HomeMy WebLinkAboutBurn Permit 12/97
} Cj l/
BURNING PERMIT FOR SCOTT COUNTY
'":"":'~~~"r:D
Name mE wl/-o> b-oL,r CL-u8
Address .3 IS- / v..J / Lp> ~/P6-if..
City ~/oe ~ State MtJ Zip 5>371-
Telephone NUmber 4-'1(P - 00 -:s 7
DEe 0 1 1997
BURNING PERMIT CONDITIONS (Check those that l!.PEly>.
. CJTV OF PRluH LAKE
PERlhu lEE INFORMATION. (\
\ ("~ ....0 {.2,..~-^--
s: PILED MATERIAL (Clean Wood)
(Specify) [;)CAp vVoop I L-V ,.,,$6<..
# Piles ~ . Approx. Pile Size :30 I -,<: 30'
o RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SITE LOCATION
o SPECIAL CONDITIONS
I.
Township f}lf- vJ{t.,p~ ,4:IA-u TVJ(.J
"
~
~ AIZ-6A- ~~r-JG- ?A~~v-J4., -:;-vsr-
A//)~nr~,>,- (If w.4rt;:< BfiV$r~
,('r~~_ ,.J
Address
31 ~ / {,IJ1l..P> ~/..er;.L
City ;:;t</t?<. ~
J /l /\ ~ ....., " '7 -., /'l A...I'
EFFECTIVE DATES: From: M/~/Y V'/ To: ~o<~/ fY /'/
DAILY HOURS: From: 1? _ _ To:..6 A~ OR 0 ALL DAY
This permit is valid for open burning as aI/owed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f.16, Min11. 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 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 provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately if 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.
PROIDBlTED MATERIALS ARE: oils, rubber, v.lastics, tires and chemically. treated materials such as railroad ties
~eated .Iumbf?r.. composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustnal soho waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMIncE TO CRIMINAL AND/OR CML
ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my s;gnat~e, that I ha,e read and wHl comply w;th the condmons . a .any '/7'7J:fs to th4;r; and that I am the
landowner or have perm;.s;on a/the Ianm,wner to bum at the above bum s;t lac tlan, ('" n y
~~~'. IZ/r/97 ~'-I/ ~tj ;r::;-;;2-97
L!.~e's Signature Date / Date __
. I
/f'7
r):d ~r\9
'tY
BURNPRMT.DOC
Revised 71J1/97