Application for Blasting Permit

Availability:

Blasting Requirements

Online Service

Name of company conducting blasting(Required)

Applicant Name(Required)

First Last

Applicant's Address(Required)

Street Address Address Line 2 City State ZIP Code

Telephone(Required)

Email(Required)

Beginning Date for Blasting to Occur(Required)

End Date for Blasting to Complete(Required)

Address of blasting(Required)

Street Address Address Line 2 City State ZIP Code

Location of Blasting Site(Required)

Description of location

Do you have insurance and blasting certification?(Required)

Yes

No

Please upload a copy of your proof of insurance and blasting certification.(Required)

Accepted file types are: .pdf, .jpg, .png and .gif

Drop files here or

Accepted file types: pdf, jpg, png, gif, jpeg, Max. file size: 20 MB, Max. files: 5.

If you don't have proof of insurance at the time of form submission, please email your proof of insurance to [email protected] when you have it available. Accepted file types are: .pdf, .jgp, .png and .gif.

Terms of Agreement(Required)

I agree

By clicking "I agree" I have read and agree to conduct this blasting in accordance with the requirements of this application, I understand that failure to follow the requirements will result in suspension of the permit, issuance of a summons or both. ** Please allow 10 business days for processing of this application **

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