Burn Permit

Burn Permit Application

Name(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Burning times are 6:00 a.m. to 6:00 p.m only

Burn Overseer (if different than applicant listed above)

Name

Start Date of Burn(Required)

End Date of Burn (max 30 days)(Required)

Street Address of Fire / Burn(Required)

Address Total Acres(Required)

must be 1 acre or more

Size of Fire / Burn Square Feet(Required)

allowable is over 10' x 10' or over 1000 cubic feet

Material to burn(Required)

i.e. tree limbs, leaves, grass clippings

Nearest structure to the fire / burn site(Required)

List # of feet to nearest structure (must be minimum distance of 20 feet)

Enter Name(Required)