Grass Valley, CA · Nevada County
Asbestos NESHAP Declaration of Notification Compliance
Property applicants complete this form to determine whether a renovation or demolition project is exempt from Asbestos NESHAP notification requirements.
What this form is
This form asks about the property and project to help determine whether a residential or general exemption applies to Asbestos NESHAP notification requirements. Complete the relevant questions and attach the form to the Demolition/Renovation Permit Application. If any answer is yes, the form lists inspection and notification steps that may apply.
Who needs it
Applicants for demolition, renovation, or remodeling projects complete the relevant section and attach the form to their Demolition/Renovation Permit Application.
How to submit it
Attach a copy of this form to the Demolition/Renovation Permit Application. If notification is required, send the original to U.S. EPA Region IX and a copy to the California Air Resources Board as directed on the form.
About notarization
This form is signed without a notary; the applicant signs and dates the declaration, and any required notification copies are attached to the permit application.
How to submit this form
- 1
Download The Form
Download the Asbestos NESHAP Declaration of Notification Compliance PDF.
- 2
Complete The Relevant Section
Enter the property address and applicant name, then answer the questions in Part A, Part B, or both as applicable.
- 3
Gather Required Notifications
If any answer is yes, follow the form's instructions for inspection and notification, and prepare copies of notifications sent.
- 4
Sign And Attach
Sign and date the declaration, then attach it and any required notification copies to the Demolition/Renovation Permit Application.
Frequently asked questions
- What does the Asbestos NESHAP Declaration determine?
- It asks project questions to help determine whether a residential or general exemption from Asbestos NESHAP notification requirements applies.
- How do I submit the Asbestos NESHAP Declaration?
- Attach a copy to your Demolition/Renovation Permit Application. If notification is required, send it to the agencies listed on the form and attach copies of those notifications to the permit application.
- Do I need a notary for the Asbestos NESHAP Declaration?
- No. The applicant signs and dates the declaration without a notary; any required notification copies are attached to the permit application.
Need something notarized?
This Asbestos NESHAP Declaration of Notification Compliance doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.