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Home My WebLink AboutBRN2019-00005 - BRN Permit - 1/16/2019 Mason County B Mason County - Division of Community Development 615 Alder St. Bldg. 8 Shelton, WA 98584 ` 360-427-9670 ext 352 www.co.mason.wa.us C) YD BRN2019-00005 BURN PERMIT PROJECT DESCRIPTION: LAND CLEARING BURN ISSUED: 01/16/2019 SITE ADDRESS: UNKNOWN MASON COUNTY EXPIRES: 06/03/2019 PARCEL: APPLICANT: PENINSULA TOP SOIL OWNER: DEL LTD PTSHP POPE RESOURCES PO BOX 640 ATTN: LAND RECORDS BELFAIR,WA 98528 POULSBO,WA 98370-7405 FEES: Paid Due "• Burn Permit Fee $175.00 $0.00 Final Inspection $80.00 $0.00 Totals : $255.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS ' 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. * Fan required. * 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.) * *IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Access must be passable with 2 wheel drive vehicle. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty (50)feet from standing timber. Printed by:Nicole Norris on:05/03/2019 09:56 AM Page 1 of 2 Mason County MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 ww.co.mason.w ItsgC C) g%�rjr) 6��S�r�� b1��0 �rye r� �o r �rS��o n . e ho�S o�.ress BRN2019-00005 BURN PERMIT PROJECT DESCRIPTION: LAND CLEARING BURN ISSUED: 01/16/2019 SITE ADDRESS: UNKNOWN MASON COUNTY EXPIRES: 02/15/2019 PARCEL: 123090001000 APPLICANT: PENINSULA TOP SOIL OWNER: DEL LTD PTSHP POPE RESOURCES PO BOX 640 ATTN: LAND RECORDS BELFAIR, WA 98528 POULSBO, WA 98370-7405 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * 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. * Fan required. * 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.) * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Access must be passable with 2 wheel drive vehicle. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. Printed by:Nicole Norris on:01/16/2019 11:55 AM Page 1 of 2 Mason County MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg, 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BURN PERMIT BRN2019-00005 * Fire must be completely extinguished within three (3)days after ignition. * Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * Permit includes two (2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * Maximum pile size is twenty (20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM * 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. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * All materials must originate from the property on which the burning is to occur. * 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. * Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 262 1 hereby certify that 1 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 provision of ny other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: ✓ Date: l� Printed by:Nicole Norris on:01/16/2019 11:55 AM Page 2 of 2 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Ye�one Slopes or Bluffs> 15% YeV7 No Will timber be cut and sold in parcel preparation?Yes/ o Does Site require FPA or 6 yr.Moratorium: Yes/ Is site being converted or replanted:Yes o Is site located in an Urban Growth Area(UGA)?: Yes Nd Unknown (Burning is currently NOT allowed inside OGAJ Zoning: L rC<� 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 - - - - - - - - - - - -- - - - - - - - - -- - -- - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - --- - - - - - - -- - --- - - -- 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 toe ingulS the fire as the result of an enforcement action. SIGN TU E- MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY: PLANNING DEPT REVIEW: Approved by &date: Denied by &date: