Bottineau/Renville Burn Notice Form

Please use the below form to provide 911 dispatch with the location and timeframe of your planned burn.

ENSURE YOU HAVE CHECKED THE BURN POLICY STATUS BEFORE SUBMITTING THIS FORM OR STARTING YOUR FIRE. THANK YOU!

First and Last Name of property owner or individual responsible for the fire.

Phone number to the above named individual

Choose which location type is more applicable.

I have a physical address to the fire location.

I DO NOT have a physical address to the fire location.

Type of Fire and Size.

Date of Fire

Fire Start Time

Time

HoursMinutes

Fire End Time (Estimated)

Time

HoursMinutes

Per NDCC, the person starting the fire, or a delegate, agrees to monitor the fire by continuous on site monitoring for the duration of the fire. Also agree that if the current danger rating is HIGH, then the required tilled firebreak is in place.

Yes, I Agree.