HomeMy WebLinkAboutBurn Permit - 4/97
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BURNING PERMIT FOR SCOTT COUNTY ~PII ~ Vr.:-:')
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BURNING PERMIT CONDITIONS (Check thos~f99?
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~PILED MATERIAL (Circle Fuel) Trees / Brush / Leaves / Other
(Specify) " ~/
# Piles 'I Approx. Pile Size Aj X Y
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PERMITTEE INFORMATION
o RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
o FARM OPERATION Household / Other (Specify)
Township
Address
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J 11 o.b () 1/[
o SPECIAL CONDITIONS
City
o ATTACHMENT
o WETLAND
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EFFECTIVE DATES: From: M "/ fD ~ 1Yn- To: M .J? fD /' 1Y!p
DAILY HOURS: From: ~M To:? A~~ OR 0 ALLDAY
This permit is valid lor open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f16, 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 attachments to is permit; and that 1 am the
landown~r or have permIssion olthe landowner to burn at the above bun;;Je locat~ /J /II
(iJ 4Mb 'LV I ~JmJ~tr() 4-1-/ -q7 li~ 'U7v;/ ~ 7- '77
Perrm e's Signature Dale ~p~ving Authority ignature I Date
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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 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 exceft as provided under Minnesota Statutes 17.135.
To extinguish the fire immediately i this permit is revoked.
To have this permit available at die burn sIte for inspection.
That Qrevailing wind DlllSt be away from nearby occupied buildings.
That fires will not be allowed to smolder without flame.
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PROHIBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
!reated )umb~rl composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrlal soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI lIcE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4/2196