HomeMy WebLinkAboutBurn Permit - 3/97
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'BURNING PERMIT FOR SCOTT COUNTY
PERNnTTEEINFO~TION
BURNING PERMIT CONDITIONS (Check those that apply)
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Address /-:b7~ ~Ln1?Vd.5TSE-
City m"c 4# Stat~ZipS5$7L
Telephone Number Ifb 4't. 7:)"
PILED MA~ (Cin;1o Fuel~1 Leav", ~
(Specify) ~7'i' S
# Piles / Approx. Pile Size /C>~ X A::)
. .
o RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
[J FARM OPERATION Household / Other (Specify)
Township M~
Address
[J SPECIAL CONDITIONS
City
[J ATIACHMENT
[J WETLAND
EFFECTIVE DATES: From: M~/D_N~
DAILY HOURS: From: AMlPM
To: M
To:
/D~N:i2.- ,
AMlPM OR ALL DAY
This permit is valid for open burning as aI/owed 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,
r attest, by my signature, that I have read and will comply with the condition if, and any attachments to this permit; and that I am the
iandowner or have permission of the landowner to burn at the above burn It location.
Date
~ -~ -9 7
Date f
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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 except as provided under Minnesota Statutes 17.13 5.
. To extinguisb the fire immediately if this permit is revoked.
. To have this permit available at the burn site for inspection.
· That prevailing wind ID.lLSt 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 )umb~r~ composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrIal soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITIEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4/2/96