HomeMy WebLinkAboutBurn Permit - Denied
CALL 651-772-7930 NO MORE THAN 1 HOUR
PRIOR TO BURNING
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t;tCall or aMail
BURNING PERMIT FOR stOTT COUNTY
PERMITTEE INFORMATION
BURNING PERMIT CONDmONS (Check those that apply)
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Name
M.-rL ~J~
Address ~ 1-1/3 bJ:::r:J1--f "Tr\A.: I
City 'r/J'o ( Ue StateJ1/!1,ip55312
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Telephone Number 7] 2- 7Jr-.5fl
Q PILED MATERIAL (Cle
(Specify)
# Piles
BURN SITE LOCATION
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Township
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Address 77( 3 ft,f,c",-t~. (
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City ~)o/ [-Ilk
EFFECTIVE DATES: From: M~/D~IY
DAILY HOURS: From: M
ALLDAY
I AGREE. I SAFET~. DAIRQUALITYREQUI~MENTS ;)'
. To ep this fire un er control an ." 6 assume responsibility for all damage~ and costs that may result fi m
burni done unde this permit.,,' ;:
. To atte d this fire ntH comp ely extinguished.
. N. ot to b rn if the .is a pra cal alternative method for disposal of the material such as chipping or compq~ng.
. .To use a an b rnmg d€ Ice to start the fire. ,tJ
. Not to con ct rnin uring any air quality alert. . . 0 ,~
. Not to burn pal>er or cardboara except as provided under Minnesota Statutes 17.135. 1l.'t\V \ '''1
. -To extinguisl1 the fire immediately if this permit is revoked. . '\ON IXV
. To have this permit available at tlie burn site for inspection. . IJNi 1 \ P
. "That ~revailing wind must be away from nearby occupied buildings. ~. ....7. I1\"
. That fires will not be allowed to smolder without flame. ~ . ~t
PROHIBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated mater als uch ~oad ties
treated .1umb~rl composite shingles, tar paper, insulation, composition board, sheet rock, win g, aint~rdous and
mdustnal sol1o waste.
. " I
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL NO/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 attac e
landowner or have permission of the landowner to burn at the above burn site location.
Date
Paid $25.00 permit fee lJ Check # .
BURNPRMT
or j)'l(Cash
R""isecl4.12-01