Burn Permit Request Form

To request a burn permit, please enter the required information in the form fields below. Permits are considered active upon submission of the form unless otherwise noted. Burn permits may be requested for no more than three consecutive days per burn permit issued.

Name (required)

On-Site Contact Phone (required)

Address of burning location (required)

Start Date

End Date

Description of materials to be burned:

Acknowledgement of Township Burning Ordinance

BY CLICKING THIS BUTTON, I ACKNOWLEDGE THAT I UNDERSTAND THE RULES AND REGULATIONS FOR OPEN BURNING AS LISTED IN ORDINANCE #13-02, AND AGREE TO FOLLOW THE TOWNSHIP BURNING ORDINANCE.

I agree to the terms above:

Yes