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Burn Permit Application Revised 4/17/2023 Page 1 Burn Permit Application 101 N. 4th Street / P. O. Box 1030 Douglas, Wyoming 82633 [PHONE REDACTED], Fax: [PHONE REDACTED] Applicant’s Name Applicant’s Business Name: Address City State Zip Code Phone Email Complete if different from Applicant Property Owner’s Name Address City State Zip Code Phone Email Details of Burn Address of Proposed Burn: Burn Details: Proposed Date and Duration of Burn: Proposed Safety Provisions: Please supply a site plan of the property including structures showing proposed burn area and safety provisions. If applicant does not own the property on which the burn is being requested, the property owners’ permission shall be provided with this permit request. Applicant Signature: Date: Fire Chief Approval: Date: For Office Use Only Application Date: Date Issued: Approval By: ---PAGE BREAK--- Burn Permit Application Revised 4/17/2023 Page 2 Relevant Municipal Code 8.20.170 - Burning garbage and refuse. It is unlawful for any person to burn or cause to be burned any garbage, waste, packing material, trash, refuse, discarded boxes or other materials within the corporate limits of the city without first having obtained written permission from the fire chief. 16.6.18 - Barbecue Pits, Portable Outdoor Fireplaces, and Wood-Burning Stoves A. Definition A portable, outdoor, solid-fuel-burning fireplace that may be constructed of heavy gauge steel, concrete, masonry, clay or other noncombustible material. A portable outdoor fireplace may be open in design, or may be equipped with a small hearth opening and a short chimney or chimney opening in the top. B. Location Barbecue pits, portable outdoor fireplaces, and wood-burning stoves shall be so located, constructed, maintained and used as to minimize fire hazard and smoke nuisance both on the property on which used and on neighboring property. Portable outdoor fireplaces shall be used in accordance with the manufacturer's instructions and shall not be operated within fifteen (15) feet of a structure or combustible material, including overhead structures or vegetation. Exceptions: Portable outdoor fireplaces used at one- and two-family dwellings may be operated within five feet of a structure. Manufactured barbecue pits, portable outdoor fireplaces, and wood-burning stoves approved via retailers. C. Spark Arrestors and Lids Spark arrestors and lids shall be installed on all barbecue pits, portable outdoor fireplaces, and wood-burning stoves. D. Attendance Use of barbecue pits, portable outdoor fireplaces, and wood-burning stoves shall be constantly attended until the fire is extinguished. A minimum of one portable fire extinguisher with a minimum 4-A rating or other approved on-site fire-extinguishing equipment, such as dirt, sand, water barrel, garden hose or water truck, shall be available for immediate utilization. E. Fire Chief Approval Required Approval from the Douglas Fire Chief shall be required prior to installation of any barbecue pit, portable outdoor fireplace, and/or wood-burning stove.