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` Minnesota Pollution Control Agency , ' ' Notification of Intent to Perform a Demolition • �� Type of Notification [ ] Original [ J Amended [ j Project Cancellation Demolition Contractor• Building Information• Name: Building Name: Addcess: Address/Location: City,State,Zip: City,State,Zip: � County: Contact Pcrson: ' Phone Number(s): Phone Number(s): Age of Bldg.(yeazs): Size of Bldg.(sq.ft.): Number of Floors Including Basement Level(s): Building Owner: Present Use of Bldg.: Name: Prior Use of Bldg.: 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#S for emergency demolitions. Phone Number(s): Both Beginning and Ending dates should be amended in writing as necessary to reflect current project dates. If there is>2601inear 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 1VIN- Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. Is nonfriable ACM present in the structure to be demolished ? [ J YES [ j NO If YES complete items 1-9. If NO comp(ete items 3-9. 1. If ACM will be left in place for the demolition indicate the amount of Category I and/or Category II nonfriabte ACM left in place. Categ.I Lineaz Feet Categ.II Linear Feet Square Feet Square Feet Cubic Feet Cubic Feet -at g�I nonfriable A 1��means asbestos-containing packings, at Q�II nonfriable AGI��means any material,e�ccluding gaskets,resilient floor covering,and asphalt roofing products Category I nonfriable ACM,containing more than one percent containing more than one percent asbestos. �sbestos 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 ACM is not allowed to remain in place for demolition if it has a high probability of becoming crumbled, pulverized,or reduced to a powder during demolition,transport, • or disposal. (ex transite,cement,slate roofing) 2. Description & Location of ACM remaining in place (including floor#and room#):