HomeMy WebLinkAboutBRN0019 - BRN Permit - 3/25/2002 �ar � 1210� y�9oo2�
OFFICE OF THE MASON COUNTY FIRE MARSHAL
LAND CLEARING BURN PERMIT
Office Use: Validation Date,. 4 f Expiration Dgrte,, fAp4 OZ Suspended
THIS PERMIT IS VALID FOR 30 DAYS FROM THE DATE OF ISSUE.
To notify before igniti n: [ ► 2 � u.1 Fire Dist. Phone �� l�. 1 d 3
Sec./ "`1 IE) (W) Directions, mileage (address if applicable) to bum
site: �,�1AJTf f n gael BF'F aF _ fArt c, e)VL
THE PERSON IN CHARGE OF THE FIRE MAY BE LIABLE FOR THE COST OF SUPPRESSION
IF THE FIRE GETS OUT OF CONTROL OR IF IT BECOMES NECESSARY TO EXTINGUISH
THE FIRE AS THE RESULT OF AN ENFORCEMENT ACTION.
OPEN BURNING SHALL BE PROHIBITED DURING ANY PERIOD OF IMPAIRED AIR QUALITY
AS DESIGNATED BY THE OLYMPIC AIR POLLUTION CONTROL AUTHORITY, OR DURING
AN EXTREME FIRE DANGER DUE TO DRY WEATHER CONDITIONS AS DESIGNATED BY
THE MASON COUNTY FIRE MARSHAL.
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:
1. Valid permit must be on site while burning.
2. PROHIBITED MATERIALS. The foNowing materials may not be burned:
Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics,
paper, cardboard, treated wood, construction/demolition debris, metal, or any substance
(other than natural vegetation) that normally releases toxic emissions, dense smoke, or
obnoxious odors when burned:
3. Materials to be burned shall not be moved from one site to another. All material must
originate from the property on which the burning is to occur.
4. The fire must not create a nuisance from smoke, obscure visibility on public roads and
highways, or endanger life and property.
5. Maximum pile size is twenty (20) feet in diameter.
6. A minimum 10-foot firebreak must be constructed around each pile.
7. Each pile must be at feast 100 feet from any structure, at least 50 feet from standing
timber.
8. Do not burn if wind is blowing more than S mph.
9. Do not burn if wind is from �,clsr (Direction)
10.Minimum people required to be in attendance at the fire while burning:
11.Water requirement: CHARGED HOSE.LINE PUMP TRUCK/TRAILER
12.Provide an: '�EXCAVATOR DOZER at the site, with a qualified
operator. (Circle1o �__._--''
13.Provide 24-hour fire watch. YE NO
14.Fire must be completely extinguis ithin three (3) days after ignition.
15.Other conditions:
PERMIT FEE INFORMATION" ��
r ,fi-�'�;'
Fee Am iU6 Check No,ZZ6/ �] Received°B t ESt. Tonnage t�
y , Attach cheek a able to Mason County Treasurer.
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Issued by .:�. GC'fir} Date
-~ Fir Warden, Signature
By signing this permit, 1 agree to comply with all requirements of Chapter 332-24 WAC, the
Smoke Management Plan in effect at the time of burning and any additional terms and
conditions specific on this permit.
Landowner J i L C i !1 15
Home Phoned ! Z 4 _ Work Phone
Landowner/Agent eu" '-
Horn Phone Work Phone C 4 4- 711 ` 30'k;J
N ailing Address 56 I 4 D Aj Js 1r, 5i �- / Z_
Signature of Lando
yner*gent /
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ORIGINAL-Landowner Canary-Fire Marshal Pink-Fire Warden Goldenrod-Fire District