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Home My WebLink AboutBRN2023-00054 Expired - BRN Inspections - 4/3/2023 Mason County Mason County - Division of Community Development 615 W.Alder St.8 Building 8 Shelton,WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2023-00054 BURN PERMIT PROJECT DESCRIPTION: ISSUED: 12/08/2023 SITE ADDRESS: 750 E NORTH ISLAND DR SHELTON EXPIRES: 01/07/2024 PARCEL: 220031490150 APPLICANT: RUSSELL ERIC R OWNER: RUSSELL ERIC R 5015 N 26TH ST 5015 N 26TH ST TACOMA,WA 98407 TACOMA,WA 98407 360-789-3607 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * 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 fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. All materials must originate from the property on which the burning is to occur. 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). * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.' * Fire must be completely extinguished within three(3)days after ignition. Printed by:Amber Selby on:12/08/2023 01:58 PM Page 1 of 2 Mason County g 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 BRN2023-00054 * Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 262 * Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * 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. * Fan required. * Access must be passable with 2 wheel drive vehicle. * 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. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. * 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 a Ordinances go v rning this type of work will be complied with whether specified herein ot. a grantin a mit does not presume to give authority to violate or cancel the provisions fay r state/I al la a ulating construction or the performance of construction. Issued Contractor or Authorized Agent: Date: Printed by:Amber Selby on:12/08/2023 01:58 PM Page 2 of 2 AdMINIL 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 ELMA:360-482-5269,EXT 352 Q0 Building,Planning Environmental Health.Community Health www.co.mason.wa.us BURN PERMIT BRN2023-00054 Issued Date 12/08/2023 Expiration Date 01/07/2024 Parcel Number 220031490150 Fire District Site Address 750 E North Island Dr Applicant RUSSELL ERIC R 360-789-3607 Contractor License Number Contractor Phone Expiration Date 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: RECEIVED EXPIRATION DATE: DEC - 6 2023 Permit#: BRN �z CQ_z — coo MASON COUNYV-BV44NS0EftMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352•BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352 APPLICANT/OWN%INFORMATION: CONTRACTOR INFORMATION: Owner fE_8-4c_r SSVLL, Owner_ ,4MC AS 0W06A - Mailing Address SO1S W. Up--VU S- Mailing Address City --T ci ot.N State WA Zip A0 1 City State Zip Phone Cell Phone S(00.'12A.3 fa* 1 Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. / / E-mail address f—' �t.. ubS A �p E-mail address Drivers Lic. DL," 'bf-9 S 6 D.O.B.-el•2, 1 l Drivers Lic.# D.O.B. TAX PARCEL NUMBER 2�100_j 1 Jg015'0 (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) '7SC) e• yjW1 d� A.&L-A b-4A4 s Directions(to the site)'N� N M -JJL�—N,%wP, \5LAc1Jp14-%V&T,, t')N w oo �" wy'tw I s"010- iyf, N yz K"L'e fW04-VA -co scve oa 9A&*r Cam, CA*.m ,N C%L-VrAL C-AA114 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 15`s 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 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. ************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 b Rev.ADr19.2017 1 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of. Saltwater❑ Lake❑ River/Creek/Stream o Pond❑ Wetlands o Seasonal Runoff❑ : Yes Non Slopes or Bluffs> 15%within 50 feet Yes No Will timber be cut and sold in parcel preparation?Yes No Does Site require FPA or 6 yr.Moratorium:Ye /No Is site being converted or replanted:Yes QNo Is site located in an Urban Growth Area(UGA)?:Yes No Unknown [Burning is currently NOT allowed inside UGAI Zoning: Summarize proposed land clearing items to be burned: w S�J $ R-On/� NO 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 - - ---- --- ---- --- -- -- --- ---- -- - -- -- -- ---- ---- - -- -- -- -- - ------ - -- - -- -- - - - - - W LU- �,e (3,U^1-11\leap 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 inspecti a person in charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes neces to xtinguish th fi a as the result of an enforcement action. X it ,30, 23 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 v It-7 t, a qo ND, ioc, SL v- 'qb "Nn p WvJ 31" \`-31 �b !, � ( `� 4* 1 � • • b �99)� t43 SEPTIC SYSTEM DESIGN � of CLIENT NAME Eric Russell SITE ADDRESS 750 East North Island Drive PARCEL NO. 22003-14-90150 is NORTH f SCALE 1"=40' '`` Sheet of 2 sheets RUSSELL AND ASSOCIATES 5015 NORTH 26 STREET TACOMA, WASHINGTON 98407 _ (360)-789-3607 ,�� • SEPTIC SYSTEM DESIGNS • SITE AND SOIL EVALUATIONS A Q4• :,,,c�{ • WETLAND ISSUES XJ 6A0183 x ERIC R. SJELL t halVS ;�S_`o��^2E� • �` ` l�XPi!� S 9210212