HomeMy WebLinkAboutBRN2012-0002 Final Land Clearing - BRN Permit - 5/31/2012 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
IrP4 Shelton, WA 98584
BURN PERMIT BRN2012-00021
OWNER: ROBERT DROHMAN
CONTRACTOR: KAMIN EXCAVATION LLC LICENSE: KAMINEL947ND EXP: 8/21/2012 RECEIVED: 5/30/2012
ISSUED: 5/30/2012
SITE ADDRESS: E MERRIMOUNT RD UNION EXPIRES:
PARCEL NUMBER: 322367500040
LEGAL DESCRIPTION: TR 4 OF SURV 4/84-86
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAND CLEARING PERMIT ST RT 106, R ON MERRIMOUNT RD FOLLOW TO THE END, TO
CLEARED AREA PILES ARE LOCATED ON THE LEFT
BURN TYPE: FEES
Land Clearing Type By Date Amount Receipt
Burn Permit GMM 5/30/2012 $160.50 S1201200000000000824
Total $160.50
BRN2012-00021 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES FOR
BRN2012-00021
CONDITIONS FOR
BRN2012-00021
1) Permit�W__
two(2) inspections maximum, additional inspections will require a $73.00 re-inspection fee.
X
2) Appli��rqust call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
X �1J�
3) Applica call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
X &?�_
4) Valid p mi ust be on-site while burning.
X
5) 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 r�yas�e,extinguished immediately.
X
moo..
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�obr�xious odors when burned.
X �
7) All mated I m t originate from the property on whichthe burning is to occur.
X
8) The fire st�ot create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property.
X
9) The maxi le size is twenty(20) feet in diameter, with a minimum ten (10)feet firebreak around each pile.
X
10) Each pile i eat least one hundred (100)feet from any structure and atleast fifty (50) feet from standing timber.
X
BRN2012-00021 Please refer to the following pages for conditions of this permit. Page 2 of 4
11) Do nol burn if wind is blowing more than seven (7) MPH.
X
12) Do not rn if ind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.)
X
13) A minimum 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
PROVIDE 24 HOUR FIRE WATCH.
x n�
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 be caabl_ a 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
responsi f r ny rekindling on the fire/burn site.
X
16) Provide Zn
/dozer with a fire extinguisher at the site with a qualified operator.
X
17) Provide a yX
fire watch.
X
18) 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, ,e0forcement action.
X cc
19) Access rrsl;,be passable with 2 wheel drive vehicle.
X
20) Fire mus e c mpletely extinguished within three (3) days after ignition.
X
21) After the burn is complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth.
X A(1
22) Fan is required.
X
BRN2012-00021 Please refer to the following pages for conditions of this permit. Page 3 of 4
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation ork is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mas C unty acce s t the above described property and structure for review and inspection.
OWNER OR AGENT: DATE: -5
BRN2012-00021 Please refer to the following pages for conditions of this permit. Page 4 of 4
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Foundation Waits Floors Date By X
Date By Data By DECKS
FRAMING Walls Date By
Date Ry Data By PROPANE TANKS
PLUMBING vault Data By
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Mason County Map Output Page Page 1 of 1
Mason County Map
0021 E STATE ROUTE 106
990 E STATE ROUTE 100
:0 E STATE ROUTE 1069987 E STATE ROUTE 106
9960 E STATE ROUTE 106
9280 E STATE ROUTE 106
9894 E STATE ROUTE 100
-- ESTATE ROUTE 106
9892 E STATE ROUTE 106
ARt i/JJ 9890 E STATE ROUTE 100
'fE"MUTE
1069802 E STATE ROUK
M84 E STATE ROUTE 106
l,r9751 ESTATE ROUTE 106
741 E STATE ROUTE 106143 E MERRIMOUNT
"`� 141 E MERRIMOUNT /S
91/E STATE ROUTE 106 _
iT! 61 E MOUNT RD O�
1 E MERRIMOUNT RD
31 E ME RRIMOU T RD 60 E MERRIMOUNT DR
20 E �, RD
50 E MERRIMOUNT DR
41 E MERRIMOUNT OR
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501 E TIMBER TIDES DR
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0 555ft
DISCLAIMER AND LIMITATION OF LIABILITY:
The data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or
location of any map features contained herein.The boundaries depicted by these data are I" 3sr ln1i€
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability .*'*' till9-"iivaVS City of$Helton
or responsibility arising from the use of this map in a manner not intended by Mason County.
IvL r3 g trraamD sty unary& l In no event shall Mason County be liable for direct,indirect,incidental,consequential,
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits �arIS Comlrarssr4rr 1GrsIs
or benefits arising from use of or reliance on the information contained herein
Sections Lakes
0 2009-Mason County GIs
100 W.Public Works Dr T*avv[Y0p& 110 Pu"50u-nd&Malmo Las .
Shelton,WA 98584
http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason... 5/30/2012
' BRN2012-6 21
MASON COUNTY BURN PERMIT APPLICATION
426 W CEDAR ST. •PO BOX 186• SHELTON WA 98584
SHELTON 360.427.9670 •BELFAIR 360.275.4467 •ELMA 360.482.5269
APPL)�NT INFO NATION: CONT CTOR INFORMATION:
Owner O�[.L Owner
Mailin Address Mailmi AddressP.O.
City t to Zip City Pl State Zip
Phone Cell Phone Phone Other Phone
Lien/Title Holder Contractor Reg.# ' 1') Exp. 23 2 j /1DIZ
E-mail address -R maii-�s
Drivers Lic.# DOBversHic"#
TAX PARCEL NUMBER 3 AAAU •'15• ()an 40 SecA4 _Twr>.QA,_Rng.3 Fire District tO
SITE ADDRESS(please include street name,number&city
Directions to the site
Parcel within 200'of. Saltwater❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream ❑
Slopes or Bluffs> 15% Yes/NO Will timber be cut and sold in parcel preparation?Yes/No
Does Site require FPA or 6 yr.Moratorium:Yes/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?Yes/No
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:
• Valid permit must be onsite while burning
• 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".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 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 bum 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
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
permission 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 6wibe 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 enfont action.
X Date
Indicate owner/Aaalicant/Renresentative