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Form 828 - Rev.12/15/09

~<lg

lJniversity

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPE): Forest Restoration Grant (SB71 and HB1199)

Volunteer or Rural Fire Assistance (a.k.a.: VFA/RFA) Insect and Disease Prevention and Suppression Program State Fire Assistance (a.k.a.: SFA)

Front Range Fuels Treatment Partnership (a.k.a.: FRFTP) Stevens Fuels Treatment Funds

Cooperative Fire Agreement (Active Fire Suppression Cooperators;

CRS#R-24-103-206-01)

Emergency Supplemental Funds (a.k.a.: ESF)

v

D

Checked for Federal suspension and debarment (State Office) http://www.epls.gov/ Name:

Ben

Qlo.:b"JW

Sco.2\--

Ro.nclri

Address:

? O.

~)(

\\lo

lg

GmJR,16

1

(0

1{1oSJ.

The above named has submitted a project application that has been reviewed and approved by the Colorado State Forest Service for funding from Federal Assistance.

Grant Number:

5

30

~4W -

18

Cooperator Match:

lt Y,D~

t ·

c:w

<k.?

l

A 00 qr :1 ,

11'

I . 't)Q Approved Funding: <-pQ

,u\

D ·

Total Project: _--«>_-t_....~_...,

____ _

5 3

.AC-ll\ 1'

1 _ , ,,r. ~

<tr?.L

0

L-i . &O

CSFS Account Number: __ v_~l.l.V

___

~l.U~UL~'1 __

v

Amount of Payment: _4P_~_g""'· ... _,..__ - Ii~~---Circle one: 1st Payment 2nd Payment 3rd Payment

Approved by ____________ _ Date: __________ _ (Program manager signature)

Colorado State Forest Service

(2)

1-9

f • I

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT FOR REIMBURSEMENT

(Page 1)

Form C-ES

Project No.

530'8

4z.o-

ltY

a

(For Official Use

Only-~ f)e !~ ~(J .,.--

< "../)..

,.~ ~.

,. / _

No. from original application)

Applicant name (please print):

__...4:Ef]._"'"""""Ll"--'=---lu.""'_ .... 71!..;;;_;;__1 __ c-JCC)_---'-... _('_-'----~-... If)

Total

Total

Totals

Contracted

Landowner

~ v

.

1 ,., , ___ 2 A Labor Cost= Labor Cost

1

J

~(pz_.

b°V

17/Lf.

.So

(Actual)

Operating ExpJ, • B Oper. Exp.=

(Actual)

Project Cost C Total Pr~iect

(A+B) =

7,

J

/t{ ·

b{)

Amount Originally Approved =

'3{

,D\0.

DO

Amount to be Reimbursed

not to exceed $470 Per Acre

Jf

3

fR&

2. •

le

1.)

1 Any contracted services where payment was made for services.

2 Use up to $ 20.85/hour for Landowner time. This is the maximum allowable.

3 Equipment rental, supplies, etc. needed to complete project. (Tools and Equipment purchases are not reimbursable.)

4 Reimbursement amount cannot exceed amount approved. Requests for partial payments will be considered on a case by case basis. 5 Reimbursement amount cannot exceed $470/acres for Emergency Supplemental Funds.

contractor costs, your time ledger, gas, oil, etc). Keep copies for your files. Date:

<8

/?!

/t

z._.

All expenses are true and accurat

Mailing Address:

-~--'d----'-ft,,-"'-'-~-~----'--

=--ig=-s_1'1-_Pt>;___t3--'x;_;_/_1

_u_~

Councy: - - - State:

CD

Zip:

@?U'

3

2-

Phone:

Practice certified

by: ~

-.,...~'~~' 4,..-""'aL-._~(,,._~, ~' ,J~A'""~4.t--r

k\c

_,.. __

~ester

~

Payment Approval:--- Amount: ____ _ Date: ___ _

CSFS program manager

Return this form, along with your completed Cost Documentation Form to your local Colorado State Forest Service District Office. Retain documentation such as receipts and payment for six (6) years. The IRS considers reimbursable funds as ordinary income. Please consult your tax advisor.

(3)

(---EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT (page 2)

Project No.

5

30

iL\

'2D -

l6

To be completed by CSFS forester:

WUI D-space Accomplishment:

No. ofD-spaces = ___ _ Acres slash disposal= ___ _ Acres fuel breaks =

----Acres thinned = Acres runed =

I & D Prevention and Suppression Accomplishment: No. of infested trees treated: ___ _ Acres inspected and treated: /

Q

Acres thinned: __ _

Accomplishment (Not included above) - LOA Practice Number:

#I

Plan Acres=

#5

Acres=

#9

Acres treated

=

#2 Acres tree planting

=

#6

Acres treated =

#IO

Acres of restoration

=

Acres treated =

#7

Acres treated

=

#I I

Acres=

#3 Acres treated

=

#8

Acres treated =

#4 Acres planted/ renovated =

eor

SERVICE

(4)

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

COST DOCUMENTATION

Form D-ES

I have incurred the following expenses for completion of the LOA Program practice for which I have been

funded.

These expenses are itemized below.

L~te

to be

us~andowner

is doing the work is $20.85/hr.

Separate expenses by

~ ~ ~g

~ty;

}g_~h

receipts.

Lan4f>wner Signature

J

Date By Whom: Activity/Expense:

I

Hours Expenses 11/1/2011 Chris Seraphin Nicol Entrance v 8 $ 166.80

11/1/2011 John Kelly Nicol Entrance 4 $ 83.40

11/2/2011 Chris Seraphin Nicol Entrance 8 $ 166.80

11/2/2011 John Kelly Nicol Entrance 4 $ 83.40

11/3/2011 Chris Seraph in Nicol Entrance 8 $ 166.80

11/3/2011 John Kelly Nicol Entrance 4 $ 83.40

11/4/2011 Chris Seraphin Nicol Entrance 8 $ 166.80

11/4/2011 John Kelly Nicol Entrance 4 $ 83.40

11/5/2011 Chris Seraphin Nicol Entrance 8 $ 166.80

11/5/2011 John Kelly Nicol Entrance 4 $ 83.40

11/7/2011 Chris Seraph in Piling/Slash 4 $ 83.40 11/8/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/8/2011 John Kelly Piling/Slash 4 $ 83.40

11/9/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/9/2011 John Kelly Piling/Slash 4 $ 83.40

11/10/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/10/2011 John Kelly Piling/Slash 4 $ 83.40

11/11/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/11/2011 John Kelly Piling/Slash 4 $ 83.40

11/14/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/14/2011 John Kelly Piling/Slash 4 $ 83.40

11/15/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/15/2011 John Kelly Piling/Slash 4 $ 83.40

11/16/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/16/2011 John Kelly Piling/Slash 4 $ 83.40

11/17/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/17/2011 John Kelly Piling/Slash 4 $ 83.40

11/18/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/18/2011 John Kelly Piling/Slash 4 $ 83.40

11/19/2011 Chris Seraphin Piling/Slash 8 $ 166.80

11/19/2011 John Kelly Piling/Slash 4 $ 83.40

11/21/2011 Chris Seraphin Slash removal 8 $ 166.80 11/21/2011 John Kelly Slash removal 8 $ 166.80 11/22/2011 Chris Seraphin Slash removal 8 $ 166.80 11/22/2011 John Kelly Slash removal 8 $ 166.80 11/29/2011 Chris Seraphin Slash removal 8 $ 166.80 11/30/2011 Chris Seraphin Slash removal 8 $ 166.80

$

-$

-$

(5)

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

COST DOCUMENTATION

FormD-ES

I have incurred the following expenses for completion of the LOA Program practice for which I have been

funded. These expenses are itemized below. Labor rate to be used iflandowner is doing the work is $20.85/hr.

Separate expenses by

co"QcJM~

receipts.

Landowper Signature /

Date By Whom: Activity/Exflense:

J

Hours Expenses 12/1/2011 Chris Seraphin Piling Nicol sites 4 $ 83.40 12/2/2011 Chris Seraphin Piling Nicol sites 4 $ 83.40 12/5/2011 Chris Seraphin Piling Nicol sites 4 $ 83.40 12/6/2011 Chris Seraphin Piling Nicol sites 4 $ 83.40 12/7/2011 Chris Seraphin Piling Nicol sites 6 $ 125.10 12/8/20111 Chris Seraphin Slash Removal 8 $ 166.80 12/8/2011 John Kelly Slash Removal 8 $ 166.80 12/9/2011 Chris Seraphin Slash Removal 8 $ 166.80 12/9/2011 John Kelly Slash Removal 4 $ 83.40 12/12/2011 Chris Seraphin Nicol Cutting 4 $ 83.40 12/12/2011 John Kelly Nicol Cutting 4 $ 83.40 12/13/2011 Chris Seraphin Nicol Cutting 8 $ 166.80 12/13/2011 John Kelly Nicol Cutting 4 $ 83.40 12/14/2011 Chris Seraphin Nicol Cutting 8 $ 166.80 12/14/2011 John Kelly Nicol Cutting 4 $ 83.40 12/15/2011 Chris Seraphin Nicol Cutting 8 $ 166.80 12/15/2011 John Kelly Nicol Cutting 4 $ 83.40 12/16/2011 Chris Seraphin Nicol Cutting 8 $ 166.80 12/16/2011 John Kelly Nicol Cutting 4 $ 83.40 12/19/2011 Chris Seraphin Limbing/Piling/Slash 8 $ 166.80 12/19/2011 John Kelly Limbing/Piling/Slash 8 $ 166.80 12/20/2011 Chris Seraphin Limbing/Piling/Slash 4 $ 83.40 12/20/2011 John Kelly Limbing/Piling/Slash 4 $ 83.40 12/21/2011 Chris Seraphin Limbing/Piling/Slash 4 $ 83.40 12/21/2011 John Kelly Rifle Range 4 $ 83.40

$

-$

(6)

..

Form 828ES - Rev.01/19/10

Co~

e

University

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPE): Bureau of Land Management Task Order Program

Volunteer or Rural Fire Assistance (a.k.a.: VFA/RFA) Forest Land Enhancement Program (a.k.a.: FLEP) Insect and Disease Prevention and Suppression Program State Fire Assistance (a.k.a.: SFA)

Front Range Fuels Treatment Partnership (a.k.a.: FRFTP) Stevens Fuels Treatment Funds

Cooperative Fire Agreement (Active Fire Suppression Cooperators;

CRS#R-24-103-206-01)

Emergency Supplemental Funds (a.k.a.: ESF)

l!J

Checked for Federal sus ension and debarment State Office htt p ) p ://www .e Is. ov

Name:

'f?e_.a

~:\-CU< ~\

RC:i\tb

Address:

?-D

80~

l l lJiLP

v

Gre~

CD

7D03:Z

Approved for Payment

C.S.F.S.

fV 1~3

77(, 5

I~

-19-

Jr1

~

The above named has submitted a project application that has been reviewed and

approved by the Colorado State Forest Service for funding from Federal Assistance.

Grant Number:

5

36~Lf

20-1

D -

Fe..

Approved Funding:

$1

3l

1

0 l 0 ·

ti o IV

Circle one:

2nd

Payment

Approved by ...

d--'tJ.~

(Program manager signature)

<:11 /}

c7·40

Total Project:

Jl:>

~

7

3 l

N

3rd

Payment

Final Payment

Date:

~~~J.._,_~~~,__~_/I

.

__

_

Colorado State Forest Service'

(7)

...

\

.

.

(8)

Form C-ES

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT FOR REIMBURSEMENT

(Page 1)

Project No.

630

£>

{i

2.Q- /

b

~

(For Official Use

Only-Applicant name (please print):

·~X\

Tu1oiou'R.

Sc

ij1

ft

(f1

unCn /\/

No. from original application)

Total

Total

Totals

Contracted

Landowner

~ .. rui""""' l c;;?,,.rui""""2

A Labor Cost=

Labor Cost

;)

5Lo~ ~-D:J

J51oy5,

oo

(Actual) Operating Exp3' •

\l\J2-,

L\

D

B Oper. Exp.=

It

D2.

t.tO

(Actual)

Project Cost C Total Project

(A+B) =

~l

l

~Lll -

L\\)

Amount Originally Approved =

3\.D \

t),

OU /

Amount to be Reimbursed

not to exceed $470 Per Acre

,;(]

~~I-

L)

\J

I

1 Any contracted services where payment was made for services. "' 2 Use up to$ 20.85/hour for Landowner time. This is the maximum allowable.

3 Equipment rental, supplies, etc. needed to complete project. (Tools and Equipment purchases are not reimbursable.)

4 Reimbursement amount cannot exceed amount approved. Requests for partial payments will be considered on a case by case basis. 5Reimbursement amount cannot e~ceed $470/acres for Emergency Supplemental Funds.

*Attach receipts, Cost Docu t tion Form D-ES (contractor costs, your time ledger, gas, oil, etc). eep copies for your files.

't

Al~nses are true and accurate and all cost share is true and accurate.

~ailing l~ress:

'£[)

\?;o1'

11

lD

lo

county: state:

CO

Zip:

B OloZ)2

city

6rfdey

~

Phone:

9J0-.33J-&3D!j

Payment Approval:

~~:..-=:r;o=--~h.£==--==---

Amount:to-17,

.J~l.

Yo

Date:

P~o;/tf

fV

this form, along with your completed Cost Documentation Form to your local Colorado State Forest Service District Office. ain documentation such as receipts and payment for six (6) years. The IRS considers reimbursable funds as ordinary income. Please consult your tax advisor.

J33 l

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Rd

(g

8C.-Qcd

~

La.,tQ~

J

~ Bo~4fJ

LGY'

l'Y\Q;f

twV\

tv\

(9)
(10)

EMERGENCY SUPPLEMENT AL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT (page 2)

Project No.

5

6~L{

20 ,

l<D

To be completed by CSFS forester:

WUI D-space Accomplishment:

No. ofD-spaces = _ _ _ _ Acres slash disposal = _ _ _ _ Acres fuel breaks = ___ _

Acres thinned= Acres runed =

I & D Prevention and Suppression Accomplishment:

No. of infested trees treated: ___ _ Acres inspected and treated:

{JJ

Acres thinned: __ _

Accomplishment (Not included above) - LOA Practice Number:

#1 Plan Acres= #5 Acres= #9 Acres treated =

-#2 Acres tree planting = #6 Acres treated

=

# 10 Acres ofrestoration = -Acres treated = #7 Acres treated = # 11 Acres = _ _ _

#3 Acres treated = #8 Acres treated =

#4 Acres planted/ renovated

=

~

FOREST

SERVICE

(11)

.. .

(12)

Form C-ES

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT FOR REIMBURSEMENT

(Page 1)

Project No.

630

<()

Lf

2.Q- /

b

(For Official Use

Only-Applicant name (please print):

Tun

TuhinuR

~

IJl

ft

a?uncn

No. from original application)

Total

Total

Totals

Contracted

Landowner

C1 • ·~n 1 ~ • 2

~ ,..,

.,

..

A Labor Cost=

Labor Cost

~ 5lo~

5,[i)

;25!l)l/j.

oo

(Actual) Operating Expj· •

\1\J2-.

L\

D

B Oper. Exp.=

II D2.

LtO

(Actual)

Project Cost C Total Project

(A+B)=

~110q1

·

L\t

Amount Originally Approved =

3\.tJ\ O,

o-0

Amount to be Reimbursed not to exceed $470 Per Acre

JI

~

Ltl · L)

\J

I

1 Any contracted services where payment was made for services.

2 Use up to $ 20.85/hour for Landowner time. This is the maximum allowable.

3 Equipment rental, supplies, etc. needed to complete project. (Tools and Equipment purchases are not reimbursable.)

4 Reimbursement amount cannot exceed amount approved. Requests for partial payments will be considered on a case by case basis.

5 Reimbursement amount cannot e ceed $470/acres for Emergency Supplemental Funds.

Al~'t.Q are true and accurate and all cost share is true and accurate.

~ailing

Address:

'£()

fu).

11

W

lP

county: state:

C:O

Zip:

B Olo02.

Practice certified

by:~.~-

(__

~LLiJr

City6rfdey

Phone:

9JQ-

33J-

~

d

05

ores/er

Payment Approval:--- Amount: ____ _ Date: ____ _

CSFS program manager

m this form, along with your completed Cost Documentation Form to your local Colorado State Forest Service District Office. in documentation such as receipts and payment for six ( 6) years. The IRS considers reimbursable funds as ordinary income. ase consult your tax advisor.

:233 1

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Red

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(13)

(14)

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

ACCOMPLISHMENT REPORT

(page

2)

Project No.

5

6~

L{

20 ···

l

CO

To be completed by CSFS forester:

WUI D-space Accomplishment:

No. ofD-spaces = ___ _ Acres slash disposal = ___ _ Acres fuel breaks =

----Acres thinned = Acres runed =

~ D Prevention and Suppression Accomplishment:

No. of infested trees treated: ___ _ Acres inspected and treated:

{if)

Acres thinned:

---Accomplishment (Not included above) - LOA Practice Number:

#1 Plan Acres= #5 Acres= #9 Acres treated =

-

--#2 Acres tree planting= #6 Acres treated = # 10 Acres ofrestoration = _ _ _

Acres treated = #7 Acres treated = #11 Acres= _ _ _ #3 Acres treated = #8 Acres treated =

#4 Acres planted/ renovated =

~

SERVICE

(15)

(16)

Form 828ES - Rev.01/19/10

e

~

University

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPE): Bureau of Land Management Task Order Program

Volunteer or Rural Fire Assistance (a.k.a.: VFA/RFA) Forest Land Enhancement Program (a.k.a.: FLEP) Insect and Disease Prevention and Suppression Program State Fire Assistance (a.k.a.: SFA)

Front Range Fuels Treatment Partnership (a.k.a.: FRFTP) Stevens Fuels Treatment Funds

Cooperative Fire Agreement (Active Fire Suppression Cooperators;

CRS#R-24-103-206-01)

Emergency Supplemental Funds (a.k.a.: ESF)

v

D

Checked for Federal suspension and debarment (State Office) http://www.epls.gov/

Name:

'f?e_a

~:\D.X ~}

RCr\6-J

Address:

?.D.

tsO't-

l

\lo

lo

~

(_()

?;003~

The above named has submitted a project application that has been reviewed and

approved by the Colorado State Forest Service for funding from Federal Assistance.

Grant Number:

5

36~

Lf 20-1

D

Approved Funding:

31 3

l

J ()

l

0 ·

00

Total Project:

Jb

2

7

3

L/

7 ·

4:

O

CSFS Account Number:

536&4ZD- Lo -

loLtC[:SAmount of Payment:

J1;l_7,

34] · i.{O

Circle

one:~

2"' Payment

3rct

Payment

Final Payment

Approved by ____________ _

Date: __________ _

(Program manager signature)

Colorado State Forest Service

(17)
(18)

.tatus: Closed

Page 1 of 1 Contract#: 192873

1540 RIVERSIDE AVE FT. COLLINS, CO 80524 970-282-0700 phone

970-282-0607 fax Date Out: Fri 9/9/2011 4:15PM Operator: Charles T Burnette Terms: On Account

BestRentalinc.com Sent out:. ___ _ Checked in:

-..---(Customer# 46455) Meter Out: ___ _ Meter in: -330-6305 FAX 330-7961

LONGS PEAK COUNCIL BOY SCOUT

PO BOX 1166 Picked up By: JOE DEFRANCO

Qty 1

1

2215 23RD AVE (PHYSICAL) Greeley, CO 80631

Key Items Rented

CHIP2 CHIPPER, BRUSH, BANDIT 65XP B2 Meter out: 125.8 Meter in: 131.3 Total hours on meter: 5.5 Owners manual is on the machine, read and follow all safety insturctions. WEAR EYE PROTECTION, HEARING PROTECTION & GLOVES Hydraulic feed rollers only run at full engine RPM. Customer Initial

IDLE Diesel Engine down before shutting off & TURN OFF THE KEY, Thanks CHIP1 CHIPPER, BRUSH, BANDIT 65XP B1

Meter out: 91.0 Meter in: 100.0 Total hours on meter: 9.0

WEAR EYE PROTECTION AND HEARING PROTECTION, GLOVES HYDRAULIC FEED ROLLERS RUN AT FULL ENGINE R.P.M. IDLE DIESEL ENGINE DOWN BEFORE SHUTIING OFF ENGINE Follow safety insturctions provided: Customer initial

I

Status Returned

Returned

****

PLEASE PAY BY THIS INVOICE

****

RENT AL CONTRACT

If equipment does not function properly notify lessor within 30 minutes of occurrence or no refund or allowance will be made. If this is a reservation, a reservation cancellation fee up to 1 /2 of the total amount may be charged if reservation is canceled within 72

hours of the scheduled "time and date out''.

1. Charges are for portal to portal TIME OUT, NOT TIME USED, including any period Best Rental is closed. 2. A day rate consists of 24 hours time out, or 8 hours run time on the metered items, whichever comes first.

Overtime rates are prorated for each additional hour at 1 hour intervals.

3. Credit or replacement adjustments will be made for items found defective only if we are notified within one half hour of occurrence.

4. Renter acknowledges that he has had the opportunity to inspect the equipment. and finds it suitable for his needs and in good working condition, and that he has received verbal and or written instructions on the proper use of the equipment.

Initial. ___ _

's signature below binds renter to the terms and conditions on the back side of this contract, e no oral unwritten agreements.

I certify that I have read and agree to all terms of this contract.

SIGNATURE:

LONGS PEAK COUNCIL BOY SCOUTS

Returned Date 9/12/11 10:00am 9/23/11 3:28pm Rental w/ 5% Disc: Damage Waiver: Sales: Delivery Charge: Misc. Charges: Subtotal: SMM tax 2%: EXEMPT, Church &

TOTAL:

PAID:

AMOUNT DUE:

Printed on 9/23/2011 3:32:45 pm Store Hours: Monday - Saturday 7am-6pm, Sunday: Closed

Rental Fee $0.00 $1,520.00 $1,520.00 $152.00 $0.00 $0.00 $0.00 $1,672.00 $30.40 $0.00 $1,702.40 $0.00 $1,702.40 Modification #8

(19)
(20)

EMa;ENCY SUPPLEMENTAL

FUND~

LANIMWNER ASSISTANCE PROGRA~

COST DOCUMENTATION

ave incurred the following expenses for completion of the LOA Program practice for which I have been

ed.

These expenses are itemized below.

Labor ~

be used iflandowner is doing the work is $20.85/hr.

Separate expenses by

co1YJ'~ ~ (a;t~vi~.

1

1h

receipts.

1'~~d01VU'eVSign

11 life

Date By Whom: Activity/Expense: Hours Expenses

6/1/2011 Matt Morgan Felling/Limbing 9

$

187.65

6/2/2011 Matt Morgan Felling/Limbing 9

$

187.65

6/3/2011 Matt Morgan Slash Removal 9

$

187.65

6/4/2011 Matt Morgan Felling/Limbing 9

$

187.65

6/6/2011 Matt Brown Cutting/Slash Removal 9

$

187.65

6/6/2011 Matt Morgan Cutting/Slash Removal 9

$

187.65

6/7/2011 Matt Morgan Cutting/Slash Removal 7

$

145.95

6/7/2011 Matt Brown Cutting/Slash Removal 8

$

166.80

6/8/2011 Matt Morgan Cutting/Slash Removal 10

$

208.50

6/8/2011 Matt Brown Cutting/Slash Removal 10

$

208.50

6/9/2011 Matt Morgan Cutting/Slash Removal 9

$

187.65

6/9/2011 Matt Brown Cutting/Slash Removal 9

$

187.65

6/13/2011 Matt Morgan Cutting 8

$

166.80

.011 Matt Brown Cutting 9

$

187.65

011 Matt Morgan Cutting 8

$

166.80

6/14/2011 Matt Brown Cutting 9

$

187.65

6/15/2011 Matt Morgan Cutting/Slash Removal 8

$

166.80

6/15/2011 Matt Brown Cutting/Piling 9

$

187.65

6/16/2011 Matt Morgan Cutting/Piling 8

$

166.80

6/19/2011 Matt Morgan Cutting/Slash Removal 6

$

125.10

6/20/2011 Matt Morgan Cutting/Piling 9.5

$

198.08

6/20/2011 Matt Brown Cutting/Piling 9.5

$

198.08

6/21/2011 Matt Brown Slash removal 2.5

$

52.13

6/23/2011 Matt Brown Cutting/Piling 8

$

166.80

6/24/2011 Matt Brown Cutting/Piling 7

$

145.95

6/25/2011 Matt Morgan Cutting 8

$

166.80

6/25/2011 Matt Brown Cutting 8

$

166.80

6/26/2011 Matt Morgan Slash Removal 5

$

104.25

6/26/2011 Matt Brown Slash removal 5

$

104.25

6/28/2011 Matt Morgan cutting 2

$

41.70

6/29/2011 Matt Morgan Cutting 5

$

104.25

6/29/2011 Matt Brown Cutting 6

$

125.10

6/30/2011 Matt Morgan Cutting/Piling 8

$

166.80

~011

Matt Brown Cutting/Piling 8.5

$

$

177.23

(21)
(22)

EM~ENCYSUPPLEMENTALFUND~

LANiMWNER ASSISTANCE PROGRA~

COST DOCUMENTATION

ave incurred the following expenses for completion of the LOA Program practice for which I have been

These expenses are itemized below. Labor ra

~ to

be used if landowner is do'

ed.

g the work is $20.85/hr.

Separate expenses by compo

nc

nt (activity).

Atta<~

n rec ·

s.

('

·~

\ l1

0(\1

L~ ~1 dci~kSigna ui'~

'"

Date By Whom: Acti~ ty/Expense: Hours Expenses

7 /1/2011 Matt Brown Cu ting/Piling 9

$

187.65

7/1/2011 Matt Morgan Cutting/Piling 9

$

187.65

7 /2/2011 Matt Brown Cutting/Piling 9

$

187.65

7/2/2011 Matt Morgan Cutting/Piling 9

$

187.65

7/3/2011 Matt Brown Cutting/Piling 9

$

187.65

7/3/2011 Matt Morgan Cutting/Piling 9

$

187.65

7/6/2011 Matt Brown Cutting/Piling 10

$

208.50

7/6/2011 Matt Morgan Cutting/Piling 10

$

208.50

7 /7 /2011 Matt Brown Cutting/Piling 8

$

166.80

7 /7 /2011 Matt Morgan Cutting/Piling 8

$

166.80

-~

$

(23)
(24)

EM~ENCYSUPPLEMENTALFUND~

LAN:iM'WNER ASSISTANCE

PROGRAMI'

COST DOCUMENTATION

ave incurred the following expenses for completion of the LOA Program practice for which I have been

ed. These expenses are itemized below. Labor rap :o be used iflandowner is do in e work is $20.85/hr.

Separate expenses by compo . nt (activity). Attach rece· .

\~N \r~

La~ d~r

'SigliaturP'

~.

Date By Whom: Acti ity/Expense: Hours Expenses

8/8/2011 Rusty Batman Cutting - Ducker 6

$

125.10

8/8/2011 Chris Seraphin Cutting - Ducker 6

$

125.10

8/9/2011 Rusty Batman Slash Removal Ducker 8

$

166.80

8/9/2011 Chris Seraphin Slash Removal Ducker 8

$

166.80

8/10/2011 Rusty Batman Slash Removal Hillside Campsite 8

$

166.80 8/10/2011 Chris Seraph in Cutting - Hillside Campsite 8

$

166.80 8/13/2011 Rusty Batman Slash Removal Hillside Campsite 8

$

166.80 8/13/2011 Chris Seraph in Cutting - Hillside Campsite 8

$

166.80 8/14/2011 Rusty Batman Slash Removal Hillside Campsite 8

$

166.80 8/14/2011 Chris Seraph in Cutting - Hillside Campsite 8

$

166.80 8/15/2011 Rusty Batman Slash Removal Hillside Campsite 8

$

166.80 8/15/2011 Chris Seraph in Cutting - Hillside Campsite 8

$

166.80

8/15/2011 John Kelly Cutting - Hillside Campsite 8

$

166.80

.011 Rusty Batman Cutting - Smith Lodge 8

$

166.80

011 Chris Seraph in Cutting - Smith Lodge 8

$

166.80

8/17/2011 Rusty Batman Cutting - Smith Lodge 8

$

166.80

8/17 /2011 Chris Seraphin Cutting - Smith Lodge 8

$

166.80

8/19/2011 John Kelly Cutting - Smith Lodge 8

$

166.80

8/21/2011 Rusty Batman Cutting - Smith Lodge 8

$

166.80

8/21/2011 Chris Seraph in Cutting - Smith Lodge 8

$

166.80

8/21/2011 John Kelly Cutting - Smith Lodge 8

$

166.80

8/22/2011 Rusty Batman slash removal Smith Lodge 8

$

166.80

8/22/2011 Chris Seraph in Cutting - Smith Lodge 8

$

166.80

8/22/2011 John Kelly Cutting - Smith Lodge 8

$

166.80

2/23/2011 Rusty Batman slash removal Smith Lodge 8

$

166.80

8/23/2011 Chris Seraphin Cutting - Smith Lodge 8

$

166.80

8/24/2011 Rusty Batman slash removal Smith Lodge 8

$

166.80

8/24/2011 Chris Seraphin Cutting - Smith Lodge 8

$

166.80

8/27 /2011 Rusty Batman slash removal Smith Lodge 8

$

166.80

8/27/2011 Chris Seraphin Cutting - Smith Lodge 8

$

166.80

8/27/2011 John Kelly Cutting - Smith Lodge 8

$

166.80

8/28/2011 John Kelly Cutting - Smith Lodge 8

$

166.80

8/29/2011 Chris Seraph in Deertrail cutting 8

$

166.80

-011

John Kelly Deertrail cutting 8

$

166.80

011 Chris Seraphin Deertrail cutting 8

$

166.80

8/31/2011 Chris Seraphin Deertrail piling 8

$

166.80

$

-$

(25)
(26)

EM9;ENCY SUPPLEMENTAL

FUND-LAN.i)'f)WNER ASSISTANCE PROGRAM!i!ll'

COST DOCUMENTATION

incurred the following expenses for completion of the LOA Program practice for which I have been funded. These

nses are itemized below. Labor rate to be used if

I~

is doing the work is $20.85/hr. Separate expenses by

component (activity &?ch recp

ts>;---I I I

1~

1

11

T~ ll ~ , ~/~j ~n: lfll ~ / I ..., Ig 3

Date By Whom: dttivity/Expense: Hours Expenses

/3/20 1 Chris Seraphin Deertrail piling 8 166.

/3/20 1 Jo n elly Deertrail piling 8 $ 166.8

/4/2011 Chris Serap i Weaver lake cutting 8 166.8

9/4/2011 Jo n elly erl e cu ing 8 $ 166.80

9/5/2011 Chris Seraphin a er Lake c in 8 $ 166.80

9/5/2011 Rusty Batman e er I k c in 8 $ 166.80

/5/2011 Jo n elly Weaver lake cutting 8 $ 166.80

I

/2011 Chris Seraphin Weaver lake cutting 8 $ 166.80

9/6/2011 Rusty Batman Weaver lake cutting 8 $ 166.80

Best Rental - Chipper $ 1,702.40

9/10/2011 Chris Seraphin Chipping 8 $ 166.80

I

0/2011 Rusty Batman Chipping 8 $ 166.80

9/10/2011 John Kelly Chipping 8 $ 166.80

9/11/2011 Chris Seraphin Chipping 8 $ 166.80

9/11/2011 Rusty Batman Chipping 8 $ 166.80

11 John Kelly Chipping 8 $ 166.80

11 Chris Seraphin Chipping 8 $ 166.80

I

2;2011 Rust tman ipping 8 $ 166.80

I

2/201 John elly ipp·n 8 $ 166.80

I

/2011 Chris Ser ph· ipp·n 8 $ 166.80

I

/2011 Rus y tman

c

ipp 8 166.80

9/ /2011 Chris eraphi ipp 8 $ 166.80

9/1 /2011 usty Batman

c

ipp" 8 $ 166.80

/15/2011

c

is Serap i Sp ce Cutti g/Pili 4 $ 83.40

9/17/20 1 Rusty Batman Spence Cutting/Piling 8 $ 166.80

/1 /20 1 Chris Serap i Spence Cutting/Piling 4 $ 83.40

9/17/2011 John Kell Spe ce Cutting/Piling 8 $ 166.80

9/18/2011 Rusty Batman Spence Cu ing/Pilin 8 $ 166.80

9/18/2011 Chris Seraphin Spence Cutting/Pil"ng 8 $ 166.80

/1 /20 1 John Kelly Spence Cutting/Piling $ 166.80

/19/20 1 C r's Seraphin Spence Cutting/Piling 8 $ 166.80

/19/2011 John Kelly Spence Cutting/Piling $ 66. 0

9/2 /201 Chris Seraphin Spence Cutting/Piling $ 166. 0

9/23/2011 Jo n Kelly Spence Cutting/Piling 166. 0

9/24/2011 Chris Seraphin Boulder Rotary Area 8 $ 166.80

9/24/2011 John Kelly Boul er otary Area 8 $ 166.80

1011

Chris Seraphin oulder ot ry Area 8 $ 166.80 011 John Kelly oulder ot ry rea 8 $ 166. 0

2 h is S raphin Boulder Rotary re 4 $ 83.40

9/26/2011 John elly Boulder Rota rea 8 $ 166.80

9/30/2011 Chris Sera in Boulder Rotary rea 8 $ 166.80

9/30/2011 John e ly Boulder Rota rea 8 $ 166.80

(27)
(28)

EM~ENCYSUPPLEMENTALFUND~

LANftll'5WNER ASSISTANCE

PROGRA:t\llJ

COST DOCUMENTATION

ave incurred the following expenses for completion of the LOA Program practice for which I have been

ed. These expenses are itemized below Labor rate to be used if landowner is doing the work is $20 85/hr

Separate expenses. by compo e 1 t (activity). Attach receipts.

(/ 'rQ7

l

I

(~ ~,

'-'Jfollilw~1r--8ignatu~

e vv

Date By Whom:

\\11

ivity/Expense: Hours Expenses 0/1/ 011 Chri Ser p in Boulder Rotary Area B

$

66.B

10/1/2011 Jo n K I ou d r otary Area B

$

66.B

10/2/2011 Chris Seraphin OU d R ta y r B

$

166.B 10/2/2011 o n K I Bou der Rotary Area B

$

166.BO 1 /3/20 1 Ch is ra hin Boulder Rotary Area B

$

166.BO 1 /3/2011 John Kelly Boulder Rotary Area 4

$

B3.40 1

I

/2011 Chris Seraphin Boulder Rotary Area B

$

166.BO 10/7/2011 John Kelly Boulder Rotary Area 4

$

B3. 0 10/B/2011 Chris Seraphin Southside Along 6BC B 1 6. 0 10/B/2011 John Kelly Southside Along 6BC B 16 . 0 10/9/2011 Chris Seraph in Southside Along 6BC B 16 . 0 10/10/2011 Chris Seraph in Southside Along 6BC B

$

10/10/2011 John Kelly Southside Along 6BC 4

$

B3. 10/11/2011 Chris Seraph in Sout side Alon BC B

$

1

2011 Chris S aphin Sout sid Along BC B

$

2 1 J hn Kel y S ut sid long BC

$

B3. 10/ /2011

c

is Se a i S ut sid Ion B

$

B3. 10/15/2011 John Kelly Southside Along 6BC

$

B3.40 10/16/2011 Chris Seraphin Rifle Range B

$

166.BO

10/16/2011 John Kelly Rifle Range 4

$

B3.40

10/17/2011 Chris Seraph in Rifle Range B

$

166.BO

10/ /2011 John Kelly Rifle Range B

$

166.BO

10/lB/2011 Chris Seraph in Rifle Range B

$

166.BO 10/21/2011 Chris Seraphin Rifle Range B

$

166.BO

10/21/2011 John Kelly Rifle Range 4

$

B3.40

10/22/2011 Chris Seraph in Rifle Range 4

$

B3.40

10/22/2011 John Kelly Rifle Range B

$

166.BO

10/23/2011 Chris Ser phi Rifle Range B

$

166.BO

10/23/2011 John Kelly Rifle Ra g B

$

166.BO

10/24/2011 Chris Seraph in Rifle a B

$

66.BO

10/24/2011 John Kelly Rifle Range B

$

6 .BO

10/25/2011 Chris Seraph in Nicol Entrance B

$

6 .BO

10/2B/2011 Chris Seraph in Nicol Entrance B

$

6 .BO

10/2B/20 John Kelly Nicol Entrance

$

. 0

10/29/20 1 C ris Seraph in Nicol Entrance

$

6 .BO

.2011

Jo n elly Nicol Entrance 6 .BO

v2011 Chris Seraphin Nicol Entrance B 6 .BO

/2011 John Kelly io t ance B

$

166.BO

10/31/2011 Ch is Seraphin Nicol Entrance 6

$

125.10

10/31/2011 John Kel Nicol Entrance 6

$

125.10

(29)
(30)

Form A-ES

~

EMERGENCY SUPPLEMENTAL FUNDS

LANDOWNER ASSISTANCE PROGRAMS

APPLICATION

SERVICE

PROJECT

NUMBER:5308420-l 8

(For Official Use Only)

NAME:

Ben Delatour Scout Ranch

MAILING ADDRESS:

2331 County Road 68C

City:

Red Feather Lakes

State:

CO

Zip code:

80545

TELEPHONEN0:~(9_7~0)_8_8_1-_2_14_4

______________

_

PROJECT ADDRESS/LEGAL DESCRIPTION:

Lat. 40.744 Long. -105.508

PRACTICES TO BE COMPLETED BY:

09/01/2012

Date

Landowner and CSFS forester:

Practice No.

&

Quantity

Component Title

Requested

LOA 7&9: Forest

$31,010

Health and Fire Risk

Reduction

CSFS forester:

Quantity

Approved

$31,010

Total:$31,010

Request for financial assistance under the Emergency Supplemental LOA program is to meet the

objective stated in the management plan. I will not receive more than the actual cost up to $4 70 per acre.

I understand that I will not be reimbursed for any expenses incurred prior to approval of my application. Work must be completed according to approved plan and application, and must meet the

standard set for each component. Practices must be maintained for a minimum of 10 years. Requests for partial payments will be approved on a case by c se basis.

LANDOWNER SIGNATURE:

DATE:

3 .. J.

'1 -

I

I

To be completed by CSFS forester:

CSFS FIELD REVIEW SIGNATURE: __________

DATE: _ _ _

_

(Additional USFWS guidelines addressed)

I

PROGRAM:

ESF:

Funding Allocated: ___________ AMOUNT:"""""$ _ _

DATE: ___

_

CSFS District Forester

Program eligibility is without regard to race, color, religion, national origin, age, gender, sexual orientation, veteran status or disability. For more information contact your local Colorado State Forest Service District Office.

(31)

Colorado State Forest Service

DISTRICT'S: Please Complete

1

2

3

District Submitting Project:

Forester Submittiniz Proiect:

Emergency Supplemental

District Priority Number:

Date Submitted:

2011 Grant Application

FOR REVIWER'S USE ONLY:

Rating:

Applicant Information

Applicant:

Ben Delatour Scout Ranch

Contact Person:

Leslie Thibodeaux

Address:

2331 County Road 68C

City/Zip Code:

Red Feather Lakes, CO 80545

Phone (Work/Cell):

970-881-2144 (camp) 970-584-2218 (Leslie's Office)

Email:

leyoung@bsamail.org

Fax:

970-330-7961

Community At Risk Information

Name of Project:

Ben Delatour Scout Ranch

Community Name(s):

Red Feather Lakes

County:

Larimer

Congressional District:

4

Latitude (decimal degrees):

40.744

Longitude (decimal degrees):

-105.508

Threat Description

(check all that apply)

Homes:

~

Number of: 600

Infrastructure:

~

Estimated value of: 5 million

Businesses:

~

Number of: 3

Economic Viability:

~

Estimated value of: 1 mil/year

Watersheds:

~

Number of: I

Historic Structures:

~

Number of: 2

Other (Describe):

Sensitive habitat in the Elkhorn Drainage for endangered Prebles Meadow Jumping Mouse hudonius preblei) and Arapahoe snowfly (Capnia Arapahoe) (listing status pending) (Zapus

Requested Grant Amount I Project Description

All lnformadon for the project must flt lnto the space provided below. The review committee will not consider attachments.

Dollar Amount Requested May Not Exceed $470 x Number of Acres Proposed For Treatment

Dollar Amount Requested $90,000

I

Projected Match: $43,000

Will this Project be conducted as a Pass-Through Grant?

0

Yes

~

No

Provide a brief overview of the project and the project area. (If applying for a fuels reduction project,

identify vegetation types)

The proposed project is located on the Ben Delatour Scout Ranch (BDSR). The ranch consists of 3200 acres oflower montane ponderosa pine and Douglas fir forest intermixed with aspen, juniper and woodland shrubs and open meadows. The project entails thinning 652 acres to: 1. Protect improvements from wildfire, 2. Restore stand structures to historical

conditions, 3. Improve wildlife habitat and 4. Maintain and improve forest and watershed health.

A critical management concern for the BDSR is managing the potential fuel build-up created from tree mortality caused by mountain pine beetle (MPB). A MPB epidemic was declared in Larimer County in the lodgepole pine type in 2007.

Subsequently MPB have spread to lower elevations and are aggressively attacking ponderosa pine. All of the ponderosa pine on the BDSR property is susceptible to attack by MPB.

This proposed project is consistent with BDSR's Forest Management Plan.

Page 1of4 3/1 /2011

(32)

Scope of Work

I

Project Timeline

All Information for the project must lit Into the space provided below. Attachments will not be considered by the review committee.

Provide a brief scope of work that clearly describes how grant funds will be spent. (This should be more

specific than the project description)

4

The current forest structure varies considerably from relatively open stands with few trees to the acre to very dense overstocked stands having 700-1000 trees per acre. The proposed treatment includes 652 acres of :

• 17 acres in 3 stands where most of the trees have been killed by MPB. The tree boles will be removed and the slash piled.

• 210 acres in 3 stands where a moderate thinning is prescribed and slash piled.

• 425 acres in five stands where ponderosa pine killed by MPB will be cut, removed and the slash piled.

General thinning guidelines will promote retention of the larger diameter, dominate and healthiest ponderosa pine, reduction and or elimination ofladder fuels and where possible create gaps in the forest canopy. Conifer will be removed when competing with aspen clones. Limber Pine will be retained. Healthy, young trees that are not currently ladder fuels will be preserved. Thinning will generally be designed for a spacing of 25 'x 25' but to retain the best quality trees spacing variances of ±20% will be allowed. Some clumping of trees will be promoted to create a natural appearing forest condition and discourage regular spacing as in a plantation.

Thinning guidelines will be compliant with CSFS recommendations for achieving forest restoration and Fire-Safe Defensible space. In addition, the thinning will reduce mistletoe and promote retention of the healthiest trees providing resiliency and possible survival from MPB.

Piling will be completed by hand in conjunction with the thinning operation. Piles will be compact and a minimum of 6'x6'x6' in size. Piles will be constructed to facilitate burning with minimal scoring and burn damage to the residual stand. Burning will be done under permit from Larimer County and in compliance with Colorado State Air Quality standards. Work will be completed as detailed below:

• Felling: The Longs Peak Council will be hiring staff that will be directly responsible for felling trees as well as, recruiting individuals to assist with the felling of those trees. Generally anticipate that felling will be done by hand using chainsaws.

• Piling: Volunteers from the Scout Camp and Alternative Sentencing Unit (ASU) will be used to stack the slash.

• Pile Burning-Volunteers from the Longs Peak council will burn the piles when conditions are appropriate. • Biomass removal - Volunteers from the Longs Peak Council will remove biomass - firewood and logs for milling.

Describe all planned long-term maintenance (grant funded or other).

The project area will be maintained with forest health and visitor safety in mind. Continual upkeep of the project area will be a priority. Light maintenance thinning is prescribed at 20 to 30 year intervals.

What is the duration of this project? (check one) Dt Year

02

Years

~

3Years

Is this a continuing project from previous year/s? (check one)

DY es

~

No

Provide a timeline for the project

Cutting will begin immediately upon the award notification. The cutting will be ongoing based on the health and status of the trees on the property. Stacking and biomass removal will begin immediately following the felling of the trees. Burning will be conducted as weather permits. Product will be made available to the local community and utilized by the Scout Ranch for building projects and firewood.

Page 2of4

(33)

Interagency Collaboration

Specify the private, local, tribal, county, state, federal and/or non-governmental

(50lc3)

organizations

that will contribute to or participate in the completion of this project. Describe briefly the contributions

each partner will make

(i.e. - donating time/equipment, funding, etc.).

5

•Longs Peak Council(LPC), Boy Scouts of America, will provide staff to fell, limb and buck the trees. LPC will provide free room and board for staff working on this project.

• LPC will also donate time through volunteers to remove wood and treat slash. They will also be donating the use of vehicle and equipment for this project.

• Larimer County Alternative Sentencing Unit will donate time through volunteers to assist in stacking slash and biomass removal.

• Colorado State university- Will provide student volunteers to assist with the wood gathering and slash treatment. •Front Range Community College - Will provide student volunteers to assist with the wood gathering and slash

treatment.

Community Wildfire Protection Plan (CWPP)

Does this community have a wildfire protection plan that follows the Healthy Forest Restoration Act

CWPP guidelines?

(check one) ~yes

D

no

In

progress

Is

this project part of the plan?

(check one) ~yes

D

no

BDSR CWPP was completed in 2007

Project Category

(check

all

that apply and answer related questions)

Hazard Fuels Reduction

~

Other Forest Management Treatment

~

6

17 ac @ $350/ac

Number of acres to be treated:

652

Estimated cost per acre:

210 ac @$300/ac

425 ac @ $ 75/ac

WtAv

=

$266.58/ac

-

Project Type

(check

all

that apply)

Defensible Space

~

Thinning w/o Product

~

Fuelbreak

~

Mastication

D

Thinning w/ Product

~

Other (pile and burn)

~

Total Project Expense

(Pass Through)

Please fill

Grant Share

TOTAL

all fields

($ Amount Requested)

7

Contractual Services:

$ 0

TOTAL:

$0

$ 0

Grant funding may only be used for Contractual Service.

Page 3of4

3/1/2011

(34)

Total Project Expense

(Non-Pass Through)

Please fill

Grant Share

TOTAL

al/fields

($

Amount Requested)

8

Contractual Services:

$55,000

$ 0

Indirect Costs:

$45,825

$ 0

TOTAL:

$100,825

$ 0

Grant funding may only be used for Contractual Service and Indirect.

Attach Project Map Showing Specific Treatment Areas

Page 4of4

3/1 /2011

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