40-Doc 00 73 00 7 - Appendix C - 2700-FM-AQ0021 - Instructions.pdf

2700-FM-BAQ0021 Rev. 7/2025 Instructions

COMMONWEALNTH OF PENNSYLVANIA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

BUREAU OF AIR QUALITY

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ASBESTOS ABATEMENT AND DEMOLITION/RENOVATION NOTIFICATION INSTRUCTIONS

Complete all applicable sections of the notification. Fax copies are not accepted, as the notification must be certified with an original signature. This form can be used to satisfy the notification requirements of the following agencies (see agency addresses below):

▪ PA Department of Environmental Protection (DEP) ▪ Allegheny County Health Department

▪ PA Department of Labor and Industry (L&I) ▪ City of Philadelphia Department of Public Health

Special: • All REVISIONS to a previous notification should be highlighted.

Notations: • Item #5 – Check the box(s) that best describe(s) the entire project.

• Item #6 – The “Job No.” portion of this Item is provided for those contractors who assign a unique job # to their projects.

• Item #13 – Refer to the Asbestos NESHAP and the 1990 Act 194 to determine if the project is regulated by the NESHAP and/or subject to the Act 194.

• Item #17 and #18 – Required for all projects.

• Item #12 – Please provide the information in the format requested.

• Items #26 and #27 – Notifications must contain original signatures or they will be returned to the sender, unprocessed. If a notification is returned for original signature, the ten (10) day reporting period will begin with the postmark date of the resubmitted notification with original signature.

• If additional space is needed for any descriptive text, please continue on a blank sheet, and attach.

Fees: Initial notification for an asbestos abatement or regulated demolition or renovation project that is subject to 40 CFR Part 61, Subpart M (relating to National Emission Standards for Hazardous Air Pollutants), or the Asbestos Occupations Accreditation and Certification Act (Act 1990 - 194) (63 P.S. §§ 2101—2112) must be accompanied by the appropriate fee:

• For projects located in all Pennsylvania counties, except Philadelphia or Allegheny - $300 (2021 -

2025); $400 (2026-2030); $500 (2031). Years are calendar years. Fee payable to "The

Commonwealth of Pennsylvania Clean Air Fund" and submitted to the respective regional office. Initial notifications will not be considered complete unless accompanied by the fee. No fee is due for a notification revision.

• For projects located in Allegheny County, refer to the Asbestos and Abrasive Blasting Fee Schedule

(https://www.alleghenycounty.us/), search asbestos.

• For projects located in the City of Philadelphia, refer to the fee schedule at https://www.phila.gov/services/permits-violations-licenses/apply-for-a-permit/environmental-permits-and-approvals/dust-air-pollution-and-asbestos/apply-for-an-asbestos-project-permit/.

You are not required to pay the fee for fire set for the purpose of instructing personnel in firefighting in accordance with 25 Pa. Code § 129.14(c)(2).

For projects in Allegheny County or the City of Philadelphia, this form or electronic application must be submitted to the appropriate entity or address listed below. The City of Philadelphia requires three copies. If this project requires a permit application, it must be approved prior to the start of the project, and two copies must be included with the notification. A copy of the facility inspection survey must also be included for all demolition projects. Do not send these documents to Harrisburg.

Allegheny County Health Department City of Philadelphia Air Quality Program Department of Public Health 836 Fulton Street Air Management Services

Pittsburgh, PA 15233-2124 Asbestos Control Unit Attn: Asbestos Abatement Permitting 321 University Avenue Philadelphia, PA 19104-4597 https://www.ecfr.gov/current/title-40/section-61.145 https://www.legis.state.pa.us/cfdocs/legis/LI/uconsCheck.cfm?txtType=HTM&yr=1990&sessInd=0&smthLwInd=0&act=194&chpt=0&sctn=8&subsctn=0 https://www.alleghenycounty.us/ https://www.phila.gov/services/permits-violations-licenses/apply-for-a-permit/environmental-permits-and-approvals/dust-air-pollution-and-asbestos/apply-for-an-asbestos-project-permit/ https://www.phila.gov/services/permits-violations-licenses/apply-for-a-permit/environmental-permits-and-approvals/dust-air-pollution-and-asbestos/apply-for-an-asbestos-project-permit/

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Allegheny County – A permit is required if the project involves at least 260 linear feet or 160 square feet of any asbestos containing material. The survey must be included for demolition projects. The notification must be signed by the Contractor and Facility Owner. Information can be obtained by calling 412-578-8120 or accessing https://www.alleghenycounty.us/Services/Health-Department/Air-Quality/Asbestos-and-Abrasive-Blasting

City of Philadelphia – A permit is required if the project involves 80 or more square feet or 40 or more linear feet of friable asbestos containing material and does not involve an exempted private residence. Information can be obtained by calling 215-685-7576.

The PA DEP Central Office is no longer processing the asbestos demolition/renovation notification form. Do not send the notification form to the P.O. Box 8468 or the 400 Market Street, Harrisburg address.

The notification submission addresses, listed below, are to be used depending on the county location of your project:

If the facility address is in Bucks, Chester, Delaware, or Montgomery Counties, send your notification information to:

PA DEP Southeast Region Asbestos Notification 2 East Main Street Norristown, PA 19401-4915

Telephone: 484-250-5920

If the facility address is in Adams, Bedford, Berks, Blair, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Perry, or York Counties, send your notification information to:

PA DEP Southcentral Region Asbestos Notification 909 Elmerton Avenue Harrisburg, PA 17110-8200

Telephone: 717-705-4702

If the facility address is in Beaver, Cambria, Fayette, Greene, Somerset, Washington, or Westmoreland Counties, send your notification formation to:

PA DEP Southwest Region Asbestos Notification 400 Waterfront Drive Pittsburgh, PA 15222-4745

Telephone: 412-442-4190 for Beaver, Greene, and Washington Counties

Telephone: 724-925-5428 for Cambria, Fayette, Somerset, and Westmoreland Counties

If the facility address is in Carbon, Lackawanna, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill, Susquehanna, Wayne, or Wyoming Counties, send your notification information to:

PA DEP Northeast Region Asbestos Notification 2 Public Square Wilkes-Barre, PA 18701-1915

Telephone: 570-826-5547

If the facility address is in Bradford, Cameron, Centre, Clearfield, Clinton, Columbia, Lycoming, Montour, Northumberland, Potter, Snyder, Sullivan, Tioga, or Union Counties, send your notification formation to:

PA DEP Northcentral Region Asbestos Notification 208 West Third Street, Suite 101 Williamsport, PA 17701-6448

Telephone: 570-321-6580

If the facility address is in Armstrong, Butler, Clarion, Crawford, Elk, Erie, Forest, Indiana, Jefferson, Lawrence, McKean, Mercer, Venango, or Warren Counties, send your notification formation to:

PA DEP Northwest Region Asbestos Notification 230 Chestnut Street Meadville, PA 16335-3481

Telephone: 814-332-6634

Questions: Relative to specific filing requirements and enforcement regulations should be directed to the governing agency. Addresses and phone numbers are provided. Do not mail original notifications to L&I.

https://www.alleghenycounty.us/Services/Health-Department/Air-Quality/Asbestos-and-Abrasive-Blasting

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STATE AND LOCAL AGENCY CONTACTS

City of Philadelphia City of Philadelphia

Department of Public Health Air Management Services Asbestos Control Unit

321 University Avenue

Philadelphia, PA 19104-4597

Telephone: 215-685-7576

Allegheny County Allegheny County Health Department

Air Quality Program

836 Fulton Street

Pittsburgh, PA 15233-2124

Telephone: 412-578-8120

Labor & Industry Contact Department of Labor and Industry

Bureau of Occupational and Industrial Safety Seventh and Forster Streets - Room 1623 Harrisburg, PA 17120

Telephone: 717-772-3396