Outline
The Illinois APC 430 form is a crucial document for those involved in demolition and renovation projects, particularly where asbestos may be present. This form serves as a notification to the Illinois Environmental Protection Agency, ensuring compliance with federal regulations concerning asbestos management. It requires detailed information about the facility, including its location, size, and the presence of asbestos-containing materials. Additionally, the form asks for specifics regarding the type of operation being conducted, whether it is a renovation, demolition, or an emergency situation. Contractors must provide their contact information, as well as that of waste transporters and disposal sites, to facilitate proper handling of hazardous materials. The APC 430 also includes sections for outlining work practices and engineering controls designed to minimize emissions during the project. A signature certifying the accuracy of the information is mandatory, along with a filing fee to ensure the notification is processed correctly. Completing this form accurately is essential to avoid violations and to protect the health of workers and the surrounding community.
Sample - Illinois Apc 430 Form
REC. NO. NOTIFICATION OF DEMOLITION AND RENOVATION
IL 532 1296 APC 430
Illinois Environmental Protection Agency |
P.O. Box 19276, Springfield, IL |
Rev.06/03 |
THIS INFORMATION IS REQUIRED;
ALL SECTIONS MUST BE COMPLETED TO AVOID NOTICE VIOLATION
1.TYPE OF NOTIFICATION
2.TYPE OF OPERATION
3.FACILITY DESCRIPTION (Building Name):
Address:
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Location of Asbestos Containing Material (ACM) in structure: |
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Bldg. Size: |
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Present Use: |
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Prior Use: |
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4. IS ASBESTOS PRESENT? |
Y N |
5. WORK HOURS:* |
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6. SCHEDULED DATE DEMOLITION: |
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7. SCHEDULED DATE ASBESTOS REMOVAL: |
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8. REGULATED ASBESTOS |
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NONFRIABLE ASBESTOS NOT |
NONFRIABLE ASBESTOS TO BE |
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TO BE REMOVED (Demolition): |
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CONTAINING MATERIAL TO BE |
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REMOVED (RACM): |
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CATEGORY I |
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CATEGORY II |
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9. ASBESTOS REMOVAL CONTRACTOR: |
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10. DEMOLITION CONTRACTOR: |
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11. OWNER NAME: |
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12. WASTE TRANSPORTER: |
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13. WASTE DISPOSAL SITE: |
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Date Received: |
Input to ACTS: |
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To Region 1 2 3 |
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Post Mark Date: |
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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.) |
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Governmental representative ordering the activity: |
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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
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
*Not required under NESHAPS.
Mail this form to: IL Environmental Protection Agency, Attn: Asbestos Unit, P.O. Box 19276, Springfield, IL
Form Information
| Fact Name | Description |
|---|---|
| Governing Law | The Illinois APC 430 form is governed by the National Emission Standards for Hazardous Air Pollutants (NESHAP), specifically 40 CFR Subpart M, Section 61.145. |
| Purpose | This form serves as a notification for demolition and renovation activities that may involve asbestos, ensuring compliance with environmental regulations. |
| Filing Fee | A filing fee of $150 is required with each initial notification. This fee must be paid to the Illinois EPA to avoid improper filing. |
| Completion Requirement | All sections of the form must be completed to avoid a notice of violation. Incomplete submissions may lead to penalties. |
Detailed Guide for Filling Out Illinois Apc 430
Filling out the Illinois APC 430 form is an essential step in notifying the appropriate authorities about demolition or renovation activities involving asbestos. Completing this form accurately is crucial to ensure compliance with regulations and to avoid potential violations. The following steps will guide you through the process of filling out the form.
- Obtain the form: Download or print the Illinois APC 430 form from the Illinois Environmental Protection Agency website.
- Type of Notification: Indicate whether this is an original, revised, or canceled notification by marking the appropriate box.
- Type of Operation: Specify the type of operation by selecting renovation, demolition, annual, ordered demolition, or emergency renovation.
- Facility Description: Provide details about the building, including its name, address, city, county, state, ZIP code, location of asbestos-containing material, building size, number of floors, age, present use, prior use, and future use if applicable.
- Asbestos Presence: Answer whether asbestos is present by marking "Yes" or "No."
- Work Hours: Fill in the work hours by indicating the starting time in a.m. or p.m.
- Scheduled Dates: Enter the scheduled start and completion dates for both demolition and asbestos removal.
- Asbestos Removal Details: Specify the type and quantity of asbestos to be removed, including regulated and non-friable asbestos, and categorize them accordingly.
- Contractor Information: Provide the name, address, city, state, ZIP code, contact person, and phone number for both the asbestos removal contractor and the demolition contractor.
- Owner Information: Fill in the name, address, city, state, ZIP code, contact person, and phone number of the owner.
- Waste Transporter: Enter the details for the waste transporter, including their name, address, city, state, ZIP code, contact person, and phone number.
- Waste Disposal Site: Provide the address, city, state, ZIP code, landfill permit number, and phone number of the waste disposal site.
- Procedure for Asbestos Detection: Describe the procedure and analytical method used to detect the presence of asbestos, along with the Illinois license number of the inspector and the name of the analytical testing laboratory.
- Description of Work: Write a brief description of the planned demolition or renovation work, including methods and techniques to be employed.
- Work Practices and Controls: Outline the work practices and engineering controls that will be used to prevent emissions at the site.
- Ordered Demolition: Indicate if the demolition is ordered by a governmental agency and provide the representative's name, title, date of order, and ordered demolition date if applicable.
- Emergency Renovations: If applicable, provide the date and hour of the emergency, along with a description of the unexpected event.
- Unexpected Asbestos Procedures: Describe the procedures that will be followed if unexpected asbestos is found or if previously non-friable asbestos becomes crumbled or pulverized.
- Certification: Sign and date the form, certifying that at least one trained representative will be on-site during the demolition or renovation.
- Filing Fee: Include a $150 filing fee with the form, making checks payable to the Illinois EPA and noting it is for the 10-working day notification fee.
- Mailing: Send the completed form and payment to the Illinois Environmental Protection Agency, Attn: Asbestos Unit, P.O. Box 19276, Springfield, IL 62794-9276.
Obtain Answers on Illinois Apc 430
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What is the purpose of the Illinois APC 430 form?
The Illinois APC 430 form serves as a notification for demolition and renovation activities that may involve asbestos-containing materials (ACM). This form is essential for compliance with federal regulations under the National Emission Standards for Hazardous Air Pollutants (NESHAP). By submitting this form, property owners and contractors inform the Illinois Environmental Protection Agency (IEPA) about their plans, ensuring that proper safety measures are in place to protect public health and the environment.
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Who is required to submit the APC 430 form?
Any individual or entity planning to conduct renovation or demolition work on a property that may contain asbestos must submit the APC 430 form. This includes building owners, contractors, and demolition companies. Failure to submit the form can lead to violations and penalties, making it crucial for all parties involved to understand their responsibilities under the law.
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What information must be included in the APC 430 form?
The form requires comprehensive details about the project, including:
- Type of notification (original, revised, or canceled)
- Type of operation (renovation, demolition, annual, ordered demolition, or emergency renovation)
- Facility description, including address, building size, and usage history
- Presence of asbestos and its specific locations within the structure
- Scheduled dates for demolition and asbestos removal
- Information about contractors and waste transporters
Completing all sections accurately is vital to avoid potential notice violations.
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What happens if asbestos is found unexpectedly during the project?
In the event that unexpected asbestos is discovered, or if previously nonfriable asbestos becomes crumbled or pulverized, specific procedures must be followed. The APC 430 form requires a description of these procedures, which should include immediate notification of the appropriate authorities and implementation of safety measures to prevent exposure. Having a trained representative on-site is also essential to manage such situations effectively.
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What is the filing fee associated with the APC 430 form?
A filing fee of $150 is required with each initial notification submitted for the 10-working day requirement under the asbestos NESHAP regulations. This fee must be paid via check made out to the Illinois EPA, with a notation indicating it is for the 10-working day notification fee. It's important to note that cash and credit cards are not accepted. If the fee is not included with the notification, the submission will be deemed improperly filed, leading to potential delays in the project.
Common mistakes
Filling out the Illinois APC 430 form can be straightforward, but many people make common mistakes that can lead to delays or violations. One frequent error is neglecting to indicate the type of notification. This section is crucial, as it informs the agency whether the submission is original, revised, or canceled. Omitting this detail can result in the form being considered incomplete.
Another common mistake involves the type of operation selected. Applicants sometimes fail to choose the correct operation type, such as renovation or demolition. This oversight can lead to confusion and potential regulatory issues down the line. It is essential to carefully review this section before submitting the form.
People often overlook providing a detailed facility description. Incomplete addresses or missing building names can slow down the processing of your notification. Ensure that all required information, including the location of asbestos-containing material, is filled out accurately. This helps the agency understand the context of your operation.
In the section regarding whether asbestos is present, some individuals mistakenly leave it blank or provide inconsistent answers. This is a critical question. If asbestos is present, it must be clearly stated to ensure compliance with safety regulations. Failing to answer this question can lead to significant consequences.
Another frequent error is not specifying the scheduled dates for demolition or asbestos removal. These dates are vital for planning and compliance checks. Missing or incorrect dates can hinder the agency's ability to monitor the operation effectively.
When listing the asbestos removal contractor and demolition contractor, people sometimes forget to include complete contact information. Incomplete details can create communication barriers, making it difficult for the agency to reach out if needed. Always double-check this information for accuracy.
Many applicants also fail to provide the owner's name and contact information. This oversight can lead to delays in processing your form. The agency needs to know who is responsible for the project, so ensure this section is filled out correctly.
Another mistake is neglecting to attach necessary documents, such as a signed copy of a demolition order if applicable. This can lead to the form being rejected or delayed. Always review the requirements carefully and attach any required documentation.
Finally, some individuals forget to sign the form. An original signature is mandatory; photocopies will not be accepted. This simple yet critical step can prevent your notification from being processed, so make sure to sign and date the form before submission.
Documents used along the form
The Illinois APC 430 form is a crucial document for notifying the Environmental Protection Agency about demolition and renovation activities, particularly concerning asbestos. Along with this form, several other documents are often required to ensure compliance with regulations and to facilitate smooth project execution. Below is a list of these forms and documents, each briefly described for clarity.
- Asbestos Inspection Report: This report provides detailed findings from an asbestos inspection conducted prior to any demolition or renovation. It identifies the presence and location of asbestos-containing materials (ACMs) in the building.
- Asbestos Management Plan: This plan outlines how asbestos will be managed during the renovation or demolition process. It includes strategies for handling, removal, and disposal of ACMs to ensure safety and compliance.
- Demolition Permit: A permit issued by the local government that grants permission to demolish a structure. This document ensures that all local regulations and safety standards are met before work begins.
- Renovation Permit: Similar to the demolition permit, this document is required for renovation projects. It confirms that the planned work complies with local building codes and safety regulations.
- Asbestos Removal Contractor Agreement: This contract outlines the terms of engagement between the property owner and the asbestos removal contractor, detailing responsibilities, timelines, and payment terms.
- Waste Disposal Manifest: This document tracks the disposal of asbestos waste. It provides a record of where the waste was transported and disposed of, ensuring compliance with environmental regulations.
- Notification of Intent to Remove Asbestos: This notification is often required to inform relevant authorities of the planned asbestos removal activities, including timelines and methods to be used.
- Air Monitoring Plan: This plan details the procedures for monitoring air quality during the renovation or demolition process. It ensures that asbestos fibers do not pose a risk to workers or the surrounding community.
- Emergency Response Plan: In case of unexpected asbestos exposure or other emergencies, this plan outlines the steps to be taken to protect workers and the public, including evacuation procedures and notification protocols.
Having these documents ready and properly filled out helps ensure that your project complies with all necessary regulations and promotes safety for everyone involved. Always consult with professionals to ensure you have the right paperwork in place before starting any demolition or renovation project.
Similar forms
- Illinois APC 431 Form: Similar to the APC 430, this form is used for notifications regarding asbestos removal in renovation projects. It requires information about the presence of asbestos and details of the removal process.
- Illinois APC 432 Form: This form is specifically for annual notifications concerning ongoing asbestos operations. It shares similarities with the APC 430 in terms of required facility information and asbestos management details.
- Notification of Demolition Form: This document serves a similar purpose as the APC 430, focusing on notifying authorities about demolition activities. It includes details about the structure and any hazardous materials present.
- Asbestos Abatement Plan: This plan outlines the procedures for safely removing asbestos. Like the APC 430, it emphasizes the need for compliance with safety regulations and details about the work practices to be followed.
- Emergency Renovation Notification: This form is used when unexpected asbestos issues arise during renovation. It parallels the APC 430 by requiring immediate reporting and outlining the steps taken to address the emergency.
- Asbestos Inspection Report: This report documents the findings of an asbestos inspection. It is similar to the APC 430 in that it provides essential information about the presence of asbestos and the condition of the materials.
Dos and Don'ts
Filling out the Illinois APC 430 form can be a daunting task, but following the right guidelines can make the process smoother. Here are some essential dos and don’ts to keep in mind:
- Do ensure all sections of the form are completed to avoid any notice violations.
- Do provide accurate information about the facility, including the building name, address, and age.
- Do indicate whether asbestos is present and provide details about its location within the structure.
- Do include the scheduled dates for demolition and asbestos removal.
- Do attach any necessary documents, such as a signed copy of a governmental order if demolition is ordered.
- Don’t submit the form without paying the required $150 filing fee.
- Don’t use a photocopy of the signature; an original signature is required.
- Don’t leave any questions unanswered; incomplete forms can lead to delays.
- Don’t forget to mail the form to the correct address to ensure timely processing.
By adhering to these guidelines, you can help ensure that your submission is processed efficiently and without unnecessary complications. Pay close attention to each detail, and don't hesitate to seek assistance if needed.
Misconceptions
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Misconception 1: The APC 430 form is optional for all demolition and renovation projects.
In reality, the APC 430 form is mandatory for projects involving asbestos. Failure to submit this form can result in violations and penalties.
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Misconception 2: Only large-scale projects require the APC 430 form.
Both small and large projects that involve asbestos must complete this form. It is not limited to extensive renovations or demolitions.
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Misconception 3: The information on the APC 430 form is not verified.
All submitted information is subject to verification by the Illinois Environmental Protection Agency. Inaccuracies can lead to legal consequences.
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Misconception 4: Once submitted, the APC 430 form does not need to be updated.
If there are any changes to the project, such as a revised demolition date or a change in contractors, the form must be updated accordingly.
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Misconception 5: Payment of the filing fee is not necessary for the form to be valid.
The $150 filing fee is required for the notification to be considered properly filed. Without it, the form will be deemed invalid.
Key takeaways
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:
- Complete All Sections: Every section of the form must be filled out completely. Missing information can lead to violations and delays in your project.
- Understand the Types of Notifications: The form allows for original, revised, or canceled notifications. Make sure to select the correct type to avoid confusion.
- Asbestos Presence: Clearly indicate whether asbestos is present in the structure. This is crucial for compliance and safety during demolition or renovation.
- Filing Fee: A $150 fee is required for the initial notification. Remember, checks must be made payable to the Illinois EPA, and cash or credit cards are not accepted.
By keeping these points in mind, you can ensure a smoother process when dealing with asbestos-related projects in Illinois.