COCFRD Burn Permit Application

Burn Permit Application

Please fill out the fields below. Application must be filled out and submitted annually. Only valid during burn season. Please call (541)563-3121, check the website or our Facebook Page for current restrictions. Follow items listed on the final issued permit.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Your Mailing Address *

Mailing Address

Address Line 2

City State

Postal / Zip Code
Where will you be burning? *

Street Address

Street Address Line 2

City State

Postal / Zip Code
What will you be burning? Check all that apply *

Fire Pit Burn Barrel Yard Debris - Piles bigger than 5ft x 5ft must be inspected. Construction Debris - See requirements on issued permit
Does your Yard Debris pile need Inspected? *

I Need Yard Debris Inspection I Do Not Need Inspected - under 5ft x 5ft
By your signature you are agreeing to follow all requirements and guidelines set forth by Central Oregon Coast Fire and Rescue, The State Fire Marshal, Oregon Department of Forestry and the Oregon Department of Enviromental Quality that are designated on the issued permit.
Enter Todays Date *

Month Day Year
Date
Signature: *

Clear
Please verify that you are human *
Should be Empty: