Prairie Restoration Controlled Burn Application
Applicant Information
Name
Organization
Phone Number
Email Address
Site Information
Site Name
Location/Address
Area to be Burned (acres or hectares)
Proposed Burn Date(s)
Burn Plan Details
Burn Objectives
Burn Prescription
List of Burn Personnel
Equipment to be Used
Attach Map/Sketch of Burn Area
Safety & Notifications
Describe Safety Measures
List of Notified Neighbors/Authorities
Applicant Certification
Signature
Date