BURN PERMIT APPLICATION-CITY OF JENKS
FOR BURNING OF YARD BRUSH
APPLICANT NAME
TELEPHONE
APPLICATION DATE
APPLICANT ADDRESS
BURN DATE(up to 60 days)
PROPERTY OWNER NAME
PROPERTY OWNER TELEPHONE
PROPERTY OWNER ADDRESS (location of open burn)
BASIC REQUIREMENTS FOR BURNING OF YARD BRUSH
 Agricultural exemption
 5 acres or more
DESCRIPTION OF AREA OR ITEMS TO BE BURNED
□ Cut or broken branches, limbs and/ or tree trimmings
□ Leaves
□ Shrubbery
□
Other (please describe below)
OTHER MINIMUM REQUIREMENTS ESTABLISHED BY CITY CODE
 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:
Circle one:
PERMIT APPROVED
Applicant Signature
Rev. 06-04-2014
PERMIT DENIED (Explanation on back)
Date
Fire Chief or Designee Signature
Date