Wood Smoke Ordinance (No. 1305) Exemption Application
This application is for an exemption from the rules contained in MCC Chapter 21-Health 21.450-21.458-Air Quality Regulation, known as the Wood Smoke Curtailment Program for Multnomah County. The Wood Smoke Ordinance does not allow the use of wood burning devices on burn restriction days. Exemptions are provided for applicants that meet certain requirements. All information submitted with this form will remain confidential to the extent permitted under the Public Records Act.
Exemptions expire September 30th. Exemptions must be renewed annually starting on October 1. You will need to reapply every year
.
If you need assistance in completing this form or have any questions about the wood burning ordinance and its exemptions, please call 503-988-0035 (TTY 877-735-7525) or email woodsmoke
complaints@multco.us
Your Contact Information
First Name
Last Name
Preferred Contact Method
Phone
Email
Phone and Email
Phone
Email
Your Street Address
Your City
Your State
Your Postal Code
Your Country
I (select one):
Own my Home
Rent my Home
Operate a Business
Exemption Request Information
Given that exemptions are valid from October 1st to September 30th. Are you applying for an immediate exemption or for the next future exemption period?
Please select...
Immediate
Next Exemption Period
If you wish to apply for immediate AND the next exemption period, you will need to submit separate applications. Applications for the next exemption period will not be accepted before September.
x
Reason for Exemption Request
Wood Burning is your only source of heat.
Wood burning device is the only source to heat the main living space in a household or commercial building. A wood burning device is not considered the only source of heat if the building is equipped with permanently installed and working system such as oil, gas, electric, geothermal, solar or propane heating system whether connected or disconnected.
Economic Need.
The household qualifies as low income. If you qualify for food stamps, WIC, low income energy assistance program, or Medicaid, you may be eligible for an exemption. Criteria for low-income eligibility are based on total household income of 60% or less than the Oregon median income.
Emergency Conditions/Temporary Exemption
. Utility service interruptions, energy shortages declared, or repair of a heat source.
Other.
Other temporary exemptions may be allowed (for example, ceremonial reasons), upon Director's authorization and must be applied for before operating a device. Please explain below.
Explain Other Exemption Reason
Wood Burning Heating Appliance Type:
Woodstove
Fireplace
Fireplace insert
Other
Explain Other Heating Appliance Type
Age/Year of your Heating Appliance
I would like to receive notification of approval/denial by:
Mail
Email
Certification
I am requesting an exemption from Ordinance No. 1305, wood burning, to use my wood burning appliance during declared wood burning restriction days, or "red days", in Multnomah County. I certify that I qualify for the exemption requested above and the information on this application is true and correct. I further understand and agree by checking this box, if needed, that Multnomah County can verify all applicable claims made on this application.
Multnomah County Health Dept.
Environmental Health Services
847 NE 19th Ave. Suite 350
Portland, OR 97232
woodsmokecomplaints@multco.us
503-988-0035
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