Request for Outside Fire Permit
Individual requesting permit: _________________________________ Date: ______________
ID# ____________________ Phone # _________________ Date Requested: ____________
Location of outside fire: ____________________________Start time: __________ End time: ___________
Commons Dean: _____________________ / Dean of College representative: _______________________
Outdoor fires may be approved for the following locations: Athletics @ Tailgate area; Atwater Dining @ outdoor fireplace; North Campus, north of Pearsons & east of Hadley, and the Garden in Cornwall.
Special permits: sign off by Facilities, DPS & EH&S and Town Fire Wardens.
The Following conditions must be met:
Person requesting the permit must be present & responsible for attending fire at all times.
Alcohol is not allowed at fires on campus.
Please respect the site
Bring your own clean wood (no pallets,they have nails) and matches.
When water tank is not filled (November - April) bring water to extinguish the fire.
Do not leave garbage on site, take it with you.
Clear the ground of all flammable materials for at least 10 feet around the fire.
Do not locate a fire closer that 50 feet of any structure.
Have fire tools and water supply available (TBD by DPS, FAC or EH&S)
Don't burn on dry or windy days
Don't burn trash, furniture or other non-approved materials.
Make sure fire is 100% out and the coals are cool to the touch, place in a covered metal container.
_____________________________________________________________________ Signature of applicant Date
Do not write below this line
Permits must be approved by Facilities, Public Safety, Environmental, Health & Safety and a
Commons Dean where applicable. In addition, approval is contingent on weather conditions such as how dry it is and wind, so a permit could be canceled at the last moment.
Middlebury Police 388-3191 (Town) Permit required? Yes ____________ No ______________
Sophie Esser Calvi 443-5068 (Garden only) Yes ____________ No ______________
Town of Cornwall Permit required? (Garden) Yes_________________ No ______________
Larry Clark Cornwall Fire Warden, 462-2505
Facilities Management Commons/ Dean
Department of Public Safety EH&S
Sophie Esser Calvi, Garden
College Approval is issued to: __________________________________ Date: _____________________
This permit will be approved for ____________________________________________.
Date and time period