The Illinois APC 430 form is a notification required for demolition and renovation activities that may involve asbestos. This form ensures compliance with environmental regulations and helps protect public health. To complete your notification, fill out the form by clicking the button below.
The Illinois APC 430 form serves as a crucial tool for managing asbestos during demolition and renovation projects. This form is required by the Illinois Environmental Protection Agency and must be completed accurately to ensure compliance with federal regulations regarding asbestos handling. It covers essential information, including the type of notification—whether original, revised, or canceled—and the specific operation being conducted, such as renovation or demolition. Key details about the facility, including its address, size, and age, must be provided, along with information about the presence of asbestos. The form also requires the scheduling of demolition and asbestos removal dates, as well as the identification of contractors involved in the process. Furthermore, it outlines the procedures for detecting asbestos and managing unexpected findings. Completing this form not only aids in regulatory compliance but also helps protect the health and safety of workers and the surrounding community. A filing fee is necessary for the initial notification, and failure to include this payment may result in improper filing. Overall, the Illinois APC 430 form is an essential document that facilitates safe and responsible asbestos management in construction and renovation projects.
REC. NO. NOTIFICATION OF DEMOLITION AND RENOVATION
IL 532 1296 APC 430
Illinois Environmental Protection Agency
P.O. Box 19276, Springfield, IL 62794-9276
Rev.06/03
THIS INFORMATION IS REQUIRED; NESHAP-40CFR-SUBPART M-61.145, Rev. Nov. 20, 1990
ALL SECTIONS MUST BE COMPLETED TO AVOID NOTICE VIOLATION
1.TYPE OF NOTIFICATION (O-Original/R-Revised/C-Canceled):
2.TYPE OF OPERATION (R-Renovation/D-Demo/A-Annual/O-Ordered Demo/E-Emergency Renovation):
3.FACILITY DESCRIPTION (Building Name):
Address:
City:
County:
State:
ZIP:
Location of Asbestos Containing Material (ACM) in structure:
Bldg. Size:
# of Flrs.
Age:
Present Use:
Prior Use:
Future Use (Demo):
4. IS ASBESTOS PRESENT?
Y N
5. WORK HOURS:*
a.m.
p.m.
6. SCHEDULED DATE DEMOLITION:
Start:
Complete:
7. SCHEDULED DATE ASBESTOS REMOVAL:
8. REGULATED ASBESTOS
NONFRIABLE ASBESTOS NOT
NONFRIABLE ASBESTOS TO BE
TO BE REMOVED (Demolition):
REMOVED:
CONTAINING MATERIAL TO BE
REMOVED (RACM):
CATEGORY I
CATEGORY II
Pipes (Ln. Ft.)
Surface Area (Sq. Ft.)
Volume (Cu. Ft.)
9. ASBESTOS REMOVAL CONTRACTOR:
State, Zip:
Contact:
Phone:
10. DEMOLITION CONTRACTOR:
11. OWNER NAME:
12. WASTE TRANSPORTER:
13. WASTE DISPOSAL SITE:
Landfill Permit #:
-AGENCY USE ONLY-
Date Received:
Input to ACTS:
To Region 1 2 3
Post Mark Date:
To Cook/City:
Champaign:
LaSalle:
Springfield:
Rockford:
Moline:
Marion:
14.PROCEDURE, INCLUDING ANALYTICAL METHOD, USED TO DETECT THE PRESENCE OF ASBESTOS.
ILLINOIS LICENSE NUMBER OF INSPECTOR: NAME OF ANALYTICAL TESTING LABORATORY:
15.DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK:
METHODS TO BE EMPLOYED INCLUDING DEMOLITION OR RENOVATION TECHNIQUES.
16.DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS AT THE DEMOLITION OR RENOVATION SITE:
17. IS DEMOLITION ORDERED BY A GOVERNMENTAL AGENCY?
Y N (If Yes, a signed copy of Order must be attached.)
Governmental representative ordering the activity:
Title:
Date of Order:
Ordered Demolition Date:
18.FOR EMERGENCY RENOVATIONS: Date and Hour of Emergency:
Description of the Sudden, Unexpected Event (e.g. structure in danger of eminent collapse):
19.DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER.
20.I CERTIFY THAT AT LEAST ONE REPRESENTATIVE, TRAINED IN THE PROVISIONS OF 40 CFR PART 61, SUBPART M, SHALL BE ON-SITE DURING DEMOLITION OR RENOVATION, HAVING IN HIS OR HER POSSESSION, FOR INSPECTION, EVIDENCE THAT THE REQUISITE TRAINING HAS BEEN ACCOMPLISHED.
I CERTIFY THE ABOVE INFORMATION IS CORRECT.
Signature of Owner/Operator Date
(Original Signature Only, Photocopy Not Valid)
A FILING FEE OF $150 MUST BE PAID WITH EACH INITIAL 10-WORKING DAY NOTIFICATION REQUIRED BY THE ASBESTOS NESHAP. MAKE CHECKS PAYABLE TO ILLINOIS EPA AND MAKE NOTATION THAT IT IS FOR THE 10-WORKING DAY NOTIFICATION FEE. CASH AND CREDIT CARDS ARE NOT ACCEPTABLE. IF THE FEE IS NOT SUBMITTED WITH THE NOTIFICATION, THE NOTIFICATION WILL BE DEEMED IMPROPERLY FILED.
*Not required under NESHAPS.
Mail this form to: IL Environmental Protection Agency, Attn: Asbestos Unit, P.O. Box 19276, Springfield, IL 62794-9276
Completing the Illinois APC 430 form is essential for notifying the appropriate authorities about demolition or renovation activities involving asbestos. Follow the steps below to ensure that all necessary information is accurately filled out and submitted.
Once you have completed the form, ensure that the filing fee of $150 is included. Make checks payable to the Illinois EPA, noting that it is for the 10-working day notification fee. Send the completed form and payment to the Illinois Environmental Protection Agency, Attn: Asbestos Unit, P.O. Box 19276, Springfield, IL 62794-9276.
The Illinois APC 430 form is a notification document required for demolition and renovation activities that may involve asbestos. It helps ensure compliance with federal regulations regarding asbestos management. By filling out this form, property owners and contractors inform the Illinois Environmental Protection Agency (IEPA) about their plans, including the presence of asbestos, scheduled dates for work, and details about contractors involved. This information is crucial for protecting public health and the environment during construction activities.
Anyone planning to demolish or renovate a building that may contain asbestos must submit the APC 430 form. This includes property owners, contractors, and any entities involved in the renovation or demolition process. If asbestos is present in the building, it is especially important to notify the IEPA, as there are specific regulations that must be followed to ensure safe handling and disposal of asbestos-containing materials.
The APC 430 form requires a variety of information, including:
Completing all sections accurately is essential to avoid violations and ensure compliance with regulations.
Yes, there is a filing fee of $150 that must accompany each initial notification. This fee is required by the Asbestos NESHAP regulations. When submitting the form, make sure to include a check made out to the Illinois EPA, noting that it is for the 10-working day notification fee. Be aware that cash and credit cards are not accepted. If the fee is not included, the notification will be considered improperly filed, which could lead to delays or penalties.
Incomplete Sections: Failing to fill out all sections of the APC 430 form can lead to delays and potential violations. Each section is mandatory, and missing information may result in the form being deemed improperly filed.
Incorrect Type of Notification: Selecting the wrong type of notification (O for Original, R for Revised, C for Canceled) can cause confusion and miscommunication. Ensure the correct option is marked based on the situation.
Misidentifying Asbestos Presence: Indicating whether asbestos is present requires careful consideration. A simple "yes" or "no" answer can have significant implications for safety and compliance.
Omitting Contractor Information: Failing to provide accurate details for the asbestos removal contractor and demolition contractor can lead to issues in coordination and accountability. Ensure all contact information is complete and correct.
Neglecting the Filing Fee: Not including the required $150 filing fee with the notification will result in the form being improperly filed. This fee must be paid by check, and cash or credit cards are not accepted.
The Illinois APC 430 form is a critical document for notifying authorities about demolition and renovation activities, particularly regarding asbestos management. Along with this form, several other documents are commonly used to ensure compliance with state and federal regulations. Below is a list of these documents, each serving a specific purpose in the process.
Utilizing these documents alongside the Illinois APC 430 form helps ensure that all necessary precautions are taken during renovation or demolition projects. This proactive approach protects the health of workers and the surrounding community while maintaining compliance with legal requirements.
The Illinois APC 430 form is similar to the EPA Notification of Intent to Demolish or Renovate form. Both documents are essential for compliance with federal regulations regarding asbestos management. They require detailed information about the facility, including its location, the presence of asbestos, and the scheduled dates for demolition or renovation. Each form mandates that the contractor provides a thorough description of work practices and engineering controls to prevent asbestos emissions, ensuring that safety protocols are followed during the project.
Another comparable document is the Asbestos Abatement Project Notification form. This form serves a similar purpose by notifying regulatory agencies about planned asbestos removal activities. Like the APC 430, it collects information on the type of operation, the presence of asbestos, and the contractors involved. It also emphasizes the importance of having trained personnel on-site during the abatement process, aligning with the requirements set forth in the Illinois APC 430 form.
The Demolition Permit Application is yet another document that shares similarities with the Illinois APC 430 form. This application is often required by local jurisdictions before demolition work can commence. Both documents necessitate the disclosure of the facility's details and the nature of the work to be performed. Additionally, they may require information about waste disposal methods and the handling of hazardous materials, ensuring that all safety and regulatory measures are adhered to during demolition activities.
The Notification of Asbestos-Containing Materials form also bears resemblance to the Illinois APC 430 form. This document is used to inform relevant authorities about the presence of asbestos in a building prior to any renovation or demolition. It requires similar information regarding the location and quantity of asbestos, as well as the planned methods for removal or containment. Both forms aim to protect public health by ensuring that all necessary precautions are taken when dealing with asbestos.
The State-Specific Asbestos Notification form is another document that aligns closely with the Illinois APC 430. Each state may have its own version of an asbestos notification form, but they typically require the same essential information, such as facility details, contractor information, and the presence of asbestos. These forms help ensure that state regulations are met and that appropriate measures are taken to manage asbestos safely during renovation or demolition projects.
Finally, the Hazardous Waste Manifest is similar in that it documents the transportation of hazardous materials, including asbestos waste. While the Illinois APC 430 focuses on the notification of demolition and renovation activities, the Hazardous Waste Manifest tracks the movement of asbestos-containing materials to disposal sites. Both documents emphasize the importance of proper handling and disposal practices to protect public health and the environment, ensuring that all relevant regulations are followed throughout the process.
When filling out the Illinois APC 430 form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid during this process.
By adhering to these guidelines, individuals can help ensure that their submission is processed smoothly and efficiently.
Understanding the Illinois APC 430 form is crucial for anyone involved in demolition or renovation projects that may involve asbestos. However, several misconceptions exist regarding this form. Here are eight common misunderstandings:
Addressing these misconceptions can help ensure compliance with environmental regulations and promote safety during renovation and demolition activities.
Filling out the Illinois APC 430 form is an important step for anyone involved in demolition or renovation projects that may involve asbestos. Here are some key takeaways to keep in mind:
Following these guidelines will help ensure that the APC 430 form is completed accurately and in compliance with Illinois regulations. Proper preparation can facilitate a smoother process and contribute to a safer working environment.