HomeMy WebLinkAboutBRN2025-00007 - BRN Inspections - 2/4/2025 Mason County
f, Mason County - Division of Community Development
615 W. Alder St.
I I Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BRN2025-00007 BURN PERMIT
PROJECT DESCRIPTION: CLEARING DEBRIS ISSUED: 02/04/2025
SITE ADDRESS: 2860 W STATE ROUTE 108 SHELTON
EXPIRES: 03/06/2025
PARCEL: 419264100000
APPLICANT: MADISON COLE OWNER: MADISON COLE
230 E SHAMROCK DR 230 E SHAMROCK DR
SHELTON,WA 98584 SHELTON,WA 98584
360.551.3173
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection
CONDITIONS
* Do not burn if wind is blowing more than seven (7) miles per hour. DO NOT BURN IF WIND BLOWING FROM
* Upon completion of all conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext. 352
* All materials must originate from the property on which the burning is to occur.
* Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator.
* Maximum pile size is twenty (20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
* 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.
* 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.
Printed by:Anna Schaffran on:02/04/2025 11:19 AM
Page 1 of 2
Mason County
! 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 BRN2025-00007
• Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost
" Access must be passable with 2 wheel drive vehicle.
• 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.
" Fan required.
• After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
* `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.
" APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
• A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
" 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.
x Fire must be completely extinguished within three (3)days after ignition.
• 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.)
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: �6,�•
Contractor or Authorized Agent: c—t.JV Date:
Printed by:Anna Schaffran on:02/04/2025 11:19 AM
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M �EV
EXPIRATION DATE: Permit#: BRN 202 OZ7C� ED
MASON COUNTY BURN PERMIT APPLICATION EB 0 4 2025
615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 •ELMA 360.482.52A1 w
XS52••Akler.S'1et
APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION:
Owner CzDt 'L 0\eAlk SO& Owner
Mailing Address Z`b LC? w/ �B—QocAk_ io Mailing Address
�h O
City ACH State W A Zip '1 14 City State Zip
Phone 3(C-5 S -3113 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 q 10'1 2-(a —q 1— 000 Q O (12 digit number)
Fire District SITE ADDRESS(please include street name,number&city) z ('n `^1 ` y n lit)a I W A
Directions(to the site) LEJFT OF-V W. STRTE [LT.
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 15'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 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 c*
Rev.Aw 19.2017
4K
Burn Permit #
PARCEL AND SITE INFORMATION:
Parcel within 200'of Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : I,Yes/Non
Slopes or Bluffs> 15%within 50 feet Yes INQ Will timber be cut and sold in parcel preparation?Yes
Does Site require FPA or 6 yr.Moratorium:Yes Is site being converted or replanted:Yes
Is site located in an Urban Growth Area(UGA)?:Yes /Unknown (Burning is currently NOT allowed inside UGAJ
Zoning_•
Summarize proposed land clearing items to be burned: Syy ME5 �- ` b5L o
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�l
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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
SIGNATURE- MUST BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY.-
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: NIA-No Critical Areas