HomeMy WebLinkAboutBRN2024-00001 - BRN Inspections - 1/3/2024 ' Mason County
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Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FBRN202'4-00001 BURN PERMIT
ESCRIPTION: BURN PERMIT ISSUED: 01/03/2024
ESS: UNKNOWN MASON COUNTY
EXPIRES: 02/02/2024
PARCEL: 322325078001
APPLICANT: SOUTH SHORE ENTERPRISES LLC OWNER: SOUTH SHORE ENTERPRISES LLC
PO BOX 249 PO BOX 249
UNION,WA 98592 UNION,WA 98592
1.360.898.3995
GENERAL CONTRACTOR'S LICENSE: HANSON EXCAVATION LLC License: HANSOEL851QQ
86 E BANJO LANESHELTON,WA 98584 Expires: 11/18/2025
360-239-6792
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection
CONDITIONS
* Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost
* After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
* The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
* Fan required.
* APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
* *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENTION OF PERMIT.*
* Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator.
Printed by:Annie Wilson on:01/03/2024 09:43 AM
Page 1 of 2
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Mason County
N= Mason County - Division of Community Development
615 W.Alder St.
} Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BURN PERMIT BRN2024-00001
* All materials must originate from the property on which the burning is to occur.
* A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
* 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.
* Access must be passable with 2 wheel drive vehicle.
* 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.
* 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.)
* Fire must be completely extinguished within three(3)days after ignition.
* Each pile must beat least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber.
* Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate).
* Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext.
262
* Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
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: K Y V1 I
Contractor or Authorized Agent: Date:
Printed by:Annie Wilson on:01/03/2024 09:43 AM
Page 2 of 2
Burn Permit # -00001
PARCEL AND SITE INFORMATION:
Parcel within 200'of. Saltwater❑ Lake❑ River/Creek/Stream ❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Yes None
Slopes or Bluffs> 15%within 50 feet Ye /No Will timber be cut and sold in parcel preparation?Ye No
Does Site require FPA or 6 yr.Moratorium: Ye No Is site being converted or replanted: Ye /No
Is site located in an Urban Growth Area(UGA)?:Yes No I Unknown [Burning is currently NOT allowed inside UGAJ
Zoning: Residential
Summarize proposed land clearing items to be burned: brush. debris and insignicicant trees less then 4"diameter
SITE PLAN
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
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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.
x5azc� 12/27/2023
SIGNATURE-MUST BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY:
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: N/A-No Critical Areas
EXPIRATION DATE: Permit#: BRN '�-02 -Ooo o l
MASON COUNTY BURN PERMIT APPLICATION
615 W Alder St• Shelton,WA 98584
SHELTON 360.427.9670 x352 9 BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352
APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION:
Owner South Shore Enterprises LLC Owner Hanson Excavation LLC
Mailing Address PO BOX 249 Mailing Address 86 SE Banjo LN
City Union State WA Zip 98592 City Shelton State WA Zip 98584
Phone Cell Phone Phone Q 3 4-(I Other Phone
Lien/Title Holder Contractor Reg.#HAN OEL851QQ Exp.11 /18 /25
E-mail address E-mail address jared@hansonex.com
Drivers Lic.# D.O.B. Drivers Lic.#HANSOJAI59ON D.O.B.9/15/1985
TAX PARCEL NUMBER 32232-50-78001 (12 digit number) Fire District
SITE ADDRESS(please include street name,number&city)Mason street union we
Directions(to the site)Go to orre knobles in union.proceed to sharpe st.head south onto mason street where road turns proceed west onto said property.
proceed down black rock road.pile on left
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:
• Valid permit MUST be onsite while burning.If permit is not on site duringburning urning 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 151 and Oct. 151.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/REQUEST ANY AIR QUALITY ISSUES
ASSOCIATED WITH BURNING.
xxxxxx xx*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 U
Rev.Aor 19.2017