HomeMy WebLinkAboutBurn Permit - 7/98
Name 0-.v: \ \v. D ~ Ci (\ ct \1 ~
Address 1 Y ~ d J.. f0 r~ ~\e t ~ ~ y~-r..,
City f ('\ io f 'L~ tf e Stat~i\.Zip
Telephone Number Ll <fQ- '....0 } I
BURNING PERMIT FOR SCOTT COUNTY
BURNING PERMIT CONDITIONS (CJ.i!tthtsQ t12~~PPIY)
..CITY 0. PAlO:; U'lt\t:
a PILED MATERIAL (Clean Wood)
(Specify)
# Piles
Rr=~~~,,~r"
91
C _G_Q.CC,
.~.l'.n~.B,tINFORMATlOM
I
Approx. Pile Size t J.. I \ ~/ 0. 0
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION'
Township
Address I L{b d~ ~\~Q \Q.' ~~ j'),,€-:\_
City f 't ~~ (" L~ t< -..e
,....., ~ ,r~' ~ /.....- CJp.-'
EFFECTIVE DATES: From: M . / ID IY_/d To: M ID I..::J IY Li.L
DAILY HOURS: From: ~ tAM. M To:_ ~ OR a ALL DAY
This permit is validfor open burning as allowed 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.
o SPECIAL CONDITIONs.-...
S "^""'- \ t t-" \ ;>-e ~
6 ve.,- <\. ~o...,+
I
c::,\~'v-{1
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 bUIll 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 fITe.
· Not to conduct Durning during any air quality alert.
· Not to bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguisb the fire immediately if this permit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind must be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROIDBIlbU MATERIALS ARE: oils, rubber, v.lastics, tires and chemically. treated materials such as railroad ties
treated lumber,. composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
industrial solia waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMlllbE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I have read and will comply with the cO~:~f and any attachments to th~t; and that I am the
landowner or have permission of the landowner to burn at the above b7" s/ location. / /
Ip=~\Jct~ ~.!W?~ ~~;{'~~x:. 7-/~-9'
\'1 ,",\{,-lY~\Q'-\se C cell VV\ei Lv (j {\{ y~c; 7f'Jf~
,K ~\.v . \-( ~VV,€ 4 YO~ &-0 y.(
BURNPRMI.DOC
Revised 7/31/97