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CORONADO NATIONAL FOREST Fire Plan for Galiuro Exploration Drilling Project DRAFT

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CORONADO NATIONAL FOREST

Fire Plan for Galiuro Exploration Drilling Project

DRAFT

GALUIRO EXPLORATION DRILLING

TABLE OF CONTENTS Introduction Page Fire Plan for Construction and Service Projects

• Responsibilities 3 • Tools and Equipment 3-5 • General Terms and Conditions 5-6

• Additional Fire Plan Requirements 6-7

• Fire Suppression Costs 7

• Fire Danger Rating Levels 8

o Activity Requirements by Fire Danger Rating Level 9-10

Reporting All Wildfires 11 Personnel, Equipment, and Organization 11-12

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3

FIRE PLAN FOR SPECIAL USE PERMIT AND CONSTRUCTION PROJECTS

(Ref: FSH 6309.32 and 6309.11)

1. SCOPE:

The provisions set forth below outline the responsibility for fire prevention and suppression activities and establish a suppression plan for fires within the permit area. The permitted area is delineated by map in the permit. The provisions set forth below also specify conditions under which permitted activities will be curtailed or shut down.

2. RESPONSIBILITIES:

A. Permittee/Permittee’s Agent(s):

(1) Shall abide by the requirements of this Fire Plan. Ensure that a copy of this Fire Plan and any special permits are to be known and in possession of project leader/supervisor on work site daily.

(2) Shall take all steps necessary to prevent his/her employees, subcontractors and their employees from setting fires not required in completion of the project, shall be responsible for preventing the escape of fires set directly or indirectly as a result of project operations, and shall extinguish all such fires which may escape.

(3) Shall take all steps necessary to ensure that project employees, subcontractors, and their employees are knowledgeable and comply with the requirements of the Fire Plan and the Fire Prevention Safety Measures adopted by the project.

(4) Shall permit and assist in periodic testing and inspection of required fire equipment. Permittee/Permittee’s Agent(s) shall certify compliance with specific fire precautionary measures in the fire plan, before beginning operations during Fire Precautionary Period, and shall update such certification when operations change.

(5) Shall designate in the fire plan and furnish on Project Area during operating hours a qualified fire supervisor authorized to act on behalf of the Permittee/Permittee’s Agent(s) in fire prevention and suppression matters.

(6) Shall complete the Permittee/Permittee’s Agent(s) Plan Regarding Personnel, Equipment, and Organization and shall furnish the Forest Service representative with a copy prior to commencing work at the site. Shall advise the Forest Service representative of any changes in personnel as the changes occur. Shall revise Section 7B to reflect current activities upon request of the Forest Service representative.

B. Forest Service

The Forest Service may conduct one or more inspections for compliance with the fire plan. The number, timing, and scope of such inspections will be at the discretion of agency employees responsible for permit administration. Such inspections do not relieve the Permittee/Permittee’s Agent(s) of responsibility for correcting violations of the fire plan or for fire safety in general, as outlined in paragraph 2.A above.

3. TOOLS AND EQUIPMENT:

A. The Permittee/Permittee’s Agent(s) shall comply with the following requirements during the fire precautionary period as defined by unit administering contracts unless waived in writing:

The Fire Precautionary Period is January 1 through December 31.

(1) Shall equip all diesel and/or gasoline-operated engines, both stationary and mobile, and all flues used in any contract and camp operations with spark arresters that meet Forest Service standards set forth in the National Wildfire Coordinating Group publication for Multiposition Small Engines, #430-1, or General Purpose and Locomotive, #430-2. A Spark Arrestor Guide for approved arrestors is available on line at http://www.fs.fed.us/t-d/programs/fire/spark_arrester_guides/. Spark arresters are not required on equipment powered by exhaust-driven turbo-charged engines or motor vehicles equipped with a maintained muffler as defined in Arizona Revised Statute.

(2) Shall furnish and have available for emergency use on each vehicle or piece of equipment used in conjunction with performance of the work as listed below, hand tools and/or equipment as follows:

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(a) One shovel, one axe (or pulaski), and a fully charged fire extinguisher (U.L. rated at 2-A:10-B:C, or larger) on each truck, personnel vehicle, tractor, grader and other heavy equipment.

(b) One shovel and one backpack 5-gallon water-filled tank with pump with each welder.

(c) One shovel and one pressurized chemical fire extinguisher for each gasoline-powered tool, including but not restricted to chain saws, chippers, soil augers, rock drills, etc. Fire extinguishers must be with equipment at all times. Shovel must be kept within 25 feet from each chain saw when in use.

(d) The Permittee/Permittee’s Agent(s) is required to furnish a sealed box of fire fighting tools, to be located in the operating area, at a point accessible in the event of fire. The box shall remain unlocked, but be sealed with a Forest Service seal to be broken for emergency use only. This box shall contain: • ___2__ 5-gallon, backpack pump-type fire extinguisher filled with water; • ___2__ axes; • ___3__ McCleod fire tools; • ___1__ serviceable chain saw of three and one-half or more horsepower with a cutting

bar 20 inches in length or longer; • ___5__ shovels so that each employee at the operation can be equipped to fight fire.

(e) All tools and equipment required above shall be in good workable condition and shall meet the following Forest Service requirements for fire tools: • Shovels shall be size "O" or larger and be not less than 46 inches in overall length. • Axes (or pulaskis) shall have 2-1/2 pound or larger heads and be not less than 28 inches

in overall length.

(3) UNLESS DIRECTED FOR CERTAIN OPERATIONS under Section 4 (Additional Fire Plan Requirements), the Permittee/Permittee’s Agent(s) is required to furnish a water tank truck or tank on or immediately adjacent to the project area and meet the following minimum specifications:

(a) Water tank truck and operator must be ready to put out fire at all times.

(b) Water truck or tank shall contain or meet the following specifications: • At least 300 gallons of water • A combination straight stream and fog nozzle with 300 feet of one-inch fire hose, with

no segment longer than 50 feet • Fire hose with nozzle closed shall be capable of withstanding 200 psi pump pressure

without leaking, slipping of couplings, distortions, or other failures. • Nozzle discharge rating of six to 20 gallons per minute • A pump capable of delivering 23 gallons per minute at 175 pounds psi at sea level • Power unit for pump shall have fuel for at least two hours of operation, be in good

working order, with ample transport available for immediate and safe movement of tank over roads serving the project area; pump outlet shall be equipped with 1-1/2 inch National Standard Fire Hose thread.

• The Water Truck or Trailer may not be used for other work on the contract. • When Water Truck or Trailer is used for other operations, water level must always have 300 gallons minimum at all times. • If project area is beyond 200’ of Water Truck or Trailer accessibility, a charged hose

capable of reaching 100’ beyond the project area is required.

(5) The Permittee/Permittee’s Agent(s) shall be required to furnish a Fire Patrol. When required, the sole responsibility of the patrol person shall be to patrol the operation for prevention and detection of fires, to make sure all State, County and Federal Fire regulations and Project Fire Plan conditions are met, and to take suppression action where necessary. Fire Patrol is to have a filled 5-gallon backpack pump and firefighting tools.

(a) By agreement only, one patrol person may provide patrol on this and adjacent projects. (b) The Fire Patrol may not perform other duties on the contract. (c) The Fire Patrol shall remain on duty at least one hour after the close of work or sunset

(whichever comes first) at Fire Danger Level Moderate; a Fire Patrol person is required until sunset local time at Fire Danger Level High and above

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(6) The Permittee/Permittee’s Agent(s) shall be required to furnish communications equipment as specified in Section 4j.

4. GENERAL

A. State and Federal Law: The Permittee/Permittee’s Agent(s) shall comply with all applicable laws of the State of Arizona as well as all applicable federal laws.

B. Permits Required: The Permittee/Permittee’s Agent(s) must secure written permission from the District Ranger or designated representative before engaging in any of the activities listed below. The terms and conditions of any of the permissions required for this contract are as shown on copies attached to the Fire Plan.

(1) Blasting and Storage of Explosives and Detonators (2) Burning (3) Air Pollution (Issued by local State or County Air Pollution Control Districts, as applicable.) (4) Camp, Lunch, and Warming Fires (5) Welding and Cutting.

C. Regulations for Burning: NO BURNING ALLOWED

D. Smoking and Fire Rules: Smoking shall not be permitted except in a barren area or in an area cleared to mineral soil at least three feet in diameter. In areas closed to smoking, the Forest Service representative may approve special areas to be used for smoking. The Permittee/Permittee’s Agent(s) shall sign designated smoking areas. Permittee/Permittee’s Agent(s) shall post signs regarding smoking and fire rules in conspicuous places for all employees to see. Permittee/Permittee’s Agent(s) supervisory personnel shall require compliance with these rules. Under no circumstances shall smoking be permitted while employees are operating light or heavy equipment, or walking or working in grass and woodlands. If the Coronado National forest goes into Emergency Fire Conditions, smoking is allowed in enclosed vehicles and buildings only.

E. Storage and Parking Areas: Equipment service areas, parking areas, and gas and oil storage areas shall be cleared of all flammable material for a radius of at least 10 feet unless otherwise specified by local administrative unit. Small mobile or stationary internal combustion engine sites shall be cleared of flammable material for a slope distance of at least 10 feet from such engine. The Forest Service representative shall approve such sites in writing.

F. Welding: BY PERMIT ONLY, Permittee/Permittee’s Agent(s) shall confine welding activity to cleared areas having a minimum radius of 10 feet measured from place of welding and utilize a welding tent or metal shield where possible to deflect sparks. (See Welding, Cutting & Grinding Safety –Attachment 1)

G. Blasting: NO BLASTING ALLOWED

H. Oil Filter and Glass Jugs: Permittee/Permittee’s Agent(s) shall remove all oily rags and used oil filters from the National Forest. Permittee/Permittee’s Agent(s) shall prohibit use of glass bottles and jugs on project operations.

I. Reporting Fires: As soon as feasible, after initial control action is taken, within 1 hour, the Permittee/Permittee’s Agent(s) shall notify the Forest Service of any fires along roads or project area within designated contract.

J. Communications: Permittee/Permittee’s Agent(s) shall furnish an agreed upon communication system connecting each operation with the designated Forest Service Dispatch Center. The communications system shall be capable of contacting the designated Forest Service Dispatch Center within five (5) minutes of discovery of a fire in the Permittee’s operating area. The communications system shall be operable during the Permittee's operation in the fire precautionary period.

K. Fire Patrol Person: The Permittee/Permittee’s Agent(s) shall be required to furnish a Fire Patrol. When required, the sole responsibility of the patrol person shall be to patrol the operation for prevention and detection of fires, to make sure all State, County and Federal Fire regulations and Project Fire Plan conditions are met, and to take suppression action where necessary. Fire Patrol is to have a filled 5-gallon backpack pump and firefighting tools.

(1) By agreement only, one patrol person may provide patrol on this and adjacent projects. (2) The Fire Patrol may not perform other duties on the contract. (3) The Fire Patrol shall remain on duty at least one hour after the close of work or sunset (whichever

comes first) at Fire Danger Level Moderate; a Fire Patrol person is required until sunset local time at Fire Danger Level High and above

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L. Aircraft Use Notification. A schedule of planned flights will be sent to Tucson Dispatch Center on a weekly basis. The weekly schedule will be sent via email to [email protected]. Any deviations from the weekly plan will be communicated to the Tucson Dispatch aircraft desk at (520) 202-2714. During periods the aircraft desk is not staffed, the main Tucson Dispatch phone number (520) 202-2710 should be used for notification.

Project pilots should monitor Forest Service (FS) VHF 'Victor' frequencies for firefighting in southeastern Arizona. Additional frequencies will be provided by Tucson Dispatch in the event the FS Victor frequencies are in use on other fires. Please contact the Permit Administrator, or Tucson Dispatch to obtain the frequency, it is not to be made publicly available. In the event of a wildfire or other emergency, and upon notification from Tucson Dispatch, all project aircraft shall land immediately and remain grounded until further notification. Project aircraft shall not engage in fire suppression activities.

In the event that emergency evacuation of personnel from remote work sites is necessary, notification will be made to Tucson Dispatch. Notification will include tail number, and distinctive markings of the aircraft being used, the estimated number of loads and estimated time to complete evacuations. Aircraft will establish positive communication with initial firefighting aircraft on scene of the fire, or the fixed wing “Air Attack” if one is assigned to coordinate airspace in the fire area.

5. ADDITIONAL FIRE PLAN REQUIREMENTS:

A. Red Flag Warnings: If a Red Flag Warning is issued (despite the Fire Danger Level), ALL construction work will cease until the RED FLAG warning is canceled, and the Forest Service approves a resumption of the project.

A Red Flag event is a critical combination of dry fuels and weather conditions that support extreme fire behavior. Red Flag Warnings are issued to identify Red Flag events which are highly likely, or imminent, usually within the following 12-48 hour period. Fire Weather Watches are issued to identify the elevated threat of similar conditions during the following 18-96 hour period.

In the absence of overriding input from fire management personnel, a Red Flag event is defined by the following conditions occurring simultaneously for three or more hours across any portion of a fire weather zone:

1) 20-foot winds sustained 20 mph or greater, or gusting to 35 mph or greater 2) Relative humidity of 15% or lower 3) NFDRS adjective fire danger rating of “High” or higher

B. Fire weather and activity: Project may be SHUT DOWN by the Forest Service at any time due to changes in weather conditions, active fire in the area, if the local Ranger District gets into a Drawdown condition, and/or any violations of any project requirements. Permission to resume work can only be issued by the Forest Service and shall be in writing.

C. Brush Clearance: (1) Helicopter Landing Zones shall be cleared to a minimum 3 inch depth of all fuel with a 5 foot fuel

break to mineral soil around the edge of the area. (2) Drill sites shall have a minimum 10’ clearance beyond all working operations to 1” or less stubs and

all light fuels removed including grass, needles, duff, leaves, etc. (3) Any other sites with operating internal combustion engines shall be cleared of flammable vegetation

for a slope distance of at least 10’ from such engine.

D. Handheld mechanized equipment: Equipment including chainsaws, weedeaters, or other handheld tools operated by an internal combustion engine shall operate only under the appropriate Fire Danger Levels, require a shovel, fire extinguisher, and five-gallon backpack pump to be within 25 feet of the chainsaw.

E. Welding, Cutting or Grinding: (1) Written permission from the District Ranger or authorized representative (2) A minimum 10’ radius cleared area to mineral soil, the use of a welding tent during operations, and

the surrounding area within 25’ in all directions be wet down prior to and after the welding operation with a .3% Class A Foam solution.

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(3) A charged hose from a Water Truck or tank (as described in Section 3 of the Fire Plan) and a capable operator to be within 50’ of each project area. If project is more than 200’ from Water source, the hose must be capable of reaching 100’ beyond the project site.

(4) See Attachment 1, Metal Cutting, Welding, or grinding for more specifics.

F. Heavy Equipment: Equipment including use of drill rigs, dozers, or other heavy equipment must operate under the appropriate Fire Danger Rating Level and must have a 300-gallon Water Truck or tank in the immediate vicinity of the project and an operator capable of taking suppression action if necessary.

G. Rotary Head Equipment: Equipment including mowers, flail machinery, brush hogs, masticators or other rotary head equipment

(1) Shall require a water truck, or tank (as described in Section 3 of the Fire Plan). Water Truck or Trailer will be staged immediately adjacent to the work area and ready to extinguish any fire starts.

(2) A Fire Patrol person is to follow 10-15 minutes behind the brushing operations with a required minimum two (2) filled 5-gallon backpack pump and shovel to check for any late fire ignitions.

(3) Both the Water Truck or Trailer and Fire Patrol person are to patrol the area until sunset local time. (4) No operations after 1:00 p.m. during Fire Danger Rating of High. No operations will occur at all on

Very High or Extreme days

H. Road Access: Forest Service roads shall remain open and passable within 5 minutes for emergency vehicles.

I. Fire Restrictions: At any time the Coronado National Forest enters into fire restrictions, the limitations outlined in the forest order shall apply to all operations. Exemptions as allowed under the order may be requested. Exemptions will be granted at the discretion of the District Ranger or Forest Service Representative and will be issued in writing.

6 FIRE SUPPRESSION COSTS

The USDA Forest Service reserves the right to participate in extinguishing any fires caused by the permitee’s operations. Permittee’s obligations for cost of fire suppression, and all suppression activities ordered or directed by the Forest Service, vary according to three classifications of fires as follow below:

A. Operations Fire. An “Operations Fire” is a fire caused by Contractor’s operations other than a Negligent Fire, when all requirements of this industrial fire safety plan have been met and consistently maintained by the Contractor. The Government (Forest Service) shall perform fire suppression activities on Operations Fires, under the authorities of 16 USC 572. Contractor agrees to reimburse the Forest Service for expenses incurred by the Forest Service for the cost of an operations fire to a maximum of $10,000 dollars for each occurrence.

B. Negligent Fire. A “Negligent Fire” is a fire caused by negligence or fault of the Contractor’s deficient

operations by failure to comply with all requirements of this industrial fire plan (i.e., “Fire Plan Negligence”), which results in a wildfire starting or permitting a controlled fire to spread out of control. Damages and the cost of suppressing Negligent Fires shall be borne by the Contractor. The Contractor shall also be responsible for full or partial costs and damages to any property of the USDA Forest Service or third parties caused by escaped fires resulting from Contractor’s negligence.

C. Other Fires in Immediate Area. This situation is covered under section 5.d. of this industrial fire

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7. Fire Danger Rating Levels

Fire Danger Rating Levels are updated daily and posted to the Tucson Dispatch Center website at www.aztdc.us

Fire Danger Rating and Color Code

Description

Low (L) (Green)

Fuels do not ignite readily from small firebrands although a more intense heat source, such as lightning, may start fires in duff or punky wood. Fires in open cured grasslands may burn freely a few hours after rain, but woods fires spread slowly by creeping or smoldering, and burn in irregular fingers. There is little danger of spotting.

Moderate (M) (Blue)

Fires can start from most accidental causes but, with the exception of lightning fires in some areas, the number of starts is generally low. Fires in open cured grasslands will burn briskly and spread rapidly on windy days. Timber fires spread slowly to moderately fast. The average fire is of moderate intensity, although heavy concentrations of fuel, especially draped fuel, may burn hot. Short-distance spotting may occur, but is not persistent. Fires are not likely to become serious and control is relatively easy.

High (H) (Yellow)

All fine dead fuels ignite readily and fires start easily from most causes. Unattended brush and campfires are likely to escape. Fires spread rapidly and short-distance spotting is common. High-intensity burning may develop on slopes or in concentrations of fine fuels. Fires may become serious and their control difficult unless they are attacked successfully while small.

Very High (VH) (Orange)

Fires start easily from all causes and, immediately after ignition, spread rapidly and increase quickly in intensity. Spot fires are a constant danger. Fires burning in light fuels may quickly develop high intensity characteristics such as long-distance spotting and fire whirlwinds when they burn into heavier fuels.

Extreme (E) (Red)

Fires start quickly, spread rapidly, and burn intensely. All fires are potentially serious. Development into high intensity burning will usually be faster and occur from smaller fires than in the very high fire danger class. Direct attack is rarely possible and may be dangerous except immediately after ignition. Fires that develop headway in heavy slash or in conifer stands may be unmanageable while the extreme burning condition lasts. Under these conditions the only effective and safe control action is on the flanks until the weather changes or the fuel supply lessens.

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Activity Requirements by Fire Danger Rating

Requirements at each level are in addition to those of the lower levels Level Project Activity Requirements

Low (L)

Minimum required by Section 3 1. Welding or cutting of metal only by special permit

Moderate (M)

1. Furnish Fire Patrolperson. A Fire Patrol person is required for mechanical operations from cessation of operations until 1 hour after operations cease.

2. Tank truck or Trailer shall be on or adjacent to landing (Section 3) 3. Welding, grinding or cutting of metal only by special permission

High (H)

Fire Patrolperson is required until Sunset local time.

1. The following activities may operate all day: (a) Flag and stake sensitive areas. (b) Excavation by hand. (c) Culvert installation and maintenance by hand. (d) BMP’s installed by hand. (e) Visual inspection of pipeline. (f) Hand slash disposal. (g) Removal of vegetation including brush, weeds and other organic material by hand only. (h) Hauling and loading of vegetation decked at staging areas and landings. (i) Hydro-testing and radiographic weld inspection. (j) Wrapping of rock shielding around pipeline. (k) Placement and removal of geotech fabric padding. (l) Hydro-seeding or seeding by hand. (m) Roads: dust abatement. (n) Mobilize/demobilize equipment from project area.

2. The following activities are prohibited from 1:00 p.m. until 8:00 p.m. These operations may continue after 1:00 p.m. if they meet the following requirements:

• A Fire Patrol Person (with minimum two 5 gallon back pack pumps and shovel) is required to walk all areas treated that day once per hour until SUNSET local time

(a) Chainsaw use on approved staging areas and roadbeds. (b) Mechanized loading and hauling of pipe and other materials.

3. The following activities are prohibited from 1:00 p.m. until 8:00 p.m. These operations may continue after 1:00 p.m. if they meet the following requirements:

• A Fire Patrol Person (with minimum two 5 gallon back pack pumps and shovel) is required to walk all areas treated that day once per hour until SUNSET local time

• A Water Truck/Trailer (Meeting Section 3 requirements) is within 100’ of operation • Maintain a wetted buffer of 50’ when operating any mechanical equipment or

machinery. (a) Cutting and removal of brush by chainsaw. (b) Operating weedeaters on approved staging areas and roadbeds only. (c) Potholing to locate existing utilities (d) Excavation by backhoe, dozer or other heavy equipment in cleared areas only. (e) Bank stabilization using machinery. (f) Road grading and blading by machinery. (g) Road maintenance and repair including berms, shoulder grading, washout repair, road

compaction, ditch cleaning, and rock removal. (h) Maintenance and installation of drains and culverts by machinery. (i) Dirt moving and slide removal by machinery. (j) HQ rotary core drilling. (k) Bucket auger drilling. (l) Backfilling and compaction of site. (m) Installation of inclinometers/piezometers or slide-monitoring stakes. (n) BMP installation using machinery.

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4. The following activities may operate until 1:00 p.m. only if they meet the following requirements:

• A Fire Patrol Person (with minimum two 5 gallon back pack pumps and shovel) is required to walk all areas treated that day once per hour until SUNSET local time

• A Water Truck/Trailer (Meeting Section 3 requirements) is within 100’ of operation (a) Pre/ Post construction road repair. (b) Excavation by backhoe, dozer, or other heavy equipment in uncleared areas. (c) Road clearing and pioneering in un-cleared areas. (d) Re-contouring and reshaping of roads and slopes using heavy equipment. (e) Chipping and weed eating outside of approved landings and roadbeds.

5. The following activities are prohibited all day or as conditioned:

(a) Chipping and weed eating outside of approved staging areas and roadbeds after 1:00 p.m. (b) Dead tree felling, limbing, or bucking except recently dead trees, only by special permit (c) Welding, metal grinding and cutting only by special permit

Very High (VH)

Fire Patrolperson is required until sunset local time. 1. The following activities may operate all day:

a) Loading and hauling pipe and equipment staged at approved staging areas. b) Loading and hauling approved BMP’s along cleared routes and staging areas. c) Servicing equipment at approved sites. d) Dust abatement, road maintenance (Chainsaw use prohibited), culvert installation

within cleared area, chip sealing, paving, earth moving or rock aggregate stock pile loading and installation (does not include pit or quarry development).

e) Implementation of BMP’s using hand tools. 2. Hot Saws or Masticators may operate until 1:00 PM; provided that:

a) A tractor with a blade or other equipment capable of constructing fireline is on or adjacent to the active landing or within ¼ mile of the operating equipment. This piece of equipment shall have effective communication with the Hot Saw or Masticator.

b) Any additional restrictions specified by the Forest. 3. All other conventional Mechanical Operations are permitted until 1:00 PM.

4. Some operations may be permitted after 1:00 PM, on a case-by-case basis, under the terms of a PAL Ev Variance Agreement.

Extreme (E)

Fire Patrolperson is required until sunset local time. The following activities may operate:

(a) Perform Biological Pre-Construction and clearance surveys. (b) Flag and stake sensitive areas (c) Hauling and loading of vegetation, construction materials, trash decked at identified landings

only. (d) Equipment at approved sites may be serviced. (No Welding or Grinding) (e) Roads: dust abatement or rock aggregate installation (does not include pit development) (f) Implementation of BMP’s using hand tools.

All other activities are prohibited. A limited amount of other operations may continue until 1:00 PM local time when Contractor and Forest Service agree to a specific PAL level E variance.

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8. REPORTING ALL WILDFIRES A. Permittee/Permittee’s Agent(s) employees shall report all fires to any of the following Forest Service

facilities and/or personnel listed below, but not necessarily in the order shown:

Name

Office Address and/or telephone

Home address and/or telephone

Tucson Dispatch Center

520-202-2710

District Fire Management Officer

Everett Phillips 928-719-1595

Asst District Fire Management Officer

Scott Glaspie 520-490-9518

Special Use Administrator

When reporting a fire, provide the following information;

Your Name; Call back telephone number; Project name; Location; Legal description (Township, Range, Section); and Descriptive location (Reference point); Fire Information; Acres; Rate of spread; and Wind conditions.

B. Permittee/Permittee’s Agent(s) Plan Regarding Personnel, Equipment and Organization.

The Permittee/Permittee’s agent(s) shall, prior to commencing work, furnish the following information relating to key personnel, tools, and equipment available for the purpose of fighting wild fires within and adjacent to the Project Area:

(1) Key Personnel: (In order of call preferences)

Title Name Address and/or telephone

Fire Supervisor Fire Patrolperson

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(2) Personnel and Equipment

Fire Fighters/Positions: Equipment: Type, Make & Model

Equipment Type

Extinguisher

Manufacturer/Model Number Spark Arrestor Make/Model # or Equipment Turbo Charged

Exempt

Serviceable Shovel/Axe/Extinguisher

*Approved Spark Arrestor Guide List is available on line at:

http://www.fs.fed.us/t-d/programs/fire/spark_arrester_guides/

Permittee Name (Print) : ___________________________________ (Signature):_________________________________________________ Date:____________________ Permittee’s Agent(s) Name (Print) : ___________________________________ (Signature):_________________________________________________ Date:____________________ Terms Approved By: Fire Management Rep. Name (Print) ____________________________________ (Signature): _________________________________________________Date: ____________________ Authorizing Officer. Name (Print) ____________________________________ (Signature): _________________________________________________Date: ____________________

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