LAKE COUNTY BURN PERMIT by 21D755G9

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									                              LAKE COUNTY BURN PERMIT

PERMIT #________

_______________________________                    ______________________________
         Date of Application                            Permit Expiration Date

_______________________________                    ______________________________
         Name of Applicant                                    Phone

__________________________________________________________________
                       Address of Applicant

______________________________                     ______________________________
     Burn Supervisor Name                                    Phone

__________________________________________________________________
                     Location of Proposed Burn

Approval signatures from the Lake County Building and Land Use, and the Lake County Fire
Warden are required. PERMIT IS NON-TRANSFERABLE AFTER ISSUE. A fee of $25.00 is due
when the application is applied for and will not be refundable. This permit shall be retained
on the site by the person supervising the burning and shall be shown to any Building and Land
Use and/or Lake County Fire Warden personnel upon request.
Applicant is hereby authorized to burn tree slash and logs only. No trash, furniture, stumps, or
construction materials shall be burned at the proposed burn location shown above.
A site inspection is required by the Leadville Lake County Fire Department prior to the initial
burn.
The slash pile to be burned may not be more than fifteen (15) feet in diameter unless approved
otherwise and must be no closer than fifty (50) feet to multiple trees or structures. (Please
note: the Landfill will accept two yards or less of clippings and slash per day at no cost) Each
fire shall have at least one person in attendance at all times with acceptable extinguishing
equipment.
Burning shall be permitted during daylight hours between 4:00 a.m. and 10:00 p.m. unless
approved otherwise. At dusk, all fires shall be extinguished completely with water or another
method as approved by the LLCFD.
WITHIN 24 HOURS OF PLANNED BURNING, the applicant shall:
a.       Contact Lake County Dispatch at (719) 486-1249 to check on the fire ban status for Lake
         County. If the BAN is in place no burn permit will be issued. When favorable burn site
         conditions exist and the status is good the Lake County Building and Land Use
         Department may permit a burn.
ON EACH DAY OF BURNING, the applicant shall:
a.       Given that the appropriate site conditions exist, weather conditions are favorable, and
         BEFORE EACH DAY’s BURNING IS STARTED, the applicant shall advise Lake County
         Dispatch (719) 486-1249 of intent to start burning.
b.       Open burn piles shall be ignited as early as possible after sunup (no earlier than 4:00
         am). Burns shall not be started after 10:00 am without prior approval.
c.       No burning shall be allowed during unfavorable weather conditions, red flag warnings,
         critical fire watches, or fire bans (declared by the federal, state, or Lake County Fire
         Ordinance). If any conditions mentioned above, change significantly, while the burn is
         in progress all burning shall be immediately extinguished.
d.       If at any time the controlled burn creates a problem for life safety, property or local
         traffic, permit holder may be required to extinguish the burn until more favorable
         conditions exist.
AFTER the burning is complete, the applicant will again call Lake County Dispatch,
and give notice that the fire is extinguished and secure. THIS PERMIT SHALL BE REVOKED IF
YOU DO NOT FULLY EXTINGUISH THE FIRE AT THE END OF EACH DAY’S BURNING.
Burning shall be supervised by one or more responsible persons. AT NO TIME SHALL
THE BURN BE LEFT UNATTENDED WITHOUT PRIOR APPROVAL OF THE LLCFD.
If this permit expires before the burning is accomplished due to any reason, a new permit must
be obtained. (Permit shall be valid one year from date of issuance)
The applicant shall be responsible for compliance with the applicable fire protection and safety
requirement of Lake County.
The applicant shall have an approved water supply and extinguishing equipment on site at all
times.
If any of the above mentioned statutes, ordinances, rules or regulations are violated, this
permit shall become null and void and the penalties indicated therein shall be in force.
Omission by name or number of any other relevant statute, ordinance codes, rules or
regulation from this permit does not relieve the applicant’s responsibility of compliance with
the same. Lake County is not liable for any damages.
This open burn permit is not for land clearing for a new development.
APPLICANT HEREBY ASSUMES RESPONSIBILITY FOR LIABILITIES AND/OR RELATIONS TO ANY
DAMAGES, COST OF EXTINGUISHMENT, AND LEGAL FEES WHICH MAY RESULT FROM A FIRE
GETTING OUT OF CONTROL OR A VIOLATION OF ANY OF THE FORGOING CONDITIONS.

I, _______________________________________, hereby certify that I have read and do
understand the conditions and qualifications of this permit.

_____________________________________               _________________________
Signature                                           Date
                                     FOR OFFICE USE ONLY

Burn Site Address:_______________________________________________________________

Fee Paid By_______________________________                     Check #_________________



Lake County Building and Land Use                              Date Approved


________________________________________
Inspected/Approved (LLCFD)       Date                            Pass     Fail


If site inspection failed the following corrections are required:__________________________

______________________________________________________________________________

______________________________________________________________________________

_________________________________
Date Corrections Made

________________________________________
Inspected/Approved (LLCFD)        Date                          Pass      Fail

Specific Project Conditions
                                                                        Yes      No
Section 7.    Approval of burn greater than 15 feet in diameter         ___      ___
              Approval of burn hours other than daylight hours only     ___      ___
              Approval of unattended burn                               ___      ___

                              FINE SCHEDULE
Violation/Section First Violation    1st Violation      2nd Violation            3rd Violation
10-xxx-10-a                          $500.00            $2,000.00                $3,000.00
10-xxx-10-b                          $500.00            $2,000.00                $3,000.00
10-xxx-10-c                          $500.00            $2,000.00                $3,000.00
10-xxx-10-d                          $500.00            $2,000.00                $3,000.00
10-xxx-10-e                          $500.00            $2,000.00                $3,000.00
10-xxx-10-f                          $500.00            $2,000.00                $3,000.00
10-xxx-10-g                          $500.00            $2,000.00                $3,000.00
10-xxx-10-h                          $500.00            $2,000.00                $3,000.00
Please make checks payable to ‘Lake County Treasurer’.
A fee of $25 is required for a burn permit.
Please mail your permit and check to:

       Building & Land Use Department
       PO Box 513
       Leadville, CO 80461

								
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