HomeMy WebLinkAboutBurn Permit - 4/02
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CALL 651-772-7930 NO MORE THAN 1 HOUR . ~'.:.~'~<
PRIOR TO BURNING H APR 2 6 2002
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BURNING PERMIT FOR SCOTT COUNTY
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acall or OMail
PERMITTEE INFORMATION
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BURNING PERMI
se that apply)
Name ~..q e~~O$ ..
Address~q ~ \ \<~~j)^ b~/~e--~
City '~~Ov" \/\t1Ke. Statd:MLizip,,c;-SJ7
Telephone Number ~/;J.. 3ar-/7C/1 &.
PILED MATERIAL (Clean Wood)
(Specify) W Od'- / i;>1I~~ ) ~~(L9~~
# Piles 'Z- · Approx. Pile Size 1
RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
Township t
Address t(q 1 { ~<P ~ S \-v~ e. ~
City eVvLI(> \ '( ~ 0\- q ~ \l'O~' s\v-e-e
. 0 SPECIALCONDJIIONS
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EFFECTIVE DATES:
DAILY HOURS:
/D~Y.J?2::.. To: M /D~/Y ~
PM To:~AM(f$t:> OR lJ ALL DAY
This permit is validfor open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS J-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.
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 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 paller or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguisb 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 arIOWed to smolder without flame.. .. '.
PROHIBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
treated .1umbt:r) composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrtal solto waste. I
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
REUSE, RECYCLE, AND COMPOST
1 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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Paid $25.00 permit fee b"Check # Cf<-fCf I or 0 Cash
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BURNPRMT
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Date
Revised 4-12-01