HomeMy WebLinkAboutBurn Permit 2005
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,cFLEASE CALL SCOTT COUNTY DISPATCH AT 952-445-1_412 THE DAY YOU ARE ~
~LL 651-772-7930 NO MORE THAN 1 HOUR PRIOR T~URNING.J -
BURNING PERM IT FOR SCOTT COUNTY
rERMITTEE INFORMATION
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EFFECTIVE DATES Fro m: M~~- /Y as~
DAILY HOURS: Fro m : -2-1AJjttPM
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BURNING PERMIT CONDITIONS (Check those t hat apply)
o PILED MATERIAL (Oean Wood)
(Specify)
# Piles _ Approx. Pile Size
o RUNNING FIRE (Grasslan d)
Size of Area in Acres
o SPEOAL CONDITIONS
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This permit is valid for open burning as allowed and specified in Minn. Rules 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
Jring the dates and tim es listed above.
FIRE SAFETY AND AIR QUAUry ~EQUIREMENTS
I AGREE:
. To keep thisfire under control and to assume responsibility for all damages and costs that may result from
burning done under this perm it.
. To attend this fire until completely extinguished.
. Not to burn if there isa practical alternative method for disposal of the material such aschipping or
com posting.
. 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 ext ing uish t he fire im m ediat ely if this perm it is revoked.
. To have this perm it available at the burn site for inspection.
. That prevailing wind must be away from nearby occupied buildings.
. That fireswill not be allowed to smolder without flame.
PROHIBITED MATERlALSARE: oils, ru b ber, plast ics, tires and chem ically treated materials such as railroad
ties, treated lumber, composite shingles, tar paper, insulation, comp.osition board, sheet rock, wiring,
paint, hazardous and ind ustrial solid waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR aVIL ACTIONS
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I have read and will comply with the conditions of, and any attachments to this
~.!e'm;t; ~nd that I am'; landowne, 0' have pe,m;ss!on of the landowne' to bum at the above bum site location.
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rmiltee'sSignature t Date Approving Authority Signaturetf,.P Date
Paid $25.00 perm it fee 0 Cleek #
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Mail form back to:
City of Prior Lake-Burn Permit
16200 Eagle Creek Ave SE
Prior Lake, MN 55372