Burn Permit Application Form

SECTION 1 - PERMIT HOLDER'S OBLIGATIONS

  • This permit is not valid until approved by the Town of Coaldale Fire Chief or Designate and a permit number, date issued and permit expiry date are written in the top right-hand corner. If a site inspection is required, additional conditions may be imposed prior to the issuance of this burning permit. This permit must be retained by you and you must be able to produce this permit upon the request of an authorized officer at any time during the duration of the fire. Failure to retain this permit will be deemed to be a breach of the conditions of the permit.
  • The Applicant will not burn items listed in Bylaw #830-R-03-17
  • THE PERMIT HOLDER MUST PROVIDE THE CITY OF LETHBRIDGE PUBLIC SAFETY COMMUNICATIONS CENTRE WITH THE PERMIT NUMBER AND THE TIME AND ESTIMATED DURATION OF THE BURN BY CALLING 30 MINUTES PRIOR TO IGNITION AND ONCE ALL BURNING IS COMPLETE. CALL 403-329-1225
  • AT THE TIME OF BURNING AIR TEMPERATURE IN °CELSIUS SHALL NOT EXCEED THE % OF RELATIVE HUMIDITY. WIND SPEED (INCLUDING GUSTS) SHALL NOT EXCEED 20KPH. Environment Canada Weather, Current Conditions for Lethbridge Alberta shall be the source for weather information www.weather.gc.ca.
  • To better understand your obligations please contact our Fire Prevention Officers, Tim & Steve, at tim.hlady@coaldale.ca or steven.yanke@coaldale.ca. They can also be reached by phone at 403-405-5248 and 403-405-5249, respectively. 

FOIP Notification:

Your name, home phone number, home address and postal code care collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. This information will be used in the administration of Town of Coaldale programs. If you have any questions about this collection, contact the FOIP Coordinator, Town of Coaldale, 1920-17 Street, T1M 1M1 or 403-345-1300.

NOTE: Upon the declaration of a Fire Ban your permit is revoked. If your fire is actively burning you must take immediate steps to extinguish it.

SECTION 2 – PERMIT HOLDER (MUST BE A PERSON) AND FIRE DESCRIPTION

Burn Location - Legal Land Description
Description of Material to be Burned
Items answered as “Yes” in the following section may require inspection and approval prior to the issuance of permit.
Piles of debris or surface areas larger than 10 metres sq.
Log piles, mixed debris or large straw bales.
Structures (Will require site inspection and approval.)
Stubble Field (Burning stubble fields will not be approved.)
SECTION 3 - PRECAUTIONS
Do you understand your obligations under the Town of Coaldale Community Standards Bylaw #725-R-03-17?
Are you in legal control of the lot or parcel of land as herein described?
Have you ensured that adequate clearance has been provided from readily combustible materials (example: grass to be mowed) with material(s) to be burned located a minimum of 7.5 m from ANY structure AND 7.5 m from ANY property line?
Will the appropriate number of competent individuals be on site for the duration of the burn?
Will the appropriate fire extinguishing equipment capable of controlling the fire be available at the burn location?
Have precautions been taken to assure confinement, intensity and size of said burn and to not create a smoke nuisance or hazard to neighbouring properties, persons, roadways or traffic?
SECTION 4 – APPLICANTS SIGNATURE AND TOWN AUTHORIZATION
When applying electronically, I, the permit applicant, authorize the e-mail address attached to this electronic application, to stand and represent me as the permit applicant in the absence of my written signature as required above.
CAPTCHA