HomeMy WebLinkAboutBurn Permit 2005
PLEASE CALL SCOTT COUNTY DISPATCH AT 952-445-1412 THE DAY YOU ARE GOING TO BURN.
BURNING PERMIT FOR SCOTT COUNTY
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Perm it # -1....:)
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CALL 651-772-7930 NO MORE THAN 1 HOUR PRIOR TO BURNING
PERM IDEE INFORMATION
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BURNING PERMIT CONDITIONS (Check those that apply)
Y PILED MA TffiIAL (Oean V)/o 0 d) i' ' f' ',I ' "
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Size of Area in Acres
BURN SITE LOCATION
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a SPEOAL CONDITIONS
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EFFECTIVE DATES From: M.s 10 (, IY 05
DAILY HOURS: From: 7 (A~/PM
To: M (J? ID~Y or
To: 0 AM~ OR 0 ALLDAY
This permit is valid fDr Dpen burning as allDwed and specified in Minn. Rules 7005.0705 tD 7005.0805, MS f 16, Minn. UnifDrm Fire
..- de, and IDeal Drdinances. The perm ittee is granted perm issiDn tD burn the abDve described materials at the specified location
ring t he dates and tim es listed abDve.
FIRE SAFETY AND AIR QUAUrV ~EQUIREMENTS
I AGREE: ,
. To keep this fire u nd er cont rol and to assum e responsib ility for all d am ages and costs that may result from
burning done under this perm it.
. To attend this fire until com pletely extinguished.
. Not to burn if there isa practical alternative method for disposal of the material such aschipping or
com post ing.
. 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 as provided under Minnesota Statutes 17.135.
. To extinguish the fire im mediately if this perm it is revoked.
. To have this perm it availab Ie at the bu rn site for inspect ion.
. That prevailing wind must be away from nearby occupied buildings.
. That fireswill not be allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rubber, plastics, tiresand chemically treated materialssuch as railroad
ties, treated lumber, composite shingles, tar paper, insulation, comp.osition board, sheet rock, wiring,
paint, hazardous and industrial solid waste.
VIOLATIONS OF PERM IT CONDITIONS MAY SUBJECT PERM II I t:t: TO CRIMINAL ANDIOR OVIL ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I have read and will comply with the COnditiOnsl" and any attachments tD this
~ p;;~=, '; t:;=orha~~~~~;~O;J:;;~I:; theabove;n;;;~i
t ..rm ittee' s Sgnature Date l ~roving Authority ~gnature Date
Paid $25.00 perm it fee ~Check # Ll-I+~
or
o Cash
Mail form back to:
City of Prior Lake-Burn Permit
16200 Eagle Creek Ave SE
Prior Lake, MN 55372