HomeMy WebLinkAboutBRN0018 - BRN Permit - 4/4/2002 P918
OFFICE OF THE MASON COUNTY FIRE MARSHAL
LAND CLEARING BURN PERMIT
Office Use: Validation Date 'k+L (,1 piratwn Date/- r" LSuspended
THIS PERMIT IS VAUD FOR 30 DAYS FROM THE DATE OF ISSUE.
f lki_ Co M*V40 /.
To notify before ignition: 1 1 G.�,po�-rs )p 8 A t., S Fire Dist.M:� Phone �12.E, i U S 6
Sec. T R (E) (W) Directions, mileage (address if applicable) to bum
site: G!rJ� faG4A,1 i 7" f 7M1_c5 Ft oM S,,Jfcrow 'I�AT[ ueK /�rt�szcrioA!
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 DURlNQ.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 bum if wind is blowing more than 'S mph.
9. Do not bum if wind is from 40 Z Op 7-- (Direction)
10.Minimum people required to be in attendance at theJk*-wl*p burning: I
11.Water requirement: .....CHARGED HOSE.LINE PUMP TRUC®KKmWLER
12.Provide an: EXCAVATOIK, `DOZER at the site, with a qualified
operator. (Circle one) "
13.Provide 24-hour fire watch. AYES. NO
14.Fire must be completely extinguished within three (3) days after ignition.
15.Other conditions:
PERMIT FEE INFORMAT(
Fee Amounf ex Check No. ,� D Received By Est. Tonnage��
,"Attach check payable to Qoason County Treasurer.
Issued by ', A Date R
\1N' jir4 Wirden, 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 spepifi� on this permit.
Landowner ATLOL szv 01 o u R�
Home Phone Z 6 "" -3 1 Work Phone 79 l 9JCL
Landowner/Agent A 'dr1 f—
Home Phone 0, Work Phone 1.1/A
Mailing Address lb�` t
Signature of Landowner/Agent } ';
ORIGINAL-Landowner Canary-Fire Marshal Pink-Fire Warden Goldenrod-Fire District