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Home My WebLink AboutBRN2024-00055 - BRN Inspections - 10/30/2024 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELF :360- - 6 ,EXT 352 ELMAMA:360-482482-525269,EXT 352 Building,Planning,Environmental Health,Community Health www.co.mason.wa.us BURN PERMIT BRN2024-00055 Issued Date 1 0/2 912 024 Expiration Date 11/28/2024 Parcel Number 321322390011 Fire District Site Address 130 E Stonebriar PI Applicant LAYTON KAREN 360-270-7079 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)feet 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 burn 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 at the 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, e 352 APPLICANT'S MUST CALL 360.426.4441,EACH DAY TO REPORT BURNING ACTIVITY. 5 APPLICANTS MUST CALL 360.539.7610(ORCCA)EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES OSOCIATED WITH BURNING. 6F BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE PENSION 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/burn site. 19.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. . 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: Sketch of Site/Comments: Date: �p�3C�2y —0O WiP ,d oft a V� Jl/rOL ^ �L_ 1 EXPIRATION DATE: Permit#: BRN ,90,1 C06 MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352•BELFAIR 360.275.4467 x352 e ELMA 360.482.5269 x352 APPLICA NJ/OWNER INFORMATION: CONTRACTOR INFORMATION: Owne l-1 Owner Mailing Ad ress Mailing Address City��LIJ12,-i State u j_Zip City State Zip Phoned. V94- _Cell Phone-y,.,Q-_:2,IG-w-7 q Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. E-mail address L��, y,'j 3�(1,I, rim E-mail address Drivers Lic.#6&�TLI/�i� _D.O.B%9•:,_?-`/3 /Drivers Lic.# D.O.B. TAX PARCEL NUMBER (/ V (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) /3C rt a-- A:':,W Directions(to the site) 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 provide 24 hour fire watch. • On Site Water is required for permits between April 151 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 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/REQUEST 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 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 burn 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 Date Received: Application continued, please go to next page Rev.Avi 19.2017 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Yes�Nole Slopes or Bluffs> 15%within 50 feet Yes No Will timber be cut and sold in parcel preparation?/ Yes No Does Site require FPA or 6 yr.Moratorium:Ye No Is site being converted or replanted:Ye o Is site located in an Urban Growth Area(UGA)?: es No/ nknown [Burning is currently NOT allowed inside UGAJ Zoning.- Summarize proposed land clearing items to be burned: 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 - - - - - - --- -- -------------- - -- - - -- - -- - - - - - -- - - -- - - - - -- - - - -- - - - - - - --- -- - - - - - 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 ATURE-MUST BE SI NED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY.- PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A- No Critical Areas r Mason County M MOMM Mason County - Division of Community Development 615 W. Alder S Building 8 8 Shelton,WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2024-00055 BURN PERMIT PROJECT DESCRIPTION: ISSUED: 10/29/2024 SITE ADDRESS: 130 E STONEBRIAR PL SHELTON EXPIRES: 11/28/2024 PARCEL: 321322390011 APPLICANT: LAYTON KAREN OWNER: LAYTON KAREN 130 E STONEBRIAR PLACE 130 E STONEBRIAR PLACE SHELTON,WA 98584 SHELTON,WA 98584 360-270-7079 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * All materials must originate from the property on which the burning is to occur. * 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. * Fire must be completely extinguished within three(3)days after ignition. * Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost * Permit includes two (2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. Printed by:Amber Selby on:10/29/2024 12:02 PM Page 1 of 2 w Mason County I'm Elm= Mason County - Division of Community Development 615 W. Alder St.8 Building 8 Shelton,WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2024-00055 * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Access must be passable with 2 wheel drive vehicle. * 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. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * 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. * Upon completion of all conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352 * 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.) * Fan required. * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * 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 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 gove ning this type of work will be complied with whether specified herein or not. The granting mit does not presume to give authority to violate or cancel the provisions a y o er state/o I I egulating construction or the performance of construction. Issued By• Contractor or Authorized Agent: Date: lo Printed by:Amber Selby on:10/29/2024 12:02 PM Page 2 of 2