Permit Application
NAME: Applicant Name
ADDRESS: Mailing Address, Mailing City, CO Mailing Zip
PHONE: Phone FAX: Fax EMAIL: Email
BURN LOCATION: Burn Location
LANDOWNER: LandOwner
BURN SUPERVISOR: Burn Supervisor PHONE: Supervisor Phone
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands
PROXIMITY TO STRUCTURES: Proximity To Structures
PURPOSE OF BURN: Purpose Of Burn
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
ALTERATIVE TO BURNING: Alternative To Burning
PROPOSED STARTING DATE: Proposed Starting Date
PROPOSED COMPLETION DATE: Proposed Completion Date
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: Total Days, Hours Needed
ADDITIONAL REQUESTS AND INFORMATION: Pamela Cooke 707 339 0863 401 Community Rd. Cuchara, owner, burn supervisor [email protected] Saturday 27th, Hoping to burn 3 piles of dead brush and excess spruces and ladder fuel in 2 piles in meadow 200 ft from structures and in one pile closer to river even further from structures. Public lands are located across Hwy 12 and behind private holdings. Piles are approx 8x8 ft. I'll need to burn by Oct. 3 at the latest, but prefer this weekend if conceivably possible. I have a burn request on file from July when I was asked to wait to burn. I'm hoping someone might find this duplicate request so that I could burn tomorrow, the 27th when I'll have help and there is so much moisture. Two of these piles have been inspected before. The website has been saying, "internal server error" today when I submit a filled out form, so I am trying again this way this evening. Thank you!
Comments:
On 2025-09-28 14:01:47:
adv caller to complete the burn permit correctly next time
On 2025-09-27 14:41:29:
Burn approved for 9-28-25 to 9-29-25.
On 2025-09-27 09:29:50:
Permit was not completed correctly.
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