Pinal County Agricultural Best Management Practices
20_ Crop Operation Mandatory Three Year Expanded Survey
Name of Commercial Farm: ________________________________________________________________
Responsible Person: ______________________________________________________________________
Mailing Address: _________________________________________________________________________
City/State/Zip Code: ______________________________________________________________________
Physical Location of Farm Office (if different from above): _______________________________________
Email Address: __________________________________________________________________________
Phone: _______________________________________ Fax: ___________________________________
INSTRUCTIONS
• Provide all information relevant to commercial farmland located in the West Pinal County PM10 Non-
Attainment Area. The “Responsible Person” listed above should be the commercial farmer responsible
for preparation and implementation of your BMP program.
• For Crop-Specific BMP Categories (I and II), select each BMP used. Indicate the crops on which each
BMP is used by writing the corresponding Crop Code in the space provided. If the BMP is used on all
crops, circle “all crops.”
• For Non Crop-Specific BMP Categories (III-VI), select each BMP used.
• High Risk Dust Generation Days BMPs must only be selected if you have not selected one of the
underlined BMPs.
• Complete the Agricultural Best Management Practices Three Year Expanded Survey and return to the
Arizona Department of Agriculture, care of Rusty Van Leuven, 1688 W. Adams St., Phoenix, AZ
85007, email rvanleuven@azda.gov, or fax (602) 364-0830. Submit by January 31.
West Pinal PM10 Non-Attainment Area Map
For BMP information and definitions, refer to the Guide to Agricultural PM10 Best Management Practices at
https://agriculture.az.gov/sites/default/files/Pinal%20County%20Crop%20PM10%20Best%20Management%20
Practices%20Guide%20-%20AZ%20Dept%20of%20Ag.pdf
I certify that my operation complied with the requirements of the Agricultural Best Management Practices.
Signature of Responsible Person: _____________________________________________ Date: __________
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