HomeMy WebLinkAboutBurn Permit - 8/97
/'f.... o{\. Co- ~'-\. ....;.~ ~';{J-I/"'>'
Q....' .:0 ~ ...;:1,.' ."- ~
I ....... \...-( _ ~ e.r- ......> 'bo;.- . . -'1 .
v-- . <I>- 0-', r..f2.:><; ~ .,..I.Y""
c:;r1-- . '-0-. i .;""
U ~,..cz..., v..=-fl:. .-(',1- IP C/GJ""
D~ l>-~ l'- ~ \ ~, ,
.., \--Q.
,,"-t-- v:>
',... ..)-SPERMITTEE INFORMATION
1f)Q
BURNING PERMIT FOR SCOTT COUNTY
BURNING PERMIT CONDITIONS (Check those that apply)
.-..- ---
Name . ) f', t'...."\.t ,. ") lo-.. <'~ L..c. r-
Address J "-f if \ 0 L:.. <; l P.' B:~ . ~
City Q.r~...\ r-- \ Go.. \, p State~.ZipS531;2,
Telephone Number rf.j (' to .....;} t (, 0
o PILED MA1:;ERIAL (Clean Wood)
(Sp~cify) .1 -<. "v<<;, {'\-' ....."It ;;..\-......".'":''c ~ oj) ,\-..~
# PIles ~ -L( Approx. Pile Size '3 )<.. "7
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
o SPECIAL CONDITIONS
Township ~ c=\-\
Address
50- u'^-"-- ~.t4U.j ~~h
~ - -- - - -- ~/()'J ~rlA 11
EFFECTIVE DATES: From: M-6--1D ~dyq ? To: M~ID f)7 N <t? O{ ~~ /lAI 'f
DAILY HOURS: From: AM/PM To: AM/PM OR A::IAiL DAY (VvtfJ1
This permit is valid for open burning as aI/owed and specified in Min11. Rules 7005.0705 to 7005.0805, MS f16, Minl1.. niform 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.
City
::[[!t.m!i.I:[:Ei!mj::~mlti:i'!::::i~:!_:[:!m!i1.!ii~II:.~~~f:I'I!~::;m~'!il1'-~ml:Itlm::[!;~mti~i~I[:I!1g~[;[
~utl: SAFETY AND AIR QUALITY REQUIREMENTS
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 permit.
· To attend this fIre until completely extinguished.
· Not to bum if there .is a pra~tical alternatIve method for disposal ofthe material such as chipping or compo sting.
· To use a clean burnmg deVIce to start the fire.
· Not to conduct burning during any air quality alert.
· Not to bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately if this l?ermit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind must be away from nearby occupied buildings.
· That fites will not be allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rubber, Rlastics, tires and chemically': 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 CONDITIONS MAY SUBJECT PERM111 hE TO CRIMINAL AND/OR CIVIL
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
land~:ner ~~ have pe~mission of the landowner to burn at the above bur~ location. /J
[~~Z-/~'"- - !J7/{f; M::d2J!..
~ /
's permit; and that I am the
f.?\1\ 0-\1 0/ X
\.) I~ <<-;J' Y:?.y
(0.v ~ ~rV l' & ~a
BURNPRMT.DOC ~ . .> '0 -j
tf D~-8-97
/
Revised 7!3 1/97