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HomeMy WebLinkAboutBurn Permit - 12/98 CQ\\ ~~Vl ~ /lSoO \\ \I ,/ d ~ ()J\.Q C" (eqdy :t==- E Dc f( P~IS) Name tV dIlar 1(, {? ~ Address2<?~ I ,~RC"S.-1Of / I City ~~f t? jJ ~ (:? State;??/) Zi~.j" /? i . Telephone Number ~.G"S- - 99'6 a.. BURNING PERMIT FOR SCOTT COUNTY t;>~C~ /)J./. ~,,~ BURNING PERMIT CONDITIONS (Check ttib!.<<<"hat app~ C/1)- I,Q,. C)f:' '''>'4 .-&r PILED MATI;RJAL (Clean Wood) ,()~/Ol)l I (Specify)J1J,tJm jJrAMddP ~ # Piles _::j Appfox. Pile Size /2- /.!:> ffl ~~ 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 ,~-_... ~.~ 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. ::::!~~III:::mBI;::~I~.![':'!EII_I::I!~I!~mlJ!;II:'!~~t~!,!~"'.~':.J!!!::I~I!:_::I~!i~.:~~':'!!9g)f:::i 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. ....'. . /. /" ~. /7 "V .. ~/ 0 It/~~ J\Jla .,,~..--V\..L/4~~ /~,;;J 7';f Permittee's Signature Date ApP{oviJ.i Authority Signatute / Date / ',-, .. ( r BlIRNPRMT.DOC Revised 7/31/97