FIRE MITIGATION LOG


DATE*
PROPERTY OWNER*
PROPERTY ADDRESS*
MITIGATION WORK PERFORMED*
EQUIPMENT USED - 1*
EQUIPMENT HOURS - 1*
EQUIPMENT USED - 2
EQUIPMENT HOURS - 2
EQUIPMENT USED - 3
EQUIPMENT HOURS - 3
NUMBER OF PERSONNEL*
PERSONNEL HOURS*
How many hours do you expect to spend (or did spend) burning?*

BURN PERMIT


BURN PERMIT - 2 DAYS ONLY Apple Valley Town, Washington County, Utah Burn permits are required within the Town of Apple Valley as well as any unincorporated areas of Washington County which includes all areas served by special service districts within the boundaries of Washington County. Prior to any open burning, permits must be obtained at the Town Office during business hrs. Mon-Fri 9:00 am -5:00 pm. (closed for Lunch 1-2 pm) The period from June 1st through October 1st annually is designated as a CLOSED Fire Season by the State of Utah. Burn permits will be issued during this time only in very limited circumstances such as when considered necessary and safe to mitigate fire threat and risk to life or property. Permits are issued provided the following conditions are met: 1. Approved burning allows residents to burn only clippings, bushes, plants, grass, leaves, limbs and other prunings. State Law (R307) prohibits burning of household waste, construction and demolition waste, milled lumber of any kind, cardboard, trash, cloth, rubbish, tires, plastics, chemicals or liquid fuels and petroleum products. Petroleum products may not be used to start fires. 2. Materials to be burned must be thoroughly dry. 3. State law (R307-202-5(2)) requires the Utah Clearing Index be verified which must be above 500 ft. when burning. The Clearing Index information can be found at: http://www.wrh.noaa.gov/slc/projects/ifp/html/webSMF_new.php. (See CI for Airshed 3) If the Weather Service has a "Red Flag" alert has been issued by the National Weather Service for the Washington County area, burning is prohibited. 4. Burning shall not be conducted within 50 feet of any structure. 5. All flammable vegetation shall be cleared within a 10-foot radius of fire. 6. Persons burning shall have a garden hose available and connected to a water supply or approved fire extinguishing equipment shall be available during the burning. 7. Burning material shall be constantly attended by a responsible adult until the fire has been extinguished. 8. There shall be no burning at night. All fires must be extinguished no later than one hour before sunset. Burning may not be commenced prior to one hour after sunrise. When authorized to burn, please be considerate of your neighbors. Be aware of smoke drifting towards and into your neighbors' homes. If the Fire Department is asked to respond, and if it is determined that the fire is a nuisance, the Fire Department will extinguish the fire. The burning permit does not relieve an individual from personal liability due to neglect or incompetence. Any person burning has a responsibility to establish adequate fire breaks and to take whatever other measures are necessary to insure that the fire is properly controlled. If the fire spreads to another person's property, the person starting the fire shall be responsible for payment of the costs of the suppression action and may also be liable for damages to the other person's property. If you have any questions, please call the Fire Chief David Zolg. 435-632-4072 This grants permission to set fire on the above described lands for the purpose of: Burning of yard material only such as weeds and tree branches, no Barrel burning or burning of construction material. If you have a large burn the Fire Department will assist Subject to the following conditions: You MUST call Fire Chief, Dave Zolg, BEFORE starting EACH burn at 435-632-4072
Permit Issued To: NAME:*
PHONE:*
PROPERTY LOCATION:*
FROM: (Day 1)*
TO: (Day 2)*
How many hours did you spend gathering your burn pile?*
How many people helped (including yourself)?*
What equipment did you use?*
How many hours did you use the equipment?*
How many hours do you expect to spend burning?*
Please describe your mitigation procedure/work.*
I have downloaded, read, and I understand the burn permit instructions. www.applevalleyut.gov/forms*
Check this box to sign agreement electronically as your legal manual equivalent.*