TE-09g Fugitive Dust Control Form 07-Site Preparation

Dugway Proving Ground Fugitive Dust Control Plan Form 07 Construction & Demolition

Clearing for Site Preparation and Vacant Land Clean-Up
Activity Description: The process of clearing materials, brush, and soils to prepare or clean-up site.

General Information
Location(s):

Start Date:

End Date:

Point of Contact:

Email:

Phone Number:

Description of site:

Fugitive Dust Emission Control Techniques
Select at least one best management practice (BMP) for each critical mitigation area: Stabilize surface soils where support equipment and vehicles will operate BMP 07-01 Pre-water and maintain surface soils in a stabilized condition BMP 07-02 Apply and maintain a chemical stabilizer on surface soils. (Name of chemical:

)

Stabilize disturbed soil immediately after clearing and grubbing activities. BMP 07-03 Water disturbed soils to form crust.
BMP 07-04 Apply and maintain a chemical stabilizer on disturbed soils to form crust. (Name of chemical:

)

Stabilize slopes at completion of activity
BMP 07-05 Stabilize sloping surfaces using soil binders until vegetation or ground cover can effectively stabilize the slope. BMP 07-06 Apply water and maintain sloping surfaces/wind breaks in a crusted condition.

Logbook Requirement

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical suppressant), amount (in gallons), purpose and location applied.

Trackout Prevention

In accordance with Utah Administrative Code R307-205-6(2), any person(s) performing fugitive dust emission activities will to the maximum extent possible, keep material from being deposited onto any paved road other than a designated deposit site. Any such person(s) who deposits materials that may create fugitive dust on a paved road shall clean the road promptly. *By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

Signature

Date

This form is to be completed and kept on record according to the requirements found in the Dugway Proving Ground (DPG) Fugitive Dust Control Plan (FDCP). Copies of form(s) and corresponding logbook entries (if applicable) shall be provided to EP, Air Program Manager, upon the completion of operation(s) and/or annually at the end of each calendar year whichever occurs first. Submit completed form and applicable logbook entries in hardcopy or electronically, via email to Environmental Program’s (EP) Air Program Manager: [email protected]