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Home My WebLink AboutBRN2025-00001 - BRN Inspections - 1/15/2025 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 SELF :360- - 6 ,EXT 352 COMMUNITY SERVICES ELMAMA:360-482482-525269,EXT 352 Building Planning Environmental Health,Community Health www.co.mason.wa.us BURN PERMIT BRN2025-00001 Issued Date 01/10/2025 Expiration Date 02/09/2025 Parcel Number 122321002060 Fire District 5 Site Address 551 E Cronquist Rd Applicant ROULST APRIL D 253-350-7090 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: SS Sketch of Site/Comments: Date: I--15-1.s- Vk Mason County MEIN= Mason County - Division of Community Development 615 W.Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2025-00001 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT TO BURN STUMPS, BRUSH, ISSUED: 01/10/2025 TREE LIMBS SITE ADDRESS: 551 E CRONQUIST RD ALLYN EXPIRES: 02/09/2025 PARCEL: 122321002060 APPLICANT: ROULST APRIL D OWNER: ROULST APRIL D 561 E CRONQUIST RD 561 E CRONQUIST RD ALLYN,WA 98524 ALLYN,WA 98524 253-350-7090 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS " APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. " Do not burn if wind is blowing more than seven (7) miles per hour. DO NOT BURN IF WIND BLOWING FROM " Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. • 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.) " 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. 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. Printed by:Amber Selby on:01/10/2025 02:17 PM Page 1 of 2 s Mason County 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 BRN2025-00001 * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Upon completion of all conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352 * Permit includes two (2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * Fire must be completely extinguished within three (3)days after ignition. * Access must be passable with 2 wheel drive vehicle. * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * 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. * 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. * All materials must originate from the property on which the burning is to occur. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. * 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. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws a Ordinances govera4w this type of work will be complied with whether specified herein o ot a granting of a r t o s of presume to give authority to violate or cancel the provision ny or state/lo I la u tin construction or the performance of construction. Issued B : Contractor or Authorized Agent: 0 Date: Printed by:Amber Selby on:01/10/2025 02:17 PM Page 2 of 2 EXPIRATION DATE: Permit#: BRN MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352 APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner Apr'► k Owner Mailing Address SEA 1 t` i✓rL;fit�+i t _ Mailing Address City Stated ip V City State Zip Phone - 3. Phone254-3,5 0 Phone Other Phone Lien/Title Holder :"I P,t.ttg S-k Contractor Reg.# Exp. E-mail address E-mail address Drivers Lie.# D.O.B.;D -/2--,S�) Drivers Lie.# D.O.B. TAX PARCEL NUMBER I A�3 1� `-D (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) Directions(to the site a BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid Hermit 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 151 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 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 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 Burn Permit# PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake a River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Y esn Slopes or Bluffs> 15%within 50 feet Yes/ Will timber be cut and sold in parcel preparation? No Does Site require FPA or 6 yr.Moratorium: Yes/No Is site being converted or replanted:Y o Is site located in an Urban Growth Area(UGA)?:Yes/ Z Unknown [Burning is currently NOT allowed inside UGAJ Zoning: Summarize proposed land clearing items to be burned: 5�LA VVk QX \fit' 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 - - - -- - - - - - -- - - - - - - - - - - - - - - --- - -- - - - - - - -- -- - - -- ---- - - - ---- -- - - -- -- - - -- - - -- 14 00 3 0 Ij 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 SIGNATIJ E-MUST BE SIGNED BY PROPERTY OWNER Date Signed P=lWWL4L U5E ONLV.6 PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A-No Critical Areas