Dust Mitigation Plan Form PDF Details

The Dust Mitigation Plan form, established on September 23, 2009, serves as a crucial document for individuals and companies involved in construction or operation activities that might emit dust into the environment. Although it is not mandatory to file this document with the Department of Environmental Protection (DEP), it must be readily available for inspection on site, ensuring that all measures to prevent dust emission are transparent and accountable. The form comprehensively outlines the responsibility of the party in charge, including the need to detail the ownership, location, design, operation, and pertinent information regarding equipment like rock crushers that could increase dust levels. Additionally, it specifies various dust control methods such as wetting processes, appropriate spraying methods, and covering trucks to mitigate dust dissemination. This document, which needs to be updated to its latest version available on the DEP website, also highlights the importance of adherence to the rules stated in 15 RCNY Chapter 13, making the responsible party liable for compliance. It serves to complement the Noise Mitigation Plan as per Section 24-220 of the Noise Code, ensuring environmental safety and health standards are maintained at construction sites.

QuestionAnswer
Form NameDust Mitigation Plan Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesnyc dust mitigation plan form, noise mitigation form, nyc dep dust mitigation form, dust mitigation plan

Form Preview Example

DUST Mitigation Plan

FORM

September 23, 2009*

It is not necessary to file this document with DEP

however, it must be accessible to inspectors.

The responsible party shall be liable for the accuracy of the document and compliance with

all applicable rules in 15 RCNY Chapter 13.

IGeneral Introduction

All persons constructing or operating a large article, machine, device, equipment, such as a rock crusher, or other contrivance or facility capable of causing or permitting emission of dust into the atmosphere at a construction site shall keep on site a document detailing such equipment . Information provided on this document shall include the ownership, location, design, make and model, operation, i.e. how does it operate, as well as any other pertinent information requested by the Department. In addition, the measures utilized to reduce dust emissions resulting from the use of these items as set forth in 15 RCNY 13-01 et seq. shall be clearly outlined. This document shall be attached as an addendum sheet to the Noise Mitigation Plan prepared pursuant to Section 24-220 of the Noise Code.

IIContact Information

Name of Responsible Party as defined in 15 RCNY §28- 109___________________________________________

Work Site Location with Borough

(BLOCK/LOT/Address)__________________________________

Contact Phone Number of Responsible Party________________________

IISpecialized Equipment

1.Common or Brand Name_______________________________

2.Make______________________________________

3.Model______________________________________

4.Type (i.e. rock crusher)_______________________________________

5.Owner________________________________________

6.Lease !YES NO!

7.Rental YES! NO!

8.Describe Use on Site

________________________________________________

_________________________________________________

__________________________________________________

__________________________________________________

9.Dust Control Measures Used with Equipment

_______________________________________________

______________________________________________

______________________________________________

________________________________________________

IIIAdditional Dust Control Measures that will be employed at site

!Wetting

Describe the process i.e. handheld hoses; wheel wash station; automated sprinkler system

______________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

!Appropriate Spraying Methods

________________________

________________________

________________________

________________________

!Trucks Covered

YES!

NO!

!Adequate and continuous supply of water delivered to the construction site under proper pressure and distributed by a hose system and terminating in suitable water sprays or jets. !Portable hand water sprinklers or hose sprinklers are acceptable means of wetting for dust control.

!Suitable drainage means shall be provided for the removal of water and sludge which drains from the operation.

!Prior to the commencement of demolition activities, all exterior surfaces of a building up to six stories in height shall be wetted.

!All construction material shall be sufficiently wetted to prevent dust from becoming airborne before loading into trucks.

!Wetting shall be used to control dust where drilling, grinding, or other similar construction activities occur.

!Sprinklers or other effective means shall be provided to control dust produced at dumps, conveyors, chutes, and other transfer points.

!Soil or debris piles shall be moistened if dust is being emitted from the piles due to prevailing winds and not from a momentary gust.

!Where the demolition or renovation of any building or other structure is being performed by hand, debris, bricks, and other material shall be removed by means of chutes, by means of buckets or hoists.

!During sandblasting or other similar operations, installation and use of hoods, fans and dust collectors to enclose and vent shall be used.

!Earth moving equipment or erosion is required daily when there is removal of earth or other material from paved roads.

!Dust and debris from the demolition operations shall be removed daily from the adjacent streets, sidewalks and alleys.

*Use latest version of the plan which can be found on the DEP Website at www.nyc.gov/dep/html/airnoise.html.

I ______________________ of the ________________hereby certify the information contained

(Name of Responsible Party)

(Company)

in the form is true and accurate.

________________________ ______________________

SignatureDate

_____________________________

NOTARY PUBLIC

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construction dust mitigation plan conclusion process described (step 3)

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construction dust mitigation plan completion process outlined (part 5)

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