New Hempstead, NY · Rockland County
Application for Restricted Open Burning Permit
New Hempstead residents or other applicants use this application to request a permit for an open burn at a specified address.
What this form is
The application requests an open burning permit and asks for the burn location and date, applicant and supervisor details, materials to be burned, and fire control and extinguishment methods. Applicants must complete it no less than five business days before the burn and provide a diagram showing the fire location in relation to structures. The form also lists conditions for conducting the burn.
Who needs it
Anyone applying to conduct an open burn in New Hempstead should complete this application and provide the required fire-location diagram.
How to submit it
Submit the completed application to the Office of the Fire Inspector, 108 Old Schoolhouse Road, New City, New York 10956.
About notarization
This application is signed without a notary; the applicant completes the date and signature fields, and no notarized attachment or sworn step is mentioned.
How to submit this form
- 1
Download The Application
Download the restricted open burning permit application PDF.
- 2
Complete The Application
Fill in the applicant, burn location, date, materials, supervision, and fire-control details.
- 3
Add The Required Diagram
Draw the fire location in relation to any structures on the rear of the application.
- 4
Submit To The Fire Inspector
Submit the application to the Office of the Fire Inspector at the address printed on the form, at least five business days before the burn.
Frequently asked questions
- Do I need a notary for the restricted open burning permit application?
- No. The application has an applicant signature field but does not require notarization; the applicant completes the date and signature fields.
- How do I submit the open burning permit application?
- Submit the completed application to the Office of the Fire Inspector at 108 Old Schoolhouse Road, New City, New York 10956.
- When must I apply for an open burning permit?
- The application states that it must be filled out no less than five business days before the date of the open burn.
- What attachment must accompany the application?
- Provide a diagram or sketch on the rear of the application showing the fire location in relation to any structures.
Need something notarized?
This Application for Restricted Open Burning Permit doesn’t need a notary — but if you have another New Hempstead form that does, a commissioned online notary can help.