HomeMy WebLinkAboutBurn Permit - 1/97
PERMITTEE INFORMATION
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'BURNING PERMIT FOR SCOTT COUNTY ~ [:"
BURNING PERMIT CONDITIONS (Check those that apply)
(3)
Name
Address /7;),73' ~1.Mh\N ::;""SC
City ~?M- Stat~Zip~Z
Telephone Number # -~.?:J'
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a RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
Township /&-o..e. kd
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o FARM OPERATION Household / Other (Specify)
a SPECIAL CONDITIONS
a AITACHMENT
a WETLAND
EFFECTIVE DATES:
DAILY HOURS:
This permit is valid for open burning as aI/owed 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 I have read and will comply with the conditio of, and any attachments to his permit; and that I am the
landowner or have permission of the landowner to burn at the above bur . e location.
~
Date
/-/y:.97
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 except as provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately ifthis I?ermit is revoked.
· To have this permit available at the burn SIte for inspection.
· That prevailing wind lIlllSt 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
!reated .Iumb~1i composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrIal solto waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4/2/96