Blasting Permit

Hazmat

Utah State Fire Marshal's Office Blasting Permit Application

A permit is required to maintain, store, use or handle materials, or to conduct processes which produce conditions hazardous to life or property, or to install equipment used in connection with such activities. The issuance of a permit shall not be construed as authority to violate, cancel or set aside any of the provisions of the code. Such a permit shall not take the place of any license required by law.

Applicant agency

Contact name

Email

Phone number

Enter your full mailing address

Applicant address

City

State

Zip Code

Blasting site name

Emergency contact name

Emergency phone

Enter the full address (including city and zip code) or GPS coordinates

Blasting site address or coordinates

Proposed start date

Proposed end date

Type full name to sign application

Applicant signature

Date

Copy of current, applicable Alcohol, Tobacco, and Firearms (ATF) License

Copy of current, applicable ATF listed Responsible Parties, Employee Possessor and/or User
Permit(s)

Twenty-Four (24) hour contact information; including name, address, phone numbers, email for
responsible parties, local/site Project supervisor or foreman, and primary contact(s) information
for the requested permit

Information on explosive types, quantities in storage, shot quantities and day use estimates

Purpose of Permit

Proof of Insurance

Map of proposed blasting operations and storage magazines (with GPS coordinates identified)

Proof of notification/coordination with local authorities having jurisdiction

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