Large-Scale, Outdoor Event Permit

2. Requirements:

   Complete application if event is anticipated to attract 300 or more daily attendees.

   Please complete this form in its entirety in order to prevent processing delays. 

4. General Information:
6. Name:*
8. Type of Event: *
9. Will Fireworks Transpire?*
   -- Select One --YesNo

   Select Yes or No. If Yes, please complete a Fireworks Permit Application, which is located on the County Administrator's page on the Website. 

11. Dates of the Event: *
    Dates of the Event: Start Date

    —

    Dates of the Event: End Date
12. Time of the Event: *
    Time of the Event: Start Time

    —

    Time of the Event: End Time
14. Event 911 Address:*
15. Tax Map Number:
24. Name of Organization/Promoter(s):*
26. On-Site Emergency Contact(s) – Cell Phone Number(s), Landline Phone Number(s), and Other: *
28. List of Names of All Performance or Groups Who Will Perform at Event (If Any):
30. Estimated Duration/Time of Live Performances:*
32. Maximum Number of Tickets/Registrations Offered for Sale:
33. Attach Copy of The Ticket, Badge, or Promotional Flyer to Application:
35. Number of Anticipated Attendees:*
39. All Information to be attached to this application:

    If not applicable, attach an explanation as required.

     

41. A. Proof of liability insurance*
43. B. A plan for adequate sanitation facilities and garbage, trash, and sewage disposal for persons at the event.*
45. C. A plan for providing food, water, and lodging for persons at the event.*
47. D. A plan for providing adequate medical facilities for persons at the event.*
49. E. A parking and traffic management plan to ensure adequate parking and traffic control at the event.*
51. F. An adequate site plan sketch showing the following: outdoor lighting, location of outdoor camping, proposed method of water supply, location of toilets/sanitation, and the proposed location of parking, entrances and exists to the event.*

53. I certify that the information contain in this application is correct to the best of my knowledge and further certify that I will be the individual responsible for conducting this event in accordance with the permit issued by Madison County and that the event will be conducted in accordance with these regulations. I hereby grant permission for the Madison County Board of Supervisors, its lawful agents including zoning, emergency services and health officials, and local, state and federal law enforcement officers, the unrestricted right to go upon the property of the Event at any time for purposes of determining compliance with the provisions of this permit, County ordinances, and state and federal law.

     

     

59. Applicant's Signature:*
60. Date:*
    Date:
62. Landowner's Signature:
63. Date:
    Date:
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field