PCFD #23 Online Outdoor Residential Burn Permit Application
This application is for outdoor residential burn permits only and must be filled out truthfully and accurately. If you need a land clearing burn permit, please contact the Puget Sound Clean Air Agency or Washington Department of Natural Resources (DNR) for silviculture permits. All information submitted will be recorded and present on the issued permit. THIS PERMIT MAY BE SUSPENDED OR MODIFIED AT ANY TIME WHEN DEEMED NECESSARY FOR THE PROTECTION OF LIFE, PROPERTY, OR VIOLATION OF PERMIT CONDITIONS. Once approved, your permit will be either emailed, mailed out to your mailing address listed below, or a combination thereof. Please provide the following information:
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address - Number and Street Only *
House number and street only for the burn site. This address must be within the District 23 Coverage area, which can be found here: http://www.pcfd23.org/maps/districtmap.pdf. Entry of a PO Box or similar mailbox service will result in revocation of your permit.
Your answer
Complete Mailing Address - Include City, State, Zip
This is the location where we will mail your permit once it is approved. If left blank, you will receive an emailed copy.
Your answer
City *
If you are unsure that your address falls within D23 boundaries, please look at our district coverage map here: http://www.pcfd23.org/maps/districtmap.pdf
Zip Code *
Your answer
Primary Phone Number *
The phone number where we may be able to reach you directly
Your answer
Other Phone Number
Examples include your office, home phone, after hours, and similar. This is not required.
Your answer
DNR Permit Number
If you are performing a burn on land that is associated with the DNR, please provide your approved permit number. If you are performing a burn on your private property, you can disregard this.
Your answer
Comments
These comments will be read by responding firefighters in the event they are called out to the burn site and by the fire chief or designated person when reviewing permits.
Your answer
How would you like to receive your permit? *
Burning Conditions *
You must agree to the following burning conditions: (1) Valid permit must be on site while burning; (2) No prohibited materials may be burned, including: paper, cardboard, garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, treated lumber metal, or any other substance other than natural vegetation, which when burned releases toxic emissions, dense smoke, or noxious odors. Burn Barrels are illegal; (3) Fire must not create a nuisance for smoke, ash, obscure visibility on public roads or highways, or endanger life and property through negligent spread of fire or pollutants; and (4) The permittee, by igniting a fire pursuant to this permit, accepts all responsibility for fire suppression costs incurred, or damage sustained, to any person or property resulting from any violation of this permit. If the fire escapes, regardless of cause, the permittee shall be responsible for paying all costs of manpower and suppression equipment as required by chapters 52.12 & 76.04 RCW. Do you agree to these conditions?
Permit Restrictions *
You must agree to the following permit restrictions: (1) Maximum pile size of 4 x 4 x 3 feet; (2) Only 1 (one) pile can be burned at one time; (3) Construct a firebreak to bare earth of 3 feet; (4) Do not burn if the wind is blowing more than 10 mph; (5) Do not burn if the wind is blowing from the East; (6) One person is required to be present while burning at all times; (7) At least a charged garden hose shall be on site during the burn; (8) Fire must be completely extinguished before leaving; and (9) Check burn ban and/or air quality restrictions prior to burning. This permit is automatically suspended during air quality and fire danger Burn Bans. Such information is available on our website and/or by calling (360) 569-2752. Do you agree to these restrictions?
Please read and initial below *
BY INITIALING HERE, I AGREE TO COMPLY WITH ALL REQUIREMENTS OF RCW 52.12, 76.04, CHAPTER 173-425 WAC, THE SMOKE MANAGEMENT PLAN IN EFFECT AT TIME OF BURNING, AND ANY ADDITIONAL TERMS AND CONDITIONS SPECIFIED BY THE PUGET SOUND CLEAN AIR AGENCY, WASHINGTON DEPARTMENT OF NATURAL RESOURCES, AND/OR PIERCE COUNTY FIRE DISTRICT #23.
Your answer
A copy of your responses will be emailed to the address you provided.
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