Mountain Home Fire Department & Mountain Home Rural Fire Protection District 220 South 2nd East Mountain Home, Idaho 83647 Phone 208.587.2117 BURNING PERMIT Permit Holder:_____________________ Phone #______________ Date Issued___/___/_____ This permit is valid within the boundaries of the City of Mountain Home and the Mountain Home Rural Fire Protection District and is valid until revoked by the Fire Chief or his designated representative. With my initials and my signature below I understand and acknowledge my responsibilities regarding open burning and the issuance of this Burning Permit: _____ I acknowledge that I have received a copy of the Idaho Department of Environmental Quality “Illegal To Burn Materials” and “What Cannot Be Burned” flyers. _____ I acknowledge and understand that if I burn any prohibited items that I am subject to prosecution under Idaho law. _____ I understand that occasionally the Fire Department will issue a “Burn Ban”, especially during the summer months. I acknowledge that it is my responsibility to know when a “Burn Ban” is in effect and that no open burning is allowed, even with a “Burning Permit”. Information concerning Burn Bans can be found at our website: http://www.mhfd.us/ or by contacting Elmore County Dispatch at 208.587.2100. _____ I acknowledge and understand that I must monitor and attend my burn at all times and that I must have a water source available for extinguishment. _____ I acknowledge that I must call Elmore County Dispatch at 208.587.2100 prior to burning and advise them of the location of the burn and the time the burn will commence. Additionally, I must call them after my burn has been extinguished. _____ I acknowledge and understand that if the Fire Department is dispatched to my burn because I violated the above items, I could be billed up to $500 for the call. ______I acknowledge and understand that if my burn becomes “out of control”, I shall immediately dial 911 and ask for the fire department to be dispatched. With my signature below, I acknowledge that I understand my responsibilities as the holder of this Burning Permit. __________________________ Permit Holder ___________________________ Mountain Home Fire Department, Witness