HomeMy WebLinkAboutBRN2024-00023 - BRN Inspections - 3/26/2024 Burn Permit# I V � DdN
PARCEL AND SITE INFORMATION:
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Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands o Seasonal Runoff❑ : Yes None
Slopes or Bluffs> 15%within 50 feet Yes/ o Will timber be cut and sold in parcel preparation?Yes No
Does Site require FPA or 6 yr.Moratorium:Yes/ o Is site being converted or replanted:Yes/ o
Is site located in an Urban Growth Area(UGA)?:Yes No Unknown /Burning is currently NOT allowed inside UGAJ
Zoning: I
Summarize proposed land clearing items to be burned: Trer?S a(U Sl1 havn e S!��
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. b
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SIG ATURE f*UST BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: N/A-No Critical Areas
Mason County
YM Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FBRN202'4-00023 BURN PERMIT
ESCRIPTION: BURNING TREES AND BRUSH FROM SITE ISSUED: 03/31/2024
FOR NEW BUILD.
ESS: 90 W MEADOWS PL SHELTON EXPIRES: 09/27/2024
PARCEL: 420087890074
APPLICANT: Chancellor,Jennifer OWNER: CHANCELLOR ET AL JENNIFER
1959 Galenta Dr.SW ALAN SCHWEN
Tumwater,WA 98512 TUMWATER,WA 98512
541 890-8250
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection
CONDITIONS
* 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.
* After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
* 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.
* *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENTION OF PERMIT.*
* APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
* Permit includes two(2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate).
Printed by:Nikita Huckabey on:04/03/2024 04:08 PM Page 1 of 2
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Mason County
MB Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncoun"a.gov
BURN PERMIT BRN2024-00023
* Access must be passable with 2 wheel drive vehicle.
* Do n t burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM
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* Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext.
352
* Fan required.
* Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator.
* All materials must originate from the property on which the burning is to occur.
* Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
* 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.
* Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost
* 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.)
* The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
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: Date:
Printed by:Nikita Huckabey on:04/03/2024 04:08 PM
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