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Home My WebLink AboutBRN2023-00044 Expired - BRN Inspections - 4/3/2023 w � Mason County o Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov F 3-00044 BURN PERMIT ESCRIPTION: BURN PILE-AUTUMN LN ISSUED: 10/23/2023 ESS: 121 E AUTUMN LN UNION EXPIRES: 11/22/2023 PARCEL: 321052490060 APPLICANT: WARNER GARY C&KENDRA L OWNER: WARNER GARY C&KENDRA L PO BOX 81 PO BOX 81 UNION,WA 98592 UNION,WA 98592 360-898-8988 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS " 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 " APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. • Access must be passable with 2 wheel drive vehicle. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. • Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. * 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. Printed by:Cassidy Perkins on:10/23/2023 10:38 AM Page 1 of 2 Mason County Mason County - Division of Community Development 615 W. Alder St. 1 Building 8 Shelton,WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2023-00044 * Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM * 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.) * Maximum pile size is twenty(20)feet in diameter,a minimum ten (10)feet firebreak must be constructed around each pile. * *IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Permit includes two(2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * Fan required. * Fire must be completely extinguished within three(3)days after ignition. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * 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. 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 otheer�state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: 7'/ln'4- /4-� Date: 3 2 S Printed by:Cassidy Perkins on:10/23/2023 10:38 AM Page 2 of 2 EXPIRATION DATE: Permit : BRN2023 — OOOyq MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton WA 98584 APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner Qfn,ncl- Owner i4�&,,6_ Mailing Address ro Gov% I Mailing Address l d l r N y (w r City VUnio., State 0J4 Zip C1 t S`ti2 City u'�d.. State ! ( _Zip Phone Cell Phone Phon �`I9v 7 7 f r Other Phone Contractor Reg.# E-mail address F mail address Dr vers-tt-# $$$: Drivers Lic.# D.O.B. TAX PARCEL NUMBER 3 1 o O o 6 o (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) f a �+�U}^1/� m,"o W A Directions(to the site) 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 bum 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� and Oct. 15`h.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 FIl2E 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/burn 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 Rev.Aar 19.2Di7 Burn Permit # PARCEL AND SITE INFORMATION: arce wi o : a a er❑ e❑ ver ree eam❑ Fonao . Wetlanclso Seasonal R—uno—ff—o es one Slopes or Bluffs>15% Yes No Will timber be cut and sold in parcel preparation?Yes o Does Site require FPA or 6 yr.Moratorium:Yes I No) Is site being converted or replanted:Yes No Is site located in an Urban Growth Area(UGA)?: Yes/No/Unknown [Burning is currently NOT allowed inside UGAJ Zoning.- 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 - - - - - - - - --- - - - --- ------- - - -- --- - -- - - --- - -- - --- - - - - - - - - - - - ----- -- --- - -- - - --- G i 7 f � �r T 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. SIGNATURE- MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY.- PLANNING DEPT REVIEW: Approved by &date: Denied by &date: 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELF :360-482- 6 ,EXT 352 ELMAMA:360-482-525269,EXT 352 Buildin%Plannln%Environmental Health,Community Health www.co.mason.wa.us BURN PERMIT BRN2023-00044 Issued Date 1 0/2 312 023 Expiration Date 11/22/2023 Parcel Number 321052490060 Fire District Site Address 121 E AUTUMN LN Applicant WARNER GARY C&KENDRA L 360-898-8988 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 Official Use Only Inspector: Sketch of Site/Comments: Date: