Homepage Fill a Valid Daqa 424 12 Template

Dos and Don'ts

When filling out the Daqa 424 12 form, attention to detail is crucial. Here are five things to do and five things to avoid.

  • Do ensure all fields are completed accurately.
  • Do double-check the facility's address and contact information.
  • Do provide clear details about the demolition dates.
  • Do include information about the asbestos inspection and findings.
  • Do sign and date the form before submission.
  • Don't leave any required fields blank.
  • Don't provide outdated contact information.
  • Don't underestimate the importance of accurate asbestos information.
  • Don't forget to attach any additional sheets if necessary.
  • Don't submit the form without verifying the fee calculation.

Listed Questions and Answers

  1. What is the purpose of the Daqa 424 12 form?

    The Daqa 424 12 form is used to notify the Utah Division of Air Quality about planned demolition activities. This form is specifically for demolitions where no asbestos is removed and no intentional burning occurs. It ensures compliance with air quality regulations and helps protect public health.

  2. What fees are associated with submitting the Daqa 424 12 form?

    The base fee for submitting the form is $75. If the floor space exceeds 5,000 square feet, an additional $50 is charged for every 5,000 square feet over that limit. It is important to calculate the total fee accurately to avoid delays in processing.

  3. What information is required about the facility?

    You must provide the facility's name, address, city, county, and zip code. Additionally, specify which part of the facility is involved in the demolition, the age of the facility, its size, the number of floors, current use, and prior use. This information helps authorities understand the context of the demolition.

  4. Who needs to be listed as the facility owner/operator?

    The facility owner or operator's name, address, city, state, zip code, contact person, and phone number must be included. This ensures that the appropriate individual can be contacted regarding the demolition project.

  5. What details about the demolition contractor are necessary?

    The name, address, city, state, zip code, contact person, and phone number of the demolition contractor must be provided. This information is crucial for communication and coordination during the demolition process.

  6. What asbestos inspection information needs to be included?

    Details about the asbestos inspection must be provided, including the date of inspection, the name and ID number of the Utah certified inspector, the name and ID number of the certified asbestos company, and the analytical method used for asbestos analysis. You must also indicate whether asbestos is present and if it was sampled or assumed.

  7. How should unexpected asbestos-containing materials (RACM) be handled?

    The form requires a description of the procedures to follow if unexpected RACM is found or generated during the project. This ensures that there is a clear plan in place to address any potential hazards that may arise during demolition.

  8. What is required for the certification section of the form?

    The owner or operator must certify that all information provided in the notification is true and correct. This includes signing and dating the form, as well as printing the name and title of the owner/operator. This certification is a legal affirmation of the accuracy of the submitted information.

Key takeaways

When filling out the Daqa 424 12 form, keep these key takeaways in mind:

  • Understand the Fees: The initial fee is $75, with an additional $50 for every 5,000 square feet over the first 5,000 square feet. Ensure you calculate the total fee accurately.
  • Provide Complete Facility Information: Include the facility name, address, and details about the part of the facility involved in the demolition. This information is crucial for proper processing.
  • Asbestos Inspection Details: Document the date of inspection and the certified inspector's information. Indicate whether asbestos is present and how it was determined (sampled or assumed).
  • Emergency Procedures: Clearly describe the procedures to follow if unexpected asbestos-containing materials are found during demolition. This is essential for safety and compliance.

Documents used along the form

The Daqa 424 12 form is essential for notifying the Utah Division of Air Quality about demolition projects. However, there are other important documents that often accompany this form to ensure compliance with regulations and to provide necessary information. Here’s a list of those documents.

  • Asbestos Inspection Report: This report details the findings of an asbestos inspection conducted by a certified inspector. It includes information about the presence of asbestos in the facility and the methods used for analysis.
  • Demolition Plan: This document outlines the procedures for the demolition project. It includes timelines, safety measures, and the methods that will be used to manage any hazardous materials found during the demolition.
  • Notification of Intent to Demolish: This is a formal notification to local authorities about the intent to demolish a structure. It often includes details about the project and the expected timeline.
  • Waste Disposal Plan: This plan provides information on how asbestos and other hazardous materials will be disposed of. It includes the names of licensed disposal facilities and the methods for transporting waste.
  • Durable Power of Attorney: For individuals looking to delegate decision-making authority, our comprehensive Durable Power of Attorney resources provide essential guidance on this important legal document.
  • Contractor License Information: This document shows that the demolition contractor is licensed and qualified to perform the work. It may include proof of insurance and other relevant certifications.

Having these documents ready can streamline the process and ensure that all necessary regulations are met. Proper preparation helps protect everyone involved and the environment.

File Specifications

Fact Name Fact Description
Governing Law This form is governed by the Utah Air Quality Regulations.
Purpose The Daqa 424 12 form is used for notifying the state of demolition activities where no asbestos is removed.
Fee Structure The initial fee is $75, with an additional $50 for every 5,000 square feet of floor space exceeding 5,000 square feet.
Inspection Requirement An asbestos inspection must be conducted prior to demolition, and details must be provided on the form.
Contact Information Contact information for the facility owner/operator and demolition contractor must be included on the form.
Demolition Dates The form requires the start and end dates of the demolition project.
Asbestos Information It must be indicated whether asbestos is present, and if so, whether it was sampled or assumed.
Unexpected RACM Procedures The form requires a description of procedures to follow if unexpected Regulated Asbestos-Containing Material (RACM) is found during demolition.
Certification The owner/operator must certify the accuracy of the information provided by signing and dating the form.