HomeMy WebLinkAboutFile Documents.206 Cottonwood Ln.0296.2017 (17).arbkCity of Aspen -/ Asbestos Checklist
THE CM OF AEPFN
Project Address:
Parcel ID #: 17Z-2Q7Wd-;?e6 1es /P
Asbestos is a knotrn human carcinogen and is an airborne hazard. Owe airborne, asbestos fibers can slayst upended in the at, -
for days, weeks or even months before settling out of the air, only to becorrre airborne again from some minor disturbance, such as
Turning on an air condhloner. Uncontrolled asbestos abatement projects or , enovation projects that disturb asbestos may cause
latent asbestos hazards that could expose people to asbestos in the fratire, long after the renovation acltvily occurred The
airborne asbestosfiber concentrations resullingFran disturbances may r•esuh in a significant "patine to the critical and furore
occupants offhe home.
The 1989 "Ban" on asbestos -containing materials is commonly misunderstood. In fact, in 1991 the
U.S. Fifth Circuit Court of appeals vacated much of the so-called "Asbestos Ban and Phaseout
Rule" and remanded it to the EPA. Thus, much of the original 1989 EPA ban on the U.S.
manufacturing, importation, processing, or distribution in commerce of many asbestos -containing
product categories was set aside and DID NOT TAKE EFFECT. Therefore, ALL demolition, remodel
or renovation projects must determine if disturbed material above the trigger levels contains
asbestos.
1. Residential: Will you be removing more than 32 sq ft, 50 linear feet (e.g., pi a insulation), or the volume
equivalent of a 55-gallon drum of any material besides c, woodfirf&s or steel — examples are
drywall, linoleum, ceiling tiles, roofing materials, etc.? Jff NO bk6yES
2. Commercial: Will you be removing more than 160 sq ft, 260 linear feet (e.g., pipe insulation), or the
volume equivalent of a 55-gallon drum of any material besides concrete, wood, bricks or steel —
examples are drywall, linoleum, carpet, carpet adhesives, ceiling tiles, roofing materials, etc.?
®NO AYES
3. Will you be completely demolishing the building? ONO 0 YES
If the answer is YES to any of the above, you will need an asbestos test before you can receive a
building and/or demolition permit. A state certified asbestos inspector must do this test and the test
report must be submitted with the building permit application. If the building has asbestos, a state certified
asbestos abatement firm must remove it. After removal, the abatement firm must provide a letter to the
Building Division stating that all the asbestos has been removed and that the air is clean. This letter must
be received BEFORE a permit will be issued. (See the local or statewide Yellow Pages, DexOnLine, or
htto://www.cdphe.state.co.us/ao/asbestos/index.html for certified asbestos inspectors and abatement companies.
ALWAYS ask for proof of current state certification.)
If YES to question # 3, you must submit a demolition permit app with the CDPHE in addition to the Aspen
permit app. This form may be found at httos:/tw .colorado.gov/pacific/cdphe/asbestos-forms NOTE: A copy
of this demolition permit app must be submitted with the initial building permit application. When the CDPHE
approves the app, their issued permit must be given to the Aspen Building Dept before we issue our permit.
I hereby c Ify that the above -information is true and complete.
Owner 7D/la.Z r�A�> Phone# .,<-7 rli y74/ o/ &,
Applicant (print name) kn P,4 25 Phone# 7.S_ la yy m �9
Applicant Signature Date
Please call the City of Aspen Environmental Health Department at 920.5039 at any time if you have questions
about asbestos, interpreting your test results, or other matters.
Webpage: http://www.aspenpitkin.com/pdfs/depts/41/asbestosquestionnalm.pdf Rev. 04-15