Application For An Air Emissions Permit Structure Burning Form

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Air Emissions Regulation
APPLICATION FOR AN AIR EMISSIONS PERMIT
STRUCTURE BURNING
ACTIVITY-SPECIFIC FORM FOR
DEMOLITION OF A STRUCTURE BY BURNING
This form must be submitted with the general Application for an Air Emissions Permit.
Additional information may be required upon receipt of this application.
PLEASE READ CAREFULLY AND FILL OUT ALL SECTIONS
PART 1 - BURN DETAILS
1. What is the approximate mass of solid waste that will be burned? ________________kg
a) Will the burning be conducted in batches or continuously? ________________
b) If conducted in batches, how often will the burning occur and over what period of time (e.g. days, weeks)?
____________________________________________________________________________________________________
c) If conducted in batches, what is the approximate mass of solid waste that will be burned during each batch?
________________kg
2. Describe the precautions will be taken to ensure that the burn is conducted in a manner safe for humans and the
environment. (Attach a separate sheet if necessary)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
3. Describe the specific types of solid waste that will be burned and approximate mass of each type.
(Attach a separate sheet if necessary)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
4. Describe in detail any alternative options for disposing of the structure(s). Discuss feasibility, estimated cost,
environmental concerns, and other relevant information of each option as compared to burning. (Attach a separate sheet
if necessary)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
5. Will the burn be conducted by a fire department for training purposes?
Yes (continue to Part 2)
No (skip to Part 3)
Page 1 of 2
YG(5952EQ)F2 Rev. 02/2014

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