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� • r � Minnesota Pollution Control Agency <br /> . , • ` Notification of Intent to Perform a Demolition <br /> � �� Type of Notification [ ] Original ( J Amended [ ]Project Cancellation <br /> pemolition Contractor• Building Information• <br /> Name: Building Name: <br /> Address: Address/Location: <br /> City,State,Zip: <br /> City,State,Zip: � County: <br /> Contact Person: � Phone Number(s): <br /> Phone Number(s): Age of Bldg.(years); Size of Bldg.(sq.ft.): <br /> Number of Floors Including Basement Leve((s): <br /> Building Owner: Present Use of Bidg.: <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 postrnazked or received ten(10)working days <br /> Contact person: before demolition begins. 'See item#5 for emergency demolitions. <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 (RAC1Vn 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 place. <br /> Categ.I Linear Feet Categ.II Linear Feet <br /> Square Feet Square Feet <br /> Cubic Feet Cubic Feet <br /> at e�I nonfriable A M means asbestos-containing packings, atee�II nonfriable ACM 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 tha�when dry,cannot be cnunbled,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 nonfriable ACM is not allowed to remain in place <br /> for demolition if it has a high probability of becoming crumbled, <br /> puiverized,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 />