Sample Fugitive Dust Control Plan Attachment 5: Please note it is the responsibility of the Permittee to ensure that no part of their fugitive dust control plan violates any local, state, or federal law. Section 1 General Information – 1-A Facility Information Company Name: Plant Name: Permit No.: 1-B Contacts Report the address, and phone numbers of persons and owners or operators responsible for the implementation of the Dust Control Plan and responsible for the dust generating operation and dust control applications. (authorized under 18 AAC 50.990(93)) Responsible Official Name: Phone Number: (if different from above) On-site Manager/Operator or Point of Contact Name: Phone Number: 1-C Recordkeeping and Reporting Keep copy of Fugitive Dust Control Plan on-site at all times. Keep records of deviations from dust plan, reasons for the deviation, and corrective actions taken for at least five years. Section 2 Fugitive Emission Points – 2-A Fugitive Emission Points Identify the relative locations of actual and potential sources of fugitive dust emissions. Bulk material handling and storage areas. Paved and unpaved access roads, haul roads, traffic areas, and equipment storage yards. Exit points where carryout and vehicle track-out onto paved public roads may occur. Water supply locations if water application will be used for controlling visible dust emissions. Rock crushing operations. Screening Conveyors Fines Screening Asphalt plant operations Screening Conveyors Baghouse Catch Drum Mixer Discharge Hot mix storage silo receiving 2-B Comments Fugitive Emission Points – Section 3 Control of Fugitive Dust Sources – 3-A Control of Fugitive Dust Sources Check any boxes that apply. Checked boxes represent methods that will be used as needed. Active Operations
Attachment 5: Sample Fugitive Dust Control Plan Please note it is the responsibility of the Permittee to ensure that no part of their fugitive dust control plan violates any local, state, or federal law. Section 1 – General Information 1-A Facility Information Company Name: Plant Name: Permit No.: 1-B Contacts Report the address, and phone numbers of persons and owners or operators responsible for the implementation of the Dust Control Plan and responsible for the dust generating operation and dust control applications. Responsible Official (authorized under 18 AAC 50.990(93)) Name: Phone Number: On-site Manager/Operator or Point of Contact (if different from above) Name: Phone Number: 1-C Recordkeeping and Reporting Keep copy of Fugitive Dust Control Plan on-site at all times. Keep records of deviations from dust plan, reasons for the deviation, and corrective actions taken for at least five years. Section 2 – Fugitive Emission Points 2-A Fugitive Emission Points Identify the relative locations of actual and potential sources of fugitive dust emissions. Bulk material handling and storage areas. Paved and unpaved access roads, haul roads, traffic areas, and equipment storage yards. Exit points where carryout and vehicle track-out onto paved public roads may occur. Water supply locations if water application will be used for controlling visible dust emissions. Rock crushing operations. Screening Conveyors Fines Screening Asphalt plant operations Screening Conveyors Baghouse Catch Drum Mixer Discharge Hot mix storage silo receiving 2-B Comments – Fugitive Emission Points Section 3 – Control of Fugitive Dust Sources 3-A Control of Fugitive Dust Sources Check any boxes that apply. Checked boxes represent methods that will be used as needed. Active Operations
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