Att_4_WI_Job_Sheet_-_338_url_edits.pdf

USDA-NRCS January 2011 Wisconsin Job Sheet 338

Prescribed Burn Plan Wisconsin Job Sheet 338

Natural Resources Conservation Service (NRCS) Wisconsin

Plan must be submitted 30 days prior to implementation. Date Received: ______________ Note: Do not leave any items blank.

Landowner/Operator: ____________________________________ Date: ______________________

Address: ____________________________________________________________________________

Phone Number: ______________________________________________________________________

E-mail: _____________________________________________________________________________

Responsible Entity (individual/organization): ________________________________________________

Address: ____________________________________________________________________________

Phone Number: ______________________________________________________________________

Burn location address (include fire number): ______________________________________________

County: __________________ Twp ____N Range ____ E W ____1/4 Section _________

Program (if applicable): CRP WRP CSP WHIP Other: ________________________

Objective of the burn (e.g., remove duff/stimulate warm season grasses/control invasives):

Vegetation/site description: List all dominant species, density, and height (e.g., Indian grass, big bluestem 5 ft tall; 25% Switchgrass, etc.). Be Specific: ________________________________________

Preferred Date (Mo/Yr) Window of Burn: ___________________

Alternate Date (Mo/Yr) Window of Burn: ____________________

Burn Plan Map: ATTACH AND LABEL an aerial photo (http://websoilsurvey.nrcs.usda.gov, http://msrmaps.com/, http://maps.google.com/, or other map site) identifying all of the following items. All items listed below MUST be addressed on the map.

• Location of burn unit; acres to be burned: _________.

• Type, size, and location of the firebreaks (minimum width 2 times the vegetation height).

• Test burn location according to preferred wind direction.

• Slope considerations (for aspect and percent, use soil or topographic maps).

• Areas needing special protection from smoke and/or fire (roads, buildings, power poles, etc.).

List any special concerns or smoke considerations: ____________________________________ .

• Property boundaries, escape routes, safety zones, water resources, hazards, fences.

• Access roads to burn unit.

Notification requirements:

• County Sheriff dispatch phone: ____________________________________________________

• Township Fire Department phone: _________________________________________________

• DNR (if applicable) phone: _______________________________________________________

• Neighbors (all within ¼ mile) phone: ________________________________________________

• Emergency contacts: ____________________________________________________________

Continue on last page if more space is needed.

http://websoilsurvey.nrcs.usda.gov/� http://msrmaps.com/� http://maps.google.com/�

PERMITS NEEDED (List all appropriate permits.)

Permitter/Person (if known) Phone Number Obtained

Burn Boss (if known): ________________________ Qualifications: __________________________

Minimum personnel required to conduct burn (4 minimum): _______________________

Burn Personnel Qualification(s)

Safety and Burn Equipment (list number of each item needed):

___Drip Torch

___Backpack Pump

___Flappers

___Rakes

___ATV

___Pumper Truck

___Portable Pump

___2-Way Radios

___Chainsaw

___Drinking water

___Flags for highway

___Pulaski

___Fire Shelter

___Cell Phones

Additional: First Aid Kit, Weather Kit, Personal Safety Gear (leather gloves, hightop lace-up leather boots, natural fiber clothing/nomex, hat, lighters, wire cutters, drinking water, eye protection).

Communications Plan (radio requirement, cell phones, etc.): _________________________________

Acceptable Conditions: Document actual conditions in the Go/No Go checklist (page 4) on the day of the burn. If any of the following constraints cannot be met or are on the edge of the limits for more than one parameter, do not burn that day. (Red Flag Conditions: Temp >80° F or Wind >18 mph or Relative Humidity <25%; Avoid light and variable winds; DO NOT burn within 12 hours of an approaching weather front or during Orange/Red Air Quality days (see link below).

• Temperature 40-80°F.

• Preferred steady wind 3-18 mph from _____. Indicate direction on burn plan map. Other acceptable direction(s) for burning are: _____________________________________________ .

• Relative humidity 25-60%.

• All attempts will be made to complete the burn before dusk. _____ initial

Useful prescribed fire websites:

• Weather: http://www.srh.noaa.gov/ridge2/fire/briefing.php or http://dnr.wi.gov/topic/ForestFires/restrictions.asp

• Fire Danger/Permits: http://dnr.wi.gov/topic/ForestFire/permits.html

• Wisconsin Prescribed Fire: http://www.prescribedfire.org

• Wisconsin Air Quality Hotline: 1-866-324-5924 or http://dnr.wi.gov/topic/airquality/status.asp

• Smoke web site: http://shrmc.ggy.uga.edu/maps/vsmoke.html

• DNR Fire Management Guidelines: http://dnr.wi.gov/forestmanagement/documents/guidelines/chapter17.pdf http://shrmc.ggy.uga.edu/maps/vsmoke.html� http://www.srh.noaa.gov/ridge2/fire/briefing.php http://dnr.wi.gov/topic/airquality/status.asp http://dnr.wi.gov/topic/ForestFire/permits.html http://dnr.wi.gov/topic/ForestFires/restrictions.asp

Ignition Plan Narrative: Identify sequence of the burn on the attached Burn Plan Map. Are backing fires and head fires labeled? Include blackline considerations.

Mop-up Plan (identify mop-up concerns and length of observation).

Contingency Plan: what if something goes wrong? (especially consider any areas adjacent to the burn unit that may require attention such as CRP fields, pine plantations, label secondary control lines, etc.).

Additional Considerations (refuge, cultural resources, threatened or endangered species, etc.).

Certification: I acknowledge that I may be held liable for any and all damages and/or suppression costs if the fire escapes, smoke damage occurs, or accidents are caused as a result of the prescribed burn.

Landowner Signature Date Plan Written By Date

NRCS Review - Meets 338 Prescribed Burning Standard NRCS Job Approval Level Date

Continue on last page if more space is needed.

Continue on last page if more space is needed.

Continue on last page if more space is needed.

GO/NO GO CHECKLIST

Date of Burn: _________________ Time of Burn: ________________

All burn plan personnel are on site.

All personnel have appropriate safety gear.

All personnel have been briefed and aware of their assignments and the burn unit.

All personnel are aware of the objectives, ignition plan, extra resources, escape routes, and safety zones.

All necessary permits and approvals have been obtained.

All pre-burn contacts have been made (dispatcher/local fire department).

Adequate burn map provided to all personnel.

All smoke management specifications are met and addressed.

Wind Direction (within burn plan specifications); Actual direction on site:__________ Wind Speed (3-18 mph); Actual wind speed on site:__________ Relative Humidity (25-60%); Actual RH on site:___________ Temperature (40˚-80˚F); Actual temperature on site:___________

Above weather parameters are within burn plan prescription.

All of the necessary equipment is available and operational.

The contingency plan and available resources have been discussed and are available.

All fire prescription elements are met.

Burn Boss Date

POST-BURN RESULTS (IMMEDIATE)

Crew members: ______________________________________________________________________

Equipment: __________________________________________________________________________

Were Burn Objectives Met? Explain: _____________________________________________________

Fire Behavior: ________________________________________________________________________

Recommended Changes: ______________________________________________________________

Time fire was completed and out: _________________

POST-BURN RESULTS (DELAYED: 30-90 DAYS)

Narrative (%shrubs/trees killed, other vegetative responses, future recommendations, etc.):

The USDA is an equal opportunity provider and employer.

CONTINUATION SHEET