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HomeMy WebLinkAboutBRN2009-00006 Danger Tree - BRN Permit - 2/17/2009 BURN PERMIT Mason County Dept. of Community Development PO BOX 186 - 426 W Cedar St, Shelton WA 98584 - 360.427.9670 BRN2009 =00006 2 - 17 -C, 9 - -:2, - ( 7- Dq Issue Date Expiration Date Site Address: 818 W DECKERVILLE RD ELMA 620103400010 10 20 6 12 Parcel Number Section Township Range Fire District Applicant: NOEL ANDERSON Address: 818 W DECKERVILLE RD ELMA WA 98541 Contact Number(s) - Must be a 24 hour number Conditions: 1. Valid permit must be on-site while burning. 2. 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 obnoxious odors when burned. 3. All material 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. The maximum pile size is twenty (20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. 6. Each pile must be at least one hundred (100) feet from any structure and at least fifty (50) feet from standing timber. 7. Do not burn if wind is blowing more than seven (7) MPH. 8. Do not burn if wind is blowing from direction. 9. The minimum people required to be in attendance at the fire while burning: 1 10. On site water required? 11. Provide excavator / dozer with a fire extinguisher at the site with a qualified operator. 12. Provide a 24-hour fire watch. 13. Fire must be completely extinguished within three (3) days after ignition. 14. Fan is required. 15. Other: Fire Warden: �' • • 1 ?- Signature Date **YOU MUST CALL (360) 427-7761 EVERY MORNING TO REPORT IN** BRN2009-00006 02/05/200! 2/5/2009 Conditions Associated With 11:27:58AM Case#: BRN2009-00006 i� Permit Condition Status Updated item# Code Title Status Changed By Tag Date By 1) 100 POST PERMIT NOT MET 2/5/2009 KKK Valid e T ' must be on-site while burning. X 2) 150 PROHIBITED MATERIALS NOT MET 2/5/2009 KKK 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 obnoxious odors when burned X 3) 200 ORIGINATION NOT MET 2/5/2009 KKK All material2st originate from the property on whichthe burning is to occur. X 4) 250 NUISANCE NOT MET 2/5/2009 KKK The fire must not create a nuisance from smoke,obscure visibility on public roads and highways or endanger life and pr pe X 5) 300 MAXIMUM SIZE NOT MET 2/5/2009 KKK The maximum pile size is twenty(20)feet in diameter,with a minimum ten(10)feet firebreak around each pile. X 6) 350 DISTANCE FROM STRUCTURES NOT MET 2/5/2009 KKK Each pile must be at least one hundred(100)feet from any structure and atleast fifty(50)feet from standing timber. X 7) 400 HIGH WIND NOT MET 2/5/2009 KKK Do not W d is blowing more than seven(7)MPH. X 8) 500 MINIMUM PEOPLE NOT MET 2/5/2009 KKK The mi� eo�red to be in attendance at the fire while burning:XX 9) 550 ON-SITE WATER NOT MET 2/5/2009 KKK On site w.ajer required?XXX x /= 10) 600 EXCAVATOR/DOZER NOT MET 2/5/2009 KKK Provide ea c or/dozer with a fire extinguisher at the site with a qualified operator. X 11) 650 24 HOUR FIRE WATCH NOT MET 2/5/2009 KKK Provii ')ALhour fire watch. X 12) 700 EXTINGUISH FIRE NOT MET 2/5/2009 KKK Fire must a pletely extinguished within three(3)days after ignition. X 13) 750 FAN NOT MET 2/5/2009 KKK Fan is re e X Page 1 of 1 CaseConditions..rpt PERMIT NO. MASON COUNTY BURN PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 •www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR IN�O�MATION Owner ©/V Company Name G A Mailing Address /' VJLLr Mailing A dress City 15LPAA State,&4/A Zip Code 9 5S_11/ City State l�E�_ Zip Code Phone 0 Other PhW-7Jb Phon Other Ph. Lien/Title Holder Contractor Reg. # �..._ Exp. E mail Address o) - E Mail Address Drivers Lic. #AnJOL-RA1*6o,�,R0 DOB /a-vto- ya Drivers Lic. # DOB 9 l- C, `l PARCEL NUMBER:6JO/0 3Y OQOLI�p Sec. Town. Rng. Fire District�,r). Site Address (Please includ street name, number and city)9 i76[MlZ0",f— Rd L-460A WA �i13:n`VJ Directions to site f/rcrcr= r*57-/ ?ATLock S-roRe oV & Parcel within 200'of Saltwater❑ Lakep River/CreekQ Pondp Wetland p Seasonal Runoffp Streamp Slopes or Blu 15% Is property flagged or addressed prior to i pection Yes/No-Will timber be cut and sold in parcel preparation? Yes AN`, Reason for land clearing: E PA CC!& -V,A :j ,,Y_ J* f M" :6 Is this site being converted or replanted? Yes / No Does site require FPA or 6 yr. Moratorium? Yes/ o The person in charge of the fire may be liable fo-rThe cost of fire supression if the fire gets out of control or, r becomes necessary to extinguish the fire as a result of enforcement action. Open burning shall be prohibited during any period of impaired air quality as designated by the Olympic Region Clean Air Agency, or during extreme fire danger due to dry weather conditions as designated by the Mason County Fire Marshal's Office.Information hotline(360)427-7799 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? Yes/No Burning is authorized subject to the following conditions: #�alid permit must be on site 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 normally releases toxic emissions, dense smoke,or obnoxious odors when burned. II materials must originate from the property on which the burning is to occur. he fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. aximum pile size is twenty(20)feet in diameter, a minimum ten(10)foot firebreak must be constructed around each pile. Each pile must be at least one hundred(100)feet from any structure,at least 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 is blowing from (direction) A responsible adult and equipment shall be required to be on site and in attendance at the fire while burning. On site water required: ❑Yes lff No Provide EXCAVATOR/DOZER(with a fire extinguisher)on site with uaa lifted operator. Provide 24 hour fire watch. _ Fire must be completely extinguished within three(3)days after ignitio an required Other ,Upon completion of above conditiops,applicant must call 60)427-9670 Ext. 2 for inspection prior to burning OWNER/CONTRACTOR Acknowl ge ubmission of inaccurate info ation may resul a stop work order or permit revocation. Acknowledgement of such' by si t low. I declare that I am the owne, at representative,or the contractor. I further declare that I am entitled to receive this pe " a o do the work as proposed in the application. I declare that I have obtained the permission from all the neces- sary parties. If permission.is: ed from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obt�ir�ed rmission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the tr�f ion prow i accurate and grants employees of Mason County access to the above described property for review and inspection. This its plicati null and void if work is not completed within 30 day Perm includes two (2) inspections maximum, additiona ' s o n 11 re 'e �ecjes sixty four(64)dollars per inspection. X Date: ne /Owners Apresentative/Contractor indicate which one FO OF ICIAL USE BEY0 POINT Accepted by: -Date. `� " DEPARTMENTAL REVIEW ( APPRO DENIED NOTES Fire Marshal FEES Burn Permit Fee Site Inspection Violation Fee State Fee Pre-Paid at Submittal Other EXPIRES: Date. Inspector TOTAL FEES