HomeMy WebLinkAboutDBP-83_Asbestos_Notification_StatementButte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecounty.net/dds
Page 1 of 1
FORM NO
DBP-83
ASBESTOS NOTIFICATION STATEMENT
Demolition Project Location: _____________________________________
Assessor’s Parcel Number of Demolition Project: _____________________
Pursuant to section 19827.5 of the California Health and Safety Code, all demolition
permit applicants are required to fill out this form.
“19827.5 A demolition permit shall not be issued by any city, county, city and
county, or state or local agency which is authorized to issue demolition permits as to any
building or other structure except upon the receipt from the permit applicant of a copy of
each written asbestos notification regarding the building that has been required to be
submitted to the United States Environmental Protection Agency or to a designated state
agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the
successor to that part. The permit may be issued without the applicant submitting a copy
of the written notification if the applicant declares that the notification is not applicable to
the scheduled demolition project. The permitting agency may require the applicant to
make the declaration in writing, or it may incorporate the applicant’s response on the
demolition permit application. Compliance with this section shall not be deemed to
supersede any requirement of federal law.”
Attached is a copy of the Asbestos NESAHP Notification of Demolition and Renovation
which I have sent both to the US Environmental Protection Agency of California and the
California Air Resources Board.
Signature _______________________ Date _____________________________
________________________________________________________________________
OR
I hereby declare that a written asbestos notification to the US Environmental Protection
Agency is not applicable to this demolition project.
Signature _______________________________ Date _________________