Permit Application
NAME: Jim Trujillo
ADDRESS: 24580 State Highway 69, Gardner, CO 81040
PHONE: 719-989-7866 FAX: Fax EMAIL: Email
BURN LOCATION: Clearing
LANDOWNER: Jim Trujillo
BURN SUPERVISOR: Jim Trujillo PHONE: 719-989-7866
PROXIMITY TO PUBLIC LANDS: 1/2 Mile
PROXIMITY TO STRUCTURES: 50ft
PURPOSE OF BURN: Property Clearing
TYPE OF DEBRIS TO BE BURNED: Weeds
TOTAL AMOUNT OF DEBIRS TO BE BURNED: 3 Piles, 8x8x2
AUXILLARY FUEL TO BE USED: Diesel/Gas Mix
ALTERATIVE TO BURNING: Garbage
PROPOSED STARTING DATE: 6-1-25
PROPOSED COMPLETION DATE: 6-1-25
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: 1 Day, 8 Hours
ADDITIONAL REQUESTS AND INFORMATION:
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