HomeMy WebLinkAboutBurn Permit - 6/98
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BURNING PERMIT FOR SCOTT COUNTY
PERMITTEE INFORMATION?
BURNING PERMIT CONDITIONS (Check those that apply'
Name /(:.nh~_5J-( J), ~hLt~~
Address l!oRo ~IfE~ 7P='dL' /
Cityff'/or .Jaje~ Stat~AlzipSS37c.
Telephone Number ~ ~5" - 3 2. 3 S
Q{ PILED MATERIAL (Clean Wood)
(Specify) -rr ~ tJt'dP1~F
# Piles I Approx. Pile Size d,!))( 3-~
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATIO~
o SPECIAL CONDITIONS
Township
..'\"q ~ t2-
Address
City
EFFECTIVE DATES:
DAILY HOURS:
ALL DAY
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.
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 bum ifthere 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 bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguish the fIre immediately if this {>ermit is revoked.
· To have this permit available at the burn site for inspection.
· That prevailing wind must be away from nearby occupied buildings.
· That rites will not be allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rubber, v.lastics, tires and chemically' treated materials such as railroad ties
!reated .Iumb~r; composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I have read and will comply with the conditions 0 and any attachments to t . permit; and that I am the
landowner or have permission of the landowner to burn at the above burn s' e I cation.
_t/.2/7'~
Date
?f-;-9Y
Date
BURNPRMT.DOC
Revised 7131197