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Home My WebLink AboutBRN2022-00036 Final - BRN Permit - 4/1/2022 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FPROJECT 2-00036 BURN PERMIT ESCRIPTION: BURN PERMIT FOR LAND CLEARING ISSUED: 04/01/2022 ESS: 591 E GOSSER RD SHELTON EXPIRES: 05/01/2022 PARCEL: 321367600010 APPLICANT: MILLS COLTON HUNTER&JORDAN NICOLE OWNER: MILLS COLTON HUNTER&JORDAN NICOLE 591 E GOSSER RD 591 E GOSSER RD SHELTON,WA98584 SHELTON,WA98584 1.360.280.1445 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban. has been implemented, all fires must be extinguished immediately. " A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Upon completion of above conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext. 262 * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. • Maximum pile size is twenty (20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * On Site Water is required for permits between April 15th and Oct. 15th.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be capable of pumping 20 gallons per minute through a one inch (diameter)50 foot section of hose.) Printed by:Genie Mcfarland on:04/01/2022 02:46 PM Page 1 of 2 { N O Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BURN PERMIT BRN2022-00036 * Permit includes two(2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Access must be passable with 2 wheel drive vehicle. * Fire must be completely extinguished within three (3)days after ignition. * Fan required. * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * All materials must originate from the property on which the burning is to occur. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * Do not burn if wind is blowing more than seven (7) miles per hour. DO NOT BURN IF WIND BLOWING FROM * The following materials are prohibited and must 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 releases toxic emissions, dense smoke, or obnoxious odors when burned. * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Autho ' d Agent: �Q�G ii'/✓1.� Date: y 1 z I Z Z Printed by:Genie Mcfarland on:04/01/2022 02:46 PM Page 2 of 2 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BEE MA:360-482-5269,EXT352 Building,Planning,Environmental Health,Community Health www.co.mason.wa.us BURN PERMIT BRN2022-00036 Issued Date 04/01/2022 Expiration Date 05/01/2022 Parcel Number 321367600010 Fire District Section Township Range Site Address 591 E Gosser Rd Applicant MILLS COLTON HUNTER&JORDAN NICOLE 1.360.280.1445 Contractor License Number Contractor Expiration Date Phone 1.Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost. 2.The following materials are prohibited and must 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 releases toxic emissions,dense smoke,or obnoxious odors when burned. 3.All materials 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, a minimum ten (10)feet firebreak must be constructed around each pile. 6. Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. 7.Do not burn if wind is blowing more than seven(7)miles per hour. DO NOT BURN IF WIND BLOWING FROM 8.A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. 9.On Site Water is required for permits between April 15th and Oct. 15th.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be capable of pumping 20 gallons per minute through a one inch(diameter)50 foot section of hose.) 10. Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. 11. Fire must be completely extinguished within three(3)days after ignition 12. Fan required. 13.Upon completion of above conditions,applicant must have inspection&approval before ignition.Call (360)427-9670, ext.352 14.APPLICANT'S MUST CALL 360.426.4441, EACH DAY TO REPORT BURNING ACTIVITY. 15.APPLICANTS MUST CALL 360.539.7610(ORCCA)EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. 16.IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENSION OF PERMIT. 17.After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. 18. It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the fire/burn site. 19.A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban has been implemented, all fires must be extinguished immediately. 20. Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee.(at current rate) 21.Access must be passable with 2 wheel drive vehicle r` Official Use Only Inspector: I� .' Sketch of Site/Comments: Date: EXPIRATION DATE: Permit#: BRN a6oZ9 MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352 9 BELFAIR 360.275.4467 x352 9 ELMA 360.482.5269 x352 APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner Colton Mills Owner Mailing Address591 E.Gosser Rd Mailing Address CityShelton StateWA Zip98584 City State Zip ___ Phone Cell Phone360-280-1445 Phone Other Phone Lien/Title HolderServiceMac Contractor Reg.# Exp. E-mail addressColtonhunter1995@gmail.com E-mail address Drivers Lic.#WDL653N0613B D.O.B.317/1995 Drivers Lic.# D.O.B. TAX PARCEL NUMBER32136-76-00010 (12 digit number) Fire District 5 SITE ADDRESS(please include street name,number&city)591 E.Gosser Rd Shelton,WA 98584 Directions(to the site)Take Agate Rd from hwy '.1 and take a right onto E ('!,nsser Rd and follow for cli jarter BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost. • The following materials are prohibited and must 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 releases toxic emissions,dense smoke,or obnoxious odors when burned. • All materials must originate from the property on which the burning is to occur. • The fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. • Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. • Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. • Do not burn if wind is blowing more than seven(7)miles per hour.DO NOT BURN IF WIND BLOWING FROM • A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. • On Site Water is required for permits between April 15t'and Oct. 151h.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose.(The pump must be capable of pumping 20 gallons per minute through a one inch(diameter)50 foot section of hose.) • Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. • Fire must be completely extinguished within three(3)days after ignition. • Fan required. • Upon completion of above conditions,applicant must have inspection&approval before ignition.Call (360)427-9670,ext.262 • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. • APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REOUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. • It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the fire/bum site. • A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban has been implemented,all fires must be extinguished immediately. • Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee. (at current rate) • Access must be passable with 2 wheel drive vehicle Date Received: Application continued, please go to next page r--> Rev.AOr19.2017 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of Saltwater V Lake❑ River/Creek/Stream&( Pond❑ Wetlands❑ Seasonal Runoff None Slopes or Bluffs> 15% Yes/ o Will timber be cut and sold in parcel preparation?Yes N Does Site require FPA or 6 yr.Moratorium: Yes Is site being converted or replanted:Yes/ o Is site located in an Urban Growth Area(UGA)?: Yes/ /Unknown [Burning is currently NOT allowed inside UGAJ Zoning: Branches and rotted wood Summarize proposed land clearing items to be burned: SITE PLAN (to be verified and approved by Planner) In the space provided below, please draw a top-view site plan of the parcel and notate locations of the following items with distances to/from "Burn Pile": o Burn Pile and Feeder Piles o Any existing buildings/structures (ie: Residence, Garage, Storage shed, Driveway, etc.) o Existing standing timber o Any "Critical Areas" such as Steep Slopes, Lake, River/Creek, Wetlands, Seasonal Runoff, Streams, etc - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - c � r o Q r AT,- 1-5 - OWNER/CONTRACTOR: Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.The owner represents that the information provided is accurate and grants employees of Mason County&local fire authorities access to the above described property and structure for review and inspection. The person in charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes necessary to extinguish the fire as the result of an enforcement action. x C� 3 zZ SIGNATURE- MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY: PLANNING DEPT REVIEW: Approved by &date: Denied by &date: