HomeMy WebLinkAboutBRN2024-00038 - BRN Inspections - 6/14/2024 PA9Mason County
e Mason County - Division of Community Development
615 W. Alder St.
1 ' Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BRN2024-00038 BURN PERMIT
PROJECT DESCRIPTION: BURN PERMIT ISSUED: 06/06/2024
SITE ADDRESS: 411 E HEDLUND DR SHELTON
EXPIRES: 07/06/2024
PARCEL: 220247690021
APPLICANT: SPARROW LINDELL&DENISE OWNER: SPARROW LINDELL&DENISE
411 E HEDLUND DR 411 E HEDLUND DR
SHELTON,WA 98584 SHELTON,WA 98584
360-949-0375
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection &_t t-ZGl DES T-�x—<'5
CONDITIONS
* Do not burn 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 provide 24 hour fire
watch.
* 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.)
* Fire must be completely extinguished within three(3)days after ignition.
* Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate).
* Upon completion of above conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext.
352
Printed by:Annie Wilson on:06/06/2024 01:39 PM
Page 1 of 2
Mason County
ip
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BURN PERMIT BRN2024-00038
* 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.
* After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
* The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
* Access must be passable with 2 wheel drive vehicle.
* Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
* 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
Fan required.
* Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator.
* Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber.
* *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENTION OF PERMIT.*
* 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.
* APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
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: Icy 'V ,1 e h)I'I /�
i
Contractor or Authorized Agent: - Date:
Printed by:Annie Wilson on:06/06/2024 01:39 PM
Page 2 of 2
EXPIRATION DATE: (p Permit#: BRN ' �4-00238
MASON COUNTY BURN PERMIT APPLICATION
615 W Alder St • Shelton WA 98584
APPLICAN •/OWNER INFORMATION: CONTRACTOR INFORMATION:
Owner V--' Owner
Mailing Address Mailing Address
City &h I-f-b. StateJA2A_Zip City State Zip
Phone -(-3 Cell Phones ft",r-- Phone Other Phone
Lien/Title Holder Contractor Reg.#
E-mail address 3 � c�D_C e�K E-mail address
Drivers Lic.# D.O.B. Drivers Lic.# D.O.B.
TAX PARCEL NUMBER eeq G'0 �2 (12 digit number) Fire District_
SITE ADDRESS (please include street name,number&city) �Z// C j 6.u GQ (7 d �S_�,rlt�,�� lt' &
Directions(to the site) Jarn.p 91� to Ake- %v ���P f�D � -, hie) 7� FBI? .
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:
• Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at Your cost.
• 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 provide 24 hour fire watch.
• On Site Water is required for permits between April 15`s and Oct. 15`b.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 qualified 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.
• APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORTIREQUEST ANY AIR QUALITY ISSUES
ASSOCIATED WITH BURNING.
************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE
AND POSSIBLE SUSPENTION OF PERMIT.***************
• 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
Date Received:
Application continued, please go to next page,--*
Rev.Aor 19.2017
Burn Permit #
PARCEL AND SITE INFORMATION:
Parcel within o : saltwater❑ EaKe❑ ver reeStream❑ on ❑ ' wettancis❑ Seasonai Kuno ❑ es driNone
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/ o Is site being converted or replanted es No
Is site located in an Urban Growth Area(UGA)?:Yes/ o Unknown [Burning is currently NOT allowed inside UGAJ
Zoning.-
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
- - - - - - - - -- - - - - - - - - --- - - -- - - - - - - - - -- - - - -,- - - - - - - - - - - - - - - - - --- - - - - - - --
z� r
ell, SLR � Sn
-- IN
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.
x _
SIG H ATURE-MUS BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY.-
PLANNING DEPT REVIEW: Approved by &date: Denied by &date:
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the GIS User Community
Mason County WA GIs Web Map Application
Mason County disclaims accuracy,reliability,or timeliness of website info,not liable for losses from reliance on it.https://www.masoncountywa.gov/disclaimer.php
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community, Source: Esri, Maxar, Earthstar Geographics, and the GIS User
Contours 5 ft Community
Mason County WA GIS Web Map Application
Mason County disclaims accuracy,reliability,or timeliness of website info,not liable for losses from reliance on it.https://www.masoncountywa.gov/disclaimer.php