HomeMy WebLinkAboutBRN0025 - BRN Permit - 4/18/2002 (2) 0025
OFFICE OF THE MASON COUNTY FIRE MARSHAL -
LAND CLEARING BURN PERMIT
*17 Office Use: Validation Dat g L Expiration Date Suspended
THIS PERMIT IS VALID FOR 30 DAYS FROM TIRE DATE OF ISSUE 722 Z
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To.notify before ignition. Fire Dis Phone�_;;_ L �
Sec. T R ) (W) Directions, mileage (address if applicable) to bum
site:
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 following 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 least 100 feet from any structure, at least 50 feet from standing
timber.
8. Do not burn if wind is blowing more than mph.
9. Do not burn if wind is from (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: f':'EXCAVATOR-) DOZER at the site, with a qualified
operator. (Circle one) __-._..:
13. Provide 24-hour fire watch. YES NO
14.Fire must be completely extingui�fied within three (3) days after ignition.
15.Other conditions:
PERMIT FEE INFORMATION
Fee Amount Check No. Received By;.� Est. Tonnage,''
Attach check navable to Mason Countv Treasurer. ##
Issued by V� ,a A.� .�. Dated J t>
Fire Warden, Signature
By signing this permit, I 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 '= . . 10 1 _ L
Home Phone _' { e~' (;. r' Work Phone
Landowner/Agent
Home Phone Work Phone
Mailing Address , ( r ,r` �, r t� C 'ra jam-. ►`1
Signature of Landowner/Agent
ORIGINAL-Landowner Canary-Fire Marshal Pin Fire Warden Goldenrod-Fire District