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CITY OF ORONO ri 6124730510 08/28/98 14:13 5 :11/12 NO:689 <br /> *innesota Pollution Control Agency <br /> lotification of Intent to Perform a Demolition <br /> I pe of Notification [ l Original [ J Amended [ J Project Cancellation <br /> Demolition Contractor Building Information: <br /> Name: Sift ( 6-Gz U"� r `"t j' Building Name: Ta-1ocZ i at Se-l re S(/ t�- <br /> Address: �? O 7 C�c IIj i��'t a (GAJ p f?�(J/Ave- Address/Location: C2 3© - 06,(/,e /4!/'z% <br /> S't"`-% )- MA/V City,State,Zip: (A rOA 0 Ai <br /> City,State,Zip: ` County: _ ` (9(`1i <br /> Contact Person: I Pa-irk S f et- f Phone Number(s): it 7 N 3 3 <br /> Phone Number(s): 65D-- )-(z 3 Age of Bldg.(years): Y1):1---- Size of Bldg.(sq.ft): 6 bC.' <br /> Number of Floors Including Basement Level(s): <br /> Buildi�9w�yn s j� <br /> /� Present Use of Bldg_: <br /> Name: f(vv . 1.---CA`jC) CLZ(tet S'C..t S '> <br /> Prior Use of Bldg.: r- (/ <br /> Address: 2 O o (�`� !�c/ <br /> • Dates when demolition or Intentions burning <br /> r will Begin FJ 3 &End RI <br /> City,State,Zip: D Iv O li'l !1f <br /> Notification must be postmarked or received ten(l0)working days <br /> Contact person: before demolition begins. •Sec hem flS for emergency demolitions. <br /> Phone Numbet(s): cf 7 I —©( 3 7 Both Beginning end 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 Material (RACM)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 aft Asbestos Abatement Project must be used to notifyfor the asbestos removal. <br /> Is nonfriable ACM prese t 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.U Linear Feet <br /> f _ Square Feet Square Feet <br /> Cubic Feet Cubic Feet <br /> cop ry I nnnfriable ACM means asbestos-containing packings, Category II nogfrjableACM means any material,excluding <br /> gasket,resilient floor covering, d asphalt roofing products Category 1 nonfniable ACM,containing more than one percent <br /> containing more than one percen asbestos. asbestos that,when dry,cannot be crumbled,pulverized,or <br /> *Category I nonfriable ACMIsnot allowed to remain In place reduced to a powder by hand pressure. <br /> for demolition if It is in poor c nditton. • tory nifrib o <br /> for Cademolition eglInoit it hebleas a highACM probabilitnotallywed of btoecomingremain crumbinplace <br /> led, <br /> pulverized,or reduced to a powder during demolition,transport, <br /> or disposal. (ex transit;cement,slate roofing) <br /> 2. Description & Locatlo i of ACM remaining in place(including floor#and room 10: <br /> 1 rJ/ Pt-- <br /> 1 <br />