2004-P07933 - demo - Laserfiche WebLink

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� . Minnesota Pollution Control Agency Notification of Intent to Perform a Demolition � �� Type of Notification [ ) Original [ ] Amended ( ] Project Cancellation I?emolition Contractor• Building Information: Name: Building Name: Address: Address/Location: City,State,Zip: City,State,ZiP� County: Contact Person: � Phone Number(s): Phone Number(s): Age of Bldg.(years): Size of Bldg.(sq.R.): Number of Fioors Including Basement Level(s): Building Owner: Present Use of Bid g.: Name: Prior Use of Bld g.: Address: Dates when demolition or intentional burning will Begin & End City,State,Zip: Notification must be postmarked or received ten(10)working days Contact person: before demolition begins. 'See item#5 for emergency demotitions. Phone Number(s): Both Beginning and Ending dates should be amended in writing as necessary to reflect current project dates. If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing Material (RAC1Vn in the building to be demolished, it must be removed by a licensed asbestos contractor prior to demolition. The State of M'�1i - Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. Is noofriable ACM present in the structure to be demolished ? [ ] YES [ ] NO If YES complete items 1-9. If NO complete items 3-9. 1. If ACM will be left in place for the demolition indicate the amount of Category I and/or Category II nonfriable ACM left in ptace. Categ.I Linear Feet Cate II g• Linear Feet Square Feet Square Feet Cubic Feet Cubic Feet CateE�I nonfriable A M means asbestos-containing packings, Catepory II nonfriable ACM means any material,excluding gaskets,resilient floor covering,and asphait roofing products Category I nonfriable ACM,containing more than one percent containing more than one percent asbestos. asbestos that,when dry,cannot be crumbled,pulverized,or "Category I nonfriable ACM is not ailowed to remain in place reduced to a powder by hand pressure. for demolition if it is in poor condition. 'Category II nonfriable ACNI is not allowed to remain in piace for demolition if it has a high probability of becoming crumbled, pulverized,or reduced to a powder during demolition,transport, or disposal. (es transite,cement,slate roofing) 2. Description & Location of ACM remaining in place (including floor# and room#):