Guidance for Filling Out 

An Application for an Earthmoving Permit 

The Application for an Earthmoving Permit Is At the End of This Guidance 

Section 1 - Applicant Information 

Submit the Appropriate Fee for you Earthmoving Permit application, according to the following: 

If total surface area disturbed is 1.0 to 10 acres, submit $75. 

If total surface area disturbed is 10 acres or greater, submit $36/acre plus $1 10 per site. 

Make checks payable to "Gila River Indian Community, Department of Environmental Quality". 

A Responsible Official is one of the following: 

For a corporation, a corporate officer or any other person who performs similar policy or decision making functions for the 

corporation, or a duly authorized representative of such person, if the representative is responsible for the earthmoving 

operation in the subject application. Delegation of authority to such representative shall be approved in advance by the GRTC 

Department of Environmental Quality. 

For a partnership or sole proprietorship, a general partner or the proprietor, respectively. 

For a Federal, or other public agency, the principle executive officer or ranking elected official of that entity. 

Section 2 - Project Information - Drawing 

Section 2 - Project Information - Drawing is self-explanatory. However, please remember, when calculating the amount of 

disturbed area for trenching, include the dimensions of the trench, stockpiling areas, and staging areas. 

Section 3 - Dust Control Plan 

An Earthmoving Permit must contain a Dust Control Plan. You may fill-out Section 3 of the Application for an 

Earthmoving Permit and submit it as your Dust Control Plan or you may write your own Dust Control Plan describing all 

control measures to be used during the project and submit it as your Dust Control Plan. 

Water: Sources of fugitive dust, listed in Section 3, that include "~~~1~ water" as a control measure require specifics about 

water availability and water application. If you choose to apply water as a control measure, you must fill-in the blanks, under 

both Water Availability and Water Application. For Water Availability, indicate which of the following will be utilized: 

water storage tank on-site; metered hydrant on-site; water not on-site, describe water source and state the distance from site 

to water source; water provided through irrigation; other - specify source. For Water Application, indicate which of the 

following will be utilized: apply water using a water truck - state number of trucks and number of gallons per truck; apply 

water using hoses; apply water using sprinklers. 

Dust Suppressants: If you choose the control measure "dust suppressant(s) other than water", you must describe the method of dust 

suppressant(s) application. Express frequency in terms of how often the surface will receive a complete application of dust 

suppressant(s) (i.e., the frequency may be three applications per day). Express intensity in units such as gallons per minute. 

Also, include as an attachment. 

Product specifications or label instructions for approved usage. 

Information on environmental impacts and approvals or certifications related to appropriate and safe use for ground 

application. 

Any dust suppressant must be approved by the GRIC Department of Environmental Quality. 
Continued - Guidance for Filling Out 

An Application for an Earthmoving Permit 

Continued - Section 3 - Dust Control Plan 

Describing Major Project Phases: You may use the Project Information Drawing in Section 2 to show the various project phases, 

along with a time line depicting relative start and stop times. Indicate on the line provided for describing major project phases 

that you have shown the various project phases on the Project Information Drawing. 

Bulk Material Handling and Hauling: Part V, Section 2.0 subsection 10.0 of the GRIC Air Quality Management Program Plan 

contains "Work Practices" that must be implemented for bulk material handling, storage, andor transporting operations. Work 

Practices apply to the use of equipment, haul trucks, andor motor vehicles, such as but not limited to the loading, unloading, 

conveying, transporting, piling, stacking, screening, grading, or moving of bulk materials, which are capable of producing 

fugitive dust at an industria1, institutional, commercial, governmental, construction, and/or demolition site. When designing 

your Dust Control Plan, you must choose control measures for all bulk material handling and bulk material hauling that you 

will do on-site within the boundaries of the work site and that you will do off-site onto paved public roadways. 

Open Storage Piles: The control measures for open storage piles are contained in Part V, Section 2.0 subsection 10.5 of the 

GRIC Air Quality Management Program Plan. Open Storage piles are defined as any accumulation (by stacking, loading, and 

unloading) of bulk material with a 5% or greater silt content that in any one point attains a height of 3 feet and covers a total 

surface area of 150 square feet or more. If you choose to construct wind barriers around open storage piles, as a control 

measure, you must construct the wind barriers around three sides of the open storage pile. The walls of the enclosure must be 

no less than equal to the length of the pile; the height of the enclosure must be at least equal to the height of the pile; the 

distance of the pile from the sides of the enclosure must not be more than twice the height of the pile, and the material of 

which the sides are made must be no more than 50% porous. 

Spillage, Carry-Out, Erosion, and/or Track-Out: Part V, Section 2.0 subsection 10.3 of the GRIC Air Quality 

Management Program Plan requires spillage, carry-out, erosion, and/or track-out to be cleaned up at least at the end of the 

work day and immediately, if it extends more than 50 feet along a paved public roadway. You must specify, on the Dust 

Control Plan for any site that exits onto a paved public road, the control measures that you will use for both immediate cleanup and after-the-work-day clean-up. 

Surface Gravel, Recycled Asphalt, Or Other Suitable Material: If you choose to "~~~1~ and maintain surface gravel, 

recycled asphalt, or other suitable materiai as a control measure for unpaved haullaccess roads, you must comply with one of 

the control measures in Table 1 (Unpaved/Haul/Access Roads 1C-5C) of Part V, Section 2.0 of the GRIC Air Quality 

Management Program Plan: 

Do not allow visible dust emissions to 20% opacity and either do not allow silt loading to be equal to or greater than 

0.33 oz/ft2 or do not allow silt content to exceed 6%. 

If you choose to ''~~~1~ and maintain surface gravel, recycled asphalt, or other suitable materiaf as a control measure for 

unpaved parking lots, you must comply with the standards in Rule 310, Subsection 302.1 : 

Do not allow visible fugitive dust emissions to exceed 20% opacity and either do not allow silt loading to be equal to 

or greater than 0.33 oz/ft2 or do not allow silt content to exceed 6%. 
Gila River Indian Communtiy 

Department of Environmental Quality 

Air Quality Program 

P.O. Box 97 / 35 Pima Street 

Sacaton, AZ 85247 

(520) 562-2234 FAX (520) 562-2245 

PLEASE SUBMIT IN TRIPLICATE 

Application for an Earth Moving Permit 

In order for the GRIC Department of Environmental Quality to process an 

application for an Earthmoving Permit, all questions must be answered and 

the appropriate fee must be submitted. 

Section 1 - Applicant Information 

1. Applicant Must Be One Of The Following. Check AU That Apply: 

Property Owner Developer GeneraVPrime Contractor Lessee 

2. Legal Business Name: 

Applicant Address: 

City/State/Zip: 

Phone: Fax #: 

Email Address: 

3. Property OwnerIDeveloper, If Not Applicant: 

Address: 

Phone: Fax #: 

Contact Person: 

4. Primary Project Contact: 

Title: Company Name: 

Pager #: Mobile #: On-Site #: 

5. Signature of a Responsible Oficial of the Applicant: 

I hereby certify that, based on information and belief formed after reasonable inquiry, the statements and 

information in the Application For An Earthmoving Permit, including Section 1 -Applicant Information, Section 

2-Project Information-Drawing, and Section 3-Dust Control Plan, are true, accurate, and complete. 

A Responsible Official of the Applicant is the person who will be contacted or named in any enforcement action 

initiated by the GRIC Department of Environmental Quality or the GRIC Tribal Courts. 

Signature: 

Printed Name: Title: 
Section 3 - Dust Control Plan 

Put a check (4) in the box in front of all the following sources of fugitive dust that you anticipate from your project. 

Write the letters "NA" in the box in front of all the following sources of fugitive dust that you do not anticipate 

implementing during your project. 

Unless already pre-designated, write the letter -P", for primary control measures that you will implement during your 

project, on the line in front of at least one of the listed control measures or work practices, under each checked 

bodsource of fugitive dust. The control measures pre-designated with the letter "P" are required to be implemented. 

Write the letter Ic", for contingency control measures that you will implement during your project, on the line in 

front of at least one of the listed control measures or work practices, under each checked bodsource of fugitive dust. 

LkJnpaved HauVAccess Roads: 

Limit vehicle speed to 15 miles per hour or less and limit vehicular trips to no more than 20 per day. If this is chosen as 

the primary control measure, indicate number of vehicles traveled on haul roads: 

Apply water at a frequency and intensity to comply with Subsection 3.1, of Part V, Section 2.0 of the GRIC Air Quality 

Management Program Plan. 

Water Availability: 

Water Application: 

Pave 

Apply and maintain surface gravel, recycled asphalt, or other suitable material so that the area meets the silt loading and 

silt content limits of Subsection 5.0, Part V, Section 2.0 of the GRIC Air Quality Management Program Plan. 

Apply and maintain dust suppressant(s) other than water using at a frequency of 

and an intensity of 

Other: 

- 

U~isturbed Surface Areas - Before Dust genera tin^ Operations Occur: 

Pre-water site to the depth of cuts. 

Water Availability: 

Water Application: 

Phase work to reduce the amount of disturbed surface area at any one time. Describe major project phases: 

Other: 

U~isturbed Surface Areas - Durin~ Dust genera tin^ Operations Occur: 

~pply water. 

Water Availability: 

Water Application: 
Apply and maintain dust suppressant(s) other than water using at a frequency of 

and an intensity of 

Construct fences or 3 foot - 5 foot high wind barriers with 50% or less porosity (in combination with one of the above) 

Show locations on drawing in Section 2. 

Cease operations (as a contingency control measure only) 

Other: 

- 

U~isturbed Surface Areas - Temporaw Stabilization Includine Weekends, After Work 

Hours, Holidays, and Periods Up to 8 Months: 

Apply water or other dust suppressant(s) in sufficient quantity and frequency to establish and maintain a visible crust. 

Water Availability: 

Water Application: 

Restrict vehicular access in combination with one of the above. 

Other: 

U~isturbed Surface Areas - Permanent Stabilization Required Within 8 Months of 

Ceasinp Dust genera tin^ Owrations: 

Restore area such that the vegetative ground cover and soil characteristics are similar to adjacent or nearby undisturbed 

native conditions. 

Pave or apply gravel. 

Apply and maintain dust suppressant(s) other than water using at a frequency of 

and an intensity of 

U Other: 

u~rackout from Work Sites With 5 Acres Or More of Disturbed Sudaee Area or With 

100 Cubic Yard Or More of Bulk Material Hauled On or Off Site Per Day: 

Install a grizzly or wheel wash system at all access point. 

At all access points, install gravel pad at least 30 feet wide, 50 feet long, and 6 inches deep. 

Pave starting from the point of intersection with a paved public roadway and extending for a centerline distance of at least 

1 OD feet and a width of at least 20 feet. 

U Other: 

Uspillape, Carw-Out. Erosion, andlor Trackout: 

If Extending More Than 50 Feet Along A Paved Public Roadwav 

Implement IMMEDIATELY: 
Operate a street sweeper or wet broom with sufficient water, if applicable, at the speed recommended by the 

manufacturer. 

II] Manually sweep-up deposits. 

II] Other (describe in detail): 

If Extending Less Than 50 Feet Alon~ A Paved Public Roadway 

Lmplement NO LATER THAN THE END OF THE WORK DAY: 

Operate a street sweeper or wet broom with sufficient water, if applicable, at the speed recommended by the 

manufacturer 

Manually sweep-up deposits. 

II] Other (describe in detail): 

U~ehicle Use In Open Areas: 

II] Restrict trespass by installing signs. 

II] Install physical barriers such as curbs, fences, gates, posts, signs, shrubs or trees to prevent access. 

Other: 

nun paved Parkinr Lots: 

[? Apply water at a frequency and intensity to comply with Subsection 3.1 of Part V, Section 2.0of the GRIC Air Quality 

Management Program Plan. 

Water Availability: 

Water Application:- 

Apply and maintain gravel, recycled asphalt, or other suitable material such that the area meets the silt loading and silt 

content limits of Subsection 4.0 of Part V, Section 2.0 of the GRIC Air Quality Management Program Plan. 

II] Apply and maintain dust suppressant(s) other than water using at a frequency of 

and an intensity of 

Other: 

UBUI~ Material Handling and Open Storare Piles: 

(Choose Primary Control Measure and Secondary Control Measure for 

Each of the Following Two (2) Situations) 

Durinr Stacking, Loading, and Unloadinp Operations: 

Apply water at a frequency and intensity so as not to exceed 20% opacity. 

Water Availability: 

Water Application: 

[? Other: 
When Not conduct in^ Stacking, Loading, and unload in^ Operations: 

Cover open storage piles with tarps, plastic, or other material. 

Apply water to maintain soil moisture content at a minimum of 12% or 70% of the optimum moisture content for 

compaction. 

Water Availability: 

Water Application: 

Apply water as needed to establish and maintain a visible crust. 

Water Availability: 

Water Application: 

Construct wind baniers. This control measure must be used in combination with at least one of the above control measures, 

except covering. 

Other: 

UBulk Material Haulinr On-Site Within The Boundaries of the Work Site: 

Load all haul trucks such that the freeboard is not less than 3 inches; and Prevent spillage or loss of bulk material from 

holes or other openings in the cargo compartment's floor, sides, and/or tailgates, and Install a trackout control device that 

removes particulate matter from tires and the exterior stlrfaces of haul trucks and/or motor vehicles that traverse the 

work site. 

Limit vehicular speeds to 15 miles per hour or less while traveling on the work site. 

Apply water to the top of the load. 

Water Availability: 

Water Application: 

Cover haul trucks with a tarp or other suitable closure. 

Other: 

UBulk Material Haulinp Off-Site Onto Paved Public Roadwavs: 

Cover haul trucks with a tarp or other suitable closure; and Load all haul trucks such that the freeboard is not less than 3 

inches; and Prevent spillage or loss of bulk material from holes or other openings in the cargo compartment's floor, 

sides, and/or tailgate(s); and Before the empty haul truck leaves the site, clean the interior of the cargo compartment or 

cover the cargo compartment. 

Other: 

U~arthmoviw Operation On Disturbed Surface Areas 1 Acre Or Larper: 

Apply water while conducting earthmoving operations 

Water Availability: 
Water Application:- 

Other: