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Fire Prevention Division

Notice of Blasting - Online Submission Form

 

Notice of Blasting - Online Submission Form

STATE OF TENNESSEE

Department of Commerce and Insurance

Tennessee State Fire Marshal

500 James Robertson Parkway

Nashville, TN 37243-1162

615-741-7190

/commerce/sfm

 

 

TCA 68-105-103(m) requires notice be given to the Department of Commerce and Insurance at least 72 hours before blasting operations commence.


Failure to give the required notice shall result in a fine of $100 for the first violation. A second or subsequent violation by the same person shall result in a fine of $500. Failure to complete all information is considered an invalid notice.

 

 

Date of Notice: Format: mm/dd/yyyy *A value is required.*Format: mm/dd/yyyy

(please enter the Correct Date, this submission will be time stamped as well)

 

 

  1. Location of Blast(s)
    • Site Address:

    • City: , TN

    • County:

    • ZIP:

  2. Date(s) of Blast(s)
    • Begin Date: Format: mm/dd/yyyy*A value is required.*Format: mm/dd/yyyy

    • End Date: Format: mm/dd/yyyy *Format: mm/dd/yyyy

    • OR Select:

    • N/A - This is a one-time notification for a permanent location such as, but not limited to, a commercial quarry, mine, or cemetery with a recurring blasting operation.

  3. Blasting Firm
    • Name:

    • Registration #:

    • Phone #: Format: (123) 456-7890 *A value is required.*Format: (123) 456-7890

  4. Blaster
    • Name:

    • Registration #:

    • Phone #: Format: (123) 456-7890*A value is required.*Format: (123) 456-7890

  5. Submitter of this Notice
    • Name:

    • Email Address:

    • Phone #: Format: (123) 456-7890 *A value is required.*Format: (123) 456-7890