Agricultural Field Prescribed Burn Permit Application
Applicant Information
Name
Phone
Email
Address
Field Information
Field Location
Acres to Burn
Type of Crop/Vegetation
Burn Details
Proposed Burn Date
Start Time
End Time
Purpose of Burn
Fire Safety & Notification
Description of Fire Breaks/Control Measures
Fire Suppression Equipment On Site
Neighbors/Authorities Notified
Yes
No
Additional Information
Notes / Comments