HomeMy WebLinkAboutBurn Permit - 4/97
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'BURNING PERMIT FOR SCOTT COUNTY
PERNUTTEEINFO~TION
BURNING PERNUT CONDITIONS (Check those that apply)
Name ~\W/i-/'//;jJ7 r!.f(JfjrJ/"K
Address ? ? Lf 9' b f? l ff If"' t-If )1'/:: 'I/...'
City II.. ( 0 tZ L-IJ If /State ,v; N zipi S3?J-
Telephone Number 49(; 0 I 3> 0
o PILED MATERIAL (Circle Fuel6@ / Leaves / Other
(Specify)
# Piles 2., Approx. Pile Size /0 X / 0
l:l RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
l:l FARM OPERATION Household / Other (Specify)
Township
Address
') A fYI J[
itS
/tl3tll/~
l:l SPECIAL CONDITIONS
City
o ATIACHMENT
o WETLAND
EFFECTIVE DATES: From: M 4 /D:; ( /Y -2..2- To: M L.{ /D ;J 7 /Y q-/
DAILY HOURS: From: AM/PM To: AM/PM OR X ALL DAY
This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f.16, 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.
1 attest, by my signature, that 1 have read and will comply with the conditions of and any attachments trliS permit; and that I am the
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Permittee's Signature Date. App\v(.ng Authority Sjg6ature / Date I
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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 exceft as provided under Minnesota Statutes 17.135.
· To extinguisn the fire immediately i this I?ermit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind Illl!St 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 .Ium~rl composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrIal soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI! TEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 412J96