I hereby acknowledge I will not be burning more than 1 cubic meter of construction material waste, or burn any prohibited materials such as garbage, tires, oil, paint, tar, petroleum products, asphalt singles, batter boxes, plastic material or any similar material.

I hereby make an application for Open Air Burning in accordance with the above-stated information and declare that the statements are true and correct. I agree, if granted a permit, to comply with all relevant bylaws now in force or which may come into force in the District of Port Edward.

The personal information submitted in this form is collected in accordance with Section 26 (c, d, e) of the British Columbia Freedom of Information and Protection of Privacy Act (FOIPPA) (the “Act”) and will be used for the purpose of "Open Air Burning Application". Please be advised that the District of Port Edward is a “public body” as defined in the Act. Questions about the collection, use and disclosure of this information can be directed to the District of Port Edward’s Corporate Office at 250-628-3667 or .