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� <br /> , � , • Minnesota Pollution Control Agency <br /> Notification of Intent to Perform a Demolition <br /> �� Type of I�lotification [ J Original [ J Amended [ J Project Cancellation <br /> I?emolition Contractor: Building Information: <br /> Name: Building Name: <br /> Address: Address/Location: <br /> City,State,Zip: <br /> Ciry,State,Zip: � County: ' <br /> Contact Person: � Phone Number(s): <br /> Phone Number(s): Age of Bldg.(years): Size of Bldg.(sq.R.): <br /> Number of Floors Including Bascment Level(s): <br /> �uilding Owner: Present Use of B(dg.: <br /> N��� Prior Use of Bldg.: <br /> Address: <br /> Dates when demolition or intentional burning <br /> will Begin & End <br /> City,State,Zip: <br /> Notification must be postmazked or received ten(10)working days <br /> Contact person: before demolition begins. •See item#S for emergenry demotitions. <br /> Phone Number(s): Both Beginning and Ending dates should be amended in writing as <br /> necessary to reflect current project dates. <br /> If there is>2601inear feet or>160 square feet of Regulated Asbestos-Containing Material(RACNn in the building <br /> to be demolished,it must be removed by a licensed asbestos contractor prior to demolition. The State of MN- <br /> Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. <br /> Is nonfriable ACM present in the structure to be demolished ? • [ ] YES [ ]NO <br /> If YES complete items 1-9. If NO complete items 3-9. <br /> 1. If ACM will be left in place for the demolition indicate the amount of Category I and/or Category II <br /> nonfriable ACM left in ptace. <br /> Categ.I Lineaz Feet Categ.II Linear Feet <br /> Square Feet Square Feet <br /> Cubic Feet Cubic Feet <br /> .ateQ�_I nonfriable ACM means asbestos-containing packings, atePorv II nonfriable AGM means any material,excluding <br /> . gaskets,resilient floor covering,and asphalt roofing products Category I nonfriable ACM,containing more than one percent <br /> containing more than one percent asbestos. asbestos that,when dry,cannot be crumbled,pulverized,or <br /> •Category I nonfriable ACM is not allowed to remain in place reduced to a powdcr by hand pressure. <br /> for demolition if it is in poor condition. •Category II nonfrisble ACM 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. (ez transite,cement,slate roofing) <br /> 2. Description & Location of ACM remaining in place(including floor#and room #): <br />