2. Burn Permit Application

4. Name*
5. Email Address
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*

15. Burning Guidelines

    The following rules and guidelines must be followed:

    • A burn permit is required for any open burn, bonfire, controlled burn that is greater than 3 ft in diameter, approximately 3 ft x 3 ft x 2 ft high
    • Only yard waste such as grass clippings, leaves, tree trimmings or brush piles may be burnt.
    • One of the following items shall be on site to control the fire: water hose, rake, or fire extinguisher.
    • For large piles heavy machinery may be necessary while the pile is burning.
    • Piles must be kept a minimum of 50 feet from any structure or object of concern.
      • Example: Power lines, homes, fences, out buildings, trees
    • Burn piles must be constantly attended after being ignited until the fire is extinguished.
      • Smoke rising from the pile indicates burning is still occurring.
      • Any and all unattended fires will be extinguished.
    • If in a residential area, where smoke may be an issue for neighbors, consideration must be given to be a good neighbor during the burn.
    • The Neosho Fire Department must be notified on the day of the requested burn at 417-451-8021 to check weather conditions.
    • Failure to follow permit requirements may result in permit being revoked.
17. Requested Burn Date*
    Requested Burn Date
19. Comments
21. Photo Upload

    Photos of the location you would like to burn and/or what you would like to burn can be uploaded above:

23. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your submission will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

25. Electronic Signature Agreement*

    1. I agree. Electronic Signature

    By clicking "I agree", you agree to the rules and guidelines set out in this form.

27. Signature*
28. Date*
    Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field