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Home My WebLink AboutBRN2015-00007 - BRN Permit - 2/12/2015 (2) Inspection Line(360)427-7262_ �PS�N cot, � MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 BURN PERMIT BRN2015-00007 OWNER: NJN PROPERTIES INC RECEIVED: 2/12/2015 CONTRACTOR: FASSIO TRUCKING & EXCAVATION 36089807286 LICENSE: FASSITE909MO EXP: 7/18/20, ISSUED: 2/12/2015 SITEADDRESS: GREAT BEND DR UNION EXPIRES: PARCEL NUMBER: 322323290141 LEGAL DESCRIPTION: PROJECT DESCRIPTION: DIRECTIONS TO SITE: BURN PERMIT OFF GREAT BEND DR IN UNION MCREAEY TO UNION, LEFT ON 5TH ST, LEFT ON PT TOWNSEND, RIGHT ON GREAT BEND DR, APPROX 4TH PROPERTY ON RIGHT. BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit JBN 2/12/2015 $160.50 S2201500000000000114 Total $160.50 BRN2015-00007 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR - BRN2015-00007 CONDITIONS FOR BRN2015-00007 1) Per it two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee. X 2) X*pli a s must call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. 3) Applic ust call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. X 4) Valid per it won-site while burning. Land clearing burn permits are valid 30-days from issuance. X 5) A BURN BA 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 mu" di uished immediately. X 6) The following materials may 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 normally releases toxic emissions, dense smoke or'hbfto r odors when burned. X 7) All materi on inate from the property on whichthe burning is to occur. X 8) The fire mus o reate a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X 9) The maximum ; 'ze is twenty(20)feet in diameter, with a minimum ten (10)feet firebreak around each pile. X 10) Each pile must*'-t e one hundred (100) feet from any structure and atleast fifty (50)feet from standing timber. X BRN2015-00007 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) Do not bur if ind is blowing more than seven (7) MPH. X 12) Do not rn if wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) - X 13) A minim m of one qualified operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST PROVID �4HOUR FIRE WATCH. X 14) On Site Water is required between April 15th and Oct. 15th. The pump truck or trailer must have 300 gallons of water loaded and 200 ft of hose. (Pump must b apable of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) X 15) It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. Permitted individual is resporyz;t I for any rekindling on the fire/burn site. X 16) Provide Jx r/dozer with a fire extinguisher at the site with a qualified operator. X 17) Provide a 24 o r e watch. X 18) The person in harge 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 e f e ent action. X 19) Access must passable with 2 wheel drive vehicle. X 20) Fire must be ci l t extinguished within three (3) days after ignition. X 21) After the burn is jhmrd��U MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 22) Fan is requ X 23) BRN2015-00007 Please refer to the following pages for conditions of this permit. Page 3 of 4 OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 AYS WILL INVALIDATE THE APPLICATION. Sign a Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BRN2015-00007 Please refer to the following pages for conditions of this permit. Page 4 of 4 BRN2015- WU MASON COUNTY BURN PERMIT APPLICATION 426 W CEDAR ST. • SHELTON WA 98584 SHELTON 360.427.9670 •BELFAIR 360.275.4467 •ELMA 360.482.5269 .v 7y Q , APPLICANT INFORMAT�ON: CONTRACTOR INFORMATION: E�CCC�I-hbrl Owner Owner �y Mailing Address G I Mailing Address City State�Zip City1 State�Zip Phone Cell Phone Phon (lthPr Phone Lien/Title Holder Contractor Reg.# _Exp. E-mail address E-mail address Drivers Lic.# DOB Drivers Lic.# D.O.B. TAX PARCEL NUMBER L Sec. Twn. Rng. Fire District SITE ADDRESS(please include street name,number&city A L Directions to the site fi 4 _ Parcel within 200'of: Sal at Lake❑ River/Creek❑ Pond❑ Wetland❑ easo al Runoff❑ tre ❑ Slopes or Bluffs> 15% YesW Wi1 ' ber be cut and sold in parcel preparation?Yes/No Does Site require FPA or6orium:Y s/No Is site being converted or replanted: Yes/No Reason For land Clearing Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Y /No BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CO NS: • Valid permit must be onsite while burning 42 6 W. CEDAR S T. • 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 arovide 24 hour fire watch. • On Site Water is required for permits between April 15's 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 uaq lifted 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.Last 3 numbers of permit required at time of call in. • Applicants must call 360.586.1044(ORCCA)EACH day to report/request any air quality issues associated with burning. • After the bum 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 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 OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the percussion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed.The owner or agent on owners behalf,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 enfornt action. me X S) Date � -- Sian ur -Indicate owner/Aaplicant/Representative