New York Acp9 Template

New York Acp9 Template

The New York ACP9 form is an application for an asbestos variance, required by the New York City Department of Environmental Protection. This form must be completed and submitted at least two weeks before any work involving asbestos begins. It outlines the specific provisions from which a variance is requested and includes necessary details about the facility and applicant.

Fill Out New York Acp9 Now

The New York ACP9 form is an essential document for anyone seeking a variance related to asbestos work within the city. This form is specifically designed for the Asbestos Control Program managed by the New York City Department of Environmental Protection. It must be completed with typewritten information and submitted at least two weeks before the planned start of any work. The form requires detailed information about the facility, including the address and borough, as well as the applicant's contact details and capacity, whether as a contractor, consultant, or owner. A critical aspect of the ACP9 is the specification of the asbestos rule provisions from which a variance is being requested, along with a description of the proposed actions and alternative procedures to be used. Additionally, applicants must provide a fee schedule based on the amount of asbestos-containing material (ACM) affected, which varies depending on the square footage involved. Finally, the form requires signatures from both the owner and the applicant, affirming the accuracy of the information provided. It is important to note that work cannot commence until the Department approves the application, ensuring compliance with city regulations regarding asbestos management.

Misconceptions

Understanding the New York ACP9 form is crucial for those involved in asbestos-related work. However, several misconceptions can lead to confusion. Here are six common misunderstandings:

  • Only contractors need to fill out the ACP9 form. This is not true. While contractors often submit the form, anyone involved in the asbestos project, including consultants and property owners, may need to apply for a variance.
  • The form can be submitted at any time. Many believe they can submit the ACP9 form whenever they wish. In reality, applications must be made at least two weeks prior to the start of any work. Planning ahead is essential.
  • Handwritten forms are acceptable. Some people think that they can fill out the form by hand. However, the ACP9 form must be typewritten to be accepted. This requirement helps ensure clarity and professionalism.
  • Variances are easy to obtain. While some may assume that getting a variance is straightforward, the process involves detailed justification. Applicants must explain why standard procedures cannot be followed and outline alternative methods.
  • All fees are the same, regardless of the project size. Many individuals do not realize that fees vary based on the amount of asbestos-containing material (ACM) affected. Understanding the fee schedule is important to avoid unexpected costs.
  • Work can begin once the application is submitted. It’s a common misconception that submitting the ACP9 form allows work to start immediately. In fact, no work can commence until the Department has approved the application. Compliance with this rule is crucial to avoid legal issues.

Clarifying these misconceptions can help ensure a smoother application process and compliance with New York's regulations regarding asbestos work.

Dos and Don'ts

When filling out the New York ACP9 form, follow these guidelines to ensure accuracy and compliance.

  • Do use typewritten text only. Handwritten forms will not be accepted.
  • Do submit the application at least 2 weeks before the work starts.
  • Do provide complete and accurate information for all required sections.
  • Do attach any necessary documents in triplicate as specified in the form.
  • Don't leave any sections blank. Incomplete forms may lead to delays.
  • Don't forget to sign and date the application. Both owner and applicant must sign if they are different.
  • Don't submit incorrect fees. Refer to the fee schedule for accurate amounts.
  • Don't begin any work until you have received approval from the Department.

Similar forms

The New York ACP9 form is primarily used for requesting a variance related to asbestos management. Several other documents serve similar purposes in environmental and construction contexts. Here are six documents that share similarities with the ACP9 form:

  • Asbestos Notification Form: This form is required for notifying authorities about asbestos-related work. Like the ACP9, it involves detailing the location and extent of asbestos work, ensuring compliance with safety regulations.
  • Environmental Assessment Form: Often used in construction projects, this document assesses potential environmental impacts. Similar to the ACP9, it requires information about the site and proposed actions to mitigate risks.
  • Building Permit Application: This application is necessary for obtaining permission to begin construction or renovation. It parallels the ACP9 in that it requires detailed information about the project and compliance with local regulations.
  • Variance Application for Building Codes: This document is filed when a builder seeks an exemption from specific building regulations. Like the ACP9, it necessitates a clear explanation of why standard procedures cannot be followed.
  • Hazardous Materials Management Plan: This plan outlines how hazardous materials will be handled on a project site. Similar to the ACP9, it requires detailed descriptions of safety measures and compliance with applicable regulations.
  • Site Safety Plan: This document is essential for ensuring worker safety on construction sites. It shares similarities with the ACP9 by requiring information on safety protocols and risk management strategies related to hazardous materials.

Each of these documents plays a crucial role in ensuring safety and compliance within the realms of construction and environmental protection, just like the ACP9 form.

Preview - New York Acp9 Form

ONLY TYPEWRITTEN FORMS WILL BE ACCEPTED

 

 

 

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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION

 

 

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Asbestos Control Program

 

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

 

 

 

 

 

 

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Asbestos Variance Application

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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

 

 

 

 

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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.

________________________________________________

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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

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Crucial Queries on This Form

What is the New York ACP9 form?

The New York ACP9 form is an Asbestos Variance Application used by individuals or companies seeking permission to deviate from specific asbestos handling regulations set forth by the New York City Department of Environmental Protection (DEP). This form must be filled out and submitted at least two weeks before any asbestos-related work begins.

Who needs to fill out the ACP9 form?

Any contractor, consultant, owner, or other party planning to conduct work involving asbestos in New York City may need to fill out the ACP9 form. This includes those who wish to request a variance from standard asbestos regulations due to specific circumstances that prevent compliance.

How do I submit the ACP9 form?

To submit the ACP9 form, you must complete it in typewritten format and send it to the NYC Department of Environmental Protection at the address provided on the form. Ensure that all necessary attachments are included and that the application is submitted at least two weeks prior to the start of work.

What information is required on the ACP9 form?

The ACP9 form requires several pieces of information, including:

  • Facility address and borough
  • Applicant's name, contact information, and capacity (contractor, consultant, owner, etc.)
  • Specific asbestos rule provisions from which a variance is requested
  • Details about the work area and reasons for the variance request
  • Proposed alternative procedures to be used
  • Fee calculation based on the amount of asbestos-containing material (ACM) affected

What are the fees associated with the ACP9 form?

Fees for the ACP9 form vary based on the amount of asbestos-containing material involved. Here’s a breakdown:

  1. If the total amount of ACM is less than 5,000 square feet: $300 for a seven-day notification period waiver.
  2. If the total amount of ACM is 5,000 square feet or more: $400 for the first sub-section and $200 for each additional sub-section.
  3. Maximum fees can reach up to $1,200 or $1,800, depending on the specifics of the application.

Can work begin before receiving approval?

No, work involving a variance cannot commence until the NYC Department of Environmental Protection has approved the application. Starting work without this approval is considered a violation of the terms set forth by the department.

What happens if the information provided is inaccurate?

If any information on the ACP9 form or its attachments is found to be false or misleading, the variance may be rendered null and void. It is crucial to ensure that all information is accurate and complete to avoid complications during the approval process.

How to Write New York Acp9

Completing the New York ACP9 form is an important step in the process of requesting a variance for asbestos-related work. It’s essential to fill out this form accurately and completely to ensure that your application is processed smoothly. Here’s how to do it:

  1. Obtain the form: Make sure you have the most recent version of the ACP9 form. It should be typed, as handwritten forms will not be accepted.
  2. Fill in Facility Information: Provide the address of the facility where the work will take place, including the borough and zip code.
  3. Complete Applicant Details: Enter your name, telephone number, address, city, state, and zip code. Specify your capacity (e.g., contractor, consultant, owner) and include the contact person’s name.
  4. Specify Asbestos Rule Provisions: Clearly list all NYC DEP or NYS DOL asbestos rule provisions for which you are requesting a variance.
  5. Identify Work Areas: Specify the floors and/or areas where the work involving the variance will occur.
  6. Explain Your Request: Describe the reasons for requesting the variance and the proposed actions. Attach any additional sheets as needed.
  7. Provide Drawings: Include color-coded drawings that identify work areas and the location of decontamination enclosure systems.
  8. Calculate Fees: Determine the total amount of asbestos-containing material (ACM) affected by the variance. Use the fee schedule provided in the form to calculate the total fees owed.
  9. Declaration: Sign and date the declaration section, ensuring that both the owner and applicant (if not the owner) provide their names and signatures.
  10. Submit the Form: Once completed, submit the form along with any required attachments to the NYC Department of Environmental Protection at the address listed on the form.

After submitting the ACP9 form, you will need to wait for the Department’s approval before beginning any work involving the variance. Be sure to keep a copy of your application for your records.

Common mistakes

Filling out the New York ACP9 form requires careful attention to detail. One common mistake is failing to use typewritten text. The instructions clearly state that only typewritten forms will be accepted. Handwritten entries can lead to delays or outright rejection of the application. This oversight can easily be avoided by ensuring access to a typewriter or a printer.

Another frequent error involves incomplete or incorrect contact information. Applicants often forget to provide a complete address or accurate telephone number. This information is essential for communication between the Department of Environmental Protection and the applicant. Missing or incorrect details can result in significant delays in processing the application.

Many applicants also neglect to specify the exact provisions from which they are seeking a variance. This section is crucial, as it outlines the specific rules that the applicant wishes to modify. Failing to clearly articulate these provisions can lead to confusion and may prevent the application from being reviewed properly.

Moreover, applicants sometimes overlook the requirement to attach supporting documentation. The form explicitly states that additional sheets must be submitted in triplicate. Without these attachments, the application may be considered incomplete, which can further delay the approval process.

Lastly, a common mistake is miscalculating the fee based on the amount of Asbestos Containing Material (ACM) affected. The form provides a fee schedule that varies based on the total amount of ACM. Errors in this calculation can lead to underpayment or overpayment, complicating the approval process. Applicants must carefully review the fee structure to ensure accuracy.

Key takeaways

Here are key takeaways regarding the New York ACP9 form:

  1. Typewritten Forms Only: Ensure that the ACP9 form is filled out using a typewriter or a computer. Handwritten forms will not be accepted.
  2. Application Timing: Submit the application at least two weeks before the start of any work involving asbestos.
  3. Facility Information: Provide complete details about the facility, including the address and borough.
  4. Applicant Details: Include accurate information about the applicant, such as name, telephone number, and address.
  5. Specify Provisions: Clearly specify which NYC DEP or NYS DOL asbestos rule provisions you are requesting a variance from.
  6. Work Areas: Identify all floors and areas where the work related to the variance will take place.
  7. Reason for Request: Explain why standard procedures cannot be followed and outline alternative procedures that will be used.
  8. Fee Structure: Calculate the applicable fees based on the amount of asbestos-containing material (ACM) affected by the variance.
  9. Declaration: Both the owner and applicant must sign the form, confirming that all provided information is true and complete.

Remember, work cannot begin until you receive approval from the Department. Violating the terms of the variance can lead to significant penalties.

Other PDF Templates

Document Attributes

Fact Name Details
Form Purpose The ACP9 form is used to apply for a variance from asbestos control regulations in New York City.
Submission Requirement Applications must be submitted at least two weeks prior to the start of any work involving asbestos.
Governing Laws This form is governed by Title 15, Chapter 1 of the Rules of the City of New York and Part 56 of Title 12 of New York Codes, Rules and Regulations.
Fee Structure The fee for a variance application varies based on the amount of asbestos-containing material (ACM) affected, ranging from $300 to $1800.
Notification Number A notification number is required and must be filled out in the designated section of the form.
Attachments Requirement Applicants must submit attachments in triplicate, including detailed reasons for the variance and proposed alternative procedures.
Work Commencement No work involving the variance may begin until the Department’s approval of the application is received.
Declaration of Truth Applicants must declare that the information provided is true and complete to the best of their knowledge.
Maximum Fees The maximum fee for the variance application is capped at $1200 or $1800, depending on the ACM amount.
Contact Information The form requires detailed contact information for both the applicant and the owner, including phone numbers and addresses.