The South Dakota A 94 A form serves a crucial role for individuals aiming to operate as private aerial applicators within the state. It's a comprehensive application that must be submitted alongside the Private Pesticide Applicator License Application, detailing essential information like Federal Airman’s Certification, aircraft details, and prior aerial application experience. Filling out this form accurately is the first step toward ensuring compliance and safety in the unique field of aerial pesticide application. Click the button below to begin the process of filling out your form.
In the realm of agriculture and aerial application in South Dakota, the Form A 94 A represents a key document for individuals seeking to operate as private aerial applicators. Nestled within the administrative framework of the Division of Agricultural Services, this form serves as an application that must be submitted alongside the Private Pesticide Applicator License Application, tailoring to the specifics required for aerial pesticide application. The form requires detailed applicant information, ranging from personal contact details to technical specifications about the aircraft intended for use. Additionally, it demands proof of Federal Airman’s and Agricultural Aircraft Operator’s FAA Certificates, alongside a comprehensive list of the aircraft's make, model, and registration details. Moreover, applicants must disclose their piloting experience, particularly focusing on flight and pesticide application hours, which underscores the importance of safety and proficiency in aerial application tasks. The form also inquires about any past denials of permission to spray in other states, ensuring a thorough vetting process. Further intricacies of the form include the necessity for supervision under certain conditions—highlighting a structured pathway for less experienced applicators to gain the requisite oversight. As it stands, the Form A 94 A embodies the meticulous regulatory landscape governing aerial pesticide application in South Dakota, ensuring that those who undertake this responsibility are both qualified and accountable.
Division of Agricultural Services
Foss Bldg, 523 E Capitol Ave
Pierre, SD 57501-3182
Phone: (605) 773-4432
Fax: (605) 773-3481
Web: sdda.sd.gov/Ag_Services
Form A 94 A
PRIVATE AERIAL APPLICATOR APPLICATION
(To be submitted with the P r i v a t e
Pesticide Applicator License Application)
Name:
First
Middle Initial
Last
Address:
Street or Box
City
State
Zip+4
Phone No.
Business Name or Employer:
Email Address:
1.
Federal Airman’s Certification number:
Rating:
2.
Agricultural Aircraft Operator’s FAA Certificate
number & Date issued:
3.Will cover: (List each aircraft below)
Make
Model
Year
Federal ‘N’ No. (required)
South Dakota Reg. No.
(contact SD DOT to pay fee 605-773-4430)
4.Has listed aircraft (including attached equipment) received FAA approval?
5.a. Total Pilot In Command (PIC) flight hours
b. Total (PIC) Hours: Single Engine-Tricycle Gear:
; Single engine-Conventional/Trail Dragger:
;
Helicopter:
; Other:
6.In reference to 5b, number of hours within the preceding 12 months by type.
7.
a. Total hours of spraying and/or dusting experience:
Within past year:
b. Equivalent hours of experience within the past year (e.g. Practice time).
______________
c. Have you successfully completed an FAA approved aerial applicator school? __________________________________
If so, please attach a copy if this is the first time application.
8.a. Number of acres in South Dakota, treated by the applicant within the past year. b. Number of flight hours involved in the treatment of the acreage in 8a.
9.Anyone who has less than 750 PIC Hours and has not previously sprayed under a Class B permit for 2 years or successfully completed an FAA approved aerial applicators school or have a current aerial applicators license from another state, must operate under the supervision of a SD licensed FAA Part 137 license holder.
Name of supervisor pilot
Signature
(Print)
10. Have you or any employer (for which you have ever worked) been denied permission to spray in any state? If yes, indicate employer, company, year of denial and state where denial was issued.
11.The information provided above is true and correct, to the best of my knowledge.
Date
OFFICE USE ONLY
APPROVED BY THE SOUTH DAKOTA AERONAUTICS COMMISSION
Program
Class
Manager
Revised 04/2012
Filling out the South Dakota A 94 A form is an important step in the process of becoming a licensed private aerial applicator. This form accompanies the Private Pesticide Applicator License Application and requires careful attention to detail. The information you provide will be reviewed by the Division of Agricultural Services, so it's crucial to ensure accuracy and completeness. Following the steps outlined below will help streamline the process and increase the likelihood of a successful application.
Upon completion, review your form for accuracy, then submit it along with any required documentation to the address provided on the form. This ensures your application will be processed without unnecessary delays. Remember, this form is a key component of the licensing process, aimed at ensuring safety and compliance within the aerial application industry in South Dakota. It's an opportunity to demonstrate your qualifications and commitment to responsible agricultural practices.
The Form A 94 A, known as the Private Aerial Applicator Application, is a required document for anyone looking to receive a private pesticide applicator license in South Dakota. This form is specifically for individuals intending to apply pesticides through aerial means, such as with an aircraft. It must be submitted alongside the Private Pesticide Applicator License Application and is geared towards pilots who operate agricultural aircraft. This includes those flying planes or helicopters to disperse agricultural chemicals over croplands.
To complete the Form A 94 A, applicants must provide various pieces of information, including:
Applicants of the Form A 94 A must meet specific training and experience requirements:
If an applicant has been previously denied permission to spray in any state, they must disclose this information on the Form A 94 A by indicating the employer or company involved, the year of the denial, and the state where the denial was issued. This does not automatically disqualify an applicant, but it does prompt further review by the South Dakota Aeronautics Commission. The commission assesses these cases individually, considering the reasons for the previous denial and any corrective actions taken by the applicant since then. Full disclosure and honesty in these situations are crucial for a fair evaluation process.
For more information or assistance with the Form A 94 A, individuals can contact the Division of Agricultural Services in South Dakota directly. They can be reached at:
Filling out the South Dakota A 94 A form, required for Private Aerial Applicator Applications, can be a bit daunting. Common errors can lead to delays or the rejection of the application. It is crucial to pay attention to detail and double-check all entered information.
Here are seven mistakes often made on the South Dakota A 94 A form:
To avoid these common pitfalls, applicants should thoroughly review their applications before submission. It’s advisable to have all the necessary information, including aircraft registration numbers and accurate flight hours, at hand. Ensuring that all sections are completed in full and with accurate details will smooth the application process and help avoid unnecessary setbacks.
Meticulous attention to detail and adherence to the form’s requirements are key to a successful Private Aerial Applicator Application in South Dakota.
Completing and submitting the South Dakota A 94 A form is a crucial step for individuals looking to become licensed private aerial applicators in South Dakota. However, this form is often just one component of a package of required documents needed for the full application process. Understanding these additional forms and documents can help streamline the application, ensuring that candidates provide all the necessary information in a timely manner.
In summary, while the South Dakota A 94 A form is specific to those seeking licensure as private aerial applicators, the completion of the application process usually involves the submission of numerous other forms and documents. Each document serves a specific purpose, from verifying qualifications and experience to ensuring safety and compliance. Together, these documents provide a comprehensive profile of the applicant, ensuring that only qualified and competent individuals are granted the privilege of aerial application in South Dakota.
The South Dakota A 94 A form, which is required for private aerial applicators wishing to apply for a license to operate, draws similarities with a variety of other regulatory documents, specifically those that also pertain to professional licensing and certification in specialized fields. These forms, while serving unique purposes, share commonalities in their structure, intent, and the type of information they solicit from applicants. Below, notable resemblances are drawn with two specific types of documents.
Federal Aviation Administration (FAA) Forms
The structure and detailed requirements of the South Dakota A 94 A form bear resemblance to certain Federal Aviation Administration (FAA) forms, particularly those related to pilot and aircraft certification, such as the Medical Certificate Application and the Aircraft Registration Application. Both sets of documents:
State Pesticide Applicator Certification Forms
Another document type similar to the South Dakota A 94 A form is found in the realm of state pesticide applicator certification forms, which many states require for various types of pesticide application businesses. These forms, like the A 94 A, aim to regulate and ensure safe practices in specialized applications by:
When filling out the South Dakota Form A 94 A for a Private Aerial Applicator Application, certain practices can enhance the accuracy and acceptance of your application, while others can lead to unnecessary delays or rejection. Here are key dos and don'ts to keep in mind:
Understanding the South Dakota A 94 A form is crucial for those operating in the agricultural and aerial application sectors. However, there are several misconceptions that need addressing to ensure compliance and proper use of the form. Here are six common misconceptions:
Proper comprehension and accurate completion of the South Dakota A 94 A form are indispensable for private aerial applicators. By dispelling these misconceptions, applicators can better navigate the regulatory landscape, ensuring both compliance and the safety of their operations in South Dakota.
Understanding the South Dakota A 94 A form, specifically designed for private aerial applicators, is crucial for ensuring compliance with the local regulations governing aerial application of pesticides. Here are key takeaways from the document:
These elements collectively ensure that the process of licensing for aerial pesticide application in South Dakota is thorough, combining aspects of federal compliance, practical experience, and personal accountability to safeguard both the environment and agricultural interests in the state.
Sd Reemployment Phone Number - The form necessitates the signature of the owner, partner, or authorized official to verify the information provided.