HomeMy WebLinkAboutBurn Permit - 3/02
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PERMITTEE INFORMATION
Name i e~r>,/ . )../..,I)'Vf) uJ.P uJ
Address -/1P-7 D D 't j.J I HJd ~L> v L JV { E
City Prf^ v L-t4Yt; StateMZip7.~7Z.
Telephone Number 9 ~ 447 0017
_ PILED MATERIAL (Clean Wood)
(Specify) 8 V'4/1/CI lu)c;- CJjf).J.;/ .; WDf Lo9~
# Piles ! Approx~Pile.size 10 X In
o RUNNING FIRE (Grasshmd)
Size of Area in Acres
(
BURN SITE LOCATION
o SPECIAL CONDITIONS:,
Township ,1
Addres6jJ') UI.J) It. I Vt){l':!:~J() c.+.Se
City ~ rJDV 1.- A-IL~
EFFECTIVE DATES: From: M ;;2fD...//~IYT~ To: M?' fD1iEtvD~
DAILY HOURS: From: / ~M To: / ~ OR 0 ALLDAY
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This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 tofJ005.0805. MS f. J 6, Minn. Uniform Fire
code, and local ordinances. The permittee is granted permission to burn the above described materials at the'specified location
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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 penn it. '. .
· To attend this fire until completely extinguished.
· Not to burn ifthere 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 bum paper or cardboard except as provided under Minnesota Statutes 17.135.
To extinguish the fire immediately if this J?ennit is revoked.
To have this pennit available at tlie bum sIte for inspection. '
That I!revailing wind must be away from nearby occupied buildings.
That fires will not be allowed to smolder without flame.
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PROlllBlTED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically. treated materials such as railroad ties
treated .Iumb~r/ composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrial soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMIll hE 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.
Date
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2aZ1~A_~ _
~h
~.- (?y-~:::2
Date
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Pennittee's Si~ge
2.--7
Paid $25.00 pennit fee 0 Check #
BURNPRMTDOC
or
Revised 2-7.2000