T&PN-61-002_FireNotificationForm_20240513

Facility Fire Occurrence Notification
Division of Waste Management (DWM) - Solid Waste Section
This form is used for solid waste management facilities to submit to the Division of Waste Management (DWM)
Solid Waste Section a written notification of a fire at a solid waste management facility. Verbal notification is
required within 24 hours of the fire. This form must be submitted to DWM within 15 days of the fire.
County:*Permit/Site ID:*
Facility Name:*
Date of Fire:*Time of Fire:*
Reporting Method:*
Who reported the fire to
DWM?*
Title/Affiliation:*
DWM Staff Notified:*
Location:*
Type(s) of Waste:*
Amount of Waste:*Units:*
Size of Fire:*Units*
Cause of Fire:*
Actions Taken:*
Could fire have been
prevented?*
Plan for Prevention:*
Name:*
Title/Affiliation:*
Phone:*Email:*
Date:*
Facility Information
Mitchell T&PN-61-002
McClure Gravel Yard
04/28/2024 5:00 PM
How was the fire initially reported to DWM?
N/A
Provide the name of the person who gave 24-hour notice to DWM:
N/A
Provide the title or site affiliation of the person who gave 24-hour notice to DWM:
N/A
Provide the name of the DWM staff person that was given 24-hour notice:
N/A
Where at the facility did the fire occur?
Stump & Brush Pile
What type(s) of waste caught fire?
Stump & Brush Pile
Estimate the amount of waste that was burning
3000
tons
cu yds
Estimate the size of the area that was burning:
1/3
acres
sq ft
What was the cause of the fire?
Unclear. Possibly Spontaneous Combustion.
List the actions taken to put out the fire and minimize damage:
Local Fire Department & Forest Service.
What could have been done to prevent this fire?
Pile was checked everyday, even on Sunday. On the Date of the fire, Sunday April
28 2024, I personally checked it at 7:00AM, there was no sign of smoke or steam.
Describe the plan of action to prevent future incidents:
Currently checking on the cost of having a sprinkler system installed.
Provide the name of the person submitting this form:
Daniel McClure
Provide the title or site affiliation of the person submitting this form:
Owner
828-766-6169 [e-mail]
05/07/2024
DWM Information
This Section to be completed by the Solid Waste (SW) Section Regional Staff receiving the fire notification form
from facility staff.
SW Staff Name:*
Date Form Received:*
Follow-up required?*
Additional Factors:
Actions Required:
Comments:
Summer Justice
05/13/2024
none submittal
return visit phone call
meeting other
List any factors not provided that might have contributed to the fire or that might prevent future fires:
List any additional actions taken but not mentioned above, or that DWM is requiring: