APPLICATION FOR BURN PERMIT
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Location of Burn *
Type of Request *
Applicant Name *
Company Name
Primary Phone *
Cell Phone *
Email Address *
Address *
Site Information
Burn Site Address *
County *
Site Name
Subdivision or Development Name
Directions
Type of Material to be Burned
Distance o Nearest Neighboring Structure  *
Types of Burn Permits
Land Clearing
1. ONLY material originating from the above mentioned location will be burned.
2. A minimum of one portable fire extinguisher or other approved method shall be available for immediate extinguishing.
3. No burning will take place before 7:00 AM and must be completed by 5:00 PM.
4. You must receive permission from the Nixa Fire District each day of burning by calling 894-0318 or report on Nixa Fire District APP.
5. Burning will take place at least 200 yards from all neighboring occupied structures (private/commercial).
6. Permit holder will correct all smoke problems immediately.
7. Permit holder is obligated to comply with local, county, state, and federal laws and regulations.
8. The Nixa Fire District reserves the right to revoke this permit.

Yard Waste
1. All burning shall be supervised at all times.
2. A minimum of one portable fire extinguisher or other approved method shall be available for immediate extinguishing.
3. You must receive permission from the Nixa Fire District each day of burning by calling 894-0318 or from the Nixa Fire District APP.
4. Burning will take place at least 50 feet from any structure without proper measure to prevent fire spread.
a. Bonfires shall not be conducted within 50 feet of a structure or combustible material unless contained in an approved container.
b. Recreational fire shall not be conducted within 25 feet of a structure or combustible material. Pile must be 3' or less in diameter and 2' or less in height.
5. Permit holder is obligated to comply with local, county, state, and federal laws and regulations.
6. The Nixa Fire District reserves the right to revoke this permit.
Permit Requested
Clear selection
I have read and understand the rules listed in this permit *
Required
Name *
Date *
MM
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DD
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YYYY
Email Address *
Special Instructions
Thank you for contacting the Nixa Fire Protection District. Your application will be submitted to the Fire Prevention Division. A representative may contact you to inspect your burn spot.
Please allow 5 to 10 business days to process your request. Today's technology is fantastic; however, it is not error proof. We appreciate your patience.
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