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Home My WebLink AboutBRN2024-0043 - BRN Inspections - 10/22/2024 - Mason County �Na B , 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 r FBRN2'024-00043 , BURN PERMIT DESCRIPTION: BURN PERMIT ISSUED: 10/09/2024 ESS: UNKNOWN MASON COUNTY EXPIRES: 11/08/2024 PARCEL: 319092000000 APPLICANT: GREEN DIAMOND RESOURCE-COMPANY OWNER: GREEN DIAMOND RESOURCE COMPANY 8809 LENOX POINTE DR SUITE B 8809 LENOX POINTE DR SUITE B CHARLOTTE, NC 28273 CHARLOTTE,NC 28273 360.490.0075 FEES: Paid Due Bum Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection - ._......._.............-.--- CONDITIONS Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. r________________________________ _--___-_-----_---------_--.---.---_--_-_-__--_ --------------------- * All materials must originate from the property on which the burning is to occur. ' an * Fan required. - ................................................... .........................,.............................. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. ___________________________________________________________________________________________________________. * Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM ------------------------------------------------------ ------.___.------------------------.------_--__.__. APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. ---------------------------_------------------------------------------------------_--------------------______. " 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 bumed: garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard,treated wood,construction/demolition debris, metal or any substance (o_ther than natural vegetation)that releases toxic emissions, dense smoke, or obnoxious odors when burned.A________ ____ _________ _ ___ _ _ ___________________________________ Printed by:Anna Schaffran on:10/09/2024 03:10 PM Page 1 of 2 1 Mason County D 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 BRN2024-00043 * 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. ____------____________________,.___..__-_.______..______-_________________.---------------------.----------------- . * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * 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. * *IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. .__..._____________________________________________________________________________..m_.._______.--------...------- * Fire must be completely extinguished within three(3)days after ignition. -----------------___---------------------------------------_______---------------__------____________________. * All other necessary permits from Mason County,Washington State, Federal Agencies, and/or other agencies/groups that are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND CONSTRUCTION. * 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.) * Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate). _............................................................................................................ * Upon completion of all conditions, applicant must have inspection&approval before ignition. Call (360)427-9670, ext. 352 _______________________________________________________________________________________________r..r______._.__. 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: , Contractor or Authorized Agent: Date: 151 J� Printed by:Anna Schaffran on:10/09/2024 03:10 PM Page 2 of 2 COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MAS ON SHELTON:360-427-9670,EXT 352 CO.MMUNI SERWICES BELFAIR:360-275-4467,EXT 352 a7 ELMA:360-482-5269,EXT 352 Bi�Bdin ?la+mpg,Envuonfiriantt3,#[ealtfr,CbmmunityNeailt%.: www.co.mason.wa.us ) BURN PERMIT � �ct � ✓El � BRN2024-00043 Lj,,�� Issued Date 10/09/2024 Expiration Date 11/08/2024 �a"he r Parcel Number 319092000000 Fire District 4 Site Address UNKNOWN Applicant GREEN DIAMOND RESOURCE COMPANY 360.490.0075 Contractor License Number Contractor Phone Expiration Date 1.Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at your cost. 2.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. 3.All materials 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.Maximum pile size is twenty(20)fleet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile.. 6.Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. 7.Do not bum if wind is blowing more than seven(7)miles per hour.DO NOT BURN IF WIND BLOWING FROM 8.A responsible adult and equipment shall be on site and in attendance atthe fire while burning. Must provide 24 hour fire watch. 9.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.) 10.Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. 11.Fire must be completely extinguished within three(3)days after ignition 12..Fan required. 13.Upon completion of above conditions;,applicant must have inspection&approval before_ignition_Call (360)427-9670, ext.352 14.APPLICANT'S MUST CALL 360.426.4441,EACH DAY TO REPORT BURNING ACTIVITY.. 15„APPLICANTS MUST CALL 360.539.7610(ORCCA)EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. 16.IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENSION OF PERMIT. 17.After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. 18.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/bum site. 19.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. 20.Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee. (at current rate) 21.Access must be passable with 2 wheel drive vehicle Official Use Only Inspector:411"XII f- Sketch of Site/Comments: Date::. i✓�sl�e"cf.<��,�.Sfr.�l �v G'��./► c�r+G f'a�✓i�L✓r�`� !s".�'!h'�?3' "�lJ' �r,�t / �� jPte-z. ��'M�r� ��.ss' �� r, , �� i2v x,�ff.�c� � �� o�F�_ �- ,.... ._.... ,.�,___. _.,__...._�...�y� ..�.._ ry.._. _._�., ��--�. EXPIRATION DATE: Permit#: BRN MASON COUNTY BURN PERMIT APPLIC 615 W Alder St• Shelton,WA 98584 ffMtIVED SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352 OCT - 024 APPLICANT/OWNER INFORMATION:- ' CONTRACTOR INFORMAT ON: Owner �rat N �l�v,ewa 3�.L( b ��?6� Owner 615 W. Alder Street Mailing Address 21r N .Frog, sr• Mailing Address City S4 e/fan. State Inn Zip 4 8 r8 y City State Zip Phone 307- 114 c-3 7 L 8 Cell Phone Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. E-mail address E-mail address Drivers Lic.# D.O.B. Drivers Lic.# D.O.B. TAX PARCEL NUMBER 31707,16o6600 (12 digit number) Fire District x/ SITE ADDRESS(please include street name,number&city) Al V 'A s G' '�y Directions(to the site) -/J- ,- 764,v so 4 q o R. 4s /*I. T-,., 4eh' a .S C L .e �./. ,4 ^�12 ?'�� .. CroJI ►^A r6 c� f/� leS f , I e:j4 6,.T-v 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 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 urovide 24 hour fire watch. • On Site Water is required for permits between April 151 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.) • 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 REPORT/REOUEST ANY AIR OUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • 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 firelburn 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 Date Received: Application continued, please go to next page Rev.Anr 19.2017 ti Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands ❑ Seasonal Runoff❑ Yes/ on Slopes or Bluffs> 15%within 50 feet Yes/ o 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:Yes Acl Is site located in an Urban Growth Area(UGA)?: Unknown [Burning is currently NOT allowed inside UGAJ Zoning Summarize proposed land clearing items to be burned: Z/hbr _Al o k 7ir c e j -LT- SITE PLAN 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 - - - -- - - - - - -- - - - - - - -- - -- ---/- - - - - - - -L- - - - --- - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - " S.ec. A-7 �< /f 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 6?,4,1 �� S PQ a o 2 SIGNATURE-MUST BE SIGNED BY PROPERTY OWNER Date Signed F Y .OPi OFFICIAL US E ONL PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A-No Critical Areas file ;; zription for your map. 4 J0 1 1,J' v • r • r r t b