Residential Burn Permit Application

IMPORTANT - REVIEW CONDITIONS AND TERMS OF PERMIT

"THIS PERMIT IS VALID ONLY ON THOSE DAYS WHICH ARE NOT PROHIBITED BY THE STATE AIR RESOURCES BOARD PURSUANT TO SECTION 41855 OF THE HEALTH AND SAFETY CODE."
ALL BURNING IS PROHIBITED FROM MAY 1ST THROUGH OCTOBER 31ST.
Burning shall be constantly attended by at least one able-bodied person at all times. A garden hose connected to a water supply or other approved fire-extinguishing equipment shall be readily available for use.
The permit is valid for the permittee and must be available for inspection at the burn site at time of burn.
The waste shall be arranged to facilitate efficient burning and shall be free of other waste such as tires, rubbish, tar paper or construction debris.
You are only permitted to burn vegetative materials.
The waste shall be dried as required and only ignited with approved devices such as a flare or match. Gas and diesel are not acceptable devices.
The burning shall not be conducted within 50 feet of any structure or other combustible material or 25 feet if the pile size is 3 feet or less in diameter and 2 feet or less in height.
BURN BARRELS ARE NOT PERMITTED.
This permit is valid for residential use only. It is not valid for businesses or agricultural use.
ON ANY DAY THAT A BURN IS TO TAKE PLACE, THE FIRE CONTROL AUTHORITY MUST BE NOTIFIED. (Burn status may be obtained at this time.)
This permit may be revoked or suspended for violation of any conditions of said permit or when it is necessary for public safety.
Burning hours are from 9:00 a.m. to 3:00 p.m. on permissible burn days. No burn shall be started after 3:00 p.m. and shall be extinguished by dusk.

Once payment has been submitted you will receive your permit with 24-48 hours. If you were not directed to a payment page please go to this website to process your payment. https://ipn2.paymentus.com/rotp/cdxb

*Is there a residence on the property?

*Are you burning any agricultural materials?

Materials related to an agricultural business on the property

*How would you like to receive your permit?

*First Name

*Last Name

*Phone

123-456-7890

*Email

*Mailing Address

*City

*Zip Code

*Burn Address

*City

*Zip Code

By submitting this form, I affirm that I legally control or own the aforementioned land and acknowledge the above conditions and terms 1-13.

By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.*

I Agree

Applicant Signature

First M Last

Date

mm/dd/yyyy

PAYMENT INSTRUCTIONS: FOLLOW THESE STEPS CAREFULLY after directed to the payment page. These instructions will not appear again. 1) In the drop down menu labeled "Select a Payment Type", please select “Fire Burn Permit”. 2) Under “Account Number” please type “Burn Permit”. 3) The amount to be charged is $25.00. We will not move forward with your application approval without payment and completed application submitted. Once your payment has been received, you can expect to receive your Residential Burn Permit via the email you provided within 2-3 business days or to the mailing address provided in 5-7 business days.