PRESCRIBED FIRE PLAN TYPE 3 Project Name Land Owner Fire Protection Agency(ies) Allenspark FPD (303) 747-2586 n/a Type of Burn Project Complexity Low Planned Implementation Dates to Prepared by: Name Title Agency Signature Date Reviewed by: Name Title Agency Signature Date Name Title Agency Signature Date APPROVED by: Name Name Title Title Agency Agency Signature Signature Date Date Name Name Title Title Agency Agency Signature Signature Date Date NOTICE: The approved Prescribed Fire Plan constitutes a delegation of authority to burn. No one has the authority to burn without an approved plan or in a manner not in compliance with the approved plan. Actions taken in compliance with the approved Prescribed Fire Plan will be fully supported. Personnel will be held accountable for actions taken which are not in compliance with elements of the approved plan regarding execution in a safe and cost-effective manner. Burn plan approvals are valid for 5 years from date of first approval signture. FIRE OUT CERTIFICATION This certifies that all fire in the project area is out, and further patrol and/or mop-up activities are no longer needed. Projects with multiple units burned or multiple burn dates may require additional copies of Fire Out Certification forms. Once a burn is declared out, a copy of the signed Fire Out Certification form will be sent to the FMO within 24 hours. Name Title Agency Signature Date PRESCRIBED FIRE PLAN TYPE 3 Time PAGE 1 OF 7 BURN INFORMATION BURN INFO PROJECT INFORMATION Project type Pile Burn Project property ownership BCPOS Project Size feet Acres acres Number of Piles piles BURN INFO Linear feet Other size description Project Location Property name (if BCPOS) Project address Latitude degrees Longitude decimel seconds north degrees Legal description R 74W Elevation range feet to Average slope % decimel seconds west S1 QS NW BURN INFO T 3N feet GOALS & OBJECTIVES Primary project goal Natural fuel reduction (ecosystem managment) BURN INFO If goal is “other,” specify: Project objectives Objective #1 Objective #2 BURN INFO Objective #3 Desired season(s) Desired month(s) PAGE 2 OF 7 BUR PRESCRIBED FIRE PLAN TYPE 3 BURN INFO Desired year(s) SCHEDULING Implementation Season(s) Implementation Dates Ignition Times Length of Ignition Length of Burnout FUEL MODELS to to 14:00 20:00 PARAMETERS (ADJACENT FUEL MODEL) FIRE BEHAVIOR Maximum Desired FIRE BEHAVIOR Maximum Desired Flame Length (ft) 12 3 Flame Length (ft) 12 3 PIG (%) 40 PIG (%) 40 100 ROS (chns/hr) FUELS (%HRTL) Min Max Desired FUELS (%HRTL) Min 1-hour 100-hour 100-hour 1000-hour 1000-hour Live Live Minimum Maximum WEATHER Temp (F) RH (%) RH (%) Cloud Cover (%) Cloud Cover (%) WIND Maximum mph Directions allowed WIND 20-foot 20-foot Transport Transport Desired Minimum Maximum Maximum mph Directions allowed NOTIFICATIONS (970) 295-6800 (303) 441-4444 (303) 782-8278 (303) 441-1564 Allenspark FPD (303) 747-2586 n/a Phone Boulder Daily Camera (303) 442-1202 BURN INFO Longmont Times-Call (303) 776-2244 KBCO (303) 631-2973 n/a Phone PAGE 3 OF 7 BUR PRESCRIBED FIRE PLAN TYPE 3 Phone BURN INFO Agency Fort Collins Interagency Dispatch Boulder County Communications CDPHE/APCD Boulder County Health Department Fire Protection Agency #1 Fire Protection Agency #2 Media Newspaper Newspaper Radio Television Smoke Sensitive Individuals BURN INFO Temp (F) Max BURN INFO 1-hour WEATHER 100 ROS (chns/hr) BURN INFO PARAMETERS (PRIMARY FUEL MODEL) Primary Fuel Model Secondary Fuel Model Tertiary Fuel Model Adjacent Fuel Model BURN INFO BURN INFORMATION CONTINUED OPERATIONS PLANS OPERATIONS PLAN OPERATIONS PLANS Site Preparation Ignitions / Firing Plan OPERATIONS PLAN Holding / Patrol / Mop-Up Plan OPERATIONS PLAN Smoke Management Plan PAGE 4 OF 7 OPERATIONS PLAN PRESCRIBED FIRE PLAN TYPE 3 OPERATIONS PLANS CONTINUED OPERATIONS PLAN Escaped Fire Plan OPERATIONS PLAN OPERATIONS PLAN Communications Plan PAGE 5 OF 7 OPERATIONS PLAN PRESCRIBED FIRE PLAN TYPE 3 OPERATIONS PLANS CONTINUED OPERATIONS PLAN Safety Plan OPERATIONS PLAN NOTES Smoke Receptor Proximity to (distance) and Direction from Burn PERSONNEL Ignitions Mop-Up RESOURCE Ignitions Mop-Up 0 0 n/a 0 0 n/a n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 n/a 0 0 PRESCRIBED FIRE PLAN TYPE 3 PAGE 6 OF 7 OPERATIONS PLAN RESOURCES NEEDED OPERATIONS PLAN SMOKE RECEPTORS INCIDENT MEDICAL PERSONNEL Name Location Paramedic Yes No Yes No Yes No TRANSPORTATION Ground Ambulance(s) Name, Address, Phone Number Paramedics (303) 413-8685 N/A Yes No Yes No Air Ambulance(s) Name, Address, Phone Number St. Anthony's, Lakewood North Colorado MedEvac AirLife Denver Paramedics (720) 321-3900 BCH 4747 Arapahoe Ave., Boulder Medical Center of Aurora, Aurora (800) 247-4357 (303) 360-3400 Yes No Yes No Yes No Incident Ambulance(s) Name Location Paramedic Yes No N/A Yes No MEDICAL FACILITIES Travel Time (mins) Air Ground Facility Name, Address, Phone Number (720) 848-0747 Burn Center University Hospital 1635 Aurora Court, Aurora St. Anthony's 11600 West 2nd Place, Lakewood (303) 629-3511 Level I Level 3 BCH Foothills 4747 Arapahoe Ave., Boulder Yes Yes Yes Yes Yes (720) 854-7000 Level 2 Good Samaritan 200 Exempla Cir, Lafayette (303) 689-4444 Level 3 Longmont United 1950 Mtn. View Ave. (303) 651-5000 Helipad No No No No No Name Location Description Latitude Longitude Air-Grnd Freq MEDICAL EMERGENCY PROCEDURES PAGE 7 OF 7 MEDICAL PLA PRESCRIBED FIRE PLAN TYPE 3 MEDICAL PLAN MED-EVAC LZs MEDICAL PLAN None Type/Level MEDICAL PLAN AMR Boulder 3800 Pearl Street, Boulder, CO Flight for Life MEDICAL PLAN MEDICAL PLAN
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