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Permit preparation

Open Burning Permit Application

Department of Health · Granger, Indiana

Editable official PDF

Edit the agency’s original form, save your draft, attach documents, and review your completed PDF before signing or ordering delivery.

Print and mail service is available for your prepared packet. Review the destination and the agency’s acceptance requirements before ordering. Government payment is separate from document and postage charges.

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Your application steps6 steps · Department of HealthView steps
  1. 1Prepare your answersComplete here

    Edit and save your answers on the official PDF.

    Official source
  2. 2Add supporting documentsComplete here

    Attach the supporting records listed by the agency. Check that every page is legible and complete.

    • Complete the form and applicant signature; obtain Fire Department approval; bring or send the application to the Department of Health.
    • Complete the burn-site sketch. Review all printed burning conditions before signing.
  3. 3Review and signPrepare here, finish outside

    Complete each applicable applicant signature after reviewing the full declarations. Required notary, professional and witness signatures remain separate.

  4. 4Choose paymentPrepare here, finish outside

    No open-burning fee is identified in the reviewed current schedule. Confirm with Environmental Health; do not assume this is free. Government fees are separate from the optional prepared PDF and postage. Review the exact amount and recipient before authorizing a check.

    Pay the agency directly
  5. 5Submit or order deliveryPrepare here, finish outside

    Complete the form and applicant signature; obtain Fire Department approval; bring or send the application to the Department of Health. Complete the burn-site sketch. Review all printed burning conditions before signing. The original PDF is available to prepare the application. The official payment form instructs users to submit their application through DocuSign first. For a paper/PDF filing, coordinate payment with the department before using that payment-only page.

    Official submission instructions
  6. 6Keep your receiptComplete here

    Save your agency confirmation and payment receipt. Track any mailing from My applications. Delivery does not mean the agency approved your application.

Official requirements and sources

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Page 1 of 1 · 17 editable blanks
SJCHD-03-1200 St. Joseph County Department of Health “To promote health and wellness with compassion and integrity through partnerships, education, protection, and advocacy for all who reside in and visit St. Joseph County.” Application for Open Burning Permit Procedure 1. Complete this form and sign it at the bottom. 2. Obtain Fire Department approval. 3. Bring or send this application for open burning to the Department of Health. Name: Phone: Email: Mailing Address: City: State: Indiana Zip: Address of burn site: City: State: Indiana Zip: What do you want to burn? Sketch the burn site: North Business or activity: For which two-week period do you want this permit? Describe your burning procedure: Fire control measures to be used: Fire Department Recommendation Name of Department: Email: Approval signature of Fire Department Denial signature of Fire Department Conditions for burning: 1. Immediately advise the Fire Department on the day burning is to begin to avoid false alarms. 2. Weather at least partially clear, low wind, and in the approved direction. 3. Material must be dried internally, as well as from outside moisture. 4. Burn between 9:00 A.M. and 4:00 P.M. Use smaller piles to burn out quickly. NOTE: In future operations, plan to bury, compost, chip, and/or haul away as much material as possible to avoid burning. 5. The source of the material must be from the premises. Agricultural materials must be natural, not man-made or fabricated materials, and do not include home grounds or lot clean-up. 6. Light with natural kindling materials; do not use fuel oils, rubber tires, etc., to light or support fire. 7. Residential burning where the residence contains four (4) or fewer units: burning shall be in a non-combustible container sufficiently vented to induce adequate primary combustion air with enclosed sides, a bottom, and a mesh covering with openings no larger than one-fourth (¼) square inch. Burning is prohibited in apartment complexes and mobile home parks. I certify that I understand the above conditions. Signature: Date: For Office Use Only! Investigating Environmental Health Specialist: Date: Permit approved: Permit denied:

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