TE-09m Fugitive Dust Control Form 13-Sawing-Cutting

Dugway Proving Ground Fugitive Dust Control Plan Form 13 Construction & Demolition

Sawing/Cutting Materials
Activity Description: To cut apart materials, concrete, asphalt, block, or pipe.

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 the critical mitigation area: Limit visible emissions
BMP 12-02 Use water control to dust.
BMP 12-03 Use a vacuum to collect dust.

Logbook Requirement

If suppression (water) is used, a logbook is required, at minimum, it must contain: the date, time, 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 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]

Environmental Programs
Air Quality Program

FDCP-13

Revision 0