Permit Application
NAME: Amy Valdez
ADDRESS: 670 County Road 575, Gardner, CO 81040
PHONE: 719-746-0166 FAX: EMAIL:
BURN LOCATION: 670 County Road 575, Field Clearing
LANDOWNER: Amy Valdez
BURN SUPERVISOR: Amy Valdez PHONE: 719-746-0166
PROXIMITY TO PUBLIC LANDS: 1/2 Mile
PROXIMITY TO STRUCTURES: 200 Ft
PURPOSE OF BURN: Fire Mitigation
TYPE OF DEBRIS TO BE BURNED: Slash
TOTAL AMOUNT OF DEBIRS TO BE BURNED: 1 Pile, 8x8x4
AUXILLARY FUEL TO BE USED: Propane Torch
ALTERATIVE TO BURNING: None
PROPOSED STARTING DATE: 8-29-25
PROPOSED COMPLETION DATE: 9-5-25
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: 1 Day, 8 Hours
ADDITIONAL REQUESTS AND INFORMATION:
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