Burn Permit – Back YardProperty owner * Date Burn Site *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Mailing Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Phone Email * Requested Burn Date(s) IMPORTANT PERMIT REQUIREMENTSInstructions NO OPEN BURNING ALLOWED IN FLORENCE CITY LIMITS This permit must be on the premises when burning activity occurs This permit is valid during the residential open burning season. Although the season is defined as being from October 1 to June 15, it may be closed at any time when poor air quality or fire danger is present. Call the Burn Advisory Line 541-997-1757 each day before burning to confirm that burning is allowed. This permit only allows the burning of backyard vegetation. “Backyard Vegetation” is defined by the Lane Regional Air Protection Agency (LRAPA) as woody yard debris, leaves or grass clippings which have been generated from the yard of a residential dwelling. Burn pile sizes must be no larger than 3 cubic yards, the size of a regular dumpster. Multiple piles may be burned at one time. Allow a minimum of 50 feet clearance between burn piles and combustibles not to be burned. Firefighting equipment required when burning: Shovel and an adequate water supply. An adult must attend the fire from the time it is started until it is extinguished. All backyard burning fires must be extinguished by dark. ▪ IMPORTANT: READ THIS INFORMATION BEFORE BURNING ▪ This permit does not relieve the permittee from responsibility for the payment of costs for the suppression or for the damages if the burning escapes control. Oregon Law provides for civil and criminal penalties for burning which is conducted in a manner inconsistent with the terms and conditions of this burn permit. Call the burn advisory line 541-997-1757 every day prior to lighting a burn pile. You may also check LRAPA’s web-site at www.lrapa.org Keep the yard debris pile dry by covering with plastic until ready to burn. Remove plastic before lighting. Use small, dry wood to start a fire like one would for a camp fire. Add small amounts of yard debris to the fire, keeping it burning hot and clean with little smoke. Yard debris should be of a diameter that will burn in a one-day time span, as allowed by LRAPA (i.e., stumps are too large). The purpose of this restriction is to ensure that the debris will be burned by the evening, before an inversion layer traps the smoke. This will help keep the air clean for residents who may have respiratory difficulties. Never use flammable liquids to start a fire. Accelerants can be invisible until ignited, and explosive. Maintain a safe area around the burn pile where children are not allowed. Recycle yard debris instead of burning. It keeps the air cleaner and can be done all year. If a fire burns out of control, call 9-1-1 immediately. To report a complaint about burning, call the LRAPA complaint line at 541-726-1930 I have read the important permit requirements *By checking this box you agree to the important permit requirements VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank