Permit Application
NAME: Applicant Name Kenneth WIlliams
ADDRESS: Mailing Address PO box 472, Mailing City La Veta, CO Mailing Zip81055
PHONE: Phone5123219797 FAX: Fax EMAIL: Email
BURN LOCATION: Burn Location 1200 CR 361
LANDOWNER: LandOwner Same
BURN SUPERVISOR: Burn Supervisor Same PHONE: Supervisor Phone Same
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands 0
PROXIMITY TO STRUCTURES: Proximity To Structures 0
PURPOSE OF BURN: Purpose Of Burn Removing brush
TYPE OF DEBRIS TO BE BURNED: Type Of Debris To Be Burned
TOTAL AMOUNT OF DEBIRS TO BE BURNED: Total Amount Of Debris To Be Burned
AUXILLARY FUEL TO BE USED: Auxillary Fuel NA
ALTERATIVE TO BURNING: Alternative To Burning NA
PROPOSED STARTING DATE: Proposed Starting Date ASAP 19 OCT
PROPOSED COMPLETION DATE: Proposed Completion Date 1 day 20 Oct
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: Total Days, Hours Needed 1 day
ADDITIONAL REQUESTS AND INFORMATION: Will burn when humidity is high, reduced winds. Previous burns on same location. Previous request - have been waiting for wet conditions. One pile - 8' x 8' in open area.
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