HomeMy WebLinkAboutBurn Permit - 5/97
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'BURNING PERMIT FOR SCOTT COUNTY
PERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
Name ~,/f-vhv#'e ~r ~ ~5"I//
Address /{/fl'/ &L7~Lu A-,e. J)E'
City ()t./OJe Lak'E State..J2J.l1Zip ~7=<
Telephone Number ~~..,--~<:?
CI PILED MATERIAL (Circle Fuel) Trees / Brush / Leaves / Other
(Specify) )4L/~
# Piles Approx. Pile Size ..20 X ~ a
Cl RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
CI FARM OPERATION Household / Other (Specify)
Township
.<;R~ ~ ~ t.J~
Cl SPECIAL CONDITIONS
Address
City
Cl AITACHMENT
o WETLAND
EFFECTIVE DATES: From: M S--/D /5 N '71
DAILY HOURS: From:~M
To: M b /D ., N '77"
To: / ~ OR Cl ALLDAY
This permit is validfor open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f16, 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 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 burnJJe 10cation../1 j
4~~~ m~ ~QA_-..J d7/97 1-/; ~ ;/Y~Il- :):/3-97
Permittee's Signature' Date" APP~~ure ( Date
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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 burn if there is a practical alternative method for disposal ofthe material such as chipping 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 Statutes 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 IIlDSt be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
treated .Iumb~r; composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrtal soha waste.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI 11 bE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4I2J96