Nintex Live Forms

Applicant Information

Title

First Name *

Last Name *

Residential Address *

Suburb *

Contact Number *

Email *

Fire to be set on Location & Date

Address: *

Suburb: *

NB: It is an offence to burn tyres, plastic, chemicals, treated wood and other similar materials, which could produce smoke or toxic gases. And garden refuse is not permitted to be burnt within the urban areas of Dardanup, Eaton, and Burekup town sites without first obtaining a permit to burn.

Pasture (General Farming)
Grass / Scrub
Burn Piles (Small Holding & General Farming)
Residential (dead trees and branches)

The permit is for the following burn:
*

Solid fuel cooking appliances (e.g.: pizza oven/outdoor barbecue, outdoor stove and fire pits):

The use of solid fuel cooking appliances is prohibited in all area within the Shire of Dardanup during the Prohibited and Restricted Burning Periods UNLESS:

The fire rating is blelow HIGH;
The pizza oven & outdoor stove is fitted with an effective spark arrestor;
Running water is on site and is accessible;
A responsible able body adult is in attendance throughout; and
The fire is completely extinguished when cooking is complete.

On *

Until *

Days

I acknowledge I have read and understood the conditions of a 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 if a permit is issued.

FAILURE TO COMPLY WITH ANY CONDITIONS MAY RESULT IN THE ISSUING OF AN ON-THE-SPOT FINE OF $250 OR COURT ACTIONFURTHER PENALTIES MAY APPLY IN ACCORDANCE WITH THE BUSH FIRES (INFRINGEMENTS) REGULATIONS 1978