ࡱ> '` <bjbjLULU ..?.?xxxxxxx$ <5<5<5<5 H6Mh699999n ;;pLLLLLLL$Oh}QLx@99@@Lxx99gMlDlDlD@<x9x9LlD@LlDlD:(J,xxJ96 (L<5AHTJ DK|}M0M^JR-R CB-RJ-RxJX<Z=lD>>X<X<X<LLbD X<X<X<M@@@@dTd( T($xxxxxx  Asbestos Building Demolition Notification State of Maine Department of Environmental Protection Lead & Asbestos Hazard Prevention Program 17 State House Station, Augusta, ME 04333 TEL (207) 287-2651 FAX (207) 287-6220FORM D Page 1 of 2 2011 Notice Prior to demolition, building owners must determine if there is any asbestos-containing material(s) (ACM) in the building. An asbestos inspection by a MDEP-licensed Asbestos Consultant is required for all buildings regardless of construction date, except single-family homes and residential buildings with 2-4 units built after 1980. In lieu of an asbestos inspection, pre-1981 residential buildings with 2-4 units can be surveyed to identify possible ACM by someone knowledgeable about ACM, such as a code enforcement officer or building inspector. If your project involves the demolition of a single family residence or a residential building with less than 5 units, please answer the following questions to determine whether you need to have your inspection performed by a MDEP-licensed Asbestos Consultant:  Does this demolition/renovation project involve more than ONE residential building at the same site with the same owner? Is this building currently being used, or has it EVER been used, as a commercial, government, daycare, office, church, charitable or other non-profit place of business? Is this building to be demolished as part of a highway or road-widening project? Is this building part of a building cooperative, apartment or condo building? Is this building used for military housing? Have other residences or non-residential buildings at this site been scheduled to be demolished now, or in the future, as part of a larger project? Is more than ONE building to be lifted from its foundation and relocated? Will this building be intentionally burned for the purpose of demolition or fire department training?   FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No If you answer ''no'' to all the questions above, your building can be inspected by a knowledgeable non-licensed person as applicable. Any ''yes'' answers to the above questions requires an inspection by a MDEP-licensed Asbestos Consultant.  Important Notice Before you can demolish any building, including single-family residences, all asbestos materials must be removed from the building. The removal of those materials must be done by a MDEP-licensed Asbestos Abatement Contractor, except single-family homeowners may remove some asbestos under certain circumstances (Contact MDEP for more information). With the exception of a single family home, building owners are required to submit the Asbestos Building Demolition Notification to the MDEP at least five (5) working days prior to the demolition EVEN IF NO ASBESTOS is present.  Asbestos Building Demolition Notification State of Maine Department of Environmental Protection Lead & Asbestos Hazard Prevention Program 17 State House Station, Augusta, ME 04333 TEL (207) 287-2651 FAX (207) 287-6220FORM D Page 2 of 2 2011 Inspection/Survey Results: Were asbestos-containing building materials identified or presumed positive? If Yes, is the removal of ACM subject to MDEP asbestos regulations? If No, explain WHY NOT:  FORMTEXT         FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  property address:  FORMTEXT        FORMTEXT      building description:  FORMCHECKBOX  pre-1981 residential with 2-4 units  FORMCHECKBOX  post-1980 residential with 2-4 units  FORMCHECKBOX  other: asbestos survey/inspection performed by: (name & address)  FORMTEXT        FORMTEXT       telephone:  FORMTEXT       asbestos abatement contractor  FORMTEXT        FORMTEXT       telephone:  FORMTEXT      property owner: (name & address)  FORMTEXT        FORMTEXT       telephone:  FORMTEXT       demolition contractor: (name & address)  FORMTEXT        FORMTEXT       telephone:  FORMTEXT       demolition start date:  FORMTEXT        demolition end date:  FORMTEXT       Whenever more than 3 square feet or 3 linear feet of ACM is identified, the ACM must be abated in accordance with the Maine Asbestos Management Regulations by a DEP-licensed Asbestos Abatement Contractor. This includes materials presumed to be ACM. Check  HYPERLINK "http://www.maine.gov/dep/rwm/asbestos/index.htm" www.maine.gov/dep/rwm/asbestos/index.htm for a listing of asbestos contractors. 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Municipalities should not issue local demolition permits if the required asbestos inspection or survey has not been performed and identified ACM removed. 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