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HomeMy WebLinkAboutBurn Permit - 4/97 5d 'BURNING PERMIT FOR SCOTT COUNTY A~~ct:IIII2f) BURNING PERMIT CONDmONS (Ch... th~~~9? lJ PILED MATERIAL (Circle Fuel) T~'Other (Specify) # Piles l Approx. Pile Size _ ~ _,. /fJlJ, / (p - X-b o RUNNING FIRE (Circle Fuel) Brush / Slash / Grass Size of Area in Acres if PERMh I.r..E INFORMATION - Name /bY V ~~ '---Z&J(M~vL AddresfTt /50 c(o ~ &~~ City #;u/& bh State ~hip ITY7: /' (PI7' 3,;)03 Telephone Number BURN SITE LOCATION Township hff (i~.' / .IJ ;;.Pt/1<..{. ~. Address City EFFECTIVE DATES: DAILY HOURS: ; I I~ From: M 4Y /D-LLN From: 7(i(MiPM (J FARM OPERATION Household / Other (Specify) 91 .(~L~5 ,~-'-4~~ o ATIAC9f1ENT /J jjI;;'TLAND tVI I#'e- ~ t!J'?f I-/b -?7 ~ .----- ~. __ '" 4_,' To: M 5 /DJpl.... N /'/ To:,~AMtPM-J OR Cl ALLDAY 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. I attest, by my signature, that I have read and will comply with the conditions oj; and any attachment';ijto t' ermit; and that I am the landowner or have permission of the landowner to burn at the above burn sirlxation. - _ /1 /J/7~h . -~;...t; !J1NMVtf /}1!11 {,{}::;i:tfC~y :(/647 ::Bliiii::ii!I:1i~igI1:li.11:IIDilift::;!::~!!!IIIMi::,pi~~4aj;/~!~;~:;:~~:*::.!~~:!e::1111!~:1:1:1i1:1i:i1:1:1~::~::~:~~::i~::::~:::::::::::::::::::t::::::~~:~~:1i1I:1I::~~:::;::::::::~::i:::::I~~uI~:I::::::H::1::i:::: 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 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 extinguisb the fire immediately if this permit is revoked. To have this permit available at the burn Site for inspection. ~ That prevailing wind l1]p.st be away from nearby occupied buildings. . That fires will not be allowed to smolder without flame. ){( . . . . PROlllBlTED 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 PERMI 11 hE TO CRIMINAL ANDIOR CIVIL ACTIONS. REUSE, RECYCLE, AND COMPOST BURNPRMT.DOC Revised 4f2J96