HomeMy WebLinkAboutBurn Permit - 4/97
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'BURNING PERMIT FOR SCOlT COUNTY ty~C~/v,...
BURNING PERMIT CONDITIONS (Check th~t)PPIY)~ /)
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CJ PILEI? MA TE~ 1Circle Fuel) Trees / Brush~~~/ Other
(SpeCIfy) ~ /k~d,.,.e: ..
# Piles / . Approx. Pile Size ~ f}y.
CJ RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
PERl\'UIIJ!.E INFORMATION
.,
. Name
City
Telephone Number
BURN SITE LOCATION
Township./9~-i.-- /~
Address /"f;//;2:_~L/?~fi ~
City ~~ ~ ~w-- .
CJ FARM OPERA nON Household / Other (Specify)
[J SPECIAL CONDITIONS
CJ ATTACHMENT
CJ WETLAND
I
EFFECnVEDATES: From: M 'i ID 5"lO IY?-;-
DAILY HOURS: From:./;<' AaJ!pM
To: M jffi;'r lYil
To:2-AM/PM OR (J ALL DAY
This permit is valid/or open burning as ai/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS fJ6, 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 attaCh~ents to this ermit; and that I am the
!andowner or have permissian af the ta""".".,. ta born atthe ab""e ~ocatioa _ --? _ /
~/~ 1-;).7-41 '. -I) C/ "'./ ~?O 9;"
Permittee's Signature ,./ Date I Ap ro ng Authority Signa~- / Date '
18. FIRE SAFETY AND AIR QUALITY REQIDREMENTS
' 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 of the 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 tlie burn site for inspection.
· That prevailing wind ID.USt be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROillBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
treated .Iumb~rl composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal soho waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERM! 11 bE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4I2J96