Total fire ban



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#4763

COUNTRY FIRE AUTHORITY ACT 1958

APPLICATION FOR A PERMIT UNDER SECTION 40 TO USE FIRE ON A DAY OF

TOTAL FIRE BAN

cfa_runb


Note – You will need to apply for this permit to use fire on a day of Total Fire Ban even if you have a obtained a permit under Section 38 of the Country Fire Authority Act 1958 and Schedule 14 of the Country Fire Authority Regulations 2004 to use fire during a Fire Danger Period.

TO: THE CHIEF OFFICER

The applicant hereby applies for a permit under Section 40 of the Country Fire Authority Act 1958. The applicant supplies the following information in support of the application:



Applicant Details

1. Telephone Must be 24 hour availability




2. Applicant: (name of Company, Statutory Corporation, Municipal Council, or individual and where relevant, the applicant’s ABN/ACN/ARBN)




3. Authorised representative: The person who will have oversight of the work conducted using the permit




4. Job title of authorised representative:




5. Email address




6. Address of applicant: Must be a physical address

Street Address

Town/Suburb:

Postcode:

























Description of Work

6. Type of work to be carried out: (tick)

□ Welding, cutting or grinding

□ Heating & spreading of bitumen

□ Diesel or gas powered steam cleaner

□ Blow lamps, gas torches

□ Gas flare-off

Carry out blasting

□ Aerodrome Flares

□ Petroleum Flares

□Industrial heat testing

□Destroying medical waste

□Working with bees

□Catering

□Public fireworks (please provide Worksafe license number)

□Sawdust burner

□Hot air ballooning

□Religious or Cultural Purposes

□Other


If ‘other’, please describe:



7. What will fuel the fire?: (eg)

  • Flammable liquid

  • Gas

  • Electricity

  • Oils and/or fats

Please describe:

8. Location at which the work will be done

If multiple locations, please list each one. If you are a state-wide operator, please write ‘state-wide’.






9. Period for which permit sought




10. Explain why the use of fire in the open air on a day of Total Fire Ban is necessary










Permit conditions and Applicant’s acknowledgments

Please confirm acceptance

11. The applicant acknowledges that conditions will apply if a Permit is granted. The applicant agrees to abide by these conditions and is aware that any permit granted may be revoked.



12. The applicant acknowledges that failure to comply with every condition contained in any permit issued is an offence under section 40(9) of the Country Fire Authority Act 1958.



13. The applicant acknowledges that if a permit is issued, the permit will only apply in that area defined as the Country Area of Victoria and is not valid in the Metropolitan Fire District or within any National Parks or Protected Public Land or within any fire protected area under the Forest Act 1958.

NOTE: Parts of Greater Melbourne fall within the Country Area of Victoria. Please check the boundary on the orange key maps at the front of a Melways street directory or contact CFA on (03) 9262 8444 if you require more information.



14. The applicant acknowledges that the Country Fire Authority will assess this application, and may determine not to issue a permit.



15. Applicant signature

Individual……………………………………………………………...Date………………….……………………………

Company, Statutory Corporation or Municipal Council

Signed by a director or authorised officer of the Applicant:

Signature………………………………………………………………Date………………….……………………………

Full name…………………………………………………………………………………………………………..…………

Address……………………………………………………………………………………………………………………….


This Application may be lodged with:

EMAIL

fire.restrictions@cfa.vic.gov.au

POSTAL ADDRESS

Chief Officer

PO Box 701

Mount Waverley



Victoria 3149



2014 / 2015

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