Forestry Intake Form

Name of Applicant *

Date

Phone Number

Cell Number

Email Address

Physical Address *

Mailing Address

County

Is this project for an HOA or subdivision?

Yes

No

Not Sure

H.O.A./Subdivision Name

Is your property part of a CWPP (Community Wildfire Protection Plan)?

Yes

No

If unsure – view http://csfs.colostate.edu/pages/CommunityWildfireProtectionPlans.html

Are there structures on the property?

Yes

No

Is there a residence on the property?

Yes

No

Is the defensible space completed?

Yes

No

Not Sure

Number of properties to be mitigated?

Average acreage of each property?

Total acres in subdivision

Estimated acres to be mitigated

Acreage of property

Directions to property

If more than one property, list owners and property addresses below

One owner/property per line separated by carriage return

All volunteer work needs to be completed 60 days after project completion. In-kind labor can be provided on your property or others within the project area. In-kind labor will be documented using CUSP in-kind form and signed by you or your representative upon completion.

Contractor work will include sawing, hauling and chipping of forest slash. All contractors will be managed by Coalition for the Upper South Platte (CUSP). Most slash will be returned to your property as wood chips, which will be piled or distributed at your direction. The 2014 projects are aimed to create defensible space around structures, fuel breaks and firebreaks, all in compliance with criteria of the Colorado State Forest Service and CUSP.

All work is to be completed by:

Please describe your project here and say what you seek to accomplish.

Attach maps, images and additional details if you wish

Maximum file size: 131.07MB

Being as specific as you can, write down a description of your property (include percent of property treed, steep slopes, rock outcroppings, drainage issues, etc.).

Are you interested in keeping felled trees for firewood?

Yes

No

Would you like to remove them yourself or would you like the trees staged somewhere?

I'll Remove

CUSP Removes

Where would you like them staged?

Lastly, what length would you like the firewood cut?

Coalition for the Upper South Platte
 PO Box 726
 38000 Cherokee Ave
 Lake George, CO 80827
 719-748-0033 
cusp@uppersouthplatte.org 
www.uppersouthplatte.org

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