HomeMy WebLinkAboutBurn Permit - 12/98
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Name tV dIlar 1(, {? ~
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Telephone Number ~.G"S- - 99'6 a..
BURNING PERMIT FOR SCOTT COUNTY t;>~C~
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BURNING PERMIT CONDITIONS (Check ttib!.<<<"hat app~
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.-&r PILED MATI;RJAL (Clean Wood) ,()~/Ol)l I
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PERMITTEE INFORMATION
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
o SPECIAL CONDITIONS
. Township ,~Jn (/
Address
City
EFFECTIVE DATES: From:
DAILY HOURS: From:
_~/~.,0/,,;Jy7t To: M / lDu/Y1
'Co( (.tUYlll?1Yl To:~ A~ OR 0 ALL DAY
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This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS i 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.
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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 !S a pra~tical alternative method for disposal ofthe 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 bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately if this permit is revoked.
· To have this permit available at the burn SIte for inspection.
· That prevailing wind must be away from nearby occupied buildings.
· That fItes 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 .Iumb~r1 composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal sol1o waste.
VWLATIONS OF PERMIT CONDITIONS MAY SUBJECT PER1vullcc 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 of, and any attachments to this permit; and that I am the
landowner or have permission of the landowner to burn at the above bzrn si .'ocation. ....'. . /. /" ~.
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Permittee's Signature Date ApP{oviJ.i Authority Signatute / Date /
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BlIRNPRMT.DOC
Revised 7/31/97