Burn Permit Request Form
To request a burn permit, please enter the required information in the form fields below. Burn permits may be requested for no more than three consecutive days per burn permit issued. Permits are considered active upon submission of the form unless otherwise noted.
Name:
*
First Name
Last Name
On-Site contact phone number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address of burn location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start date:
*
-
Month
-
Day
Year
Date
End date:
*
-
Month
-
Day
Year
Date
Description of materials to be burned:
*
Submit
Should be Empty: