The Georgia Notification Form plays a crucial role in ensuring compliance with state regulations regarding asbestos renovation, encapsulation, or demolition projects. Defined as a documented notification to the Georgia Environmental Protection Division (EPD), it outlines critical details of any project involving asbestos, from the scope of work and site information to the specifics about asbestos material present and waste disposal plans. Importantly, the form mandates completeness in providing details, urging the inclusion of 'UNKNOWN' or 'N/A' for any section that cannot be specifically addressed, and highlights the requirement for accurate fee calculation and submission for projects where fees apply.
In today's fast-paced construction and renovation industry, the Georgia Project Notification form for asbestos renovation, encapsulation, or demolition projects represents a critical facet of compliance with state regulations, underscoring the importance of public health and environmental protection. This comprehensive document ensures that all pertinent details of a project involving asbestos are systematically reported to the Environmental Protection Division (EPD) of Georgia, enabling oversight and safe management of asbestos-containing materials (ACM). From clarifying the type of project—be it original, revision, or emergency—to detailing site information, contractor credentials, and asbestos presence, each section of the form plays a pivotal role in aligning renovation or demolition activities with state legislation. Importantly, the notification form includes sections for calculating fees based on the project's scope and nature, specifying the necessary details for both residential and non-residential projects. Moreover, it outlines requirements for waste transport and disposal, ensuring that all ACM is handled in accordance with state-approved procedures. With a mandate that no sections be left blank, and the provision to indicate 'unknown' or 'N/A' as necessary, the document emphasizes thoroughness and accuracy in project reporting. Given the procedural and regulatory nuances encapsulated in this notification form, understanding and adhering to its requirements is imperative for contractors, building owners, and others involved in the demolition or renovation of structures potentially containing asbestos, highlighting a collective endeavor toward safeguarding public health and the environment.
GEORGIA PROJECT NOTIFICATION FORM
FOR ASBESTOS RENOVATION, ENCAPSULATION, OR DEMOLITION
USE AN ATTACHMENT TO PROVIDE ADDITIONAL INFORMATION FOR ANY SECTION WHEN NEEDED TO PROVIDE COMPLETE
DETAILS.
DO NOT LEAVE ANY SECTION BLANK – INSERT UNKNOWN OR N/A IF NEEDED.
FOR PROJECTS WHERE FEES ARE DUE:
EPD ASBESTOS FEES LOCKBOX
POST OFFICE BOX 101173
ATLANTA, GEORGIA 30392
(SEE SECTION 6 FOR FEE CALCULATION INSTRUCTIONS)
FOR PROJECTS WHERE FEES ARE NOT DUE:
EPD ASBESTOS PROGRAM
ATTN: ASBESTOS NOTIFICATIONS
4244 INTERNATIONAL PARKWAY, SUITE 104
ATLANTA, GEORGIA 30354
SECTION 1A - TYPE OF NOTICE (USE THE APPROPRIATE CHECKBOX TO INDICATE THE TYPE OF NOTICE YOU ARE SUBMITTING)
ORIGINAL - INITIAL
REVISION #_______
SECTION 1B - TYPE OF PROJECT
CHECK IF SECTION REVISED
RENOVATION/ABATEMENT ONLY
RENOVATION/ABATEMENT PRIOR TO DEMOLITION
ENCAPSULATION
DEMOLITION ONLY
JOINT DEMOLITION/RENOVATION
ORDERED DEMOLITION
EMERGENCY
COURTESY (FOR NON-FRIABLE PROJECTS OR UNDER TRIGGER
QUANTITY PROJECTS ONLY!!!)
SECTION 2 – SITE INFORMATION
PROJECT NAME:
PROJECT ADDRESS:
PROJECT CITY:
ZIP:
COUNTY:
NEAREST MAJOR INTERSECTION:
BLDG SIZE IN SQ. FT:
AGE OF BUILDING IN YEARS:
NUMBER OF FLOORS IN BUILDING:
SPECIFIC LOCATION IN BUILDING OF ASBESTOS BEING REMOVED:
SECTION 3A – ABATEMENT CONTRACTOR
ASBESTOS REMOVAL CONTRACTOR:
CONTRACTOR’S STREET ADDRESS:
COMPANY CERTIFICATE #:
CITY:
STATE:
PHONE:
FAX:
GA LICENSED AGENT:
GA AGENT’S ID:
EXPIRES:
CELL PHONE:
3B – DEMOLITION CONTRACTOR
DEMOLITION CONTRACTOR:
DEMOLITION CONTRACTOR’S STREET ADDRESS:
SECTION 4 – ACM INFORMATION* Required for Compliance of Georgia Rules
IS ASBESTOS PRESENT? YES
NO UNKNOWN
FRIABLE
NON-FRIABLE
BOTH
DID AN AHERA ACCREDITED INSPECTOR INSPECT THIS SITE?
YES
NO
ASSUMED ASBESTOS
INSPECTOR NAME:
INSPECTOR PHONE:
ACCREDITATION COURSE:
CERTIFICATE NUMBER:
SECTION 5 – WORK SCHEDULES (10 WORKING DAY ADVANCE NOTIFICATION REQUIRED FOR NON-EMERGENCY NOTIFICATIONS!)
ABATEMENT START DATE
ABATEMENT END DATE
WORK DAYS (MON-SUN)
WORK HOURS (EX : 7A – 4P)
DEMOLITION START DATE
DEMOLITION END DATE
REV 062012005F
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SECTION 6 – ACM AMOUNTS, TYPE CODES, AND FEE CALCULATION
FIRST, LOCATE THE MATERIAL TO BE REMOVED IN COLUMN A. COLUMN B SHOWS THE USUAL NESHAP CATEGORY FOR THE
MATERIAL. COLUMN C SHOWS THE CATEGORY THE MATERIAL WILL LIKELY BECOME DURING ABATEMENT, AND THAT IS THE CODE THAT SHOULD BE USED FOR COMPLETING THIS FORM. NOW, ENTER THE SQ. FT AND/OR L.F. AMOUNTS OF ACM TO BE ABATED DURING THIS PROJECT UNDER THE CORRECT HEADING ACCORDING TO TYPE IN COLUMN D, E, AND/OR F. THEN, LOCATE THE CORRESPONDING TYPE CODE(S) FOR THE MATERIAL(S) IN COLUMN G AND ENTER THE CODES IN THE SPACES PROVIDED BEFORE PROCEEDING TO THE FEE CALCULATION SECTION.
Column A
Column B
Column C
SF OR LF AMOUNT TO BE ABATED
Column
DURING PROJECT
G
USUAL NESHAP CATEGORY
WILL
LIKELY
Column D
Column E
Column F
ACM
ACM TYPE
Category
BECOME
TYPE
RACM
Category I
Category 2
1
2
WHEN
CODE
ABATED
ASBESTOS ASPHALT SHINGLES
√
1 OR RACM
AAS
ASBESTOS CEMENT (TRANSITE) PANELS
2 OR RACM
ACP
ASBESTOS CEMENT (TRANSITE) ROOFING
ACR
ASBESTOS CEMENT (TRANSITE) SIDING SHINGLES
ACS
ASBESTOS FLASHING
AF
ASBESTOS GASKET
AG
BOILER INSULATION
BI
BUILT-UP ROOFING
BUR
COVE (BASEBOARD) MOLDING MASTIC
CM
CEILING PLASTER
CP
CEILING TILE
CT
DUCT SEAM MASTIC
DSM
DUCT VIBRATION DAMPENERS
DVD
EXTERIOR (OUTSIDE) DUCT INSULATION
EDI
FELT DUCT TAPE
FDT
FLOOR MASTIC
FM
FIREPROOFING
FP
FIREPROOFING AND OVERSPRAY
FPO
FLOOR TILE
FT
FLOOR TILE AND MASTIC
FTM
INTERIOR (INSIDE) DUCT INSULATION
IDI
JOINT COMPOUND ONLY
JC
LIGHT WEIGHT CONCRETE
LWC
OTHER: FLOOR LEVELING COMPOUND, CAULKING,
OTR
ETC.
PIPE INSULATION STRAIGHT RUNS
PI
PIPE INSULATION ELBOWS AND FITTINGS
PIE
RESILIENT FLOOR COVERINGS (SHEET FLOORING;
RFC
LINOLEUM)
ROOF MASTICS AND COATINGS
RMC
ROOFING SILVER COATING
RSC
TEXTURED CEILING
TC
TEXTURED CEILING PLASTER
TCP
TANK INSULATION
TI
WALL BOARD AND JOINT COMPOUND
WBJC
WINDOW GLAZING
WG
WALL PLASTER
WP
Row G: Enter the ACM Type Codes from Col. G for each Category Below.
Category 1
Category 1: ____________________________________________________________________________
Total
Category 2: ____________________________________________________________________________
RACM: ________________________________________________________________________________
________
CALCULATING FEES
Row H. IS THIS A RESIDENTIAL PROJECT
(USE TOTAL FROM COLUMN F (RACM) TO COMPLETE THIS SECTION)
RESIDENTIAL FEE SCHEDULE: $0.10 PER LF/SF
RESIDENTIAL PROJECT
TOTAL FEES DUE AND PAYABLE NOW
OF FRIABLE ACM WITH MINIMUM FEE: $25 -
COLUMN F (RACM) TOTAL
X $0.10
H (B) $_____________________
MAXIMUM FEE: $50 PER RESIDENCE/ DWELLING
H (A). ___________SF/LF
EQUALS
(NOT TO BE LESS THAN $25 OR MORE THAN $50 PER
UNIT.
UNIT)
Row I. IS THIS A NON-RESIDENTIAL PROJECT
YES
NON-RESIDENTIAL FEE SCHEDULE: $0.10 PER
LF/SF OF FRIABLE ACM WITH MINIMUM FEE: $25 -
MAXIMUM FEE: $1,000 PER FACILITY.
NON-RESIDENTIAL PROJECT COLUMN F (RACM) TOTAL
I (A). ___________SF/LF
X$0.10
I (B) $_____________________
(NOT TO BE LESS THAN $25 OR MORE THAN $1,000)
CHECK NUMBER ____________ FOR THE AMOUNT SHOWN IN THE TOTAL FEES DUE ABOVE.
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SECTION 7 - WASTE TRANSPORTER, DISPOSAL SITE, AND BUILDING OWNER INFORMATION
WASTE TRANSPORTERTRANSPORTER CONTACT PERSON: NAME
TRANSPORTER’S MAILING ADDRESS:
All Detached Non-Friable and Friable ACM Must Go To an ACM Permitted Landfill.
DISPOSAL SITE
DI SPOSAL SI TE COUNTY:
NAME:
DISPOSAL SITE ADDRESS:
PROJECT OWNER
OWNER’S REPRESENTATIVE:
OWNER’S STREET ADDRESS:
OWNER’S MAILING ADDRESS (IF DIFFERENT):
SECTION 8 - WORK METHODS: METHOD OF DEMOLITION AND/OR RENOVATION ACTIVITY (DESCRIPTION OF WORK PRACTICES,
ENGINEERING CONTROLS, AND CLEARANCE METHODS)
SECTION 9 - ADDITIONAL PROJECT INFORMATION
WILL ASBESTOS REMAIN IN THE PROJECT AREA?
UNKNOWN
EXPLAIN ‘YES’ OR ‘UNKNOWN’:
IF NO ASBESTOS IS PRESENT, WAS THIS PROJECT PREVIOUSLY ABATED?
NO
UNKNOWN
PRIOR ABATEMENT COMPANY:
YEAR ABATED:
PRIOR COMPANY CONTACT PERSON:
CERTIFICATION OF INFORMATION AND ACKNOWLEDGEMENT
I, THE UNDERSIGNED, CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF FEDERAL REGULATIONS (NESHAP/40 CFR PART 61 SUBPART M) WILL BE
ON THE PROJECT SITE DURING DEMOLITION AND/OR RENOVATION ACTIVITIES DESCRIBED IN THE NOTIFICATION. EVIDENCE THAT THIS PERSON AND ALL OTHER PROJECT PERSONNEL HAVE ACCOMPLISHED APPROPRIATE TRAINING AND TRAINING CERTIFICATES WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS AND ANYTIME REGULATED ACTIVITIES ARE BEING CONDUCTED ON SITE.
I FURTHERMORE UNDERSTAND THAT I AM RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE INFORMATION SUBMITTED WITH THIS
NOTIFICATION AND I SHALL PROMPTLY SUBMIT REVISIONS, SUPPORTING DOCUMENTS, AND PROJECT FEES.
PRINTED NAME:
SIGNATURE:
DATE:
REPRESENTING: OWNER
ABATEMENT CONTRACTOR DEMOLITION CONTRACTOR OTHER _________________
COMPANY NAME IF “OTHER” CHECKED:
ADDRESS IF “OTHER” CHECKED:
•REFER TO THE DETAILED INSTRUCTIONS WHEN IN DOUBT ABOUT PROPER COMPLETION OF ANY SECTION.
•NEVER LEAVE BLANK SPACES – INSERT ‘N/A’ OR ‘UNKNOWN’ FOR ANY BLANK WHERE YOU DO NOT HAVE THE INFORMATION REQUESTED.
•PRINT RESPONSES NEATLY AND LEGIBLY.
•ALWAYS KEEP A COPY OF THIS FORM FOR YOUR RECORDS, AND PROVIDE COPIES TO ALL OTHER INVOLVED PARTIES.
•EPD NO LONGER ACCEPTS ‘FAX ONLY DOCUMENTS’. SUBMIT THE ENTIRE FORM VIA MAIL.
•NEVER SUBMIT PROJECTS WHERE FEES ARE DUE WITHOUT ATTACHING THE REQUIRED FEE CHECK OR MONEY ORDER.
•NOTIFICATIONS WITH FEES MUST BE MAILED TO THE EPD ASBESTOS FEES POST OFFICE ADDRESS. NOTIFICATIONS WITHOUT FEES SHOULD BE MAILED DIRECTLY TO THE EPD OFFICE ADDRESS.
(ADDRESSES ARE ON THE FIRST PAGE.)
•DO NOT SUBMIT ‘TWO-SIDED’ PHOTO COPIES.
•If a Project Notification is submitted by someone other than the asbestos abatement or demolition contractor - such as the Consultant or Owner,
A REVISED NOTIFICATION MUST BE SUBMITTED BY THE CONTRACTOR TO WHOM THE PROJECT IS AWARDED BEFORE WORK BEGINS. THE CONTRACTOR MUST SIGN THE CERTIFICATION OF THE REVISED NOTIFICATION FORM.
IT IS YOUR RESPONSIBILITY TO SUBMIT THIS FORM ACCURATELY AND COMPLETLY AND INCLUDE BY ALL
APPLICABLE FEES.
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SUMMARY INSTRUCTIONS FOR COMPLETING THE GEORGIA EPD
PROJECT NOTIFICATION FOR ASBESTOS RENOVATION, ENCAPSULATION, OR DEMOLITION PROJECTS
Complete the following Sections and provide the information requested according to the type of project being performed.
To Be Completed For Demolition Work (No fees due for Demolition Projects.)
Section 1AVType of Notice
Section 1BVType of Project
Section 2 - Site Information
Section 3B - Demolition Contractor
Section 4 - ACM Information Asbestos Inspection Required for Compliance of Georgia Rules.
Section 5 - Work Schedules for Demolition
Section 6 - ACM Amounts & Type Codes
All ACM which already is or will become friable must be removed before demolition; only non-friable ACM may be remaining during the demolition and it must ALL be collected, packaged, labeled, transported and disposed as ACM Waste).
If all ACMs have been removed from the project site, Page 2 is not required.
Section 7 - Waste Transporter and Disposal Site of Demolition Waste, and Building Owner (All Required) Section 8 - Work Methods
Section 9 - Additional Project Information
Certification of Information and Acknowledgement (No fees due for Demolition Projects.)
To Be Completed For Asbestos Removal and Encapsulation Projects (Fees due for Abatement Projects.)
Section 1A - Type of Notice
Section 1B - Type of Project
Section 2 - Site information
Section 3A - Abatement Contractor
Section 5 - Work Schedules for Abatement and Encapsulation Projects.
Section 6 - ACM Amounts, Type Codes, and Fee Calculation
Section 7 - Waste Transporter, Disposal Site, and Building Owner Information
Section 8 - Work Methods
Certification of Information and Acknowledgment
To Be Completed for A Revision To A Prior Notification
Section 1A Type of Notice
Section(s) All Sections, In Which the Prior Information Has Changed or Needs To Be Updated.
Check the Revision Box In Each of The Revised Sections and Update the Information.
DETAILED INSTRUCTIONS ARE AVAILABLE FOR FILLING OUT EACH OF THESE SECTIONS.
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DETAILED INSTRUCTIONS FOR COMPLETING THE GEORGIA EPD
The Georgia EPD realizes that paperwork completion is tedious and time-consuming, but treats paperwork infractions with the same gravity with which it views work practice violations. It is incumbent upon all individuals engaged in regulated asbestos-related activities to become familiar with all state and federal requirements, including proper paperwork completion. The following instructions are a step- by-step guide that should lead you successfully through the notification completion process. Should you still have questions or need assistance with completion of the notification documents, please call the Asbestos Program at (404) 363-7026.
HOW SHOULD YOU SUBMIT YOUR NOTIFICATION?
MAILED FORMS: If your notification is a courtesy notification (see explanation below); a demolition only notification (the only two types of projects that are fee exempt); or a revision of a previously submitted notification where the fee amount does not change (a date change revision, for example), send the form directly to the EPD office at the address shown on the right above (not the lockbox address).
WHAT TYPE OF NOTICE SHOULD YOU SUBMIT? (SECTION 1A)
Asbestos Project Notifications will always fall into one of the following categories. ALWAYS check the box () applicable to your current submittal:
ORIGINAL INITIAL - The first time a project notification is submitted for the project to which the notification applies.
REVISION – To notify the EPD of any changes to the project after the Original Initial notification has been submitted. To submit a revision, CHECK THE BOX () in Section 1A and list the revision number. Also check the box in the heading of the section you are revising, strike through the incorrect information, and insert the correction. If additional fees are due, be sure to submit them to the lockbox and include the additional fee check information in the fee schedule. DATE CHANGE REVISIONS SHOULD BE SENT DIRECTLY TO THE EPD OFFICE STREET ADDRESS. For all revisions, re-sign and re-date the certification section of the project notification before resubmitting.
WHAT TYPE OF PROJECT ARE YOU CONDUCTING? (SECTION 1B)
RENOVATION/ABATEMENT ONLY – Where the project only involves the removal and disposal of asbestos containing materials. “Renovation” means the altering of, taking out, stripping, clean up, disposal of, or removal of friable or potentially friable asbestos containing materials from any facility, facility component or residential dwelling, equal to or greater than 10 square feet or 10 linear feet.
RENOVATION/ABATEMENT PRIOR TO DEMOLITION - Removal/abatement of friable asbestos containing materials equal to or greater than 10 square feet or 10 linear feet in preparation for demolition activities to be performed by someone else.
DEMOLITION ONLY – Where the project only entails demolition of any structure that has been thoroughly inspected for the presence or absence of asbestos. "Demolition" means the wrecking or taking out of any load supporting structural member of a facility together with related handling operations, or the intentional burning of any structure. Notification is required regardless of the presence or absence of asbestos containing materials.
ENCAPSULATION – A project in which special coatings approved for asbestos encapsulation will be used to cover the asbestos containing materials and prevent release of asbestos fibers. ‘Encapsulation’ means the process of coating, binding, or resurfacing walls, ceilings, pipes, or other structures with a sealant to prevent friable asbestos from becoming airborne.
JOINT RENOVATION/DEMOLITION – Where both renovation and demolition activities as described above will be conducted by the same Contractor. If demolition is to be conducted by a different company, that company must submit a separate notification.
ORDERED DEMOLITION – A demolition project ordered by a government agency. If the property has been condemned, the Order of Condemnation must be included with the project notification.
ADDITIONAL PROJECT NOTATIONS
EMERGENCY – Abatement, Encapsulation or Demolition projects that were unplanned, but result from a sudden, unexpected event that if not immediately attended to presents a safety or public health hazard, is necessary to protect equipment from damage, or is necessary to avoid imposing an unreasonable financial burden. Waiver of the required 10 working day notification period will be granted on a case-by-case basis. A letter of explanation regarding the emergency situation from the Owner of the Project, or their representative, must accompany the notification. EPD must be notified of the emergency situation within 24 hours from the time of its occurrence, or from the time you are contacted with a request for emergency work to be performed. Please call the EPD Asbestos Program’s Duty Officer to discuss the situation and obtain their agreement on the emergency project. The main number for the Asbestos Program is 404-363-7026. The original notification, letter of explanation, and fee payment must be mailed to the Lockbox address within 7 days from the date of emergency work beginning.
COURTESY – A Courtesy Notification is ONLY submitted for small asbestos abatement/disturbance/encapsulation projects that involve friable asbestos removal of less than 10 square feet or 10 linear feet or for notification of non-friable asbestos removal projects.
PROJECT NAME - Identify the exact location where abatement or demolition work is going to take place. Provide the name of the building, company, or other description of all structures involved in the project here. For example: “Vacant House”, “Residence”, “Commercial Bldg”, “ABC Company”, “Office Bldg”). If the project is part of a DOT road-widening project, please include parcel number and structure number.
PROJECT ADDRESS - Street address where abatement, encapsulation, or demolition will take place.
*If project involves multiple buildings/structures at one location, list all addresses, building names, unit numbers, etc. Use a separate sheet of paper as an attachment, if necessary.
*If project involves multiple buildings/structures at different addresses, you may group together those addresses on the same street and/or adjacent streets, (within a few block radius). Use a separate sheet of paper as an attachment, if necessary. Include a site map or diagram showing locations.
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•CITY/ZIP/COUNTY - Complete all areas. YOU MUST LIST THE COUNTY.
•NEAREST MAJOR INTERSECTION - For example: “State Hwy 41 near Windy Hill Rd”; “South Houston Lake Rd near State Hwy 96”)
•BLDG SIZE IN SQ. FEET - Square foot measurement of the entire building (all floors and spaces) combined.
•AGE OF BLDG IN YEARS - Age of building in years.
•NUMBER OF FLOORS IN BUILDING - Total number of floors in building, including sub-basement, basement, mezzanine, attic, and penthouse. Each level that can be occupied should be counted as a separate floor.
•SPECIFIC LOCATION OF ASBESTOS BEING REMOVED - Provide specific area(s) of the structure that are being abated or demolished. For example: “Roof”, “Kitchen Floor”, “Steam Pipes in Basement”, “Throughout Building”, “Hallway”, “Floor Number _____”, “Room Number______”, etc).
SECTION 3 – PROJECT CONTRACTORS
3A – ABATEMENT CONTRACTOR – Name of the company that will perform the asbestos renovation/abatement.
•CONTRACTOR STREET ADDRESS – The actual physical location of the Asbestos Removal Contractor’s place of business. DO NOT USE A POST OFFICE BOX IN THIS SPACE!
•COMPANY CERTIFICATE NUMBER – The number issued on the contractor company certificate by the Georgia Lead-Based Paint and Asbestos Program.
•CITY/STATE/ZIP/PHONE/FAX – You must complete each space.
•LICENSED AGENTS NAME – Name of the person licensed by EPD as the Principal Agent for this company
•AGENT’S ID NUMBER – The agent’s number issued by EPD. Example: “50123”
•EXPIRES – The date on which the agent’s certificate expires.
•CELL PHONE – The cellular or pager number for the Principal Agent.
3B – DEMOLITION CONTRACTOR – Name of company performing work OTHER THAN asbestos removal.
•DEMOLITION CONTRACTOR’S STREET ADDRESS – The actual physical location of this Contractor’s place of business. DO NOT USE A POST OFFICE BOX IN THIS SPACE!
•CITY/STATE/ZIP/PHONE/FAX – You must complete each blank.
(If more than 2 Contractors are involved with the project, use a separate sheet as an attachment to provide additional information)
SECTION 4 – ASBESTOS CONTAINING MATERIAL(S) (ACM) INFORMATION
IS ASBESTOS PRESENT?
•YES – A thorough inspection for the presence of asbestos has been conducted and the written results indicate that asbestos IS present.
•NO – A thorough inspection for the presence of asbestos has been conducted and the written results indicate that asbestos IS NOT present.
•UNKNOWN – It is unknown if an asbestos inspection has been performed, or an inspection has been performed but the results are unknown at this time.
•FRIABLE – “Friable Asbestos-Containing Material” means any material containing more than 1 percent asbestos, by weight, and which when dry may be crumbled, pulverized, or reduced to powder by hand pressure or non-friable material that will be subjected to sanding, grinding, abrading or crushing.
•NON-FRIABLE – “Non-Friable Asbestos-Containing Material” means any asbestos-containing material that does not meet the definition of “FRIABLE”.
•BOTH – Both “Friable” and “Non-friable” materials are present on this project.
Was the portion of the abatement project, or demolition area described in Section 2 of this form, thoroughly inspected by an AHERA Accredited Asbestos Inspector? Check the appropriate answer
•YES
•NO
•UNKNOWN
•ASSUMED ASBESTOS - A thorough inspection for the presence of asbestos HAS NOT been conducted but based on the type of material(s) being disturbed, the decision has been made to treat the material(s) as ACM.
•INSPECTOR NAME – Name of individual who performed the inspection.
•INSPECTOR PHONE – Number at which the Inspector may be reached, starting with area code.
•ACCREDITATION COURSE – Name of course taken to obtain ASBESTOS INSPECTOR accreditation. For example: “Asbestos Inspector Initial (AII)” OR “Inspector Refresher (AIR)”
•CERTIFICATE NUMBER – Number on the Asbestos Inspector Certificate of Course Completion issued by the Training Provider.
•EXPIRES – Expiration date on certificate issued by Training Provider.
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SECTION 5 – WORK SCHEDULES
IMPORTANT NOTICE: A 10 (TEN) WORKING DAY NOTIFICATION IS REQUIRED PRIOR TO COMMENCING ANY REGULATED
ASBESTOS ACTIVITY. (Exception: Valid Emergency Projects)
WORKING DAYS ARE CONSIDERED MONDAY THROUGH FRIDAY. A HOLIDAY FALLING ON THESE DAYS WILL BE COUNTED AS A
WORKING DAY. WORKING DAYS ARE COUNTED FROM THE DATE OF: US POST OFFICE POSTMARK DATE
FEDEX/UPS SHIPPING DATE
ELECTRONIC FILING OF PROJECT NOTIFICATION
NOTIFICATIONS POSTMARKED ON A SATURDAY OR SUNDAY DO NOT BEGIN THE 10 WORKING DAY NOTIFICATION PERIOD
UNTIL THE FOLLOWING MONDAY.
FOR ALL PROJECTS
Provide the project START date and END dates. NOTE: If the Consultant or Project Owner is submitting the project notification, and project dates are as yet undetermined, submit dates as TBD (To Be Determined). THE ABATEMENT OR DEMOLITION CONTRACTOR WHO RECEIVES THE CONTRACT MUST SUBMIT A REVISION TO UPDATE THE PROJECT DATES BEFORE WORK BEGINS.
WORK DAYS - Provide actual days of the week on which work will be performed – NOT the number of days worked per week. For example: “M, Tu, Th” or “M-F”
WORK HOURS - Provide the actual times of the day the crew will be on site – NOT the number of hours worked per day. For example “7A – 4P” or “5P – MIDNIGHT”
PHASED PROJECTS - If multiple buildings/structures are involved, break project into Phases, and identify project dates per Phase. Use an additional page to described phased project start and stop dates and work hours in detail.
SECTION 6 – ACM TYPES INFORMATION AND FEE SCHEDULE
Use this section to identify the type and total quantity of asbestos that will be disturbed during this project and calculate fees owed based on your findings. All ACM’s identified in Section 4 must be described completely here.
ACM TYPE(S)
•Step 1 - Locate the type of ACM you will be disturbing in COLUMN A. Use the Category 1, 2 and RACM headings in COLUMN B to determine the material’s current status, then locate the category the material will MOST LIKELY BECOME as a result of your abatement activities in COLUMN C.
•Step 2 - Show the combined LINEAR FOOT (LF) and/or SQUARE FOOTAGE (SF) of the material to be disturbed in COLUMN D, E, or F, depending on the determination made from the code in COLUMN C
•Step 3 - In COLUMN G, circle the corresponding ACM type code for any material amount listed in COLUMN(S) D, E, or F. In ROW G2, enter the type code(s) in the space(s) labeled CAT 1, CAT 2, and RACM.
•Step 4 – Total COLUMNS D, E, and F and insert the total(s) in the appropriate space(s) provided.
DEFINITIONS:
CATEGORY 1 NON-FRIABLE ACM includes asbestos-containing packing, gaskets, resilient floor covering, mastics, and asphalt roof products that contain greater than 1% asbestos. Category 1 materials that will likely become friable as a result of removal activity must be listed in the RACM category.
CATEGORY 2 NON-FRIABLE ACM includes any asbestos-containing material, excluding Category 1 non-friable ACM, These are primarily the asbestos-cement products. Category 2 materials that will likely become friable as a result of removal activity must be listed in the RACM category.
RACM (Regulated Asbestos-Containing Material) means friable asbestos containing material, Category 1 non-friable ACM that has become friable, Category 1 non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category 2 non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations
FEE CALCULATION SECTION
Step 1 - Use the check box to indicate whether the project is RESIDENTIAL (ROW H.) or NON-RESIDENTIAL (ROW I.).
Step 2 - Place the total from COLUMN F on the correct line provided in either “BOX H (A). – RESIDENTIAL” or “BOX I (A) – NON-RESIDENTIAL”. Step 3 – Multiply the number in BOX H (A) or I (A) by $0.10 (Ten Cents - 10¢) and place the resulting amount in line H (B) or I (B)
MINIMUM AND MAXIMUM FEES:
RESIDENTIAL PROJECTS: Residential projects are subject to a minimum fee of $25 and a maximum fee of $50 per dwelling unit.
NON-RESIDENTIAL PROJECTS: Non-residential projects are subject to a minimum fee of $25 and a maximum fee of $1,000.
RESIDENTIAL PROJECT: A residential dwelling means any family residence or apartment building with four or fewer dwelling units.
NON-RESIDENTIAL PROJECT: A non-residential project means any project conducted on any building that would fall outside the guidelines
established by the definition of a residential dwelling. I.E.: any non-residential structure, or any residential structure with five or more dwelling units.
IF FEES ARE DUE FOR ANY PROJECT, SHOW THE CHECK NUMBER IN THE SPACE PROVIDED.
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SECTION 7 – BUILDING OWNER, WASTE TRANSPORTER, AND DISPOSAL SITE INFORMATION
WASTE TRANSPORTER: Complete all areas
NAME OF COMPANY
CONTACT NAME: Name of person at Transport Company to call, if necessary.
ADDRESS/CITY/STATE/ZIP/PHONE/FAX
DISPOSAL SITE INFORMATION
WASTE DISPOSAL SITE NAME: Name of Landfill.
DISPOSAL SITE COUNTY: Provide County name.
ADDRESS/CITY/STATE/ZIP/PHONE/FAX: Complete all areas.
BUILDING OWNER
OWNER OF PROJECT SITE/FACILITY: Name of legal owner of facility/property.
OWNER’S REPRESENTATIVE: Name of person (other than Contractor) acting on behalf of Owner, particularly if completing & submitting this form.
OWNER’S STREET ADDRESS: For service of legal process if required. OWNER’S MAILING ADDRESS if different than the street address. CITY/STATE/ZIP/PHONE/FAX Complete all areas.
TELEPHONE NUMBER: Number at which Contact person may be reached, starting with area code.
SECTION 8 – WORK METHODS
Enter the method(s) of demolition and/or renovation activity and a description of work practices and engineering controls to be used on this project. Describe fully what types of abatement and/or demolition activities are going to take place, the method(s) of removal and/or demolition that will be used, and controls in place to prevent asbestos emissions. Attach a separate sheet of paper if more room is needed to answer this section.
FOR EXAMPLE:
“Wet spud bar and chemical removal of FT M with critical barriers. 1 negative air. Visual clearance only”;
“Wet spud bar removal of ACS over 6 mil plastic on ground. Place in plastic lined roll of dumpster. Visual clearance only” “Demo with front-end loader. Push down, wet, and machine load into 30 CY roll of dumpster”
WILL ASBESTOS REMAIN IN THE PROJECT AREA? Please answer “YES”, “NO”, or “UNKNOWN”, and explain a YES or UNKNOWN answer.
IF NO ASBESTOS IS PRESENT, WAS THIS THE RESULT OF A PREVIOUS ABATEMENT?
IF THE PROJECT WAS PREVIOUSLY ABATED, PROVIDE ALL REQUESTED INFORMATION FOR THE PRIOR ABATEMENT COMPANY.
PROVIDE ALL REQUESTED INFORMATION - DO NOT LEAVE ANY SPACES BLANK AND INCLUDE SIGNATURE
PRINTED NAME - Print or type full name of person submitting form.
PHONE: Phone number of the person submitting the Project Notification.
SIGNATURE - The person submitting this form must submit with their signature.
DATE - Date project notification is signed
REPRESENTING - Check the appropriate title:
OWNER - Owner of Facility in which project is being performed
ABATEMENT CONTRACTOR – A Georgia Licensed Asbestos Abatement Contractor
DEMOLITION CONTRACTOR – Demolition Contractor
OTHER CONTRACTOR – A contractor representing another trade involved on the project. For example: “General Contractor,”
“ Sub Contract or,” or “ Consult ant .”
COMPANY NAME: Name of company submitting the Project Notification.
ADDRESS: Complete the mailing address including street, city, state and zip code.
NOTE: If a Project Notification is submitted by someone other than the asbestos abatement or demolition contractor - such as the Consultant or Owner - in order to start the 10 working day notification period while the contract is out for bid, A REVISED NOTIFICATION MUST BE SUBMITTED BY THE CONTRACTOR TO WHOM THE PROJECT IS AWARDED BEFORE WORK BEGINS. THE CONTRACTOR MUST SIGN THE CERTIFICATION AREA OF THE REVISED NOTIFICATION FORM.
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Filling out the Georgia Notification Form for asbestos renovation, encapsulation, or demolition is a crucial step in ensuring compliance with state and federal regulations. By providing detailed information about your project, you're not only adhering to legal requirements but also helping to maintain a safe environment for workers and the public. Here are the steps you need to follow to complete the form accurately.
After the form is completed, make sure to review it for accuracy and completeness. Attach the required fee check or money order if your project involves fees and mail it to the appropriate address based on whether fees are due or not. Keep a copy of the form and any attachments for your records. Forwarding the completed form as directed ensures your compliance with regulations and moves your project forward in a legally compliant manner.
FAQ Section: Georgia Notification Form for Asbestos Renovation, Encapsulation, or Demolition
What is the purpose of the Georgia Notification Form for Asbestos Renovation, Encapsulation, or Demolition?
The Georgia Notification Form is essential for any project involving asbestos renovation, encapsulation, or demolition. Its primary goal is to inform the Environmental Protection Division (EPD) about the details of the project, including the type of work, the location, the contractors involved, and the presence of asbestos. This ensures that all necessary safety and environmental regulations are observed during the project to protect public health and the environment.
Is there a situation where I don't need to pay fees when submitting the Notification Form?
Yes. Fees are not required for all types of submissions. If your project is a courtesy notification, or if it's a demolition-only project not involving asbestos abatement, you are not required to pay any fees. Additionally, revisions to previously submitted notifications that do not alter the fee amount (like date changes) also do not require an additional fee. Such notifications should be directly mailed to the EPD office address, bypassing the EPD Asbestos Fees Lockbox.
What should I do if I need to revise information on an already submitted Notification Form?
To revise submitted information, firstly, mark the "Revision" checkbox in Section 1A of the form, noting the revision number. Then, in the sections you're updating, mark the "Check if section revised" box, strike through outdated information, and clearly write the updated details. If the revision results in additional fees, these must be included with the revision submission to the lockbox. Remember, for any revision submissions, re-signing and re-dating the certification section of the notification form is mandatory before resubmitting it.
What are the different types of project categories indicated in Section 1B of the form?
Selecting the correct category for your project ensures that the EPD receives accurate details and can provide the right guidance and oversight for compliance with safety and environmental standards.
When filling out the Georgia Notification form for asbestos renovation, encapsulation, or demolition, attention to detail is critical to ensure compliance with state requirements. Mistakes can lead to delays in your project or even penalties. Here are five common errors to watch out for:
Leaving sections blank: It is essential not to leave any section of the form blank. If a particular section does not apply to your project, be sure to mark it as ‘N/A’ or ‘UNKNOWN’ instead of leaving it empty. This indicates that you have reviewed the section and confirmed it does not pertain to your specific situation.
Incorrectly calculating fees: Accurate fee calculation in Section 6 is crucial. Ensure that you properly identify the material to be removed, use the correct type codes, and accurately calculate the square footage or linear feet. Misunderstandings in this area can lead to incorrect fee submissions, potentially resulting in delays or additional charges.
Failing to check the appropriate project type box in Section 1B: The form provides multiple options to describe the nature of your project, including renovation/abatement only, demolition only, encapsulation, and more. Selecting the correct type is crucial for ensuring the form is processed correctly and in compliance with regulations. Overlooking this step may lead to improper handling of your notification.
Omitting the signature and date: The certification of information section at the end of the form requires a signature and date to verify the accuracy of the information provided. Failing to sign or date the form can result in it being considered incomplete, leading to unnecessary setbacks for your project.
Not providing complete contractor information in Sections 3A and 3B: Detailed and accurate information about the abatement and/or demolition contractor(s) involved, including license numbers and expiration dates, is mandatory. Incomplete or inaccurate contractor details can hinder the verification process, affecting project timelines.
Avoiding these mistakes helps streamline the approval process, ensuring your project can proceed without unnecessary interruptions. Always review your form thoroughly before submission and consult the detailed instructions provided by the Georgia Environmental Protection Division (EPD) if you have any questions.
When dealing with asbestos renovation, encapsulation, or demolition in Georgia, the Georgia Project Notification Form plays a crucial role. However, it's often just one piece of the documentation puzzle. Accompanying this form, several other documents and forms are frequently utilized to ensure a seamless and compliant process. Below is a description of seven such documents, shedding light on their individual purposes and importance.
Together, these documents form a comprehensive suite ensuring that asbestos renovation, encapsulation, or demolition projects in Georgia are conducted safely, legally, and with due diligence towards public health and the environment. While the Georgia Project Notification Form serves as the keystone document, the ancillary paperwork ensures thorough compliance and supports the overarching objectives of asbestos regulation.
The Georgia Notification form is similar to various other environmental and construction-related notification forms used across the United States, each serving a similar purpose but tailored to specific state or federal regulations. These forms often share common sections such as project information, contractor details, and specifics about the work or materials involved, especially when hazardous substances like asbestos are concerned.
One document similar to the Georgia Notification form is the Texas Department of State Health Services Asbestos Notification Form. Like Georgia's, Texas requires detailed information on the asbestos project, including the project's type, location, and the presence of asbestos-containing materials. Both forms necessitate information on the abatement or demolition contractor overseeing the work, including licensure and contact details. Texas, like Georgia, mandates that project notifications include a declaration of the presence of asbestos, detailed work schedules, and waste disposal plans, emphasizing the importance of public health and environmental safety.
Another analog is the California Department of Toxic Substances Control’s Hazardous Waste Manifest Form. While focused on a broader range of hazardous materials, this form shares the Georgia Notification form's requirement for detailed transporter and disposal site information. Both documents require signatures certifying the accuracy of the provided information, underscoring the legal responsibility of the parties involved to ensure safe and compliant handling of hazardous materials. The emphasis on tracking the movement from project site to disposal site highlights both forms' roles in safeguarding public health and the environment.
When completing the Georgia Notification Form for asbestos renovation, encapsulation, or demolition, attention to detail and accuracy is paramount. Navigating through this process can be daunting, yet adherence to several dos and don'ts will streamline the submission process and ensure compliance with the regulations:
By conscientiously following these guidelines, project managers and contractors can confidently navigate the complexities of the Georgia Notification Form, ensuring that all necessary protocols are followed and avoiding potential roadblocks in project execution.
Understanding the specifics of the Georgia Notification Form for asbestos renovation, encapsulation, or demolition is critical for property owners, contractors, and other stakeholders involved in such projects. However, misconceptions can lead to non-compliance, potential project delays, or unintentional legal violations. Below are ten common misconceptions about the Georgia Notification Form and explanations aimed at clarifying these misunderstandings.
This is incorrect. The Georgia Notification Form must be submitted for any renovation or demolition project that involves asbestos, regardless of the project's size or scale. This includes small renovation projects where asbestos is present.
In reality, both demolition and abatement contractors are required to submit the form if asbestos is present, encapsulated, or to be demolished. This ensures proper communication and compliance with state regulations.
Even if asbestos is not found or is assumed absent, the notification form should still be submitted, indicating such findings. This procedure verifies that an asbestos inspection was conducted and that the project complies with state guidelines.
All notification forms must be submitted via mail. Even though many documents can be submitted electronically in today's digital age, the Georgia Notification Form for asbestos projects must be physically mailed either to the EPD Asbestos Fees Lockbox or directly to the EPD office, depending on whether fees are due.
It's essential to indicate the specific type of project by checking the appropriate box on the form, such as renovation/abatement only, demolition only, or joint demolition/renovation. This classification helps the EPD in processing the form and understanding the project's scope.
For non-emergency notifications, the form must be submitted at least ten working days before project commencement. This advance notice allows for appropriate regulatory processing and scheduling.
Any changes to the project require a revised notification to be submitted, including any adjustments in scope, timeline, or contractor details, to ensure all information remains accurate and up to date.
Even for projects involving less than 10 square feet or 10 linear feet of asbestos, or for non-friable asbestos projects, a courtesy notification is still required. This ensures all asbestos-related activities are appropriately documented and monitored.
The accuracy and completeness of the information provided in the notification are crucial. The person submitting the form is responsible for its accuracy and may face penalties for misinformation or incomplete submissions.
Keeping a copy of the submitted notification form is vital for your records. It provides proof of submission and helps in future reference or if any discrepancies arise during the project.
Clarifying these misconceptions is essential for ensuring compliance with Georgia's asbestos management regulations, thereby safeguarding public health and the environment while preventing legal complications for those involved in renovation, encapsulation, or demolition projects involving asbestos.
Filling out the Georgia Notification Form for asbestos renovation, encapsulation, or demolition projects requires attention to detail and an understanding of specific requirements. Here are five key takeaways to ensure the process goes smoothly:
Submitting this form accurately and completely is not just a regulatory requirement but also a step towards ensuring the safety and well-being of all involved in the project.
4506 Form - Specify the exact tax forms or periods needed for streamlined processing.
Georgia Form 600 Instructions 2022 - Proprietors must pay attention to the declaration confirming the return’s completeness and accuracy under penalties of perjury, reflecting the seriousness of the filing.