HomeMy WebLinkAboutBurn Permit - 5/02
BURNING PERMIT FOR SCOTT COUNTY
Permit # 5"i
.Call or [JMail
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CALL 651-772-7930 NO MORE THAN 1 HOUR
PRIOR TO BURNING
PERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
Name fl7C' JCfJ~tJCI<..
Address ~ 6()t, t2...U J) I L IZD
City bRlqz !.:AKk StatemJZiP5TJ7;
Telephone Number 9/~' "''ItjO;l( II g
, PILED MATERIAL (Clean Wood)
(Specify)
# Piles / Approx. Pile Size ') ;( .>
[J RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
Township
Gi SPECIAL CONDITIONS
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Address
City
EFFECTIVE DATES:
DAILY HOURS:
/D~N~ To: M /Dot~ NO~
To:~AM/PM OR [J ALL DAY
This permit is valid/or open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f16, 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 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 tile burn site for inspection.
That prevailing wind must be away from nearby occupied buildings.
That fires will not be allowed to smolder without flame.
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PROHIBITED 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
mdustrlal so Ita waste. I
VIOLA nONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
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.
Pennittee's Signature
5-;1(- oJ-
Date
~ ~;'A.6V1J
Approving Autho SIgnature
-5 -d-y.-O 'yo-
Date
Paid $25.00 permit fee ciCheck # //'/
BURNPRMT
or (J Cash
Revised 4-12-01