7630-10 Agricultural Burn Permit And Application

OMB Control No. 2060-NEW Approval Expires XX/XX/XXXX

United States Environmental Protection Agency, Region 10 ARD
1200 Sixth Ave, Suite 155 MS: 15-H13
Seattle, WA 98101

[Tribe Name]
[Address]
[Contact Information]
[Insert tribe logo in box to the
right]

Federal Air Rules for Reservations (FARR)
Hotline: 800-424-4EPA
Website: www.epa.gov/FARR
Email: [email protected]

RESERVATION OFFICE OF AIR QUALITY:
AGRICULTURAL BURN PERMIT AND APPLICATION

An agricultural burn is the burning of vegetative debris from an agricultural activity that is necessary for disease or
pest control, or for crop propagation and/or crop rotation. After sending in the Air Quality Agricultural Open Burn Permit
Application (pages 3-4) and receiving approval to burn, KEEP THIS SIGNED SHEET AS YOUR PERMIT (pages 1-2). 40
CFR 49.133 Rule for Agricultural Burning Permits
Printed Applicant Name (applicant must be owner or lessee of property):
General Terms and Conditions
1. This permit 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.

The owner and lessee, if any, of the property on which the open burn is conducted and the person conducting the
burn (collectively, “the Permittee”) must comply with all terms and conditions of this permit, including instructions and
procedures.

3.

Before igniting a burn that could significantly impair visibility on roadways, the Permittee must contact relevant safety
authorities and take any transportation safety measures during the burn required by such authorities.

4.

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.

5.

The person conducting the burn must be reachable by phone during the burn.

6.

The Permittee must ensure that the person conducting the burn is familiar with the requirements of the permit and that
the permit is available on the property during the open burn and provided on request to the
personnel or U.S. EPA.

7.

The Permittee must conduct agricultural burning as follows: (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 person 18 years of age or older must be in attendance at all times during the burn; (f) there must be a means available
for extinguishing the fire, such as water or chemical fire suppressants.

8.

A fire must not be allowed to smolder unless: (a) this permit authorizes a multiday burn; (b) the burn is actively managed
to complete the burn in the shortest possible time within the time period allowed by this burn permit; and (c) all other
terms and conditions of this permit are met while the fire is smoldering.

9.

The Permittee must immediately extinguish the fire if safe to do so, discontinue lighting the fire, and withhold
additional materials from the fire so the fire burns down, as applicable, when the permit is revoked by either the
Tribe or U.S. EPA Regional Administrator.

EPA Form 7630-10

THIS IS YOUR PERMIT: Keep Available While Burning

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OMB Control No. 2060-NEW Approval Expires XX/XX/XXXX
10.

11.

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. The Permittee is 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.
Burning must also be conducted in compliance with 40 CFR 49.131 General Open Burning and 49.133 Agricultural Burning
Permits. Burning conducted without permission from the
Tribe Air Quality Program and/or failure
to follow the FARR permit 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.
Burn Approval Process

Step 1. Complete permit application, pages 3-4.
Step 2. Submit completed permit application to the
Tribe Air Quality Program at least
business day(s) prior to the proposed burn date.
Step 3. Call
to request to burn no later than
business day(s) prior to the day of the
requested burn. The Permittee must leave a message providing the following information:
a. Name and phone number.
b. Burn name(s) or number(s).
c. Date of requested burn.
d. Type and size of burn (Agricultural Burn, number of acres, footage or piles).

NOTE: Permittee is not guaranteed a next day burn approval.
Step 4. If the request to burn is approved, the Permittee will receive a preliminary burn decision and ignition time. Approvals
given the day before the desired burn are considered preliminary and are subject to Step 5. If the request to burn is not
approved, the Permittee will not receive a call. Burn approvals will consider:
a. The size, duration, and location of the proposed agricultural burn, the current and projected air quality conditions, the forecasted
meteorological conditions, and other scheduled burning activities in the surrounding area.
b. The order of burn requests received from applicants (“first come, first served” basis).
c. Other factors indicating whether or not the proposed agricultural burn can be conducted without causing or contributing to an
exceedance of a NAAQS.
d. Other relevant burn-specific factors indicating whether or not the proposed agricultural burn can be conducted without causing any
other adverse impact on air quality.

Step 5. If the preliminary burn decision changes due to poor air quality and/or updated forecast information, the
Air Quality Program will notify the Permittee by 9:00 AM the day of the burn.
Step 6. The person conducting the burn must be reachable by phone during the day of the burn in case there is a change in
the burn decision and it is necessary to cease all burning.
Step 7. Within 24 hours after completing the burn, the Permittee must contact the
report the following post-burn information:

Tribe and

a. Name, as it appears on the application.
b. Date and time of the burn(s).
c. The area or amount of any remaining unburned material (if burn was not completed).

Applicant’s Printed Name (applicant must be owner or lessee of property):

Applicant’s Signature
I certify that I have read, understand and have followed the instructions on this form and agree to abide by the permit’s terms
and conditions, including instructions and procedures.

Applicant’s Signature is required for permit to be valid.

Date

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 49.133). The public reporting and record keeping burden for this collection of information is estimated to
average 0.45 hours per response. 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, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S.
Environmental Protection Agency (2822T), 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.

EPA Form 7630-10

THIS IS YOUR PERMIT: Keep Available While Burning

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OMB Control No. 2060-NEW Approval Expires XX/XX/XXXX

[Tribe Name]
[Address]
[Contact Information]
[Insert tribe logo in box to the
right]

United States Environmental Protection Agency, Region 10 ARD
1200 Sixth Ave, Suite 155 MS: 15-H13
Seattle, WA 98101
Federal Air Rules for Reservations
Hotline: 800-424-4EPA
Website: www.epa.gov/FARR
Email: [email protected]

RESERVATION OFFICE OF AIR QUALITY:
AGRICULTURAL BURN PERMIT APPLICATION
Complete this application and submit it at least
forms to:

business day prior to the proposed burn date. Submit completed

Dates & Contact Information
1. Requested Date(s) of proposed agricultural burn(s)

2. Date of Application

3. Applicant Name (must be owner or lessee of property)

4. Applicant Phone Number

Owner

Lessee

5. Applicant Mailing Address

6. Applicant Email Address

7. Name of Owner or Lessee of Property (if different from Applicant)

8. Owner/Lessee Phone Number

Owner

Lessee

9. Owner/Lessee Mailing Address

10. Owner/Lessee Email Address

11. Name of person conducting the burn

12. Phone Number of person conducting the burn

13. Mailing Address of person conducting the burn

14. Email Address of person conducting the burn

Description of Burn Location
15. Burn Location:

16. Township:

EPA Form 7630-10

17. Range:

18. Section:

THIS IS YOUR APPLICATION: Return to

19. Quarter section

Tribe

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OMB Control No. 2060-NEW Approval Expires XX/XX/XXXX

20. Burn Information
Field
Name/

Township

Range

Section

County

Number

Example: 1

35N

1W

7

Burning
Means of
Method
Ignition
(e.g. Pile
Burn,
Ditch Burn,
Broadcast
Burn,
Windrow
Burn)

Umatilla

Crop Type:

Special Features:

I Turf Grasses

A. Adjacent to timber

Number of
Acres

II Cereal Grain

B. Adjacent to highway or major

Piles

III Field and Forage C. Road Morning burn requested
Grasses
D. Special wind direction needed
IV Legumes
E. Contains or is next to steep

or

(check box that
applies)

V Other (Specify)

F. Slopes Borders on canyon rim.

I

B. C. D

100

21. Fire Safety Methods: Please indicate the measures you will take to prevent escaped burns:
Water Truck

Hand Tools

Heavy Equipment

Fire Breaks and Safety Zones

Flaggers

Other:
22. Map: Attach a plot plan showing the location of the proposed open burn in relation to the property lines and indicating the
distance and directions of the nearest residential, public, and commercial properties, as well as roads and other sensitive areas
that could be affected by smoke from the burning.

APPLICANT’S STATEMENT (To be signed by the applicant): I certify that the information provided as part of this application is
true and accurate to the best of my knowledge and that I have read, understand and agree to abide by the permit’s terms and
conditions, including instructions and procedures.

Signature of Applicant

Printed Applicant Name

Date

For Internal Use Only
Approved by:

EPA Form 7630-10

Date:
THIS IS YOUR APPLICATION: Return to

Tribe

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