Management Plan and Forms

• Utah Smoke Management Plan
• Utah Airshed Map
• Form 1: Smoke Project Number
• Form 2: UT Annual Burn Schedule
• Form 3: Pre-Burn Information
• Form 4: Burn Request
• Form 5: Daily Emissions Record
• Form 6: Hourly Plume Observation
• Form 7: Changes or Corrections
• Form 8: Carryover and Dropped Projects
• Form 9: Burn Documentation (CI < 500)

Instructions

Required forms will be available through this website (left). Download and fill out the appropriate forms.

The forms are fillable PDFs and can be saved with your data intact. The latest version of Adobe Reader is recommended.

To download, right-click on the link and select "Save Target As..." or "Save Link As...." Otherwise, the form will open in your browser where it can be filled out and saved as well.

Contact Information

• Dan Washington
• Division of Air Quality
• 195 North 1950 West
• Salt Lake City, UT 84114-4820
• Attn: Smoke Coordinator

To email, click here to open and auto-address an email. Or contact at dwashing@blm.gov and cc: dwashington@utah.gov.

• Phone: 801.536.4027
• Mobile: 801.440.1350
• Fax: 801.536.0031