Burn Permit For Blodgett-Summit Rural Fire Protection District

THIS PERMIT APPLICATION IS ONLY FOR PROPERTY OWNERS IN THE BLODGETT-SUMMIT RURAL FIRE PROTECTION DISTRICT. ALL OTHERS SHOULD CONTACT THEIR LOCAL FIRE DEPARTMENTS.

Type of Permit Requested - Choose one from the dropdown list: (required)

Date and Time of Burn (Please indicate that start and stop time with 24 hr. clock or AM/PM if a single day or from-to dates up to the end of the current year* if multiple days): (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 materials as defined on the website in accordance with the type of permit I am applying for. I certify that I will maintain the fire as outlined on the website including the size of the fire, having an adult present at all times, and water and/or sand and shovel within easy access. If recreational burning, I will make sure the fire is completely extinguished when done. If agricultural or back-yard burning, I certify that I have checked with the DEQ Burn Advisory for clearance prior to ignition of the fire (permissible burn day) and that the fire will be completely extinguished when done (no later than the DEQ burning allowance time). If I am required to have a DEQ permit as per the website according to the type of burning, I certify that that permit will be applied for before burning. I understand that this permit may be cancelled, suspended, or declined in the case of burning restrictions in my area (I will be notified). 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)

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Upon submitting this application, the Blodgett-Summit Rural Fire personnel will be notified of your intended burn. No outreach will be made to you unless the personnel have concerns with or questions about your planned burning event. Thank you for submitting your Burn Permit.

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