HomeMy WebLinkAboutBurn Permit 2007
-X PLEASE CALL SCOTT COUNTY DISPATCH AT 952-445-1412 THE DAY YOU ARE GOING TO BURN.
*,CALL 651-772-7930 NO MORE THAN 1 HOUR PRIOR TO BURNING
BURNING PERMIT FOR SCOTT COUNTY
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ERMITTEE INFORMATION
BURNING PERMIT CONDITIONS (Check those that apply)
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Address \525S- fO.res+ G RC.\e $€
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Phone# (),52.-1....{ 4D-- 3'2..l '6
[J PILED MATERIAL (Clean Wood)
(Specify) 'BVLK -tV\. o~ Bvo..lI\ch€- S
# Piles -I Approx. Pile Size \ 0 X { 0
[J RUNNING FIRE (Grassland)
Size of Area in Acres
[J SPECIAL CONDITIONS
BURN SITE LOCATION
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EFFECTIVE DATES: From: M I /0
DAILY HOURS: From: AM
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ALL DAY
This permit 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 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 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 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.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
PROHIBITED MATERIALS ARE: oils, rubber, plastics, tires and chemically treated materials such as railroad ties, treated
lurt:lber, 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 AND/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 attachments to this permit; and that I am the
landowner or have permission of the landowner to bum at the above bum site location.
Date
;J/iL-h1iM? /
Date 1&"7
Paid $25.00 permit fee ortheck # '1<64-0 or 0 Cash
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Mail form back to:
City of Prior Lake-Burn Permit
4646 Dakota St SE
Prior Lake, MN 55372