Pinal County, AZ · Pinal County

No notary required

NESHAP Notification for Renovation and Demolition Activities

This form notifies the Pinal County Air Quality Control District about planned asbestos-related renovation or demolition activities at a facility.

At a glance

Issued by
City of Pinal County · Pinal County, Pinal County, Arizona
Notarization
Not required: file this form without a notary.
Official source
pinal.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The notification form reports renovation or demolition work involving asbestos and collects information about the facility, owners, contractors, inspection, asbestos amounts, work dates, methods, and waste handling. The form includes sections for emergency renovations and ordered demolitions, with an agency order letter required for ordered demolitions. It lists a $100 notification fee and directs filers to mail or deliver the form to the Pinal County Air Quality Control District.

Who needs it

Facility owners or operators and their contractors can use this form to notify the Pinal County Air Quality Control District about asbestos-related renovation or demolition work.

How to submit it

Mail or deliver the completed form to Pinal County AQCD, P.O. Box 987, 85 N Florence St., Florence, AZ 85132. The form lists a $100 notification fee.

About notarization

This document is signed without a notary; the owner or operator signs and dates the certification.

How to submit this form

  1. 1

    Download the Form

    Download the NESHAP Notification for Renovation and Demolition Activities PDF.

  2. 2

    Complete the Form

    Fill in the facility, owner, contractor, inspection, asbestos, work, and waste-handling information that applies.

  3. 3

    Gather Any Required Attachment

    For an ordered demolition, attach a copy of the agency’s ordered demolition letter.

  4. 4

    Submit to Pinal County

    Mail or deliver the form to Pinal County AQCD at the address shown; the form lists a $100 notification fee.

Frequently asked questions

What is the NESHAP notification form for?
It notifies the Pinal County Air Quality Control District about renovation or demolition activities and collects facility, asbestos, contractor, work, and waste-handling details.
Do I need a notary for the NESHAP notification form?
No. This document is signed without a notary; the owner or operator signs and dates the certification.
How do I submit the NESHAP notification form?
Mail or deliver it to Pinal County AQCD, P.O. Box 987, 85 N Florence St., Florence, AZ 85132. The form lists a $100 notification fee.

Need something notarized?

This NESHAP Notification for Renovation and Demolition Activities doesn’t need a notary, but if you have another Pinal County form that does, a commissioned online notary can help.