San Joaquin Valley Air Pollution Control District Regulation VIII – Fugitive PM10 Prohibitions Construction Notification Form

Rule 8021 – Construction, Demolition, Excavation, Extraction, and Other Earthmoving Activities requires the owner or operator of a construction project to provide written notification to the District at least 48 hours prior to commencing any earthmoving activity. Such notification is required if the project involves:

 A residential development construction site that is at least 1.0 acre but is less than 10.0 acres in area, or  A non-residential development construction site that is at least 1.0 acre but less than 5.0 acres in area.

A Dust Control Plan is required for any construction site exceeding the above acreages of disturbed surface area or exceeding 2,500 cubic yards per day of moved, deposited, or relocated bulk materials on at least three days of the project. Construction Notification Forms submitted for sites requiring Dust Control Plans will be rejected.

Please submit the Notification Form by mail or fax to the District’s Compliance Division at the nearest office listed below:

For San Joaquin, Stanislaus, and Merced Counties: Northern Region Office 4800 Enterprise Way Modesto, CA 95356 (209) 557-6400 FAX (209) 557-6475

For Madera, Fresno, and Kings Counties: Central Region Office 1990 East Gettysburg Avenue Fresno, CA 93726 (559) 230-5950 FAX (559) 230-6062

For Tulare County and the valley portion of Kern County Southern Region Office 34946 Flyover Court Bakersfield, CA 93308 (661) 392-5540 FAX (661) 392-5586

Northern Region Office Central Region Office Southern Region Office 4800 Enterprise Way 1990 East Gettysburg Avenue 34946 Flyover Court Modesto, CA 95356-8718 Fresno, CA 93726-0244 Bakersfield, CA 93308 (209) 557-6400  FAX (209) 557- (559) 230-6000  FAX (559) 230-6062 (661) 392-5540  FAX (661) 392- 6475 5586 www.valleyair.org

June 15, 2006

2 San Joaquin Valley Air Pollution Control District Construction Notification Form

Project Information

Project Name:

Project Address:

Major X-Streets:

City: County: Today’s Date:

Expected Construction Start Date: Total project site area: Acres

End Date: Total disturbed surface area: Acres The project is: Residential. Non-residential (commercial, industrial, institutional, public, etc.)

Construction activities on any site that will include ten acres or more of disturbed surface area for residential developments, five acres or more for non-residential developments, or involve moving, depositing, or relocating more than 2,500 cubic yards per day of bulk materials on at least three days are required to submit a Dust Control Plan to the District prior to the start of any construction activity. The Construction Notification Form may not be used to circumvent any Dust Control Plan requirement.

Contacts

Property Owner:

Address:

City / State / Zip:

Phone: Fax: Cell:

Developer:

Address:

City / State / Zip:

Contact Person: Cell: Phone: Fax:

General Contractor:

Address:

City / State / Zip:

Contact Person:

Phone: Fax: Cell:

Other Contact: Company:

Address:

City / State / Zip:

Phone: Fax: Cell:

For District Use:

Notification received on: Notification accepted by: June 15, 2006

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