HomeMy WebLinkAboutBurn Permit - 10/02
'f ;,\,~-r--=:-~~~~--
~~it#gs
~all or OMail
MORE THAN 1 HOUR
BURNING PERMIT FOR SCOTT c8B~ty4 2002
PERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
N-~f~s
Address. ( S ~ '
City ~V'~,(1\" ~Stat~ZiP ffi7
Telephone Number 99- c./V~ 0065
PILED MATERIAL (Clean Wood)
(Specify) (SY'\A.. s\,t. C fa,A." l~ ~':1 L f. . (
# Piles \ 'Approx. Pile Size ~X ~ ~ c(
[J RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
SPECIALCONDmO~ ~
~ W~L/. ~
~ ~ c J=6w'#,r
Township P V- ~ Q \/'- ~Ct~~
Address _~\A.--\..(. a <; r..,\oc)l/t'_- OVJ-evt
City ka, ~ q. CY' o~& ~oI S+'\I'i(,J
EFFECTIVE DATES: From: MLj::LJD~N';'CC7'-
DAILY HOURS: From: M
N ZOO l-
OR [J ALLDAY
This permit is validfor open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f16, Minn. Uniform Fire
-. code, and local ordinanc e ermittee is granted permission to burn the above described materials at the specified location
luring the dat lmes . ted a e..""
I AGREE:
T ep this fire under control and to assume responsibility for all damages and costs that may result from burning
one under this permit.
. To attend this fire until completely extinguished.
· Not to bum 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 bum paper or cardboard except as p.roVl. '.ded under Minnesota Statutes 17.135.
. To extinguish the fire immediately i this permit is revoked.. " ..
. To have this permit available at the bum site for inspection.
. That prevailing wind must be away from nearby occupied buildings.
. That fires will not be allowed to smolder without flame.
.J1ROHffiITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically. treated materials such as railroad ties
treated .llJmb~rJ composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal solla waste. ,
Q!L~IrXREQUtREMENTS
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL AND/OR CNIL
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. /'
--...~\
)
/CJ~/7..c>L
Date
Paid $25.00 permit feeA' Check # 76f.l- or 0 Cash
BURNPRMT
Revised 4-12.0 I