Note: A PDF version of this form is available here

BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:

  1. Clallam 2 Fire-Rescue and Dispatch must be notified at the start of every burn day before the fire is ignited. Please call District Offices
    at 360-457-2550 or PenCom Dispatch at 360-452-4970 to provide the following information: Permit number and Owner name.
  2. The fire may contain only natural vegetation in piles not to exceed twenty (20) feet in diameter and fifteen (15) feet high.
  3. Burn no more than one (1) pile at any one time. No fire shall be commenced before 6:00 AM, and no material shall be added to fire
    after 6:00 PM.
  4. Construct a firebreak fifteen (15) feet wide to mineral earth around pile to be burned before lighting fire.
  5. Fires are not permitted within 100 feet of any structure or 150 feet of a wood shake roof.
  6. Fires are not permitted within 50 feet of standing timber, or within 500 feet of forest slash.
  7. Do not burn if the wind is blowing more than five (5) miles per hour from any direction.
  8. Material for a fire over ten (10) feet in diameter shall be free of excess dirt and be machine stacked by an excavator or equivalent
    machine which shall remain on site until the fire is extinguished. NOTE: Burying burn piles with dirt does not constitute
    extinguishment.
  9. Provide a minimum of one (1) excavator and/or dozer on site with a qualified operator until the fire is extinguished.
  10. Provide a minimum of one (1) watch person in attendance at the fire while burning. The fire shall not be left unattended until it is
    extinguished and cold to touch. Your equipment operator may be this person.
  11. Provide on site water acceptable to issuing Fire District 2 Officer.
  12. Provide two (2) shovels that can be used to extinguish flying brands.
  13. Provide at least one fan, rated and operable at 6,000 CFM, at site to facilitate clean burning.
  14. This permit may be canceled and/or the fire extinguished by this Fire District when deemed to be a nuisance and/or necessary for
    the protection of life or property, pursuant to RCW 52.12.10.
  15. The permittee agrees to furnish sufficient personnel and equipment at his/her expense to suppress the fire if it escapes from
    any cause and to pay the Fire District, or other approved fire fighting agencies, for all reasonable expenses incurred in such
    suppression, pursuant to RCW 52.12.108.
  16. The permittee shall not burn during any burn bans. To determine if any burn bans are in effect call District Offices at 360-457-2550
    or PenCom Dispatch at 360-452-4970.

A COPY WILL BE EMAILED TO YOU THAT MUST BE KEPT ON SITE WHILE BURNING.

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