Attachment 21 Notice of Demo and Reno.pdf

This document is a Notification of Demolition and Renovation form designed to capture comprehensive details about an asbestos removal and facility renovation project. The two-page form includes sections for documenting facility information, project type, asbestos presence, facility description, removal procedures, waste transportation, and disposal details. Key sections require identification of the owner, removal contractor, and other operators, with spaces to specify the type of operation (demolition or renovation), building details, and the approximate amount of asbestos to be removed. The form mandates documentation of work practices, engineering controls to prevent asbestos emissions, waste transportation logistics, and requires certification that an individual trained in asbestos removal regulations will be on-site during the project. The form includes provisions for emergency renovations and procedures for unexpected asbestos discoveries, with signature lines for owner/operator certification of the information's accuracy.