Fill in a Valid South Dakota A 94 A Form Get This South Dakota A 94 A Now

Fill in a Valid South Dakota A 94 A Form

The South Dakota A 94 A form is a crucial application for individuals aiming to operate as private aerial applicators within the state. It serves as a supplementary document to the Private Pesticide Applicator License, encompassing detailed information ranging from federal certifications to specific aircraft details used in pesticide application. For individuals keen on pursuing aerial application endeavors, completing and submitting this form accurately is essential.

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Outline

When it comes to applying chemicals from the air in South Dakota, the Division of Agricultural Services plays a pivotal role in ensuring that these activities are conducted safely and legally. Nestled within the Foss Building in Pierre, this division handles a raft of applications, including the specifically designed Form A 94 A - a crucial document for those seeking to become privately certified aerial applicators. This form, to be submitted along with the Private Pesticide Applicator License Application, requires detailed information including the applicant's personal details, Federal Airman’s Certification number, and specific details about the aircraft to be used in the operation. The form not only delves into the technicalities of the aircraft and its approval status but also probes into the pilot's experience, both general and specific to agricultural spraying. The requirement for applicants with less than 750 Pilot In Command (PIC) hours to operate under supervision unless they meet specific criteria underscores the stringent measures South Dakota takes to ensure aerial applications are conducted by skilled individuals. Moreover, this document touches on past experiences and seeks to verify the legitimacy and qualifications of the applicant through a comprehensive list of requirements. Through this form, the state ensures that every aerial application conducted within its borders adheres to the highest standards of safety and efficiency.

South Dakota A 94 A Example

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:

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street or Box

City

State

 

Zip+4

Phone No.

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.

 

 

Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

 

 

APPROVED BY THE SOUTH DAKOTA AERONAUTICS COMMISSION

Date

 

 

Program

 

 

Class

 

 

 

 

 

Manager

 

 

 

 

Revised 04/2012

Form Specifics

Fact Name Description
Form Designation South Dakota A 94 A Form is titled as PRIVATE AERIAL APPLICATOR APPLICATION.
Primary Purpose This form is for individuals applying to be licensed as private aerial applicators, used in conjunction with the Private Pesticide Applicator License Application.
Relevant Authority The form is overseen by the South Dakota Aeronautics Commission as part of the Division of Agricultural Services.
Requirements for Application Applicants must provide Federal Airman’s Certification number, Agricultural Aircraft Operator’s FAA Certificate, aircraft information, piloting experience details, and information on previous applications and licenses.
Supervision Clause Applicants with less than 750 Pilot in Command (PIC) Hours or lacking specific qualifications must operate under the supervision of a South Dakota licensed FAA Part 137 license holder.
Governing Law The application process and requirements are established in accordance with federal and South Dakota state law, particularly focusing on aerial application and pesticide application regulation.

South Dakota A 94 A: Usage Instruction

When applying to be a private aerial applicator in South Dakota, individuals are required to complete Form A 94 A, a document necessary for validating qualifications and ensuring adherence to state regulations. This process is crucial for the safe and responsible deployment of aerial applications, such as pesticides, ensuring those tasked with this responsibility are adequately trained and their equipment meets regulatory standards. Successfully navigating this application requires attention to detail and a thorough understanding of one's qualifications and aircraft specifications.

  1. Begin by entering your full name, including your first name, middle initial, and last name, in the designated spaces.
  2. Fill in your complete address, including street or box number, city, state, and zip code plus the four-digit extension.
  3. Provide your phone number in the form's specified field.
  4. Under "Business Name or Employer," enter the name of your business or employer associated with this application.
  5. Input the address of your business or employer, adhering to the same format of street or box number, city, state, and zip+4.
  6. Include a valid email address to ensure communication regarding your application can be efficiently managed.
  7. For question 1, enter your Federal Airman’s Certification number and specify your rating.
  8. Record your Agricultural Aircraft Operator’s FAA Certificate number and the date it was issued in question 2.
  9. In question 3, list each aircraft that will be covered by this application, including its make, model, year, Federal ‘N’ No., and South Dakota Registration Number.
  10. Answer whether the listed aircraft, including attached equipment, has received FAA approval.
  11. Detail your Total Pilot In Command (PIC) flight hours as requested, dividing them into the specified categories.
  12. For question 6, outline your hours within the preceding 12 months by type, corresponding to the categories in question 5b.
  13. Describe your experience in aerial spraying and/or dusting, including total hours and equivalent hours within the past year. Indicate whether you have completed an FAA-approved aerial applicator school.
  14. Record the number of acres in South Dakota you have treated in the past year and the flight hours involved, as per question 8.
  15. If applicable, provide information about any required supervision by a SD licensed FAA Part 137 license holder due to insufficient PIC hours or experience, including the supervisor pilot's name and signature.
  16. Answer whether you, or any employer you've worked for, has been denied permission to spray in any state. Include details as necessary.
  17. Sign and date the form, certifying that the information provided is true and correct to the best of your knowledge.

After completing and reviewing Form A 94 A for accuracy and completeness, the next step involves submission, alongside the Private Pesticide Applicator License Application, to the Division of Agricultural Services. This step marks the beginning of the formal evaluation process by the South Dakota Aeronautics Commission. The submitted documents will be scrutinized to ensure the applicant's eligibility, compliance with state laws, and the safety of the proposed aerial application activities. Approval by the commission indicates the applicant's qualifications have been recognized, allowing them to proceed with aerial applicator responsibilities within the state of South Dakota.

More About South Dakota A 94 A

What is the purpose of the South Dakota A 94 A form?

The South Dakota A 94 A form is designed for private aerial applicators seeking to apply pesticides via aircraft. It must be submitted alongside the Private Pesticide Applicator License Application. This form ensures that applicants meet all necessary requirements to operate safely within the state, including having proper Federal Airman's Certification, an agricultural aircraft operator's FAA Certificate, and the necessary flying experience.

Who needs to fill out the South Dakota A 94 A form?

Any individual intending to operate as a private aerial applicator in South Dakota needs to complete this form. This encompasses pilots who plan to spray pesticides for agricultural purposes from an aircraft.

What information do I need to provide in the form?

You need to provide a variety of detailed information, which includes:

  • Personal and business contact details
  • Federal Airman’s Certification number and rating
  • Agricultural Aircraft Operator’s FAA Certificate number and the date it was issued
  • Details about the aircraft to be used, including make, model, year, and registration numbers
  • Total Pilot In Command (PIC) flight hours and specific flight experience types
  • Experience related to aerial spraying or dusting
  • Details about any aerial applicator schooling completed
  • Previous year's spraying activities, including acreage and flight hours
  • Information on previous permissions or denials to spray in any state

What are the qualifications to apply?

To apply, you must have:

  1. A Federal Airman's Certification with the appropriate rating.
  2. An Agricultural Aircraft Operator’s FAA Certificate.
  3. Sufficient Pilot In Command (PIC) flight hours, as specified in the form.
  4. If you have less than 750 PIC hours, you need to have operated under supervision, completed an FAA approved aerial applicator school, or hold a current license from another state.

How do I submit my South Dakota A 94 A form?

The form should be submitted to the Division of Agricultural Services either via mail or fax. You can find the mailing address and fax number at the top of the form. Ensure all sections of the form are fully completed before submitting.

Is there a deadline for submitting the A 94 A form?

The form doesn't specify a particular deadline. However, it's best to submit it well in advance of when you plan to start aerial application activities, to allow sufficient time for processing.

What if I need to update information or make corrections after submission?

If you need to update information or correct errors after your form has been submitted, contact the Division of Agricultural Services directly. They can assist you in making necessary changes to ensure your application is accurate.

Who can I contact if I have questions about the form or application process?

For questions or clarifications, you can contact the Division of Agricultural Services at the phone number provided at the top of the form. They can provide guidance and support throughout the application process.

Common mistakes

When filling out the South Dakota A 94 A form, which is a requirement for those seeking to become private aerial applicators, individuals often stumble over several common errors. These mistakes can complicate the application process, delay approval times, and in some cases, result in the rejection of the application. Awareness and avoidance of these errors can streamline the process, ensuring a smoother path to obtaining the necessary credentials.

  1. Not providing complete contact information: The form asks for detailed contact information, including a physical address and an email address. It's essential to fill out this section entirely and accurately. Missing or incorrect contact information can lead to delays in the application process as the Division of Agricultural Services may need to reach out for clarification or additional information.
  2. Incorrect or missing certification numbers: Sections 1 and 2 ask for the Federal Airman’s Certification number and the Agricultural Aircraft Operator’s FAA Certificate number, respectively. Applicants sometimes enter incorrect numbers or leave these fields blank. As these numbers are crucial for verifying an applicant's qualifications, ensuring they are correctly filled is paramount.
  3. Incomplete aircraft information: The section requiring details about the aircraft to be covered, including the make, model, year, Federal 'N' No., and South Dakota Registration Number, is often inadequately filled. It is critical to provide complete details for each aircraft that will be used, as omitting information can result in processing delays or the need for application resubmission.
  4. Omission of experience details: Applicants frequently forget to provide comprehensive details regarding their pilot in command (PIC) flight hours and spraying/dusting experience in section 5 and section 7. It's vital to include all relevant experience, as this information helps the reviewing authorities assess the applicant's competency and readiness for the responsibilities of aerial application.
  5. Failure to attach necessary documentation: First-time applicants are required to attach a copy of their completion certificate from an FAA-approved aerial applicator school if they have successfully completed such a program. This oversight can halt the application process, as the absence of requisite documentation makes it impossible to verify the applicant's training.

Applicants should review their completed forms for accuracy and completeness before submission. A meticulous approach to filling out the form can help prevent unnecessary setbacks. The South Dakota Division of Agricultural Services has made resources available to assist applicants in understanding the requirements, and it is advisable to consult these resources or contact the Division directly with any questions.

Attention to detail and thoroughness are your allies in this process. Ensuring all sections of the South Dakota A 94 A form are properly filled out not only demonstrates the applicant's professionalism but also facilitates a smoother review by the Division of Agricultural Services.

Documents used along the form

The submission of the South Dakota A 94 A form, which is essential for private aerial applicators wishing to apply for or renew their license, is a crucial step in ensuring compliance with local regulations. This form is part of a suite of documents that are often required by individuals looking to engage in aerial application services safely and legally. Understanding these associated documents can significantly streamline the application process, ensuring that all regulatory requirements are met efficiently.

  1. Private Pesticide Applicator License Application: This is the primary form that must be submitted alongside the A 94 A form. It collects the applicant's personal information, qualification details, and the intended use of pesticides, ensuring that the applicant is competent and qualified to handle and apply pesticides safely.
  2. Federal Airman’s Certification: A copy of this certification is required to prove the applicant's eligibility and qualification to operate an aircraft. It verifies that the applicant has met all the necessary federal aviation standards.
  3. Agricultural Aircraft Operator’s FAA Certificate: This document demonstrates that the aircraft to be used for aerial application meets the Federal Aviation Administration's (FAA) safety and operation standards.
  4. Proof of FAA Approved Aerial Applicator School Completion: If applicable, this certificate is necessary for first-time applicants or those who have not previously provided it, showing that they have received specialized training in aerial application.
  5. South Dakota Aircraft Registration: Evidence of registration with the South Dakota Department of Transportation (SD DOT) is required for each aircraft listed in the application, ensuring that all aircraft comply with state regulations.
  6. Employment History and Experience Record: This may include logs or documentation detailing the applicant's previous aerial application work, total flight hours, and specific experience relevant to the application, supporting the applicant's competency claims.
  7. Supervisor Pilot Information: For applicants with less experience, information about the FAA Part 137 licensed supervisor pilot under whom they will operate is required to ensure oversight and guidance.
  8. Insurance Documentation: Proof of adequate liability insurance covering the aerial application activities is often mandatory, protecting both the applicator and the public from potential risks associated with aerial pesticide application.

Collectively, these documents contribute to a comprehensive application package, ensuring that all aerial applicators in South Dakota operate within the bounds of safety, legal, and environmental standards. It's important for applicants to carefully prepare each document, as inaccuracies or omissions can delay the licensing process. Moreover, staying informed about any changes in local laws or regulations is crucial for maintaining compliance and ensuring the continued validity of their license to operate.

Similar forms

The South Dakota A 94 A form is akin to several other documents required within the agricultural and aeronautical sectors, aimed at ensuring safety, compliance, and operational efficiency. It serves a specific purpose for private aerial applicators, streamlining processes related to aerial application of pesticides. Understanding its similarities to other documents can shed light on its importance and functionality within a broader regulatory context.

Federal Aviation Administration (FAA) Part 137 Certification comes as a close match to the South Dakota A 94 A form. Part 137 of the FAA regulations pertains to agricultural aircraft operations, requiring operators to obtain certification before engaging in aerial dispersal of substances. Both the A 94 A form and the FAA Part 137 certification focus on the safe and regulated operation of aircraft for agricultural purposes. In essence, they share an overarching goal of ensuring that pilots and their equipment are suitably qualified and that operations comply with relevant safety and environmental standards. Where the A 94 A form is specific to South Dakota, the Part 137 Certification applies nationally, underscoring a layered approach to regulation—from federal to state levels.

Private Pesticide Applicator License Application shares functional similarities with the South Dakota A 94 A form, albeit with a broader focus on the individual's competency in handling pesticides, rather than the aerial application aspect. This application seeks to confirm that the applicant possesses the necessary knowledge and skills to use pesticides responsibly and effectively, minimizing risks to the environment, public health, and non-target species. While the A 94 A form includes elements related to aircraft and piloting qualifications, the Private Pesticide Applicator License Application encompasses general pesticide application principles. Both forms are essential in their respective realms, ensuring that pesticide application—whether from the ground or air—is performed safely and competently.

State-Specific Aerial Applicator Certifications in other jurisdictions share common ground with the South Dakota A 94 A form, as most states have their regulatory requirements for aerial pesticide application. These certifications often require proof of piloting skill, knowledge of safe pesticide use, and an understanding of local agricultural needs. The key similarity lies in their shared objective to protect public health and the environment while supporting agricultural productivity. By tailoring their requirements, each state, including South Dakota with its A 94 A form, addresses unique local challenges and regulatory landscapes, ensuring that aerial applicators meet a set standard of professionalism and safety.

Dos and Don'ts

Filling out the South Dakota A 94 A form, which accompanies the Private Pesticide Applicator License Application, is a crucial step in ensuring compliance with state regulations for aerial applicators. To guide you seamlessly through the process, here's a simple yet comprehensive list of dos and don’ts.

Do:

  • Ensure accuracy: Double-check all your inputs, especially your Federal Airman’s Certification number and Agricultural Aircraft Operator’s FAA Certificate number. Incorrect information can delay your application.
  • Be thorough: Fill in every required field. If a section doesn't apply to you, note it as N/A rather than leaving it blank, to show that you didn't simply overlook it.
  • Keep records: Make a copy of the completed form and any attachments for your records. This is crucial for tracking and future reference.
  • Verify aircraft approval: Confirm that every listed aircraft, including attached equipment, has received FAA approval. Provide documentation if required.
  • Attach additional documentation: If it's your first application, remember to attach a copy of your completion certificate from an FAA-approved aerial applicator school.
  • Sign the form: Your signature certifies that the information you provided is accurate to the best of your knowledge. Unsigned forms are incomplete and will not be processed.

Don't:

  • Estimate numbers: Avoid guessing your Total Pilot In Command (PIC) flight hours or any other numerical data. Estimates can lead to inaccuracies and potential issues with your application.
  • Forget supervisor details: If you do not meet the specific experience requirements, you must operate under a supervisor. Failing to provide the name of your supervising pilot can make your application invalid.
  • Overlook the deadline: Submitting the form after the deadline can delay your license issuance. Always check and adhere to submission timelines.
  • Use non-professional emails: Provide a professional email address that you check regularly for correspondence related to your application.
  • Ignore denial history: If you or an employer has been previously denied permission to spray in any state, disclosing this information is crucial. Omission can be seen as withholding information.
  • Rush through the form: Take your time to read each question carefully and answer it fully. Rushing can lead to mistakes or omissions that may complicate your application process.

Adhering to these guidelines not only smoothes the path to obtaining or renewing your Private Aerial Applicator License but also ensures that you remain compliant with South Dakota's agricultural service regulations.

Misconceptions

Understanding the South Dakota A 94 A form is crucial for those involved in private aerial application, yet numerous misconceptions exist. Addressing these can help ensure applicants submit their information correctly and comply with regulations.

  • Misconception 1: The A 94 A form is the only document needed for aerial application licensing. In reality, the form must be submitted alongside the Private Pesticide Applicator License Application, emphasizing its part of a broader application process.
  • Misconception 2: Some believe that Federal Airman’s Certification number and Agricultural Aircraft Operator’s FAA Certificate number are interchangeable. However, these are distinct certifications; one pertains to the pilot’s licensure while the other relates to the aircraft’s operational clearance for agricultural purposes.
  • Misconception 3: Applicants often think listing their aircraft is optional. The form explicitly requires details such as make, model, year, and both federal and state registration numbers, underscoring the importance of comprehensive aircraft identification.
  • Misconception 4: It’s a common misunderstanding that FAA approval for attached equipment isn’t necessary. The form asks specifically if the listed aircraft, including equipment, has received FAA approval, highlighting the importance of safety and compliance.
  • Misconception 5: There’s a misconception that details about flight hours aren’t vital. Detailing total Pilot In Command hours, including breakdowns by aircraft type and recent flight hour details, is critical for demonstrating experience and capability.
  • Misconception 6: Many think aerial applicator school completion isn’t necessary for experienced pilots. However, for first-time applicants or those without sufficient flight hours, proof of successful completion of FAA-approved aerial applicator school is required, indicating its role in ensuring qualified applicators.
  • Misconception 7: The form’s section on prior denials for permission to spray by any employer implies a comprehensive background check. It serves to identify any potential compliance issues in an applicant's or their employer's history.
  • Misconception 8: Finally, a common error is treating the sign-off as a mere formality. The signature certifies the truth and accuracy of the provided information, stressing the form’s legality and the seriousness of submitting accurate data.

Correct understanding and adherence to the requirements of the South Dakota A 94 A form are imperative for lawful and safe aerial application operations. Dispelling these misconceptions is the first step towards ensuring all applicants are adequately informed and prepared.

Key takeaways

Understanding the South Dakota A 94 A form is crucial for anyone looking to apply as a private aerial applicator in South Dakota. Here are nine key takeaways that every applicant should be aware of:

  • The form is a necessary step alongside the Private Pesticide Applicator License Application, specifically designed for those intending to conduct aerial application of pesticides.
  • Applicants must provide comprehensive personal and business details, including contact information and addresses, underscoring the importance of accuracy in these fields.
  • A valid Federal Airman’s Certification number, along with the rating, and an Agricultural Aircraft Operator’s FAA Certificate number with the date it was issued, are mandatory, highlighting the regulated nature of the role.
  • The form requires detailed information on the aircraft to be used, including make, model, year, and registration numbers, ensuring that only approved and properly registered aircraft are utilized for aerial application.
  • Applicants must confirm FAA approval for the listed aircraft and attached equipment, indicating the strict safety and regulatory standards in place.
  • A detailed breakdown of flight and application experience is requested, with specific emphasis on Pilot In Command (PIC) hours and agricultural spraying or dusting experience, emphasizing the need for skilled and experienced applicants.
  • The form asks about educational credentials, specifically completion of an FAA-approved aerial applicator school, pointing to the importance of specialized training in this field.
  • Information regarding the quantity of acreage treated and flight hours accumulated in the past year within South Dakota must be disclosed, highlighting the state-specific nature of the application.
  • Certain conditions, such as having less than 750 PIC hours or lacking specific qualifications, necessitate operating under the supervision of a SD licensed FAA Part 137 license holder, ensuring that less experienced applicators are adequately supervised.

Overall, the South Dakota A 94 A form is a detailed application that ensures only qualified, experienced, and responsible individuals are permitted to carry out aerial pesticide applications in the state, safeguarding both the environment and public health.

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