New York Form Acp9 PDF Details

In the bustling landscape of New York City, where construction and renovation are constants, the importance of managing environmental hazards cannot be overstated. One significant concern is the handling of asbestos, a known health risk, during building projects. The New York City Department of Environmental Protection (NYC DEP) has established protocols to ensure that asbestos is dealt with safely, which includes the necessity for certain forms and applications. Among these, the ACP9 form stands out as a critical document. It is designed exclusively for those seeking an asbestos variance, which is essentially permission to deviate from standard asbestos handling procedures under specific, controlled conditions. This form mandates that all applications be typewritten, underscoring the city's demand for clarity and the seriousness with which it treats the subject. The form collects detailed information about the facility where the work will occur, the applicant's identity and role (be they contractor, consultant, owner, or other), and specifically which rules from the NYC DEP or the New York State Department of Labor (NYS DOL Industrial Code Rule 56) the applicant wishes to be varied. Additionally, it requires a thorough explanation for the request, including why standard procedures cannot be followed and what alternative measures will be implemented to ensure safety. This is complemented by requirements for detailed drawings and a fee schedule that varies according to the amount of asbestos-containing material (ACM) affected. A compelling aspect of the form is its explicit warning that work may not commence until the department approves the application, and any violation of the variance terms may result in the nullification of the variance itself. The form, thus, underscores a rigorous regulatory framework aimed at balancing the city's development needs with public health and safety concerns.

QuestionAnswer
Form NameNew York Form Acp9
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesold_acp9 nycgovdep asbestos variances form

Form Preview Example

ONLY TYPEWRITTEN FORMS WILL BE ACCEPTED

 

 

 

Y D

EPA

 

 

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION

 

 

K

CIT

 

 

 

 

 

 

RT

 

 

 

R

 

 

M

E

Asbestos Control Program

 

O

 

 

 

 

 

W

 

 

 

 

O

 

Y

 

 

 

 

N

 

 

E

 

 

 

 

T

 

N

 

 

 

 

F

59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107

 

 

 

 

 

 

I

 

 

 

 

 

 

 

T

N

Asbestos Variance Application

N

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

V

R

 

 

 

 

 

 

IO

 

 

 

 

 

 

 

 

C

 

 

 

 

O

N

 

 

 

E

 

 

 

 

 

 

M

 

T

 

 

 

 

 

 

 

 

O

 

 

 

 

 

 

 

 

 

 

ENTAL PR

 

 

 

 

 

 

w w w . n y c . g o v / d e p

FOR OFFICIAL USE ONLY

Variance #_____________________

Fee Paid ___________

Notification #___________________

I. FACILITY

 

 

Application must be

Address_____________________________________________ Borough ____________ Zip __________

made

at least

2

 

 

weeks

prior to

the

II. APPLICANT

 

start of work.

 

Name ___________________________________________________________

Tel # ____________________

Address _____________________________________________ City _________________________ State ______ Zip_________

Capacity: ¸Contractor ¸Consultant ¸Owner ¸Other_________________ Contact Person ______________________

Ill. SPECIFY ALL NYC DEP OR NYS DOL (ICR56) ASBESTOS RULE PROVISIONS FROM WHICH A VARIANCE IS REQUESTED

________________________________________________________________________________________________________

________________________________________________________________________________________________________

SPECIFY FLOORS AND/OR AREAS WHERE WORK INVOLVING THIS VARIANCE IS TO OCCUR

________________________________________________________________________________________________________

_________________________________________________________________________________________________________

REASONS FOR REQUEST AND DESCRIPTION FOR PROPOSED ACTION (ATTACHMENT(S) SHALL BE SUBMITTED IN TRIPLICATE)

Explain why the procedures required by Title 15, Chapter 1 of the Rules of the City of New York (RCNY) and/or Part 56 of Title 12 of New York Codes, Rules and Regulations (Subparts 56-4 through 56-17) cannot be used. (Attach ADDITIONAL Sheets)

State the alternative procedures that will be employed to satisfy each requirement as modified. (Attach ADDITIONAL Sheets)

Provide color coded drawings identifying work area(s) and location of decontamination enclosure system(s).

IV. FEE SCHEDULE

 

 

 

 

0

Amount of ACM affected by this variance: _______ square feet + _______ linear feet = Total Amount of ACM _________ feet

 

 

 

 

 

 

 

If total amount of ACM

If total amount of ACM

 

 

 

is less than 5000 feet:

Is 5000 feet or more:

See Section 1-03(e)

Seven day notification period waiver

 

$300

$400

First sub-section (per category)

 

$400

$600

of the NYCDEP

Each additional sub-section (per category)

 

$200

$300

Asbestos Rules for

 

 

 

 

category definitions.

Maximum fee

 

$1200

$1800

 

 

Enter applicable fee based on schedule above

 

Total Fees $___________________

V.I hereby declare that the information provided herein and in any and all accompanying attachments is true and complete to the best of my knowledge. I understand that failure to comply with conditions set forth by the Department in an approval of the application shall render this variance null and void.

________________________________________________

_______________________________________________

Print Name of Owner

 

Print Name of Applicant (If not owner)

________________________________________________

_______________________________________________

Signature of Owner

Date

Signature of Applicant

Date

Work involving a variance may not commence prior to the receipt of the Department’s approval of the application. Any violation of the terms of any variance issued pursuant to Title 15, Chapter 1 of the RCNY Section 1-03 is considered a violation of the lettered subdivision modified by the variance.

ACP9 2/2001

Click here if you wish to obtain a voter registration form. Government services are not conditioned on being registered to vote. A voter registration form can also be obtained at http://nyc. gov/html/misc/html/register. html, or by calling (212) 868-3692.

How to Edit New York Form Acp9 Online for Free

It is possible to complete New York Form Acp9 effortlessly with our online editor for PDFs. FormsPal development team is constantly endeavoring to expand the tool and help it become even faster for clients with its handy features. Discover an constantly revolutionary experience today - check out and find new opportunities as you go! Here's what you'll want to do to begin:

Step 1: Hit the "Get Form" button above on this page to get into our editor.

Step 2: This tool provides the ability to work with your PDF document in a variety of ways. Transform it by adding personalized text, adjust what is originally in the PDF, and include a signature - all close at hand!

In an effort to complete this PDF document, make sure you type in the information you need in every single area:

1. While submitting the New York Form Acp9, make certain to include all of the necessary fields in the relevant section. It will help speed up the work, enabling your details to be processed fast and correctly.

Learn how to complete New York Form Acp9 stage 1

Step 3: Before getting to the next stage, it's a good idea to ensure that form fields are filled in as intended. When you think it is all fine, press “Done." Join us now and immediately get access to New York Form Acp9, available for download. All changes made by you are kept , which enables you to customize the document at a later point as required. Here at FormsPal.com, we endeavor to make sure all of your information is kept secure.

New York Form Acp9 isn’t the one you’re looking for?

Related Documents