Fillable D Demolition Notification Notice Department of Environmental Protection (Town of Bar Harbor)

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D Demolition Notification Notice Department of Environmental Protection (Town of Bar Harbor)

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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) 287-6220
FORM
D
Page 1 of 2
2015
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 c
ode 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?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes 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) 287-6220
FORM
D
Page 2 of 2
2015
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: __________________________________________________
Yes No
Yes No
property address:
building description:
pre-1981 residential with 2-4 units
post-1980 residential with 2-4 units
other:
asbestos survey/inspection performed by: (name & address)
telephone:
asbestos abatement contractor
telephone:
property owner: (name & address)
telephone:
demolition contractor: (name & address)
telephone:
demolition start date:
demolition end date:
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 www.maine.gov/dep/rwm/asbestos/index.htm for a listing of asbestos contractors.
Prior to issuing a local demolition permit, the MDEP requests that municipalities have applicants for municipal demolition
permits complete this form and fax it to the MDEP at 207-287-6220. Municipalities should not issue local demolition
permits if the required asbestos inspection or survey has not been performed and identified ACM removed.
This demolition notification does not take the place of the Asbestos Project Notification if applicable
I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT
_________________________________________________________________________________________________
Print Name: Owner/Agent Title Signature
____________________________________________________________________________________________
Telephone # FAX # Date
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D Demolition Notification Notice Department of Environmental Protection (Town of Bar Harbor)

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Completed 9 February 2021

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