HomeMy WebLinkAboutBurn Permit 2006
PLEASE CALL SCOTT COUNTY DISPATCH AT 952-445-1412 THE DAY YOU ARE GOING TO BURN.
Permit # U~
CALL651-772-7930 NO MORE THAN 1 HOUR PRIOR TO BURNING
OCaIl or oMail
BURNING PERMIT FOR SCOTT COUNTY
ERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
Nam e y~ J ?/401..::.
Address.LS-7.3~ FrS).! A I':rr.~~
at y FP. r6J Ii. Lk St at el'-frv. Zi p .n..--:3 7?
Phone# 9~G -~<(o .....]/;>g
l:l PILED MATERIAL (Oean Wood)
(Specify) 7.~Fi=" BPAUctfe-5'
# Piles 1 Approx. Pile Size 4' ><. " J( p..
l:l RUNNING FIRE (Grasslan d)
Size of Area in Acres
BURN SITE LOCATION
l:l SPEOAL CONDITIONS
Township
Address
Oty
EFFECTIVE DATES: From: MilD ~ N U;'
DAILY HOURS: From: --&fAMtPM
f'"'"l
To: M I IDill IY(!)1.4
To: I~ ~~ OR l:l ALLDAY
This perm it is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f 16, Minn. Uniform Fire
code, and local ordinances. The permittee is granted permission to burn the above described materials at the specified location
riuring the dates and times listed above.
FIRE SAFETY AND AIR QUAUTY REQUIREMENTS
I AGREE:
. To keep thisfire under control and to assume responsibility for all damageaand coststhat may result from
burning done under this perm it.
. To attend thisfire 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 Satutes 17.135.
. To ext inguish the fire im mediately if t his perm it 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 allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rub ber, plastics, tires and chem ically treated materials such as railroad
ties, treated lumber, composite shingles, tar paper, insulation, composition board, sheet rock, wiring,
paint, hazardous and industrial solid waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITTEE TO CRIMINAL ANO/OR OVIL ACTIONS
REUSE, RECVa..E, AND COMPOST
I attest, by my signature, that I have read and will comply with the conditions of, ~nd any attachments to this
permit; and that I am the landowner or have permission of the landowner to burniat the above burn site location.
~ I
rfL#fl~ 6kD(()~ ~ t~-t1C-
"'ermittee'sSig'nature
Date
Approving Authority Signature
Date
Paid $25.00 perm it fee .If O1eck # {gt}"'1 or 0 Cash
Mail form back to:
City of Prior Lake-Burn Permit
16200 Eagle Creek Ave SE
Prior Lake, MN 55372