7630-8 Small Burn Ban - Application for Coverage

SMALL BURN

PART “A”

SMALL BURN

For burns 10 ft or less in diameter or 60 ft or less of ditch
bank or fence line vegetation.

Fill Out and Return to the

APPLICATION FOR COVERAGE

RECORD OF APPLICATION FOR COVERAGE
for the

for the
Reservation

Reservation

Applicant Name (must be owner or lessee of property):

Owner

Lessee

Signature of Applicant / Date:

Fire Safety Methods: Please
indicate the measures you will take
to prevent escaped burns:
water availability
hand tool availability
heavy equipment availability

Applicant Mailing Address:

fire breaks or safety zones
flaggers

Email Address of Applicant:

Phone Number(s) of Applicant:

Burn Location (street address or, if none, legal
description):

Owner/Lessee Information (if applicable):

other:

Persons covered under this approval are
responsible for all fire safety requirements
By applying for this coverage, you
agree that burning shall be conducted
in accordance with the Permit by Rule
for Small Open Burns, 40 CFR 49.143,
including restrictions on the location,
quantity and type of materials burned.

Name of Owner or Lessee (if different from Applicant):

Owner

Lessee

Owner/Lessee Mailing Address:

Detach, Fold and Return Part A : Part A is your permit application. Retain Part B : Part B is your permit.

Office of Air Quality

Applicant Information:

PART “B"

Check
each
day you want to burn to find out if it is a burn
day. BURN ONLY ON BURN DAYS AND
ONLY DURING ALLOWED BURN HOURS.
Applicant Name (print clearly):

Signature of Applicant / Date:

Burn Location (street address or, if none, legal
description):

For more information, contact:

Tribe

This Is Your Record Of
Application For Coverage
Unless revoked, approval of coverage
remains valid for the property for as
long as it remains under the control of
the owner or lessee who submitted the
application for the approval of coverage.

Q: Why do I need approval?
A: Smoke from open burning contains air pollutants
that affect air quality and public health (especially for
children and the elderly).
Q: What are some alternatives to outdoor burning?
A: Chipping and shredding vegetation for composting.
Household paper and cardboard can be recycled.
Q: How can I burn more cleanly?
A: Make sure your fuel is as dry as possible, separate
the fire from damp ground and be sure there is enough
draft to keep the fire burning hot.
Q: Are there exceptions from the Permit by Rule for
Small Open Burning?
A: Cultural, traditional, recreational, outdoor cooking
and certain other fires are exempt and do not require
approval. See 40 CFR 49.143 Permit by Rule for Small
Open Burning. Agricultural, forestry-related and large
open burns require a different permit.

U.S. Environmental Protection Agency
Federal Air Rules for Reservations (FARR)

Owner/Lessee Email Address:

Region 10, Air and Radiation Division
1200 6th Ave, Ste. 155 Mail Code: 15-H13

Owner/Lessee Phone Number(s):

Seattle, Washington 98101-3144
EPA Form 7630-8
OMB Control No. 2060-NEW
Approval Expires XX/XX/XXXX

www.epa.gov/FARR
Hotline: 800-424-4EPA
Email: [email protected]

For more information about the health effects
of outdoor burning visit: www.epa.gov/FARR
Burning must be conducted in compliance with
40 CFR 49.131 General Open Burning and
49.143 Permit by Rule for Small Open Burns.

SMALL BURN

CONDITIONS FOR COVERAGE
This approval of coverage is part of a federal air quality program administered by the
Tribe to control emissions of air pollutants and manage smoke for air
quality purposes. These rules apply on the Reservation.

2.

This approval of coverage applies to the owner and lessee (if any) of the property and to any person conducting
a small open burn on the property.

3.

Only the following materials may be burned: (a) natural vegetation and untreated wood; (b) paper, paper
products, or cardboard generated on site at a single-family residence or residential building with four or
fewer dwelling units; and (c) paper and manufactured fire starters to start the fire. BURNING ANY OTHER
MATERIALS IS PROHIBITED.

4.

Before initiating a small open burn, the person conducting the burn must call
to check
whether burning is allowed for the area on that day and conduct and complete the burn during the hours that
burning is allowed on that day. BURN ONLY ON BURN DAYS AND ONLY DURING ALLOWED HOURS.

5.

Persons covered under this approval must ensure that the person conducting the small open burns is familiar
with the requirements of coverage and that documentation of coverage is available on the property during the
open burn and provided on request to the Tribal personnel or U.S. EPA.

6.

Open burning is not permitted (and shall not be initiated) during burn bans or air pollution episodes, or when the
_______Tribe or U.S. EPA determines that burning will cause or contribute to an exceedance of any NAAQS or
any other adverse impact to air quality.

7.

All small open burning is subject to the following requirements: (a) all materials to be openly burned must be
kept as dry as possible through the use of a cover or dry storage; (b) before igniting a burn, dirt and stones must
be separated from the materials to be openly burned to the greatest extent practicable; (c) natural or artificially
induced draft must be present; (d) to the greatest extent practicable, materials to be openly burned must be
separated from the grass or peat layer; (e) a fire must not be allowed to smolder; (f) a person 18 years of age or
older must be in attendance at all times during the burn; (g) there must be a means available for extinguishing
the fire, such as water or chemical fire suppressants; and (h) the fire must be extinguished, if safe to do so, when
requested to do so by the
Tribe or U.S. EPA based on a determination that
burning will cause or contribute to an exceedance of any NAAQS or any other adverse impact to air quality.

8.

Approval of coverage remains valid for the property for as long as it remains under the control of the owner and
lessee who are identified on the application for the approval of coverage, unless coverage is revoked after prior
written notice to the applicant.

9.

If the owner or lessee of the property changes, a new application for approval of coverage is required in order to
conduct small open burns on the property.

This collection of information is approved by OMB
under the Paperwork Reduction Act, 44 U.S.C. 3501
et seq. (OMB Control No. 2060-NEW). Responses
to this collection of information are mandatory (40
CFR 49.143). The public reporting and record
keeping burden for this collection of information is
estimated to average 0.5 hours per response. An
agency may not conduct or sponsor, and a person is
not required to respond to, a collection of
information unless it displays a currently valid OMB
control number. Send comments on the Agency’s
need for this information, the accuracy of the
provided burden estimates and any suggested
methods for minimizing respondent burden to the
Regulatory Support Division Director, U.S.
Environmental Protection Agency (2821T), 1200
Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any
correspondence. Do not send the completed form to
this address.

First
Class
Postage
Required

10. Nothing in this section exempts or excuses any person from complying with any applicable laws and
ordinances of Tribal governments, local fire departments, and other governmental entities. Persons covered
under this approval are responsible for compliance with any applicable burn safety requirements and must
also obtain applicable fire safety permits. Contact your local fire district or sheriff’s office for fire safety
permit information.11.All open burning must be conducted in compliance with 40 CFR 49.131 General Open
Burning and 49.143 Permit by Rule for Small Open Burns. Burning conducted without permission from the
Tribe Air Quality Program and/or failure to follow the terms and conditions,
including instructions and procedures, violates the FARR and the federal Clean Air Act and is subject to penalties
up to $
per day of violation.

Address

1.