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Home My WebLink AboutBRN2025-00009 - BRN Inspections - 2/10/2025 l 1 r EXPIRATION DATE: Permit#: BRN 2()77 QWC)gl MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352 9 BELFAIR 360.275.4467 x352•ELMA 360.482.5269 x352 TeEE APPLICT/OWNER INFORMATIONLU 5�1 V` CONTRACTOR INFORMATION: Owner r--� i Owner 4,0 i,c-'5 Mailing Address _ Mailing A dre City_GO I State m,�Zip��3 3 City State _Zip Phone LP_ 6 Cell Phone Phone Other Phone Lien/Title Holder (9 w+u-r Contractor Reg.# Exp. E-mail address E-mail address o a 5 Drivers Lic.# D.O.B.,, 11 Drivers Lic.# TAX PARCEL NUMBER 310O l - 1�:W—70 (12 digit number) Fire District --i— SITE ADDRESS(please include street name,number&city) b 10 Mt-4 C(e e�� r A Directions(to the site)646- U 3 ty1 uk 'r'Uk_iL. K_C L BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING 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 arovide 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/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 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 firelbum 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 L* Rev.ADr 19.2017 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Yes/ on 7C77— Slopes or Bluffs> 15%within 50 feet Yes/ Will timber be cut and sold in parcel preparation?Yes/10 Does Site require FPA or 6 yr.Moratorium:Yes/No Is site being converted or replanted: /No Is site located in an Urban Growth Area(UGA)?:Yes/d�ar /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 Slopes,Lake, River/Creek, Wetlands, Seasonal Runoff, Streams, etc - - -- - - -- - -- - - - - - - - - ----- --- -- ----- --- - -- - - - - - - - - -- - - - -- - - - -- - - -- -- - - - - - F,&zuA) ' 1 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 k.L IGN URE-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 Mason County - Division of Community Development 615 W.Alder St.8 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2025-00009 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT FOR LAND CLEARING ISSUED: 02/10/2025 SITE ADDRESS: 670 SE MILL CREEK RD SHELTON EXPIRES: 03/12/2025 PARCEL: 320294300070 APPLICANT: DRAKE RICHARD B OWNER: DRAKE RICHARD B PO BOX 300 PO BOX 300 COLSTRIP, MT 59323 COLSTRIP, MT 59323 360.810.7729 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS 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. • After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. " Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. * 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. • Upon completion of all conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext. 352 • Fire must be completely extinguished within three (3)days after ignition. • 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. Printed by:Genie Mcfarland on:02/10/2025 01:56 PM Page 1 of 2 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 BRN2025-00009 * Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost * 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 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. * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Maximum pile size is twenty (20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * 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. * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * 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. * Fan required. * 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 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: J Contractor or Authorized Ag t: Date:4 �L- Printed by:Genie Mcfarland on:02/10/2025 01:56 PM Page 2 of 2