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 Drop a file here or click to upload Choose File Maximum upload 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 reCAPTCHA If you are human, leave this field blank.