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HomeMy WebLinkAboutBRN2023-00046 Expired - BRN Inspections - 4/3/2023 10 �+"'�► Mason County zw N&I29= Mason County - Division of Community Development 615 W. Alder St. 1 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2023-00046 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT ISSUED: 11/01/2023 SITE ADDRESS: 146 E HARSTINE ISLAND RD SOUTH SHELTON EXPIRES: 12/01/2023 PARCEL: 220141190010 APPLICANT: DUMOND STEVE D&JESSICA L OWNER: DUMOND STEVE D&JESSICA L 3521 N 550 W 3521 N 550 W PLEASANT VIEW, UT 84414 PLEASANT VIEW, UT 84414 360-860-2382 CONTRACTOR: SCOTTJOHNSON 865 SE PINE ROAD PORT ORCHARD,WA 98366 GENERAL CONTRACTOR'S LICENSE: PENINSULA EXCAVATING License: WEATHC82555 2380 W HIGHLAND RDSHELTON,WA 98584 Expires: 06/06/2024 360-490-0614 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS • Each pile must be at 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). * 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. Printed by:Cassidy Perkins on:11/01/2023 09:59 AM Page 1 of 2 3 t Mason County M2 , e 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 BRN2023-00046 * Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. * Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * Fire must be completely extinguished within three (3)days after ignition. * Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * Access must be passable with 2 wheel drive vehicle. * 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. * 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.* * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Fan required. * Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 262 * All materials must originate from the property on which the burning is to occur. * 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.) 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 Authorized Agent: L Date: Printed by:Cassidy Perkins on:11/01/2023 09:59 AM Page 2 of 2 615 W.Alder St.Bldg 8,SHELTON,WA 98584 I lei MASON COUNTY SHELTON:360-427-9670,EXT 352 BELFAIR:360-275-4467,EXT 352 COMMUNITY SERVICES ELMA:360-482-5269,EXT 352 Building,Planning Environmental Health,Community Health vAvw.co.mason.wa.us BURN PERMIT BRN2023-00046 Issued Date 11/01/2023 Expiration Date 12/01/2023 Parcel Number 220141190010 Fire District Site Address 146 E HARSTINE ISLAND RD SOUTH Applicant DUMOND STEVE D&JESSICA L 360-860-2382 Contractor PENINSULA EXCAVATING License Number WEATHC82555 Contractor 360490-0614 Expiration Date 06/06/2024 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 Official Use Only Inspector: Sketch of Site/Comments: Date: EXPIRATION DATE: Permit#: BRN 2-0 Z-3 ' 0 y MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352•BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352 APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner_,fit f V e ©u-M Md Owner 0 h/J-S9 A Mailin Address ) E hpr5j-Pne %pwy RD S MailinfgAddress goCjq Sa 1 Y Or AI CityhLj-YB^ State W Zip City 01YM)?;A, State Zip Phone Cell Phone Phone VQ 970 't,09 Other Phone Lien/Title Holder Contractor Reg.# WArAth L.02. S Exp. 6 / 6 / IV E-mail address E-mail address pen fn5u/& g I Irtp, 60/►'1 Drivers Lic.# D.O.B. Drivers Lic.#�To fia 15 /E 3 e�D.O.B. 7-2-7 TAX PARCEL NUMBER �- o j�7u j l90010 (12 digit number) Fire District SITE ADDRESS(please� A include street name,number&city) 17 F, �/ � �'I A 1 gl'Q lid R D ,�t'/� `5b mo'q Directions(to the site) from V Y A -3 M f 9WA 9h-t- 0,% F, Xetceliq j,/ , LOWAiwe sff&;f 0AI-0 5 h&f&9.-MC i ja,MMZ R D u.fit KW- On+V F outh;,Siand Dr; +&CA &PW 4to 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. 15".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 gualified 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. ************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 firelbum site. • A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a bum 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 b Rev.ADr19.2017 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond o Wetlands❑ Seasonal Runoff❑ : Yes/ one Slopes or Bluffs> 15%within 50 feet Yes/ o Will timber be cut and sold in parcel preparation? Does Site require FPA or 6 yr.Moratorium:Yes o Is site being converted or replanted: Is site located in an Urban Growth Area(UGA)?:Yes/ o/Unknown [Burning is currently NOT allowed inside UGAJ Zoning: Summarize proposed land clearing items to be burned: 1] Pe L m b5 / JI &5k, 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 - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- -- - -- - - - - - - - - - - - FW6 �ilG � i1't N &�r O o pil t'� �n Q .� i ve Iva 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 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