North Bend Fire Department Open Burning Permit

Open Burning Permit
Date Issued*

MonthDayYear
Date
Owner’s Name*
Phone*
Email*
example@example.com
Burn location*
Person supervising burning*
Phone*
DATE of burn*

MonthDayYear
Date
DESCRIPTION OF MATERIAL TO BE BURNED*
Is the property located within the North Bend Rural Fire District?*

YesUnknown
I understand that I'm not allowed to burn until I receive an email with the approved Burn Permit. If I do burn without the burn permit, I understand that I will be criminal charge for no valid burn permit.*

Yes
I will have a water and or other methods of extinguishing agent available and nearby the burn.*

Yes
I agree to check the weather forecast for prior to burning and will not burn with wind conditions over 15 mph. I understand that if wind is forecast over 15 mph any part of the day, I will not be able to burn for that day.*

Yes
I understand that I'm only allowed to burn natural vegetation at accumulate on this property. I cannot bring natural vegetation from another property.*

Yes
I will call Dodge County Dispatch at 402-727-2677 prior to burning.*

Yes
I acknowledge that the Dodge County Fire Departments have agreed to follow a uniform standard for burn permits. I understand that the Dodge County Dispatch Center has the authority to deny approval for controlled burns for that day. I agree to comply with the orders of the Dodge County Dispatch Center. I am aware that failing to follow these orders will result in criminal charges under Nebraska State Statutes 81-520.1 to 81-520.5.*

Yes
I have reviewed Nebraska State Statue 81-520.01 to 81-520.05. I agree to follow this these state statues.*

Yes, I understand if I should violate sections 81.520.01 to 81.520.05 I shall be guilty of a class IV misdemeanor.
I understand that burn permit can be denied for any reason.*

Yes
Signature of person(s) assuming responsibility in event fire becomes out of control*

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Fire Department Issuing Permit

This permit is issued in accordance with Nebraska Statute 81-520.01. Other permits may be required

from the Department of Environment and Energy – Phone (402) 471-3387 or Department of Health and Human Services – Phone (402) 471-0386.
Requirements and Instructions to Issue a Valid Electronic Burn Permit
1. Electronic Burn Permit must be completely filled out by the submitter and must be submitted to the Fire Chief of the jurisdiction where the burn will take place via email 2. Approved Electronic Burn Permits must always be returned by the Fire Chief to the submitter via email 3. When approved, the email from the Fire Chief to the submitter must include the approved Electronic Burn Permit as an attachment, and must include the following statement: “Electronic Burn Permit has been approved
4. The email with the above information from the Fire Chief must be kept with the Electronic Burn Permit and must be provided to law enforcement personnel upon request 5. If the above email and Electronic Burn Permit cannot be provided to the authority having jurisdiction, either electronically or on paper this will be considered conducting open burning without a permit. 6. Any additional permits or requirements of the fire department having jurisdiction must be included with the Electronic Burn Permit, either as an attachment or as detailed in the approval email from the Fire Chief.

81-520.02. Open burning ban; range-management burning; violations; penalty. Any person violating the statewide open burning ban established by section 81-520.01 or violating sections 81-520.03 to 81-520.05 shall be guilty of a Class IV misdemeanor.

Source: Laws 1980, LB 810, § 3; ; Laws 1989, LB 19, § 1; ; Laws 1994, LB 408, § 2.
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Open Burning Permit

Requirements and Instructions to Issue a Valid Electronic Burn Permit