Loomis, CA · Placer County
Asbestos NESHAPS Declaration of Notification Compliance
This form helps residential and other property project applicants determine whether asbestos NESHAP notification applies to demolition, renovation, or remodeling work.
What this form is
Applicants answer questions about the building and planned work to determine whether the project is exempt from asbestos NESHAP notification requirements. Attach the completed form to the Demolition/Renovation Permit Application. If answers require notification, the form describes inspection and notification steps, including attaching copies of completed notification forms sent to the listed agencies.
Who needs it
Applicants for residential or other building renovation, demolition, or remodeling projects use this form to determine whether asbestos NESHAP notification is required.
How to submit it
Attach this form to the Demolition/Renovation Permit Application. If notification is required, send the original to the listed U.S. EPA address and a copy to the California Air Resources Board address or fax number.
About notarization
This document is signed without a notary; the applicant declares under penalty of perjury that the responses are true and that required notification was provided or is not applicable.
How to submit this form
- 1
Download The Form
Download the Asbestos NESHAPS Declaration of Notification Compliance.
- 2
Complete The Questions
Answer the applicable questions in Part A for a residential building or Part B for a general exemption.
- 3
Gather Required Attachments
If notification is required, attach copies of the completed notification forms sent to U.S. EPA and the California Air Resources Board.
- 4
Submit With The Permit Application
Attach this form to the Demolition/Renovation Permit Application.
Frequently asked questions
- Do I need a notary for the Asbestos NESHAPS Declaration?
- No. The applicant signs and dates the form without a notary and declares under penalty of perjury that the responses are true and notification was provided or is not applicable.
- How do I submit the Asbestos NESHAPS Declaration?
- Attach the completed form to the Demolition/Renovation Permit Application. If notification is required, send the original to the listed U.S. EPA address and a copy to the California Air Resources Board.
- What does the form ask about?
- It asks questions about the building and the planned renovation, demolition, or remodeling work to help determine whether the project is exempt from asbestos NESHAP notification requirements.
- What if my answers mean notification is required?
- The form says a thorough asbestos inspection must be conducted by a California Division of Occupational Safety and Health Certified Asbestos Consultant before renovation or demolition. It also describes notification requirements.