Fire Management 2022 Program Guide
Initial Box That Applies:
State of Utah, Division of Forestry, Fire and State Lands Burning Permit or Fire Restriction Waiver
BURNING PERMIT: In accordance with Title 65A-8-211 (1) through (5) UCA - During the closed fire season it is unlawful to set on fire or cause to be set on fire, any flammable material without first securing a written burn permit. The burn permit does not relieve the individual of personal liability if a wildfire occurs as described in Title 65A-3-4 UCA. It is the right of the State Forester, or any of his deputies to refuse, revoke, or postpone this permit for non-compliance or if it is deemed necessary to prevent danger to life or property. Violation is a Class B misdemeanor. FIRE RESTRICTION WAIVER: In accordance with Title 65A-8-212 UCA; the State Forester may restrict activities or close areas determined to be an extremely hazardous wildfire danger. This waiver is issued for the activity at the date, time, location and conditions described below. The waiver does not relieve the issued party of liability if a wildfire occurs described in Title 65A-3-4 UCA. It is the right of the State Forester, or any of his deputies to refuse, revoke, or postpone this waiver for non-compliance or if it is deemed necessary to prevent danger to life or property. Violation is a Class B misdemeanor. Responsible Party
Print Name: Address:
Purpose of Activity
Activity Located at:
City,St,Zip: County: Phone 1: Phone 2:
Latitude:
Email:
Longitude:
Date(s) of Activity: Subject to the following conditions:
Between the hours of:
Issuer Signature:
I have read the permit or waiver and I understand and agree to the terms and conditions set forth thereon: Responsible Party Signature
Print Name &Title: Date Issued:
Phone:
&
X
Date Signed:
If you cause a wildfire Call 911 as soon as possible! White Copy: Responsible Party
Burning Permit
234 – Chapter 10 Reference Section
Yellow Copy-Area Office
Pink Copy- Issuing Officer
