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Home My WebLink AboutBRN2014-00026 - BRN Permit - 10/17/2014 Inspection Line (360)427-7262 P�o� �oUNTf MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 BURN PERMIT BRN2014-00026 OWNER: RICHARDANDERSEN RECEIVED: 10/17/2014 CONTRACTOR: LICENSE: EXP: ISSUED: 10/17/2014 SITE ADDRESS: 7304 NE ELFENDAHL PASS RD BELFAIR EXPIRES: PARCEL NUMBER: 223024450030 LEGAL DESCRIPTION: PROJECT DESCRIPTION: DIRECTIONS TO SITE: LAND CLEARING PERMIT ST RT 3, L ON ST RT 300, L ON NORTH SHORE RD, R ON BELFAIR TAHUYA RD, R ON ELFENDAHL PASS RD TO SITE ADDRESS ON THE RIGHT BURN TYPE: FEES Land Clearing Type By Date Amount Receipt r i Total • BRN2014-00026 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2014-00026 CONDITIONS FOR BRN2014-00026 1) Perm' in -clludes two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee. X 2) Applic tmust call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 1 3) Applica s must call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. X 4) Valid per i�t fnust be on-site while burning. Land clearing burn permits are valid 30-days from issuance. X �J� 5) A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void. After a burn ban has been implemented, all fires rr�4st be extinguished immediately. �X i 6) The following materials may not be burned: Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, treated wood, construction /demolition debris, metal or any substance (other than natural vegetation) that normally releases toxic emissions, dense smoke Pr obnoxious odors when burned. X 7) All material must originate from the property on whichthe burning is to occur. X 8) The fire must not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X i�_� 9) The max um pile size is twenty (20)feet in diameter, with a minimum ten (10) feet firebreak around each pile. X '�(�i`, 10) Each pile Tu$t be at least one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber. X BRN2014-00026 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) Do not burn�f wind is blowing more than seven (7) MPH. X (� 12) Do not rn if wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X 13) A minimum of one qualified operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST PROVID 24 HOUR FIRE WATCH. X 14) On Site Water is required between April 15th and Oct. 15th. The pump truck or trailer must have 300 gallons of water loaded and 200 ft of hose. (Pump must be pa le of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) 15) It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. Permitted individual is responsibly fqr any rekindling on the fire/burn site. X 16) Provide pxcqvator/dozer with a fire extinguisher at the site with a qualified operator. X 17) Provide 1,, hour fire watch. 18) 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 ap enforcement action. X I LiA 19) Access myst 1pe passable with 2 wheel drive vehicle. X O/ii/k 20) Fire must completely extinguished within three (3) days after ignition. X 21) After the burner cmplete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 1/1j 22) Fan is r�u�ed. X �(}�— BRN2014-00026 Please refer to the following pages for conditions of this permit. Page 3 of 4 OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature Date I L{a, A, L-"s '2 -, OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BRN2014-00026 Please refer to the following pages for conditions of this permit. Page 4 of 4 ' BRN2014- MASON COUNTY BURN PERMIT APPLICATION 426 W CEDAR ST. • PO BOX 279 • SHELTON WA 98584 SHELTON 360.427.9670 • BELFAIR 360.275.4467 •ELMA 360.482.5269 APPLICiT IPFORMATION: CONTRACTOR INFORMATION: Owner hGt,enrs..,-- g Owner S t 1 Mailing Address 'bS'3a Ni, aLj , t,+v-\�( Mailing Address Ci z State�Zip q_t, City State Zip Phone Cell Phone btoa�SSu-t•-►o7 Phone Other Phone Lien/Title Holder Dv r, Contractor Reg.# Exp. E-mail address ft2rOtn s E-mail address Drivers Lic.# o p cke rr _DO11 Drivers Lic.# D.O.B. TAX PARCEL NUMBER Sec. Twn. Rng. Fire District �- SITE ADDRESS(please include street name number&city o ra EIF.,,.at 1 cs Directions to the site -- 4 p C1CLv.oto,kI T -. - . --- Parcel within 200'of Saltwater❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasonal Run ff❑ Stream❑ Slopes or Bluffs> 15°/ es O Will timber be cut and sold in parcel preparation?Yes o Does Site require FPA or yr.Moratorium: Yes/No Is site being converted or replanted: Yes/No Reason For land Clearing Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action? Yes/No BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit must be onsite while burning • 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 15's and Oct. 15`h.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.Last 3 numbers of permit required at time of call in. • Applicants must call 360.586.1044(ORCCA)EACH day to report/request any air quality issues associated with burning. • 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 bum 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 OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed.The owner or agent on owners behalf,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 �L Date Indicate owner/ADDlicant/Representative