TE-09r Fugitive Dust Control Form 18-Traffic.pdf

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Attached to
Dugway Proving Ground (DPG) Horizontal Facility Construction Road Maintenance
Solicitation number
W911S6-27-B-A001
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About this file

This is a Fugitive Dust Control Plan Form used at Dugway Proving Ground for managing air quality compliance related to vehicle traffic on unpaved roads and parking areas. The form applies to vehicle travel and parking on unpaved routes, including construction-related traffic on interior and access roads, and requires completion by persons conducting these activities.

Contractors must select at least one Best Management Practice (BMP) from six options to stabilize surface soils where support equipment and vehicles operate: limiting vehicle mileage and speeds (BMP 18-01), applying and maintaining water on surface soils (BMP 18-02), applying and maintaining chemical stabilizers (BMP 18-03), applying and maintaining gravel (BMP 18-04), supplementing chemical stabilizers, water, or aggregate applications as necessary (BMP 18-05), or applying recycled asphalt to surface soils (BMP 18-06). If dust suppression is used, a logbook must be maintained documenting the date, time, type of suppression, amount in gallons, purpose, and location applied. The form requires general information including location, start and end dates, point of contact, email, and phone number. Contractors must comply with Utah Administrative Code R307-205-6(2) regarding trackout prevention by preventing material deposits on paved roads except at designated sites and promptly cleaning roads when materials are deposited. Completed forms and applicable logbook entries must be submitted to the Environmental Program's Air Program Manager at boyd.roberts.civ@mail.mil upon completion of operations or annually by calendar year-end, whichever occurs first.

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Text version

Environmental Programs FDCP-18 Air Quality Program Revision 0

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.

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:

Stabilize surface soils where support equipment and vehicles will operate

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.

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: boyd.roberts.civ@mail.mil

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