HomeMy WebLinkAboutBurn Permit 2005 - Denied
PlEASE CALL. SCOTT COUNTY DISPATCH AT 952-445-1412 THE DAY YOU ARE GOING TO BURN.
t'
Permit # f~
CALL 651-772-7930 NO MORE THAN 1 HOUR PRIOR TO BURNING
aCaIl or aMail
BURNING PERM IT FOR SCOTT COUNTY 1
PERMITTEE INFORMATION
Name 'T A JII.1 ",.< 1tJ, (2.J4u
Address /77.. 9c.J )" U rvr"....., <:::./.,..,<;v,
.
Oty.f/;"ID'r L/fie State JJ1,v Zip 5"S~?Z.
Ph 0 n e # 9'5 2 - 2. ~ b - S-? 0 r;
BURNING PERMIT CONDITIONS (Check those that apply)
I
rzi PILED MATERIAL (Oean Wood)
(~ecify)
# Piles ~ Approx. Pile Sze 'fYi/x /2-
[J RUNNING FIRE (Grassland)
Sze of Area in Acres
BURN SITE LOCATION
~ SPECIAL OONDITIONS
Township pn\o V' (tfke. ,
lI:c:-cV'C)~5 fCr4/N\.. ~1'(..Lo-<->S
Add ress fArlt:. 0 N /707"1-1 >T ;..r(!';t,
7'n oLD f:t4M" n.. t/dl.c. S e.
Oty frt'ur tJ9k~
L ( """ / "'-'<1 "50 ~ 1"" '<' 1! S ~
l.( 5 (( I\c.k"v- ( V) V' ~ s /I r
EFFECTIVE DATES From: M_...Jr' IY__._
DAILY HOURS: From: AM/PM
TO: M
To:
ID /Y
AM/PM OR [J ALL DAY
This perm it is valid for open burning as allowed and specified in Minn. ~/es 7005.0705 to 7005.0805, MS f 16, Minn. Uniform Fire
code, and local ordinances. The perm itt ee is granted perm ission to burn t he above describ ed materials at t he 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 this perm it.
. To attend thisfire 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 as provided under Minnesota Sat utes 17.135.
. To extinguish the fire immediately 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, r.ubber, 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. .
VIOLATIONS OF PERMIT OONDI110NS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CIVIL ACT \
REUSE, RECYCLE, AND COMPOSf ., ,
I at/est, by my ,;gnetu,e, tball ba,"ead and wUl comply wUb tbe condUlons of, and any a" cb II enls t ~ . I'
. :;nd Ib: 1='andowne'O'ba.:~~m:;~ of Ib;7"" )~um ,allb\ ~ ,i~ /Q'1J4~'O~
:.permi~"..~l~,;:; --. ~te ApJrovlng Authonty;-S tu ""t;.I/~r y \\, o:e ,{J
~ / I I......; "
'\ 6 AAait'ro'rm back~
o Cash ICity of Prior Lake-Burn Permit
16200 Eagle Creek Ave SE
~ Prior Lake, MN 55372
o O1eck #