HomeMy WebLinkAboutBRN2024-00064 multi parcels - BRN Inspections - 11/26/2024 K�L,cI V `L..'
EXPIRATION DATE: Nov 21 2024 Permit#: BRNRO A DOD CQ 4
WRIder Street
MASON COUN� N PERMIT APPLICATION
615 W Alder St• Shelton,WA 98584
SHELTON 360.427.9670 x352•BELFAIR 360.275.4467 x352•ELMA 360 4R2.5269 x351
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APPLICANT/OWNER INFORMATI N: CONTRACTOR INFORMATION:
Owner N'� I 1 v — LOwner_
Mailing Address Mailing Address
City State Zip City_ _State_ Zip_
Phone 3 one Phone. _Dther 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 5�rJ� �OOd` l � �JD r(�dig l kber) Fire District1��
4 at385-50- 00001 d JY al 35- O °I $ b.
SITE ADDRESS lease include street name,number&ci C lit(fi &14
1 ^
Directions(to the
site) It, e �f
C I
BURNING IS AUTHORIZED SUBJECT TO THE FOLLO NG CONDITIONS:
• Valid permit MUST be onsite while burning If permit is not on site duringburning urning 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 15'and Oct. 151.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 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/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 b
Rev.Aor 19.2017
r
Burn Permit #
PARCEL AND SITE INFORMATION:
Parcel within 200'of. Saltwater❑ Lake❑ River/Creek/Stream❑ Pond r� Wetlandsx Seasonal Runoff❑ : Yes/None
Slopes or Bluffs> 15%within 50 feet Yes No Will timber be cut,and sold in parcel preparationg No
Does Site require FPA or 6 yr.Moratorium:Yes No Is site being converted or replanted:Yes 40
Is site located in an Urban Growth Area(UGA)?:Yes/No/Unknown (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 Slo pes, Lake, River/Creek, Wetlands, Seasonal Runoff, Streams,etc
- - -- - - - - - - - - - - r- - -- - -44--- -- -- - - - - - - - - -- - - - -- -- - -- - - -- -- - - - - -
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aJ`o � �0`1J Yet
OWNER/CONTI CTOR:Ac ledges submission of inaccurate information may result in a stop work order or permit
revocation.Acknowle e such is by signature below.The owner represents that the information provided is accurate and
grants employees o ounty&local fire authorities access to the above described property and structure for review and
inspection.The er charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes
necessary to the fire as the result of an enforcement action.
• Z 5�
X 4),4 v
NAT RE-MUST BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY.
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: N/A- No Critical Areas
Mason County WA GIS Web Map
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Source:Esri,Maxar,Earthstar Geographies,and 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/discialmer.php
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615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 352
UL 49 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
ELMA:360-482-5269,EXT 352
Building Plannin%Environmental Health,Community Health www.co.mason.wa.us
BURN PERMIT
BRN2024-00064
Issued Date 11/21/2024 Expiration Date 12/21/2024
Parcel Number 421355000008 Fire District 16
Site Address 321 W Clear Lake Dr
Applicant SENTRY MINI STORAGE LLC
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,
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/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: 5 ec <cuc1-<-C
INSPECTION RESULTS Page 1
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit AssslancQ Center,Budding,viann;ng (360)427-9670 ext. 352
Application# BRN2024-00064 Application Type BURN PERMIT Owner SENTRY MINI STORAGE
LLC
Parcel # 421355000008 Site Address 321 W Clear Lake Dr Shelton, WA 98584
Inspector Inspection Type Date Status Comments
11-26-24 DED
Dave Dobson BURN PERMIT INSPECTION 11/26/2024 FAIL 1)ALL BURN PILES ARE TO BE 50 FEET MINIMUM FROM ANY STANDING
TIMBER. PLEASE CONTACT THE MASON COUNTY FIRE MARSHALL, RANDY
COLLINS AT 360 427 9670 EXT 309
f �
Mason County
lip
Building 8
Mason County - Division of Community Development
615 W.Alder St.
8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BRN2024-00064 BURN PERMIT
PROJECT DESCRIPTION: LAND CLEARING BURN ISSUED: 11/21/2024
SITE ADDRESS: 321 W CLEAR LAKE DR SHELTON
EXPIRES: 12/21/2024
PARCEL: 421355000008
APPLICANT: SENTRY MINI STORAGE LLC OWNER: SENTRY MINI STORAGE LLC
50 W SENTRY DR 50 W SENTRY DR
SHELTON,WA 98584 SHELTON,WA 98584
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection
CONDITIONS
* 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.
* Access must be passable with 2 wheel drive vehicle.
* 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.
* Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
* Upon completion of all conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352
* The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
* A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
Printed by:Amber Selby on:11/21/2024 11:05 AM
Page 1 of 2
Mason County
g0 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 BRN2024-00064
* 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.
* APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
* 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.
Do not burn if wind is blowing more than seven (7) miles per hour. DO NOT BURN IF WIND BLOWING FROM
* Permit includes two (2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate).
* *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENTION OF PERMIT.*
* 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.
* Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator.
* Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost
* All materials must originate from the property on which the burning is to occur.
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 Ordinan governing this type f York will be complied with whether
specified herein not. he gran ng of ermit does sume to give authority to violate or cancel
the provision f ny er st a oca regul g ion or the performance of construction.
Issued B
Contractor or Authorized Agent: Date: *'o Z) ZO
Printed by:Amber Selby on:11/21/2024 11:05 AM
Page 2 of 2