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Application for Burn Permit

Location of Burn *
Type of Request *
Applicant Information
Applicant Name *
Company Name
Primary Phone *
Cell Phone *
Fax
Email Address *
Mailing Address *
City
State
Zip Code
Site Information
Site Address *
County *
Name of Individual Who Will Control Burn *
Phone
Site Name *
Subdivision or Development Name *
Directions
Type of Material to be Burned
Distance to Nearest Occupied Structure
1. ONLY material originating from the above mentioned location will be burned.
2. A minimum of one portable fire extinguisher or other approved method shall be available for immediate extinguishing.
3. No burning will take place before 7:00 AM and must be completed by 5:00 PM.
4. You must receive permission from the Nixa Fire District each day of burning by calling 725-4025 or 894-0318.
5. Burning will take place at least 200 yards from all neighboring occupied structures (private/commercial).
6. Permit holder will correct all smoke problems immediately.
7. Permit holder is obligated to comply with local, county, state, and federal laws and regulations.
8. The Nixa Fire District reserves the right to revoke this permit.
1. All burning shall be supervised at all times.
2. A minimum of one portable fire extinguisher or other approved method shall be available for immediate extinguishing.
3. You must receive permission from the Nixa Fire District each day of burning by calling 725-4025 or 894-0318.
4. Burning will take place at least 50 feet from any structure without proper measure to prevent fire spread.
a. Bonfires shall not be conducted within 50 feet of a structure or combustible material unless contained in an approved container.
b. Recreational fire shall not be conducted within 25 feet of a structure or combustible material. Pile must be 3' or less in diameter and 2' or less in height.
5. Permit holder is obligated to comply with local, county, state, and federal laws and regulations.
6. The Nixa Fire District reserves the right to revoke this permit.
Name *
Date *
Email Address *
Special Instructions
Thank you for contacting the Nixa Fire Protection District. Today's technology is fantastic however, it may take several minutes to receive your application.
When we receive your application, please allow up to 3 to 5 business days to process your request. We appreciate your patience.

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