Agricultural post-burn report blue card entry form

Use this form to electronically submit your Agricultural Post-Burn Report.

* required field

Permit information

Grower's name *

as written on your permit

Permit number *

Area information

Region where your burn is located *

Central Region includes: Chelan, Douglas, Kittitas, Klickitat, and Okanogan counties.

Eastern Region includes: Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Stevens, Walla Walla, and Whitman counties

Burn information

Burn date *

Legal description *

List the section, township, and range.

Field name *

List the common name of the field <br>(as written on your permit) where burning occurred.

Time the burn started *

example: 12:40 PM

Time the burn ended *

example: 1:40 PM

Wind speed and direction *

Total acres or tons of orchard tear-out burned *

Add another burn *

Yes No

Burn for this permit complete *

Yes No

List additional information about your burn

Date form submitted *

Email *

Enter your email to receive confirmation.

Re-enter your email. *