Burn PermitType of Permit Requested: (required)Recreational BurnBackyard BurnAgricultural BurnDate and Time (Start/Stop, please indicate 24 hr. clock or AM/PM) of Burn: (required)Person Responsible (First and Last Name): (required)Address of Burn (Address or Intersection, City): (required)What is being burned: (required)Your Telephone Number: (required)Email Address: (required)I certify that my contact information is accurate. I certify that I will only be burning wood as defined on the website and only for the purposes of a warming fire or recreational cooking. I certify that I will maintain the fire as outlined on the website including having an adult present at all times and water and/or sand and shovel within easy access, and that the fire will be completely extinguished when done. I understand that this waiver may be cancelled in the case of burning restrictions in my area. I promise to reapply should the circumstances change (including re-applying each year if on-going). Please Place your initials here to certify and acknowledge compliance: (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.