HomeMy WebLinkAboutBurn Permit - 4/97
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BURNING PERMIT FOR SCOTT COUNTY
PERNUTTEEINFO~TION
BURNING PERMIT CONDITIONS (Check those that apply)
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Address .~ ~ ,'20 )"t; Lt tJJ r;/))lL)
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City t/lUYL~h Stat'1du- Zip.c;.c;':?"}~ ~
Telephone Number If'l7 -'19fj9
[J PILED MATERIAL (Circle Fuel~ / Brush / Leaves / Other
(Specify) '7 A..//PU.JI~.
# Piles . ~ Approx. Pil~ Size 9 X R' )( Y
[J RUNNING FIRE (Circle Fuel) Brush / Slash / Grass
Size of Area in Acres
BURN SITE LOCATION
o FARM OPERATION Household / Other (Specify)
Township ,~d/ t~~
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Address 8/v d c I.c~ ~ 7j! ~Sf fiXu
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[J SPECIAL CONDITIONS
City
a ATTACHMENT
a WETLAND
EFFECTIVE DATES: From: M 'liD /1 *' To: M t/ /D~1'!If?
DAILY HOURS: From: ?{A.l~PM To: -7A~~ OR J( ALL DAY
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This permit is valid for open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS!- 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 iimes listed above.
J attest, by my signature, that J have read and will comply with the conditions of. and any attachments to this permit; and that 1 am the
landawner a, haw pe,ml"lan aJthe land awn" to burn at the above b~'1te IOCaJ/f7.; /J
~!fJ1td/};}~iAJfk/.didu ~/9: ~'1/ f //f~/ ~t/ ~ 9- 97
Pennittel's ~gnature Dattl7 I .' ~'Authr Signature / 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 pra~tical alternative method for disposal of the material such as chipping or composting.
· To use a clean burnmg 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 tlie burn site for inspection.
· That prevailing wind nmst 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.1umb~r; composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal sol1o waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI 11.bE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
BURNPRMT.DOC
Revised 4/'1J96
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