FIRE PERMIT

FIRE PERMIT
Issued under the authority of the Municipal District of Smoky River No. 130 Protective Services
This Permit Authorizes
Permittee Name*
Phone*
Format: (000) 000-0000.
Company Name
Phone
Format: (000) 000-0000.
Email Address*
example@example.com
QTR*
SEC*
TWP*
RGE*
Rural Address
Nearest Fire Hall
A smudgeHand-piled brush pilesOld buildingsBalesIn a burn barrelSlab pileDry grass/stubbleIn an incineratorYard clean-up/debrisFireworksMachine-piled brush pilesOther (please specify)
Other (please specify):
Burning must be done in compliance with Bylaw No. 18-904, Section 8 Procedure to Obtain A Fire Permit Every person who sets a fire under authority of a permit shall :

a) Keep the permit at the site of the fire.
b) Produce and show the permit to a fire officer on request.
c) Keep the fire under control.
d) Adequate fire equipment required in order to control and/or extinguish. e) Extinguish the fire before expiration of the permit or upon cancellation of the permit; or if wind conditions change.
f) Have a responsible person in attendance at the fire at all times; except as may be otherwise authorized by a fire officer.
g) If fire index is at very high or extreme, this permit becomes void and the fire must be immediately extinguished.
h) Any material being burned is of paper or wood product, unless otherwise authorized by a fire officer.
i) Burn barrel/Incinerator to be maintained in good working condition.
j) Neighbours within a 1 mile radius must be notified prior to launching fireworks.

Keep the permit at the site of the fire.

The following conditions apply:

Burning not permitted with winds over 12 km/hr. Adequate water supply required in order to control and/or extinguish.
Ignition requirements:
Maximum # of piles:
Maximum # of windrows:
Spread debris upon completion of burning and check for hot spots to ensure holdover fires have been completely extinguished.
Approved smoke signs required in both directions on:
Other conditions:
Date Issued

MonthDayYear
Date
Effective

MonthDayYear
Date
Expires

MonthDayYear
Date
I have read and understand the responsibilities imposed on me by Section 8 of Bylaw No. 18-904 and the conditions contained in
Permittee Name*
A FIRE PERMIT IS VALID ONLY FOR THE PERIOD WHICH IT IS ISSUED AND ONCE COUNTERSIGNED.*

Clear
Fire Guardian Name
A FIRE PERMIT IS VALID ONLY FOR THE PERIOD WHICH IT IS ISSUED AND ONCE COUNTERSIGNED.

Clear
A FIRE PERMIT MAY BE CANCELLED AT ANY TIME BY A FIRE OFFICER
Warning
Failure to follow above conditions May result in a fine, and/or Recovery of suppression costs.
Caution
Fires may smoulder long after the fire appears to be out. Check for hot spots amongst the ashes for any remaining holdover fire
Should be Empty:

This Permit Authorizes

A FIRE PERMIT MAY BE CANCELLED AT ANY TIME BY A FIRE OFFICER

Warning

Caution