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Home My WebLink AboutBRN2026-00027 - BRN Inspections - 4/23/2026 MASON COUNTY MASON COUNTY Department of Community Development SCOMMUNITY DEVELOPMENT 615 W.Alder St. Bldg 8,Shelton,WA 98584 360-427-9670 ext.352 Permit Assistance Center,Building.Planning Applicant: BUCKENDAHL TERRY Contractor Phone: 360-520-7478 Primary Contact License Number WESTLDW861 J9 Phone: 740-505-0976 1 This permit must remain on-site and readily available for inspection while any burning occurs 2 Only natural vegetative matter from the site can be burned (Burning Any Other Materials Including those from Different Parcels is Prohibited) 3 Fires shall not be lit if on-site winds exceed seven (7) miles per hour 4 Smoke cannot create a nuisance, obscure visibility on roads/highways or endanger life or property 5 Piles shall not exceed 20 feet in diameter and have a 10-foot firebreak(to bare soil) around each 6 Each pile shall be at least one hundred (100)feet from any structure and fifty(50)feet from standing timber. 7 Bulldozer or excavator shall remain on-site during entire burn 8 Once lit, a responsible equipment operator MUST remain on-site to provide a 24-hour fire watch until the burn is complete. No exceptions. 9 If required, the tanker truck or water trailer shall remain on-site for the duration of the burn 10 Once lit, the fire must be completed and extinguished within three(3)days (72 hours). 11 If a burn ban is enacted during the term of this permit, it shall become void, and any burns shall be extinguished immediately. 12 Prior to lighting any fire, the permit holder shall call both agencies below to report the burn: -Mason County Dispatch(MACECOM) at 360-426-4441 -Olympic Air Authority (ORCAA) at 360-539-7610 When the burn is complete, permit holder shall make sure the fire has not burned into the earth by checking 13 the ground for hot spots and use any on-site water to thoroughly soak the fire location OWNER/CONTRACTOR: By signing below, I agree to the conditions identified above on this application and understand that failure to follow them may result in having to extinguish the fire, revocation of the permit, suspension of any burn privileges or any other penalties specified in MCC chapter 9.48 or State law. I understand that as the permit holder(or their representative) I may be liable for damage the fire causes to other properties, the cost of suppression if the fire gets out of control, or penalties related to other enforcement actions. Si nature-P RTY OWNER(OR DESIGNATED REP) Date Signed i Mason County e Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov B NN2026-00027 BURN PERMIT PROJECT DESCRIPTION: ISSUED: 04/16/2026 SITE ADDRESS: 432 W BULB FARM RD SHELTON EXPIRES: 05/16/2026 PARCEL: 519144190030 APPLICANT: BUCKENDAHL TERRY OWNER: BUCKENDAHL TERRY P O BOX 146 P O BOX 146 JEFFERSONVILLE, OH 43128 JEFFERSONVILLE, OH 43128 740-505-0976 GENERAL CONTRACTOR'S LICENSE: LEXAR HOMES License: LEXARH*862O5 1213 S YE ST Expires: 09/25/2026 CENTRALIA,WA 98531 360-807-1849 GENERAL CONTRACTOR'S LICENSE: Westlund Dirt Works LLC License: WESTLDW861J9 192 A CHILVERS RD Expires: 04/21/2027 CHEHALIS,WA 98532 360-520-7478 FEES: Paid pig Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * If a burn ban is enacted any valid permit will be deemed null and void and any fires extinguished immediately. --- ---- ------------ - -- -__ ---- ---- * Fire must be completely extinguished within three(3)days(72 hours)after ignition. * Bum site must be accessible using a 2-wheel drive vehicle or the road improved until this is achieved. ---------------------------------------- * Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. * Only natural vegetative matter can be burned. BURNING ANY OTHER MATERIALS ARE PROHIBITED. ----------------------------- -------------------------------------------------------------------------------. Printed by:Amber Selby on:04/16/2026 11:05 AM Page 1 of 2 Mason County g 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 BRN2026-00027 * 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. ............................................................................................................... * Once all of the above conditions have been met,you may contact Community Development at 360-427-9670 ext.262 to schedule your inspection before burning. * If more than two inspections are required, additional inspection fees will be applicable. --------------------------------------------------------------------------------------------. * Fire smoke must not create a nuisance, obscure visibility on roads and highways, or endanger life and property. --------------------------------------------------------------------------- ----..... ---------- * A fan capable of stoking the fire to promote complete combustion shall be provided and be present at the time of the inspection. -------- ---- * Pile cannot exceed twenty(20)feet in diameter and shall have a ten(10)foot firebreak(to soil)around each. * For burning from April 15th to Oct. 15th,a tanker truck or trailer with 300 gallons of water with at least 200 ft of one inch hose capable of delivering 20 gallons per minute at the nozzle shall be on site for the duration of the burning and at the time of inspection unless approved ahead of time by Community Development Staff. ............................................................................................................... * Only materials originating from the site can be burned(transporting materials from another site is prohibited). ..................................................................... .......................................... * An excavator or bulldozer with an approved fire extinguisher shall be on site for the duration of burning. It shall also be on- site at the time of the inspection unless approved ahead of time by Community Development staff. .............................................................................................................. * Once the fire is lit, a responsible adult,capable of operating the above equipment,shall remain on-site for the entire duration of the bum to provide a 24-hour fire watch. NO EXCEPTIONS. ......................................................... .......----.._..----- --.._..._...----------...._. * Once cleared to bum, permittee shall make the required phone notifications as specified on the permit. 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 provisio of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: _!/1 Date: Printed by:Amber Selby on:04/16/2026 11:05 AM Page 2 of 2 Docusign Envelope ID:231947AE-BB14-4780-8349-DB1836CC2DAD EXPIRATION DATE: Permit#: BRN ( O0 ' 7 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: CONTRAC OR INFORMATIOt : Owner C ♦ c,k'e Owner : trwl( o.•+c Mailing Ad ss Mailing Address /2-/3 oti CityT ,3oiy j tie State Oh' Zip /3/Z ' City State1 Zip t,S l Phone $5•.nA Cell Phone 7'10-508-�4� Phone Q / Other P one t)S� t Lien/Title Holder Contractor Reg.# — f Exp. I E-mail address t✓1 5 C° e 1 .Nh E-mail address c o.rJ Drivers Lic.#RG358288 D.O.B.111p71j 959 Drivers Lie.# £d,OL/8 4Z L- o L? D.O.B. TAX PARCEL NUMBER �j 9� l`/VZ ft 30 / (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) X)C /�u�/t� rrvt Ai J.�j x-/16/1 z1 - pP' Dui ections(to the site) /JN 3_i '/ Ci9/ pt w S _ /t i' 'i re Ji /c ' O.1 ICt 13)v I p,i BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: tU� Cc • Valid permit MUST be onsite while burning_If permit is not on site durin bg urning,the fire will be extinguished at yo co-sY.` od • 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 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.) • 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 b Rev Aur 19.20!7 Docusign Envelope ID:231947AE-BB14-4780-8349-DB1836CC2DAD Burn Permit# PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake o River/Creek/Stream o Pond o Wetlands ar Seasonal Runoff❑ : es/None Cu U'.lI1 Slopes or Bluffs> 15%within 50 feet /No /W V5 Will timber be cut and sold in parcel preparation?Yes No Lv t; .L.0j,.fM. Does Site require FPA or 6 yr.Moratorium: Yes No Is site being converted or replanted:Yes o Is site located in an Urban Growth Area(UGA)?:Yes/No/ Unknow /Burning is currently NOT allowed inside UGAJ Zoning: f Summarize proposed land clearing items to be burned: p// / /�y✓i+i�< t�eGth�7� O/Its/IP" fiy4 .., / '7Yt :K / d- 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 - - -------------- ----------- --- - - - - -- -------------------------------- ----- :5 714�,4 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. f11 Signed by: X 4/16/2026 �1MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY: PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A- No Critical Areas 8/12/25,10:37 PM Vicinity Map template LC(AR Vicinity Map Project I Buckendahl564009441 Owner Terry Buckendahl Site X Bub Farm Rdftd> Mailing PO Box 146 Shelton,WA 98584 Jeffersonvile,OH 43128 Plan Custom Phones Terry 7405050976, Distance from office 0 Parcel 51914-41-90030 E Shelton Arcadia Lake Blvd SE Arcadia RD W Cbquallum RD ita6alY lake W Bulb Farm RD Logging Rd ..� Hwy 101 • Olympia Hwy 101 Exit 104 1-5 North Tumwater 8:9441 Copyright Lexar Homes LLC,Revised 5/6/2023 8/12/25,3:45 PM 1213 Long Road,Centralia,WA to 47.1316588,-123.2686252-Google Maps 1213 Long Rd,Centralia,WA 98531 to Drive 53.5 miles,59 min 47.1316588,-123.2686252 Google Maps Two gates are at the entrance to her property.The first one is not locked, but the second one has a gate key lockbox.Code to the lockbox is 2121 Map data•c 2025.Map data X2025 Google 5 mi 1213 Long Rd Centralia,WA 98531 Get on 1-5 N 6 min(2.3 mi) 1. Head north on Long Rd/Yew St toward South St o Continue to follow Yew St 0.6 mi 2. Turn left onto Mellen St 0.2 mi 3. Turn right to merge onto 1-5 N toward Seattle 1.5 mi Continue on 1-5 N.Take US-101 N to WA-3 N/SE Olympic Hwy S in Mason County.Take the WA-3 N exit from US- 101 N 35 min(38.4 mi) 4. Merge onto 1-5 N 20.9 mi https:/Mmnv.google.com/maps/dir/1213+Long+Road+Centralia.+WA/47.1316588,-123.2686252/@46.9513841,-123.478163,94127m/am=Vdala=!3m2!... 1/4 8/12125,3:45 PM 1213 Long Road,Centralia,WA to 47.1316588.-123.2686252-Google Maps 5. Take exit 104 for US-101 N toward Aberdeen/Port Angeles 0.4 mi T 6. Continue onto US-101 N 5.5 mi 7. Take the US-101 N exit toward Shelton/Port Angeles 285 ft T 8. Continue onto US-101 N 11.2 mi 9. Exit onto WA-3 N/SE Olympic Hwy S toward Shelton/Bremerton 0.3 mi Take W Cloquallum Rd to W Bulb Farm Rd in Kamilche 18 min(12.8 mi) 10. Merge onto WA-3 N/SE Olympic Hwy S 1.4 mi 11. Turn left onto E Arcadia Ave 0.5 mi 12. Turn left onto Lake Blvd 0.8 mi 1 13. Continue onto W Cloquallum Rd 9.7 mi 4- 14. Turn left onto W Bulb Farm Rd 0.4 mi 47.1316588,-123.2686252 https://www.google.comImaps/dir/1213+Long+Road,+Centrala,+WA/47.1316588;123.26862521@48.9513841,-123.478163,94127m(am=t/data !3m2!.. 214 T± �/ 100 SCALE-1"= 100'-0" / NOTES. 110'3 /�PROPOSED STUBOH�CLEANOUT(IE.-103.0) -RESTRICTIVE LAYER BELOW 24" / PROPOSEV ATER BNR-500 IN ATU TANK(IN.EL.-10 0/OUT.EL.-101,7) -FIVE TIMES RULE MET -NO WELLS WITHIN 100'OF DRAINFIELD 5'-1"SCH40 SUPPLY/RETURN LINES -ELAPSE TIME METER AND EVENT COUNTER REQUIRED RB IS GROUND EL. T.H.1(RBM=100.0) -RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS 7YPE F p 76'i E I I SOIL LOGS O 60FT CH-48OLINEAL FEET TOTAL �\ iy `. OFT2 1) GRAVELLY SILT LOAM 0-25" .' TDA A/ '.-. O ` O MOTTLED SILT LOAM 25"` 394 2) GRAVELLY SILT LOAM 0-24TT " MOLED SILT LOAM 24 J 1 I 3) GRAVELLY SILT LOAM 0-26" I/ 104 ` 15' 18. MOTTLED SILT LOAM 26"' 1 ti/ / PROPOSED 1000GAL.PUMP CHAMBER(PUMP EL.-98.5) WET LAN" SCALE-1"=30'-O" TANK DETAIL-NO SCALE / �v rt. c .)t0rWAPr Mci er €n - ' j ' 50'BUFFER " (,n ...v r �'�' L V�1t�� >�.9..�. �. :: !i 100` \ i a` .Lq1 1 / I • SEE DEL I / � I \�`' J THIS IS NOT SURVEY: T SITE FEATURES.TOPOGRAPHY,ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM PROVIDED BY THE OWENER AND COUNTY PLANNING RECORDS AND ARE INTENDED ONLY FOR THE REVIEW AND CONSTRUCTION OF THE PROPOSED SEPTIC SYSTEM DESIGN. JIM HUNTER&ASSOCIATES RECOMMENDS THAT A LICENSED PROFESSIONAL LAND SURVEYOR ALWAYS BE USED TO SET CORNER, 7 I ESTABLISH LOT LINES.DETERMINE ELEVATIONS AND TOPOGRAPHY AND/OR PROVIDE A LEGAL SITE PLAN. NAVD88 IS UNKNOWN CONDUCTED TOPOGRAPHIC ANALYSIS OF SITE.DETERMINED TRENCH DEPTH IS SUITABLE GIVEN SITE CONDITIONS. 3714 I �• A FEE MAY BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWING 1 CLOQUALLUM RD TO A LEFT ON BULB FARM TO A JIM HUNTER AND ASSOCIATES O1 PROPOSE I RIGHT ON LOGGING RD TO LOCKED GATE(2121) P.O.BOX 162,OLY,WA 98507 753-1226 MA.DASSMA*[S WMALC0M EXISTING GRAVEL DRIVE DESIGNER-ADAM HUNTER O3 PROPOSED DRIVE CLOOUA� SEPTIC SYSTEM DESIGN FOR- _ LYNETTE ARHUTICK PROPOSED WELL SITE ADOR- 05 PROPOSED NUWATER BNR500 ATU TANK AND PUMP CHAMBER BULB FARM XX BULB FARM RD GATE(2121) LEGAL- PROPOSED DRIP DRAINFIELD(720FT2 148OLINEAL FEET) TPq 519144190030 SITED PROPOSED OSCAR X02 R/A(60OFT2)