TE-09i Fugitive Dust Control Form 09-Site Grading

Dugway Proving Ground Fugitive Dust Control Plan Form 09 Construction & Demolition

Cut and Fill Soils for Site Grade Preparation
Activity Description: The adding or removal of soils to site to obtain a certain grade on a 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 09-01 Pre-water and maintain surface soils in a stabilized conditions. BMP 09-02 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical:

)

Pre-water soils
Dig a test hole to depth of cut or equipment penetration to determine if soils are moist at depth. Continue to pre-water if not moist to depth of cut.
Stabilize soil during cut activities
BMP 09-03

BMP 09-04 Apply water to depth of cut prior to subsequent cuts. Stabilize soil after cut and fill activities
BMP 09-05 Water disturbed soils to maintain moisture.
Apply and maintain a chemical stabilizer on disturbed soils to form crust following fill and compaction. BMP 09-06
(Name of chemical:
BMP 09-07 Apply cover. (natural or synthetic)

)

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]