Application to Pile Burn

Protection of the Environment Operations (Clean Air) Regulation 2022

Application Form

Applicant Details

First Name

Last Name

Address

Phone

Application Details

Location Address of Pile Burn (Lot size minimum of 4000sqm required)

Pile burn consists of:

Dead vegetation only – naturally fallen

Dead vegetation only – mechanically cleared

Dead vegetation

Other

Size of pile to be burnt (Maximum 2sqm)

Reason for burning of pile

Proposed Start Date

Proposed End Date

Authorisation

As the owner / occupier of this land I consent to the above pile burn and attest that the information on this form is correct and to the best of my knowledge

Privacy Policy

By completing this form you are enabling Wollondilly Shire Council to collect personal information about you for the purpose of assisting the determination process of your application. This information is required by law and failure to provide the information ma g in y lead to rejection or delays of your application. At any time you have the right to access, view or correct the personal information that you have provided. The information will be stored in Council's records system and may be placed on Council’s Website or be subject to access information under the Government Information (Public Access) Act 2009 (GIPAA).