HomeMy WebLinkAboutBurn Permit - 7/98
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Name ~HA-~ t1CiKe I1naJ ~
Address /3 tet 7 J1 ilJ1el1 qn ~
City s: h a-/4 e.e.. .State JiUZipS 537'fl
Telephone Number ij ~-6-- / f f 9
BURNING PERMIT FOR SCOTT COUNTY
.IUI 1 7 lQ98
BURNING PERMIT CONDITIONS (Chec'K dIOse that apply)
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~ PILED MATERIAL (Cle~ W~od)
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# Piles Approx. Pile Size
RECEIVED
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PERlhulEE INFORMATION
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
o SPECIAL CONDITIONS
Township
Address /37i1 "~P7/1'a...//L.J
City $Ju,.K~-e~. .f1U
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(.,..',:.t(,f 1,' Y}'J , -f. s ,,7' 71<.. I 0 1/Jo.-t9~'€..
EFFECTI~E DATES: From: M ) jIJ:>r~"'> N 9i ~ To: M 1.<' /D f<N9 ~--
DAILY HOURS: From: -} ~M . 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 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 if there is a practical alternatlve 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 paller or cardboard except as provided under Minnesota Statutes 17.13 5.
· 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 fires will not be allowed to smolder without flame.
PROHIBITED MA TERlALS ARE: oils, rubber, p'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 PERMIllbE TO CRIMINAL AND/OR CML
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 burn site location.
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Permittee's Signature
'1-/79 r
Date
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Approvmg Authority Signature
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Date
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~I BURNPRMT.DOC
Revised 7f31197