HomeMy WebLinkAboutBurn Permit 7-03
BURNING PE
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G PERMIT COND~IONS (Check those that apply)
Permit # (p b
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PERMITTEE INFORMATION
Name V~IJ..o ~h_!J.~.-J
Address 3lf/5 ::c1yc ~MA-~~F I~ 6~
City f..~ID~ L4ke- State~Zip
Telephone Number l./I.{"" - <(3 ~ 6
riLED MATE~-~ean Wood)
(Specify) WI ^ /I 7- "'r/C ~F" O~AdlcIk.5
# Piles Approx. Pile Size
J:- \.v'. t.. '- I< 04. ~IJ IT ::$"...,.4l..
o RUNNING FIRE (Grassland)
Size of Area in Acres
Township SA-"^, L
;A RLJ t.J r-
I'
BURN SITE LOCATION
146
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Address
City
EFFECTIVE DATES:
DAILY HOURS:
N~
OR 0 ALLDAY
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.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
rAGREE:
/ · 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 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 burn 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 bum site for inspection.
· That J.?revailing wind must be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROHffiITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically treated materials such as railroad ties
!reated.lumb~r~ composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrial 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 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.
7- /1-"3
Date
2 -//{,o5
ati
Paid $25.00 permit fee )rtheck # J:Jlf3 or CJ Cash
BURNPRMT
Revised 4-12-01