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2. No burning from May 1st through Sept 30th
   Open burning/Permitted burning does not excuse you from consequences associated with damages or injuries. All laws, ordinances, regulations must be complied with according to federal government, Commonwealth of Virginia and/or Chesterfield County.
4. All open burning in Chesterfield County
   • Fires must be constantly attended until extinguished and no longer smoldering.
   • Attendees must provide adequate fire extinguishing equipment to control the fire.

   
   

   The Virginia Department of Forestry requires that any open burning from February 15 through April 30 of each year, within 300 feet of woodland, brushland, or field containing dry grass or other combustible material leading to woodland, be done between the hours of 4:00 p.m. and 12:00 midnight.

6. Applicant's Name
7. Application Date
   Application Date
9. Mailing Address
11. City
12. State
13. Zip Code
15. Email
16. Fax
18. Day Phone
19. Evening Phone
21. Name of Person or Contractor Conducting Burn
23. Day Phone
24. Evening Phone
26. Fax
28. Street Address of Burn Site
30. City
31. State
32. Zip Code
34. Location of Burn Site on Property
36. Purpose of Burn

    1. Tree or Garden Trimmings
    2. Land Clearing/Property Maintenance
    3. Bon Fire
37. Date for Bon Fire
    Date for Bon Fire
39. Land Disturbance Permit Number
41. Description of Material to be Burned
43. Is material currently piled up?

    1. Yes
    2. No

    Pile must be ready for the site visit to be done.
44. Is any burn material being brought from another site?

    1. Yes
    2. No
46. On-Site Means of Extinguishment

    1. Garden Hose and Hand Tools
    2. Heavy Equipment
    3. Fire Extinguisher
    4. Other
47. If Other
49. How would you like to receive your permit?

    1. Mail
    2. Fax
    3. Will Pickup
    4. Email
51. Acceptance Agreement

    1. I Agree

    By submitting this application, you have read and agreed to conduct this burn in accordance with the regulations described on the attached page and the Statewide Fire Prevention Code. Furthermore, you understand that failure to follow the regulations will result in the suspension of the permit, issuance of a summons or both.
53. Name of Responsible Party
54. Date
    Date
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field