SPECIAL BURN PERMIT APPLICATION-CITY OF JENKS
APPLICANT
TELEPHONE
APPLICANT ADDRESS
APPLICATION DATE
EXPIRATION DATE(up to 60 days)
PROPERTY OWNER NAME
PROPERTY OWNER TELEPHONE
PROPERTY OWNER ADDRESS (location of open burn)
PURPOSE OF OPEN BURNING (select one)
□ Land clearing for the purpose of building
□ Elimination of fire hazard
□ Land management of standing vegetation
□ Firefighter training (public and/or industrial)
□ Recreational or ceremonial fire larger than 2’ x 2’ base
□ Elimination of dangerous or hazardous material
DESCRIPTION OF MATERIALS TO BE BURNED
□ Firewood
□ Trees, brush and other vegetative matter
□ Other (please describe below)
□ Pasture or crops (# of acres________________)
MINIMUM REQUIREMENTS FOR ALL OPEN BURNING
 Must notify City of Jenks emergency dispatch each morning prior to burning (299-6311)
 Applicant must keep a copy of permit with attendant at all times
 Fire must be attended at all times and have extinguishment capabilities on hand
 Wind speeds less than 10 mph
 No current Tulsa County burn ban
 May not burn if smoke is encroaching on any public roadway
 The burning is conducted so that the contaminants do not adversely affect the ambient air quality of a city or town or
create a nuisance to others
 If Jenks Fire and Rescue must respond to the burn location and extinguish fire due to loss of control or other hazard the
applicant may be charged a fee based on manpower used, equipment and other costs associated with the incident
 At the discretion of the fire department supervisor burning may be halted and extinguished to maintain public safety
 The initial burning may begin only between three hours after sunrise and three hours before sunset and additional
fuel may not be intentionally added to the fire at times outside the limits stated above
ADDITIONAL REQUIREMENTS (only the initialed ones apply)
________ A burn pit will be constructed with the use of mechanical blowers(air curtain) at least 500’ upwind and not closer
than 250’ to an occupied residence other than those located on the property on which the burning is conducted; in
which event the burning shall be no closer than 75’ from the residence located on the same property
_________Agriculture exemption, attach current verification of agriculture zoning and property is five acres or more.
_________Management of forest, crops or game shall be conducted in accordance with practices recommended by the
Oklahoma Department of Wildlife Conservation, the Oklahoma State Department of Agriculture or the United
States Forest Service
_________Additional requirements attached
Circle one:
PERMIT APPROVED
Applicant Signature
PERMIT DENIED (Explanation on back)
Date
Fire Chief / Asst. Fire Chief Signature
Date