PREVIOUS BURN PERMIT INFORMATION (Optional)
Facility ID:facility ID from previous burn permit	Permit ID:permit ID from previous burn permit
Section I APPLICANT INFORMATION
Choose one permit type: * Check at least one permit type: residential, agricultural, or other
Agricultural	Residential	Other
Section II APPLICATION INSTRUCTIONS
This application is not a permit to burn. Burning vegetative matter on your property prior to obtaining a permit from the District is a violation of District Regulations and subject to penalties. The application must be filled out completely with all statements answered. All burning must comply with Federal, State, County, and local fire protection agency burn requirements. Incomplete applications will delay the permit process. The District may request additional information. You will receive a Burn Permit from the District following payment of a $23 fee. Payment options include: Online by credit card or Mail in by check. Required fields are marked with * . Submit form by clicking on the button at the bottom of this form.
Section III APPLICANT INFORMATION
Applicant First Name: * enter first name		Phone Number: *  enter phone number including area code
Applicant Last Name: * enter last name		Cell Number: enter phone number including area code
Applicant Email: * enter email
Applicant Email: * enter email
Enter email twice to confirm accuracy
Property Address: * enter address where burning
City: * enter property address city		Total Acreage:if applicable enter number of acres
State: * enter property address state
Zip: * enter mailing address zip code
If no Street Address, please provide the following information:
Township:enter township		Range:enter range
Section#:enter section#		Nearest City:enter nearest city to burn site
Assessors Parcel#:parcel number ###-###-##
Property Owner: * enter name if different than above
Mailing Address: * where mail is received if different than above
City: * enter mailing address city
State: * enter mailing address state
Zip: * enter mailing address zip code
Section IV BURN PERMIT INFORMATION
Provide the following information of at least one amount - Acres, Piles or Both: * Give an amount for at least one: acres, piles, or tons
Number of Piles to be burnedenter how many times or number of separate piles to be burned Size of Pilesenter the approximate size of each pile in feet 4 x 4 x 45 x 5 x 56 x 6 x 68 x 8 x 810 x 10 x 1012 x 12 x 1215 x 15 x 1520 x 20 x 20 Piles Material:select type of material to be burned Vineyard PruningsPiled BrushStanding Brush / GrassTree Debris/ LimbsLogging SlashOrchard/ Vineyard RemovalOrchard PruningsOther Vegetative MatterInvasive Vines and Brush
AND / OR
Number of Acres to be burnedarea of broadcast(field) burn Acres Material:if applicable enter materials Vineyard PruningsPiled BrushStanding Brush / GrassTree Debris/ LimbsLogging SlashOrchard/ Vineyard RemovalOrchard PruningsOther Vegetative MatterInvasive Vines and Brush
Burn Permit Class: * select class of permit Single & 2-Family DwellingsGeneral AgriculturalForest ManagementFire Hazard ReductionProperty DevelopmentRange ImprovementDitch,Levee,Reservoir MaintenanceWildland Vegetative ManagementWildlife Habitat ImprovementRight of Way Clearing		Total Tonsone ton is approximately a 10'x10' pile
Other Notes:Any other applicable information
Section V SMOKE MANAGMENT PLAN INFORMATION
Smoke Management Plans are required in addition to a valid burn permit for burns meeting any of the following conditions: Broadcast burns cumulatively exceeding ten (10) or more acres per year; OR Burn piles cumulatively exceeding 50 tons of fuel per year;OR Less than ten (10) acres or fifty (50) tons of material, but the burning will occur in close proximity to sensitive receptors.
Is a Smoke Management Plan (SMP)Required?enter yes for burns over 10 acres NO       YES(Contact Air Quality for filing of SMPs)
Section VI COMPLETION OF APPLICATION PROCESS
Please review your information before submitting form. Payment instructions will follow: The burn permit fee is $23. It generally takes up to 2 weeks for processing. Once the application and payment have been processed, your burn permit will be sent to you by email.
THIS IS NOT A BURN PERMIT!!

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