Land Clearing Burn Permit Application

This form is easiest to complete on a desktop or laptop device. If you are not redirected to a the payment portal after you click submit, then you have missed required fields.

Property Owner

Property Owner(Required)

First Name Last Name

Business Name

Burn Site Address(Required)

Street Address City State ZIP Code

Property Owner Mailing Address

Same as Burn Site Address

Mailing Address City State ZIP Code

County(Required)

Phone(Required)

Alternate Phone

Email(Required)

Parcel No

Fire District

Purpose of burn(Required)

Acres cleared(Required)

Please enter a number from 0.1 to 1000.

Partial acres are rounded up.

Number of Piles(Required)

Please enter a number from 0 to 1000.

Pile width (feet)(Required)

Please enter a number from 1 to 20.

Pile size is limited to 20 feet across.

Material being burned(Required)

Fir/Hemlock

Hardwood

Brush

Grass

Other

Is this site within 2,000 feet of a hospital, school, daycare, or assisted living facility?(Required)

Yes

Burn Operator

Is the property owner also the burn operator?(Required)

Yes

Burn Operator Name(Required)

First Last

Business Name

Burn Operator Address(Required)

Mailing Address City State ZIP Code

Burn Operator Phone(Required)

Alternate Phone

Comments

If the property is behind a gate, please provide a gate code in the comments.

I do certify that I am the owner, authorized agent of the owner, or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure compliance with permit conditions, applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal, state, or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any addendum thereto.

I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is, to the best of my knowledge true, accurate and complete.

Permit fee: $283.00 per acre cleared (for partial acres, round up to next whole acre). Non-refundable. Permit duration: 30 days

Email for the permit application receipt(Required)

Total fee

This permit is not valid until fees are paid and permittee receives an approved permit. Fees are non-refundable. Permit duration: 30 days.