Alternate Work Practices

PURSUANT TO ARM 17.74.357(3)(A), VISUAL CLEARANCE IS REQUIRED ON ALL PROJECTS.

Complete form fully. Incomplete forms will not be reviewed. Allow at least 10 working days for review.

If you have any questions or concerns, please contact Department of Environmental Quality:
Asbestos Control Program
PO Box 200901
Helena, MT 59620-0901
deqacponline@mt.gov
phone: (406) 444-5300
fax: (406) 444-1374

Applicant

Contractor Name*

Contractor Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Contractor Contact Person*

Phone Number*

Email *

Site Information

Site Name*

Site Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Type of Application AWP will be applicable*

Annual Permit Project Permit Demolition Notification

Current Permit # if known

Applicable Regulatory Statute

Applicable Regulatory Statute*

ARM 17.74.353 - Work Practices ARM 17.74.356 - Control Measures ARM 17.74.357 - Alternate Standard and Method for Clearing

Description and Justification

Description of Alternate Work Practice, Control Measure, or Alternate Standard and Method for Clearing Asbestos Projects (describe in detail): *

Justification of Alternative Method (describe in detail how the Alternate Work Practice, Control Measure, or Alternate Standard and Method for Clearing Asbestos Projects is equivalent to the requirements and protects public health and the environment): *

Signature

Signature/Printed Name of MT Accredited Project Designer*

Date:

MTA Number*

Accreditation Expiration Date*

The approval of alternate work procedures apply only to the specific project and operator for which the request was submitted. All other project permit requirements apply.

Fees

Alternate Work Practice Fees

$100.00

Pay By*

Credit Card Electronic Check

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