Permit Application
NAME: Applicant NameDave Herbert
ADDRESS: Mailing Addresspo box 115, Mailing Citygardner, CO Mailing Zip81040
PHONE: Phone9288992554 FAX: Fax EMAIL: [email protected]
BURN LOCATION: Burn Location1811 CR 572 Gardner 81040
LANDOWNER: LandOwnerSame
BURN SUPERVISOR: Burn Supervisorsame PHONE: Supervisor Phonesame
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands1 mile
PROXIMITY TO STRUCTURES: Proximity To Structures1000 ft.
PURPOSE OF BURN: Purpose Of Burn Annual
TYPE OF DEBRIS TO BE BURNED: Type Of Debris To Be Tree branches
TOTAL AMOUNT OF DEBIRS TO BE BURNED: Total Amount Of Debris To Be Burned
AUXILLARY FUEL TO BE USED: Auxillary Fuel4 -8x8x8 piles
ALTERATIVE TO BURNING: Alternative To Burningnone
PROPOSED STARTING DATE: Proposed Starting Date5/19/2025
PROPOSED COMPLETION DATE: Proposed Completion Date5/26/2025
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: Total Days, Hours Needed6 days
ADDITIONAL REQUESTS AND INFORMATION:
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