HomeMy WebLinkAboutBurn Permit 2005
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PLEASE CALL SCOTT COUNTY DISPATCH AT 952-445-1412 THE DAY YO:~eE ~~'"(~lf m.
CALL651-772-7930 NO MORE THAN 1 HOUR PRIOR TO BURNING -!
BURNING PERM IT FOR SCOTT &JuNTY
Permit # f({
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PERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
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# Piles / ..[.,.l'/~ I Approx. Pi~ Sze _/~ ){jtJ
CI RUNNING FIRE (Q'asslan d)
Sze of Area in Acres
BURN SITE LOCATION
o SPECIAL CONDITIONS
Township
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EFFECTIVE DATES: Fro m: M3 /D ,?J..cuy ~
DAILY HOURS: From: -2f1:..PjtPM
To: M.LaJ.D~Y--.t2r.
To: Y AI~) OR a ALL DAY
This permit is valid for open burning as allowed and specified in Minn. Alles 7005,0705 to 7005,0805, MS f 16, Minn. Uniform Fire
code, and local ordinances, The permittee is granted permission to burn the above described materials at the specified location
during the dates and times listed above.
I AGREE
. To keep this fire under control and to assume responsibility for all damages and costs that may result from
burning done under thispermiL
. To attend this fire until completely extinguished,
. Not to burn if there is a practical alternative method for disposal of the material such aschipping or
composting, --
. To use a clean burning device to start the fire. .
. Not to conduct burning during any air quality alert.
. Not to burn paper or cardboard except asprovided under Minnesota Satutes 17.135.
. To extinguish the fire imm ediately if this permit is revoked,
. To have this permit available at the burn site for inspection,
. That prevailing wind must be away from nearby occupied buildings.
. That fires will not be allowed to smolder without flame.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
'.
PROHIBITED MATERIALS ARE: oils, rubber, plastics, tires and chern ically treated materials such as railroad
ties, treated lumber, composite shingles, tar paper, insulation, composition board, sheet rock, wiring,
paint, hazardous and industrial solid waste,
VIOLAllONS OF PERMIT CONDI110NS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR aVIL ACTIONS
REUSE, RECYCLE, AND COMPosr
I attest, by my signature, that I have read and will comply with the conditions of, and any attachments to this
permit; and that I am the landowner or have permission of the landowner to burn at the above burn site location.
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Permittee' SSignat~
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, , Date Approving Authority Signature
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Date
Paid $25,00 perm it fee ~ Oleck #/:).373 or 0 Cash
Mail form back to:
City of Prior Lake-Burn Permit
16200 Eagle Creek Ave SE
Prior Lake, MN 55372