place reduced to a powdcr by h�.;.pressure. <br /> for demolition if it is in poor condition. •Category II nonfriable AC�I is not allor�•ed to remain in place <br /> for demolition if it has a high probability of becoming crumbled, <br /> pulverized,or reduced to a powder durine demolition,transport, <br /> or disposal. (ex transite,cement,siate roofing) <br /> 2. Description & Location of AC�I remaining in place (including floor R and room R): <br />