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<br />-- <br /> <br />e PHONE NO. <br /> <br />~ STATE OF <br />[NJ~~~@u~ <br />DEPARTMENT <br /> <br />8/10/93 <br /> <br />OF <br /> <br />NATURAL <br /> <br />RESOURCES <br /> <br />FILE NO. <br /> <br />FIRE DEPARTMENT BURN TRAINING APPLICATION <br /> <br />This application must be completed by the Fire Chief or Training Offzcer and submitted to the local forestry offzce a <br />minimum of 14 days prior to the actual burn training being conducted. All training should have a burn plan or be <br />done as per guidelines in the Structural Burn Training Manualfor the Minnesota Technical College System. <br /> <br />F IRE DEPARTMENT: <br />ADDRESS: <br /> <br />'- <br /> <br />APPliCANT'S NAME AND TITLE: <br />TELEPHONE NUMBER: work ( ) <br /> <br />home ( ) <br /> <br />SIGNATURE: <br /> <br />LOCATION OF TRAINING (address): <br /> <br />TYPE OF FIRE TRAINING TO BE CONDUCTED: (check all that apply) <br />_structure burn _liquid/gas fuels _extinguisher _other <br /> <br />e <br /> <br />IF A STRUCTURE IS TO BE BURNED INDICATE: <br />Structure type: Approx. Size: <br /> <br />IF FLAMMABLE LIQUID OR GAS: <br />Type of fuel: <br /> <br />Amount: <br /> <br />HAS CONSENT BEEN GRANTED BY LEGAL OWNER OF BURN SITE? Y or N <br /> <br />WAS AN ASBESTOS SURVEY CONDUCTED: Y or N BY WHOM: <br /> <br />WILL UTILITY DISCONNECTS BE MADE (GAS, WATER, ELECTRICITY)? Y or N <br /> <br />LOCAL EMERGENCY DISPATCHER/ENFORCEMENT BE NOTIFIED OF THIS BURN? Y or N <br /> <br />IS A TECHNICAL COLLEGE ASSISTING WITH THE TRAINING? Y or N <br /> <br />TECHNICAL COLLEGE: <br /> <br />TRAINER: <br /> <br />- ------ <br />NOTE: Attached is your burn training permit.. The permit must be signed prior to the training exercise. Both the <br />Burn Permit and Application must be on site at the time of the burn training exercise. <br /> <br />POST BURN REQUIREMENTS: All debris remaining after the burn requiring disposal must be disposed of in a <br />manner that meets all local solid waste ordinance requirements. <br />.ESPONSIBLE PARTY: <br /> <br />APPliCATION APPROVED: By Date <br /> <br />APPliCATION DEN/ED (OVER) By Date <br />AN EQUAL OPPORTUNITY EMPLOYER <br />