Section 1 of 1 in this document

30 DAY COMMERCIAL BURN PERMIT

FORM SUBMITTAL DATE

Phone Number of Person Submitting Form

Email of Person Submitting Form

Phone Number of Person to be on-site with the burn

Email of Person to be on-site with the burn

Open burning of vegetative material for the purpose of land clearing using an air curtain destructor provided the following conditions are met:

The location of the air curtain destructor is at least 300 FT. from any structure or public road.
Only wood waste consisting of trees, logs, large brush and stumps, which are relatively free of soil, are burned in the air curtain destructor.
Tires or other rubber products, plastics, heavy oils or asphalt based or impregnated materials are not used to start or maintain the operation of the air curtain destructor.
The air curtain destructor is constructed, installed and operated in a manner consistent with good air pollution control practice for minimizing missions of fly ash and smoke.
The cleaning out of the air curtain destructor pit is performed in a manner to prevent fugitive dust.
It is understood that even with the proper permit, the property owner holds the ultimate responsibilty for the fire conditions, and abiding by all codes, oridances, and laws.
Should the winds exceed 10mph continous, or gust up to 15mph or greater all outdoor burning should be extinguished.

I have read and understand the above information. Furthermore, I understand the Barrow County Fire Department must inspect prior to burning, and can suspend or revoke this permit if found not in compliance with any state or county regulations. Additionally the completion of this form does not issue you the right to begin burning. You must have made contact with the FMO to obtain your permit number.

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30 DAY COMMERCIAL BURN PERMIT

FORM SUBMITTAL DATE

Full Address of Person Submitting Form or Business Address

Full Name of Person Submitting Form

Full Address of location where the burning is taking place

Full Name of Person to be on-site with the burn

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Date Signed