Name: *

Phone Number: *

Address of Active Burning Locations*

Date*

Time of Burn*

Number of acres/Size of Pile: *

Less than 1 Acre Between 1 and 5 acres Over 5 acres - Please contact AR Dept of Forestry

No such permit or permission shall be issued to kindle, build, maintain or use a fire within 15 feet of a fire hydrant or within two feet of any concrete curb or the surface of any permanent pavement. Burning, as permitted, shall also be subject to additional proper safeguards as the chief of the fire department may prescribe. All burning of materials permitted shall be conducted on still days, during daylight hours, with an adult in constant attendance, and shall be done in a location at least 50 feet from any building or structure and where standing grass or weeds will not communicate fire to nearby property.

The Fire must be:
1. At least 15 feet away from any fire hydrant
2. 2 feet away from any concrete curb or surface pavement
3. 50 feet away from any structure or building
4. Inside the city - The fire must be out before dark.
5. Inside the city - A water hose must be present.
6. Must remain with fire until it is out.
7. Less than 5 acres.
8. If more than 5 acres it must be documented with the Arkansas Forestry Department

By submitting this form, you agree to abide by the rules and regulations of open burning as stated above.

If you feel like the fire is out of control, please call 911 immediately.