Online Form - Burns Permit Title:* Select an Option Mr Mrs Ms Miss * Required Field. Full Name:* * Required Field. Address:* * Required Field. Suburb:* * Required Field. Email:* * Required Field.* Please enter a valid email address Mobile Number:* * Required Field.* Please enter a valid phone number Burn Location:* * Required Field. Burn Start:* * Required Field. Burn End:* * Required Field. Note: Burn start date must be at least three working days from the application date (for example if you wish to burn on the weekend the application needs to be made on Wednesday or before). Burn End Date must be a maximum of 14 days from Start Date. Note:- PERMITS ARE CANCELLED on days where the fire danger forecast is HIGH, EXTREME OR CATASTROPHIC or when a HARVEST VEHICLE MOVEMENT BAN or a TOTAL FIRE BAN has been declared (Check www.emergency.wa.gov.au for Fire Danger Rating and the Shire SMS Alerts or consult your local Fire Control Officer) *Penalties apply for any breach* Type of Burning:* Stubble BurnStumps or stacks of TimberPasture/GrassGarden RefuseFire TrainingCooking * Required Field. CONDITIONS OF PERMIT Please fill in the Permit conditions you can, type and number of fire appliances and size of fire breaks. The remaining conditions will be finalised by the Fire Control Officer. Once the permit is received a Fire Control Officer will issue you a Permit number and email back a signed permit. If the details of the permit need to be clarified your local Fire Control Officer will contact you to get further details or book in a time to inspect your burn and approve the permit. Permits maybe refused at any time by the Fire Control Officer. Notify DFES:* Notify DFES Communications on 9395 9209 prior to and after the fire is extinguished. Notify Neighbour:* Notify neighbours / adjoining landowners / others MINIMUM of 4 days prior to ignition. Provide Firebreak:* Provide a firebreak Provide a firebreak around the area to be burnt of a width no less than (metres): Select an Option 3 4 5 6 7 8 9 10 Wind Conditions Wind conditions (If Applicable, select option and answer questions below) Do not light if the wind direction is from the: Select an Option N/A N S W E NW NE SE SW Or if the wind speed exceeds (km p/h): Select an Option 5 10 15 20 Burn Times: Burn Times between 08:00-23:00hrs (If Applicable, select option and answer questions below) Light After (Time): Extinguish Before (Time): People attending:* People will keep the fire in view at all times and remain in attendance until it is totally extinguished Number Attending: Select an Option 3 4 5 6 7 8 9 10 Tools Hand tools Rake and ShovelLoaderGraderTractor and PloughBobcat/Skid steerBulldozer Water Equipment: Charged HoseKnap sacks Number of Knapsacks (If Applicable): Select an Option 1 2 3 4 5 6 7 8 9 10 Firefighting Equipment: Light tankersSlip on Fire fighting unitsOther appliances Light Tankers (If Applicable): Select an Option 1 2 3 4 5 Slip on Units (If Applicable): Select an Option 0 1 2 3 4 5 Slip on Size (If Applicable): Select an Option 0 600 800 1000 1500 2000 3000 4000+ Other Appliances (If Applicable): Reduce fuel loads by separating into small piles or adding small amounts to the fire, reducing ember attacks: Yes DBCA Location: Location is within 3km of a Department of Biodiversity, Conservation and Attractions Reserve Notify DBAC on 9290 6100 Further Conditions: Yes, there are further conditions Conditions (If Applicable): Form Conditions:* I have read and observed the conditions View the Conditions Emergency List:* I agree to my number being added to the Shire of York Emergency SMS list. Acknowledgement:* I acknowledge I have read and understood the conditions of this permit to burn and by clicking the submit button, I agree to comply with all conditions and accept my responsibilities in accordance with the Bush Fires Act 1954. Signature Full Name:* * Required Field. Type the code from the image: Do not fill this textbox.