TE 09 Dust Control Forms.pdf

PDF 13 MB Posted Aug 5, 2021

Attached to: Dugway Proving Ground Horizontal Facility Construction Road Maintenance
Solicitation number: W911S6-21-B-0001
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort Hood

About this file

Written by GovTribe AI · Dec 30, 2023

This document outlines a federal contract opportunity for road maintenance services at Dugway Proving Ground. The solicitation seeks a contractor to perform construction and repair of surfaced areas including asphalt and concrete pavements, gravel and earth surfaced areas, associated structures and appurtenances. Additionally, the contractor will be responsible for relocation and repair of utility distribution systems affected by the work. Services will include maintenance of paved and unpaved roadways, trails, shoulders, parking areas, sidewalks, curbs, vehicle storage areas and bridges. The contractor will also conduct construction and repairs to airfield pavements as recommended by reports, specifications or identified by inspectors, with approval from the Government and coordination with airfield operations. The work will be performed according to applicable laws, regulations and technical exhibits outlined in the solicitation.

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Environmental Programs FDCP-02 Air Quality Program Revision 0

Dugway Proving Ground Fugitive Dust Control Plan Form 02 Sand and Gravel Borrow Pit Operations

Screening of Rock, Soil or Construction Debris Activity Description: The mechanical process which accomplishes a division of particles on the basis of size.

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 02-01 Pre-water and maintain surface soils in a stabilized condition.

BMP 02-02 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: ) BMP 02-03 Pave operational area(s).

Pre-treat material prior to screening BMP 02-04 Apply a dust suppressant to material. (Name of chemical: )

Stabilize material during screening BMP 02-05 Dedicate water source to screening operation and apply water as needed to prevent dust.

BMP 02-06 Install wind barrier upwind screen as high as the drop point.

Stabilize material after screening BMP 02-07 Apply water to stabilize screened material and surrounding area.

BMP 02-08 Apply and maintain a chemical stabilizer to stabilize screened material and surrounding area.

(Name of chemical: )

BMP 02-09 Minimize storage pile height.

Transfer height

BMP 02-10 Drop material through the screen slowly and minimize drop height.

Logbook Requirement All screening operations require a logbook be kept, at minimum, it must contain: the date and amount of material screened. If suppression is used, (i.e. water/chemical suppressant), additional logbook entries are required, at minimum, entries must contain: the date, time, type of suppression used, 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). Submit completed form in hardcopy or electronically, via email to Environmental Program’s (EP) Air Program Manager: boyd.roberts.civ@mail.mil prior to activity occurring. Upon the completion of operation(s) and/or annually at the end of each calendar year whichever occurs first, copies of form(s) and corresponding logbook entries (if applicable) shall be provided to EP, Air Program Manager.

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Environmental Programs FDCP-18

Dugway Proving Ground Fugitive Dust Control Plan Form 18 Roads, Paved and Unpaved

Traffic on Unpaved Roads/Routes and Parking Activity Description: Vehicle travel or parking on unpaved routes, including construction related traffic on unpaved interior and/or access roads.

Select at least one best management practice (BMP) for the critical mitigation area:

BMP 18-01 Limit vehicle mileage and speeds.

BMP 18-02 Apply and maintain water on surface soils.

BMP 18-03 Apply and maintain chemical stabilizers on surface soils. (Name of chemical: ) BMP 18-04 Apply and maintain gravel on surface soils.

BMP 18-05 Supplement chemical stabilizers, water or aggregate applications as necessary.

BMP 18-06 Apply recycled asphalt (RAP) to surface soils.

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.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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: boyd.roberts.civ@mail.mil

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Environmental Programs FDCP-03

Dugway Proving Ground Fugitive Dust Control Plan Form 03 Storage, Hauling and Handling of Aggregate Material

Stockpiles (Storage) of Aggregate Materials for Future Use or Export

Activity Description: A large accumulated pile of materials, soils, rocks, debris that are being stored on site intended for use or awaiting transport to another location.

BMP 03-01 Pre-water and maintain surface soils in a stabilized condition.

BMP 03-02 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: ) BMP 03-03 Pave area(s).

Stabilize stockpile materials during handling

BMP 03-04 Remove material from the downwind side of the stockpile, when safe to do so.

BMP 03-05 Reduce height.

BMP 03-06 Create wind screen.

Stabilize stockpiles after handing

BMP 03-07 Water stockpiles to form a crust immediately.

BMP 03-08 Apply and maintain a chemical stabilizer to all outer surfaces of the stockpiles. (Name of chemical: ) BMP 03-09 Provide and maintain wind barriers on 3 sides of the pile.

BMP 03-10 Apply a cover (natural or synthetic).

BMP 03-11 Wind screen.

BMP 03-12 Avoid steep sides to prevent material sloughing.

BMP 03-13 Reduce height.

If aggregate materials are being stockpiled, a logbook is required, at minimum, it must contain: the date and amount(s) of aggregate material added or removed to the pile. If suppression is used, additional logbook entries are required, at minimum, entries must contain: the date, time, type of suppression used (i.e. water/chemical suppressant), amount (in gallons), purpose and location applied.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-04

Dugway Proving Ground Fugitive Dust Control Plan Form 04

Hauling Materials Activity Description: The transportation of materials to or from a site.

Limit visible dust opacity from vehicular operations

BMP 04-01 Apply and maintain water/chemical suppressant to operational areas and haul routes. (Name of chemical: ) BMP 04-02 Limit vehicle mileage and speed.

Stabilize materials during transport on site

BMP 04-03 Use tarps or other suitable enclosures on haul trucks.

BMP 04-04 Apply water prior to transport.

Clean wheels and undercarriage of haul trucks prior to leaving construction site

BMP 04-05 Clean wheels.

BMP 04-06 Sweep or water haul road.

All aggregate hauling operations require a logbook to be kept, at minimum, it must contain: the date and amount of aggregate material hauled.

If suppression is used, additional logbook entries are required, at minimum, entries must contain: the date, time, type of suppression used (i.e.

water/chemical suppressant), amount (in gallons), purpose and location applied.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-05

Dugway Proving Ground Fugitive Dust Control Plan Form 05

Staging Areas Activity Description: Areas where equipment, vehicles or materials are parked, stored or assembled before use during a project.

Limit visible dust opacity from vehicular operations

BMP 05-01 Limit vehicle mileage and speed.

BMP 05-02 Apply water on all vehicle traffic areas in the staging areas and unpaved access routes.

Stabilize staging areas soils during use

BMP 05-03 Pre-water and maintain surface soils in a stabilized condition.

BMP 05-04 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: )

Stabilize staging area soils at project completion

BMP 05-05 Apply a chemical stabilizer. (Name of chemical: ) BMP 05-06 Apply screened or washed aggregate.

BMP 05-07 Use wind breaks.

BMP 05-08 Pave.

BMP 05-09 Completed project will cover staging area with buildings, paving and/or landscaping.

BMP 05-10 Apply water to form adequate crust and prevent access.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-06

Dugway Proving Ground Fugitive Dust Control Plan Form 06 Construction & Demolition

Backfilling Area Previously Excavated or Trenched Activity Description: The process to refill an area(s) in which material has been removed.

Stabilize backfill material when not actively handling.

BMP 06-01 Water backfill material to maintain moisture or to form crust.

BMP 06-02 Apply and maintain a chemical stabilizer to backfill material to form crust.

BMP 06-03 Cover (natural or synthetic) or enclose backfill material when not actively handling.

Stabilize backfill material during handling

BMP 06-04 Empty loader bucket slowly and minimize drop height from loader bucket.

BMP 06-05 Dedicate water truck or large hose to backfilling equipment and apply water as needed.

BMP 06-06 Mix moist soil with dry soil until the optimum moisture is reached.

BMP 06-07 Apply and mix water into the backfill material until optimum moisture is reached.

BMP 06-08 Apply and mix water and chemical solution into the backfill material until optimum moisture is reached.

(Name of chemical: )

Stabilize soil at completion of backfilling activity BMP 06-09 Apply water and maintain disturbed soils in a stable condition.

BMP 06-10 Apply and maintain a chemical stabilizer on disturbed soils to form a crust. (Name of chemical: )

Stabilize material while using pipe padder equipment BMP 06-11 Mix moist soil with dry soil until the optimum moisture is reached.

BMP 06-12 Dedicate water truck or large hose to equipment and apply water as needed.

BMP 06-13 Not applicable

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-07

Dugway Proving Ground Fugitive Dust Control Plan Form 07

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.

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.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-08

Dugway Proving Ground Fugitive Dust Control Plan Form 08

Clearing Forms, Foundations, Slabs and Forms Prior to Pouring Concrete Activity Description: The process of removing debris from forms, foundations, and slabs before pouring concrete.

Remove debris from forms, foundations and slabs

BMP 08-01 Use water spray to clear forms, foundations and slabs.

BMP 08-02 Use sweeping and water spray to clear forms, foundations and slabs.

BMP 08-03 Use industrial vacuum to clear forms, foundations and slabs prior to the use of high pressure air to blow soil and debris.

BMP 08-04 Use industrial vacuum to clear forms, foundations and slabs.

If water is used, a logbook is required, at minimum, it must contain: the date, time, amount (in gallons), purpose and location applied.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-09

Dugway Proving Ground Fugitive Dust Control Plan Form 09

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.

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

BMP 09-03 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 09-04 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.

BMP 09-06 Apply and maintain a chemical stabilizer on disturbed soils to form crust following fill and compaction.

(Name of chemical: )

BMP 09-07 Apply cover. (natural or synthetic)

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-10

Dugway Proving Ground Fugitive Dust Control Plan Form 10

Mechanical Demolition

Activity Description: Mechanical/manual destruction and removal of walls, stucco, concrete, freestanding structures, buildings and other structures.

BMP 10-01 Pre-water and maintain surface soils in a stabilized conditions.

BMP 10-02 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: ) BMP 10-03 Pave operational areas.

Stabilize demolition debris during handling

BMP 10-04 Apply water.

Stabilize debris following demolition

BMP 10-05 Apply water.

BMP 10-06 Apply a chemical stabilizer. (Name of chemical: )

Stabilize surrounding area following demolition

BMP 10-07 Apply water.

BMP 10-08 Apply and maintain a chemical stabilizer to stabilize. (Name of chemical: )

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-11

Dugway Proving Ground Fugitive Dust Control Plan Form 11

Disturbed Soil Activity Description: Whenever soil is broken up, moved, or physical characteristics are altered.

Limit disturbance of soils where possible

BMP 11-01 Limit disturbance of soils with the use of fencing, barriers, barricades, and/or wind barriers.

BMP 11-02 Limit vehicle mileage and reduce speed.

Stabilize and maintain stability of all disturbed soil throughout construction site generating fugitive dust.BMP 11-03 Apply water to stabilize disturbed soils. Soil moisture must be maintained such that soils can be worked without

BMP 11-04 Apply and maintain a chemical stabilizer. (Name of chemical: ) BMP 11-05 Use wind breaks.

BMP 11-06 Apply cover. (natural or synthetic)

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-12

Dugway Proving Ground Fugitive Dust Control Plan Form 12

Disturbed Land Activity Description: Large tracts of broken up or physically altered land that will not have continuing activity for more than 30 days.

Prevent access to limit soil disturbance

BMP 12-01 Prevent access by fencing, ditches, vegetation, berms or other suitable barriers.

Stabilize soil

BMP 12-02 Apply and maintain a chemical stabilizer on disturbed soils. (Name of chemical: ) BMP 12-03 Stabilize disturbed soil with vegetation.

BMP 12-04 Pave or apply surface rock.

BMP 12-05 Use wind breaks.

BMP 12-06 Apply water and maintain soil moisture sufficient to avoid generating fugitive dust.

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical

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

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-13

Dugway Proving Ground Fugitive Dust Control Plan Form 13

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

Limit visible emissions BMP 12-02 Use water control to dust.

BMP 12-03 Use a vacuum to collect dust.

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

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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: boyd.roberts.civ@mail.mil

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Environmental Programs FDCP-14

Dugway Proving Ground Fugitive Dust Control Plan Form 14

Trenching Activity Description: A long, narrow excavation in the ground using a track or wheel mounted excavator, shovel, backhoe or trencher.

Presoak soils prior to trenching activities

BMP 14-01 Pre-water surface.

Stabilize surface soils where trenching equipment, support equipment and vehicles will operate

BMP 14-02 Pre-water and maintain surface soils in a stabilized condition.

BMP 14-03 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: ) BMP 14-04 Limit mileage and speed.

Stabilize soils after trenching

BMP 14-05 Apply and maintain water on excavated soil.

BMP 14-06 Apply and maintain chemical stabilizer on excavated soil. (Name of chemical: )

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-15

Dugway Proving Ground Fugitive Dust Control Plan Form 15

Trucking Loading with Materials Activity Description: The loading of trucks with materials, including construction or demolition debris, rock or soil, to be transported on or off site.

Stabilize surface soils where truck loading operations occur

BMP 15-01 Pre-water and maintain surface soils in a stabilized condition where loaders, support equipment and vehicles will operate.

BMP 15-02 Apply and maintain a chemical stabilizer on surface soils where loaders, support equipment and vehicles will operate.

(Name of chemical: )

BMP 15-03 Empty loader bucket slowly and keep loader bucket close to the truck to minimize the drop height while dumping.

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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United States Army Garrison Dugway Proving Ground

Technical Exhibit 09 Paving IDIQ Contract – Dust Control Forms

Directorate of Public Works [Date]

Part 8 – Materials Manual July 2003

Quality Assurance – Appendix C 1

Environmental Programs FDCP-16

Dugway Proving Ground Fugitive Dust Control Plan Form 16

Paving and Subgrade Preparation Activity Description: Paving and subgrade preparation is to make a site ready for paving streets, parking lots, etc.

Stabilize adjacent disturbed soils following paving activities

BMP 16-01 Apply and maintain water on disturbed soils.

BMP 16-02 Apply and maintain chemical stabilizer on disturbed soils. (Name of chemical: ) BMP 16-03 Stabilize disturbed soils with vegetation or hyrdoseeding.

BMP 16-04 Apply synthetic cover to disturbed soils.

BMP 16-05 There are no soils adjacent to paving activities.

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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Environmental Programs FDCP-01

Dugway Proving Ground Fugitive Dust Control Plan Form 01 Sand and Gravel Borrow Pit Operations

Crushing of Rock, Soil, or Construction Debris Activity Description: The process of reducing the size of materials by physical impaction.

BMP 01-01 Pre-water and maintain surface soils in a stabilized condition.

BMP 01-02 Apply and maintain a chemical stabilizer to surface soils. (Name of chemical: ) BMP 01-03 Pave operational area(s).

Stabilize materials before crushing BMP 01-04 Pre-water material.

BMP 01-05 Test material to determine moisture content and silt loading, crushing only material that is at optimum moisture content.

Stabilize material during crushing BMP 01-06 Apply water to stabilize material so as to maintain compliance with opacity standards and permit conditions.

BMP 01-07 Monitor opacity. Make adjustments to maintain compliance with opacity standards and permit conditions.

BMP 01-08 Install wind breaks or use enclosure.

Stabilize material after crushing BMP 01-09 Water crushed material immediately following crushing.

BMP 01-10 Apply and maintain a chemical stabilizer to crushed material. (Name of chemical: ) BMP 01-11 Maintain in enclosure.

BMP 01-12 Minimize height of stockpile.

Traffic BMP 01-13 Minimize vehicle miles.

BMP 01-14 Reduce truck traffic.

BMP 01-15 Reduce truck speed.

Transfer height BMP 01-16 Minimize transfer and drop point height.

All crushing operations require a logbook be kept, at minimum, it must contain: the date and amount of material crushed. If suppression is used, (i.e.

water/chemical suppressant), additional logbook entries are required, at minimum, entries must contain: the date, time, type of suppression used, amount (in gallons), purpose and location applied.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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). Submit completed form in hardcopy or electronically, via email to Environmental Program’s (EP) Air Program Manager: boyd.roberts.civ@mail.mil prior to activity occurring. Upon the completion of operation(s) and/or annually at the end of each calendar year whichever occurs first, copies of form(s) and corresponding logbook entries (if applicable) shall be provided to EP, Air Program Manager.

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Environmental Programs FDCP-17

Dugway Proving Ground Fugitive Dust Control Plan Form 17

Trackout Prevention and Cleanup of Mud, Silt and Soil Tracked onto Paved Roads Activity Description: The depositing of mud, silt and soil onto paved roads by vehicles or equipment.

Prevent dust from trackout

BMP 17-01 Clean trackout at the end of the work shift from paved surfaces to maintain dust control.

BMP 17-02 Maintain dust control during working hours and clean trackout from paved surfaces at the end of the work shift/day.

BMP 17-03

Install gravel pad(s), clean, well-graded gravel or crushed rock. Minimum dimensions must be 30 feet wide by 3 inches deep, and, at minimum, 50' or the length of the longest haul truck, whichever is greater. Re-screen, wash or apply additional rock in gravel pad to maintain effectiveness.

BMP 17-04 Install wheel shakers. Clean wheel shakers on a regular basis to maintain effectiveness.

BMP 17-05 Install wheel washers. Maintain wheel washers on a regular basis to maintain effectiveness.

BMP 17-06 Motorized vehicles will only operate on paved surfaces.

BMP 17-07 Install cattle guard before paved road entrance.

All exiting traffic must be routed over selected trackout control device(s) BMP 17-08 Clearly establish and enforce traffic patterns to route traffic over select trackout control device(s).

BMP 17-09 Limit site accessibility to routes with trackout control devices in place by installing effective barriers on unprotected routes.

*By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

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) 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 in hardcopy or electronically, via email to Environmental Program’s (EP) Air Program Manager:

boyd.roberts.civ@mail.mil

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File details come from the government source that posted it. Updated Aug 6, 2021.