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" +, r <br /> Minnesota Pollution Control Agency . <br /> Notification of Intent to Perform a Demolition <br /> �� Type of Noti�cation [ J Original [ ] Amended [ j Project Cancellation <br /> Uemolition Contractor: Building Information• <br /> Name: Building Name: <br /> Address: Address/Location: <br /> Ciry,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.R): <br /> Number of Floors Including Basement Level(s): <br /> Buiiding Owner: Present Use of Bld <br /> g.: <br /> Namc: <br /> Prior Use of Bldg.: <br /> Address: <br /> Dates when demolition or intentional burning <br /> will Begin & End <br /> City,State,Zip: <br /> Notif cation musc be postrnarked or received ten(10)working days <br /> Contact person: before demolition begins. 'See item:5 for emergency demolitions. <br /> Phone Number(s): Boch Beginning and Ending dates should be amended in writing as <br /> necessary to reflect current project dates. <br /> If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing 1�Taterial (RACI� in the buildina <br /> to be demolished, it must be remoti�ed by a licensed asbestos contractor prior to demolition. The State of 1�Ivi - <br /> Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. <br /> Is nonfriable AC�I present in the structure to be demolished ? [ ] YES [•] NO <br /> If YES complete items 1-9. If ti0 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 Cate II <br /> g• Linear Feet <br /> Square Feet Square Feet <br /> Cubic Feet Cubic Feet <br /> S'�go�nonfriable ACM means asbestos-containing packings, ate�orv II nonfri-�ble ACM means any material,excluding <br /> g�ske[s,resilient floor covering,and asphalt roofing produc�s Category I nonfriable AC�1,concaining more than one percent <br /> containing more than one percent�sbestos. asbestos thac,when dry,cannot be crumbled,pulverized,or <br /> `Category I nonfriable AC�l1 is not allowed to remain in place reduced to a powder by hand pressure. <br /> for demolition if it is in poor condition. •Category II nonfriable AC�I is not allowed to remain in place <br /> for demolition if it has a high probability of becoming crumbled, <br /> pulverized,or reduced to a powder during demolition,transport, <br /> . or disposal. (ex transite,cement,slate roofing) <br /> 2. Description & Location of ACtiI remaining in place (including floor# and room #): <br />