The Georgia Project Notification Form is a crucial document for anyone involved in asbestos renovation, encapsulation, or demolition projects. This form ensures compliance with state regulations by providing necessary details about the project, including the type of notice, site information, and contractor details. For a smooth process, it's essential to fill out the form completely, so don't hesitate to start by clicking the button below.
The Georgia Project Notification Form serves as a critical tool for managing asbestos-related activities, ensuring compliance with state regulations during renovation, encapsulation, or demolition projects. This form requires detailed information, including the type of notice being submitted—whether it is an original or a revision—and the nature of the project, such as renovation or demolition. Site-specific details are essential, encompassing the project name, address, and characteristics of the building involved, like its size and age. Additionally, the form mandates the identification of contractors responsible for asbestos removal or demolition, along with their licensing information. It also inquires about the presence of asbestos-containing materials (ACM), necessitating an inspection by an accredited professional. Furthermore, it outlines work schedules, including start and end dates for abatement or demolition activities, while emphasizing the importance of advance notification. The form includes sections for calculating fees based on the amount and type of ACM, ensuring that all financial obligations are met. Lastly, it requires certification from the responsible parties, affirming that trained individuals will oversee the project, thereby reinforcing safety and regulatory compliance throughout the process.
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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Filling out the Georgia Notification form is a critical step in ensuring compliance with state regulations regarding asbestos projects. This form requires detailed information about the project, including the type of work being performed, site information, and contractor details. After completing the form, it will need to be submitted to the appropriate department, along with any applicable fees.
After completing these steps, review the form for accuracy and clarity. Ensure that all required sections are filled out, and submit the form to the appropriate address based on whether fees are due. Keeping a copy for your records is also recommended.
The Georgia Notification Form is a required document for any renovation, encapsulation, or demolition project that involves asbestos. This form helps ensure that all necessary information is submitted to the Georgia Environmental Protection Division (EPD) before work begins. It includes details about the project type, site information, contractors involved, and the presence of asbestos. Completing this form accurately is crucial for compliance with state regulations.
Submission depends on whether fees are due for your project. If fees are applicable, send the completed form along with the payment to the EPD Asbestos Fees Lockbox at:
If no fees are due, mail the form to:
Always keep a copy of the form for your records and ensure that no sections are left blank. If any information is unknown, indicate that clearly by marking it as 'N/A' or 'Unknown.'
In Section 4 of the form, you must indicate whether asbestos is present at the project site. You should check one of the following options:
If asbestos is present, specify whether it is friable or non-friable. Additionally, confirm if an AHERA-accredited inspector has inspected the site. This information is vital for compliance with Georgia's asbestos regulations and ensures that appropriate safety measures are taken during the project.
If any information changes after you submit the original notification, you must submit a revision. To do this, check the revision box in Section 1A and provide the revision number. Update any sections where information has changed and re-sign the certification section. If additional fees are required due to the revision, include that payment with the revised notification. Always ensure that the revised notification is submitted before work begins to maintain compliance.
Leaving Sections Blank: One of the most common mistakes is leaving any section blank. If information is not available, it is important to write "N/A" or "UNKNOWN" instead.
Incorrectly Identifying the Project Type: People often fail to select the correct checkbox for the type of project they are conducting. This can lead to confusion and delays.
Not Providing Complete Site Information: Failing to include all required details about the project site, such as the project name, address, and county, can result in processing issues.
Inaccurate Contractor Information: Many submitters do not double-check the accuracy of the contractor's information. This includes the name, address, and license number.
Miscalculating Fees: It is common for individuals to miscalculate the fees due. This can happen if the square footage or linear footage amounts are entered incorrectly.
Failing to Sign the Form: Some individuals forget to sign the certification section of the notification form, which is crucial for validating the submission.
Not Keeping Copies: After submitting the form, many do not retain a copy for their records. Keeping a copy is essential for future reference and verification.
When dealing with asbestos-related projects in Georgia, it is crucial to have the appropriate documentation. Along with the Georgia Notification Form, several other forms and documents may be required to ensure compliance with state regulations. Below is a list of commonly used forms that should accompany the notification process.
Completing and submitting these documents accurately is vital for compliance and safety. Ensure that all forms are filled out completely and submitted to the appropriate authorities in a timely manner. This will help avoid potential delays and penalties during your asbestos project.
The Georgia Notification form for asbestos projects shares similarities with the Environmental Protection Agency (EPA) Asbestos Notification Form. Both documents serve the purpose of notifying relevant authorities about asbestos-related activities. They require detailed information about the project, including the type of work being performed, site details, and contractor information. Additionally, both forms emphasize the importance of compliance with federal regulations regarding asbestos management and disposal, ensuring that all necessary precautions are taken to protect public health.
Another comparable document is the National Emission Standards for Hazardous Air Pollutants (NESHAP) Notification. This notification is required for any demolition or renovation activities that may disturb asbestos. Like the Georgia form, the NESHAP Notification mandates that project details, including the presence of asbestos and the contractor's information, be reported. Both forms aim to ensure that asbestos is handled safely and in accordance with environmental regulations, minimizing the risk of exposure to hazardous materials.
The Occupational Safety and Health Administration (OSHA) Asbestos Notification also resembles the Georgia form. OSHA requires employers to notify workers and relevant authorities when conducting asbestos-related work. This notification includes similar information regarding project scope, contractor details, and safety measures. Both forms focus on worker safety and regulatory compliance, aiming to protect those involved in asbestos removal or disturbance activities.
The State of Georgia’s Demolition Notification Form is another document that parallels the Georgia Notification form. This form is specifically used for demolition projects, requiring details about the structure being demolished and any hazardous materials present. Both forms emphasize the need for advance notification to ensure proper safety protocols are followed during demolition, particularly when asbestos is involved.
The Asbestos Abatement Project Notification from other states, such as California, shares many characteristics with the Georgia form. These notifications require similar information about the project, including site details, contractor information, and the type of asbestos present. Each state’s form is designed to ensure compliance with local regulations and to protect public health during asbestos removal or renovation activities.
The Federal Asbestos Hazard Emergency Response Act (AHERA) Notification is another similar document. This notification is required for schools and public buildings undergoing renovations or demolitions that may disturb asbestos. Like the Georgia form, it requires detailed project information and compliance with safety regulations. Both documents serve to protect students, staff, and the public from potential asbestos exposure during construction activities.
The Asbestos Waste Disposal Notification is comparable as well. This document is necessary when disposing of asbestos-containing materials and requires information about the disposal site and transporters. Both the Georgia Notification form and the Waste Disposal Notification emphasize the importance of proper disposal methods to prevent environmental contamination and ensure public safety.
The Building Permit Application for renovation or demolition projects also shares similarities with the Georgia Notification form. This application typically requires information about the presence of asbestos and the planned methods for handling it. Both documents aim to ensure that all safety measures are in place before construction begins, protecting workers and the surrounding community from asbestos exposure.
The Hazardous Materials Business Plan (HMBP) is another relevant document. Businesses that handle hazardous materials, including asbestos, must submit an HMBP that outlines their safety procedures and emergency response plans. Similar to the Georgia Notification form, the HMBP requires detailed information about the materials being handled and the measures taken to ensure safe management.
Lastly, the Asbestos Management Plan is akin to the Georgia Notification form. This plan is required for buildings containing asbestos and outlines how the material will be managed and maintained. Both documents focus on safety and compliance, detailing procedures for handling asbestos to minimize risks to occupants and workers.
When filling out the Georgia Notification form for asbestos renovation, encapsulation, or demolition, it’s essential to follow specific guidelines to ensure accuracy and compliance. Here are four key dos and don’ts:
In reality, submitting the Georgia Notification Form is mandatory for any renovation, encapsulation, or demolition project involving asbestos. This ensures compliance with state regulations and helps protect public health.
Many people believe that only extensive renovations or demolitions need to be reported. However, even small projects involving friable asbestos—less than 10 square feet or 10 linear feet—must be documented through a courtesy notification.
Submitting the form is just the beginning. If any project details change, such as work schedules or contractors, a revised notification must be submitted. Keeping the EPD informed ensures compliance and avoids potential penalties.
While many projects do require fees, not all do. For instance, demolition projects typically do not incur fees. It's important to understand the specific requirements for your project type to avoid unnecessary costs.
While it's true that various parties may assist with the notification, the actual submission must come from the asbestos abatement or demolition contractor. This ensures that the responsible party is directly accountable for the information provided.
When filling out the Georgia Notification Form for asbestos renovation, encapsulation, or demolition, consider the following key takeaways:
Following these guidelines will help ensure a smooth and compliant submission process for your asbestos-related project in Georgia.