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2. Burn Permit Information

   No permits are required by homeowners for the open burning of grass clippings, leaves, and limbs. Homeowners are required to notify King William Dispatch (804-769-0492) when any burning begins. Failure to notify Dispatch may result in a Class 1 misdemeanor. If you live in a subdivision, open burning may be prohibited. Check with your HOA or other neighborhood association for any regulations.

   Open burning for forestry and agricultural purposes are regulated by the Department of Forestry and Virginia Air Pollution Control Board and do not require a King William County Burn Permit. Check with those authorities for any permits or conditions they may require. The party responsible for the burning must notify King William Dispatch (804-769-0492) when any burning begins. Failure to notify Dispatch may result in a Class 1 misdemeanor.

   For full details, download the King William County Open Burning Regulations brochure.

   You may also download a paper copy of this application if you prefer.

6. APPLICANT Name (Full Name)*
7. Applicant Mobile Phone #*
9. Applicant Email Address*
10. Alternate Phone #
12. Business Name (if applicable)
13. Business Phone # (if applicable)
15. Applicant Mailing Address*
17. City*
18. State*
19. Zip Code*
21. Location of Burn Site (911 Address and Description of Area)*
23. Fire Department Closest to Burn Site

27. Due to the need to conduct burns only when wind and other environmental factors allow, permits remain valid through the completion of the planned burn regardless of any delays necessary to ensure safety. The party responsible for the burning must notify King William Dispatch when any burning begins. Please enter the date(s) and time(s) you plan to begin and end your burn.

29. The open burning is planned to BEGIN (date & time):*
    The open burning is planned to BEGIN (date & time):

    The open burning is planned to BEGIN (date & time):
30. The open burning is planned to END (date & time):*
    The open burning is planned to END (date & time):

    The open burning is planned to END (date & time):
34. OPERATOR NAME*

    Full name of person in responsible charge of the open burning.

35. Operator Mobile Phone #*
37. ASSISTANTS

    Full names and mobile phone #'s of any assistants to the Operator. Press enter after each name.

41. Describe the material to be burned and the number of piles.*
43. Describe the fire extinguishing method and/or equipment to be used.*
45. Site Diagram Upload
    1. Illustrate the burn pile location(s) and indicate the distance relative to: structures, adjacent property lines, vegetation, transportation routes, utilities (above and below ground), storage tanks, or any other potential exposure hazards.
    2. Indicate the estimated size of each pile (length, width, and height). 

    You may draw the diagram on a piece of paper, scan it, and upload it here as a pdf file. You can also take a photo of the diagram with your mobile phone and upload it here as a picture file.

47. Site Diagram Upload*
49. Upload any written approval by occupants, power companies, or asbestos removal contractors if applicable.

    You may scan and upload documents as a pdf file or take a photo of the documents and upload them as picture files.

51. File Upload 1
52. File Upload 2
53. File Upload 3
55. CERTIFICATION & STATEMENT OF COMPLIANCE

    By my signature below, I certify that the answers provided on and as part of this application are true, correct, and complete. I also certify that I am familiar with the Virginia Statewide Fire Prevention Code, Commonwealth of Virginia and Federal laws relating to open-air burning and will comply with same. I understand that non-compliance can result in being charged with a Class 1 misdemeanor. I understand I may be held liable for all firefighting costs incurred if a failure to maintain control of the fire by Applicant, Operator, or any Assistants results in any fire department or the Virginia Department of Forestry intervening in order to control and extinguish the fire. I acknowledge that if a permit is issued it shall be valid only at the location and area listed and illustrated in the site diagram.

    If additional details are needed, download the King William County Open Burning Regulations brochure.

57. Electronic Signature*

    Checking this box serves as my signature of agreement to the above Certification & Statement of Compliance.

    1. I Agree
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field