HomeMy WebLinkAboutBurn Permit - 4/97
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PERMITTEE INFORMATION
'Name NttNlJlIH-rJJ tLJ!
Address 5'f.f1 .:z:ivD/~jJ ~ME e~
City >>/()12 /'/l-1't State& Zip 5.5'372-
L/'I1- .5 7<1 f
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'BURNING PERMIT FOR SCOTT COUNTY ,.4f,cJ,f ."l2/I/f:::
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BURNING PERMIT CONDITIONS (Cbeck ~ba~~ .;
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o PILED MATERIAL (Circle Fuel~~~..DOther
(Specify) I
# Piles h'1U..- . Approx. Pile Size ~ X g /
~8
o RUNNING FIRE (Circle Fuel) Brush I Slash I Grass
Size of Area in Acres
Telephone Number
BURN SITE LOCATION
Township
Address :JM/~
Q FARM OPERATION Household I Other (Specify)
15 UOrJ;:~
Q SPECIAL CONDITIONS
City
Q AITACHMENT
Q WETLAND
. EFFECTIVE DATES: From: M 4,. IIJ.dilYft To: M~ IY 97
DAILY HOURS: From: -=m~M To: ? A. M OR Q ALL DAY
This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f J 6, 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.
lottest. by my signature. that I have read and will comply with the conditions of. and any aJtac~""J/' permit; and that I om the
landowner;r have permiss~downer to burn oJ the above bur." I"""": (">k.,
",j~f~ '1 ) o#A.?,-9J ~0, ;' t-^f-r;7
I
i6 FIRE 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 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 bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately if this {>ermit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind IDlISt be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROIDBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically- treated materials such as railroad ties
!ceated .Iumb~rl composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrIal soho waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PEAAL Ilhh TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BlIRNPRMT.DOC
Revised 4/2196