HomeMy WebLinkAboutBurn Permit 4/97
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'BURNING PERMIT FOR SCOIT COUNTY AP~/\leD
BURNING PERMIT CONDmONS (Check t.t~CiW
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Q PILED MATERIAL (Circle Fuel) Tree(l Brusti) Leaves I Other
(Specify)
# Piles
I
Approx. Pile Size
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PERMITTEE INFORMATION
Name ,e~(fIA ({J .c, ~ (
Address / ~ 7 97 6(../;Ual 1,4,&. 7 L
City ~L Ld.~ State~bzip33:5"~.
Telephone Number ,~~7- 5.:Jn
o RUNNING FIRE (Circle Fuel) Brush I Slash I Grass
Size of Area in Acres
BURN SITE LOCATION
o FARM OPERATION Household I Other (Specify)
Township
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J( ~IAL CO>jDmONS - // - d / .j. //'
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o ATTACHMENT 0 WllttAND
Address
City
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EFFECTIVE DATES: From: M if ID-ilLN 7'l To: M,~ 1D/(7'-N 7'1
DAILY HOURS: From:~M (To: 7 A~ OR Q ALLDAY
This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f /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.
I attest, by my signature, that I have read and will comply with the conditions ot and any attachments to this permit; and that I am the
landowner or have permis,lon of the landowner to burn at the above burn JJ loca~ .1; /l ~ .
.e~,~~~~~ ~-/9-97 ~t/~z~ ~~-97
Pennittee's Signature Date AdPfoving Authorjtf Signature bate
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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 except as provided under Minnesota Statutes 17.135.
· To extinguisl1 the fire immediately if this {lermit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind IIll!S1 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~r.. composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustTlal solIa waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI linE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT,DOC
Revised 4/2196