Form 828 - Rev.12/15/09
~<lg
lJniversityColorado 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)
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D
Checked for Federal suspension and debarment (State Office) http://www.epls.gov/ Name:Ben
Qlo.:b"JW
Sco.2\--
Ro.nclri
Address:
? O.
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lg
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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\
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Total Project: _--«>_-t_....~_...,____ _
5 3
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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 PaymentApproved by ____________ _ Date: __________ _ (Program manager signature)
Colorado State Forest Service
1-9
f • IEMERGENCY SUPPLEMENTAL FUNDS
LANDOWNER ASSISTANCE PROGRAMS
ACCOMPLISHMENT REPORT FOR REIMBURSEMENT
(Page 1)Form C-ES
Project No.
530'8
4z.o-
ltY
a
(For Official UseOnly-~ 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 Cost1
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
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•
/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.
(---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
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~teto be
us~andowneris 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 $ 166.8011/1/2011 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
$
-$
-$
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$
-$
..
•
Form 828ES - Rev.01/19/10Co~
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. ovName:
'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
10 l 0 ·
ti o IVCircle one:
2ndPayment
Approved by ...
d--'tJ.~
(Program manager signature)
<:11 /}
c7·40
Total Project:
Jl:>~
7
3 l
N3rd
Payment
Final Payment
Date:
~~~J.._,_~~~,__~_/I
.
__
_
Colorado State Forest Service'
•
...
\.
.
•
Form C-ES
EMERGENCY SUPPLEMENTAL FUNDS
LANDOWNER ASSISTANCE PROGRAMS
ACCOMPLISHMENT REPORT FOR REIMBURSEMENT
(Page 1)Project No.
630
£>
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2.Q- /
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(For Official UseOnly-Applicant name (please print):
·~X\
Tu1oiou'R.
Sc
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ft
(f1
unCn /\/
No. from original application)Total
Total
Totals
Contracted
Landowner
~ .. rui""""' l c;;?,,.rui""""2A 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 Reimbursednot to exceed $470 Per Acre
,;(]
~~I-
L)
\J
I1 Any contracted services where payment was made for services. "' 2 Use up to$ 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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•
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
=
~
FORESTSERVICE
.. .
•
•
•
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.
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•
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•
•
Form 828ES - Rev.01/19/10
e
~
UniversityColorado 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
G«
~
(_()
?;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 ·
00Total 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
3rctPayment
Final Payment
Approved by ____________ _
Date: __________ _
(Program manager signature)
Colorado State Forest Service
.tatus: Closed
Page 1 of 1 Contract#: 1928731540 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 ReturnedReturned
****
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
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
$
187.656/2/2011 Matt Morgan Felling/Limbing 9
$
187.656/3/2011 Matt Morgan Slash Removal 9
$
187.656/4/2011 Matt Morgan Felling/Limbing 9
$
187.656/6/2011 Matt Brown Cutting/Slash Removal 9
$
187.656/6/2011 Matt Morgan Cutting/Slash Removal 9
$
187.656/7/2011 Matt Morgan Cutting/Slash Removal 7
$
145.956/7/2011 Matt Brown Cutting/Slash Removal 8
$
166.806/8/2011 Matt Morgan Cutting/Slash Removal 10
$
208.506/8/2011 Matt Brown Cutting/Slash Removal 10
$
208.506/9/2011 Matt Morgan Cutting/Slash Removal 9
$
187.656/9/2011 Matt Brown Cutting/Slash Removal 9
$
187.656/13/2011 Matt Morgan Cutting 8
$
166.80.011 Matt Brown Cutting 9
$
187.65011 Matt Morgan Cutting 8
$
166.806/14/2011 Matt Brown Cutting 9
$
187.656/15/2011 Matt Morgan Cutting/Slash Removal 8
$
166.806/15/2011 Matt Brown Cutting/Piling 9
$
187.656/16/2011 Matt Morgan Cutting/Piling 8
$
166.806/19/2011 Matt Morgan Cutting/Slash Removal 6
$
125.106/20/2011 Matt Morgan Cutting/Piling 9.5
$
198.086/20/2011 Matt Brown Cutting/Piling 9.5
$
198.086/21/2011 Matt Brown Slash removal 2.5
$
52.136/23/2011 Matt Brown Cutting/Piling 8
$
166.806/24/2011 Matt Brown Cutting/Piling 7
$
145.956/25/2011 Matt Morgan Cutting 8
$
166.806/25/2011 Matt Brown Cutting 8
$
166.806/26/2011 Matt Morgan Slash Removal 5
$
104.256/26/2011 Matt Brown Slash removal 5
$
104.256/28/2011 Matt Morgan cutting 2
$
41.706/29/2011 Matt Morgan Cutting 5
$
104.256/29/2011 Matt Brown Cutting 6
$
125.106/30/2011 Matt Morgan Cutting/Piling 8
$
166.80~011
Matt Brown Cutting/Piling 8.5$
$
177.23EM~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.
('
·~
\ l10(\1
L~ ~1 dci~kSigna ui'~
'"
Date By Whom: Acti~ ty/Expense: Hours Expenses
7 /1/2011 Matt Brown Cu ting/Piling 9
$
187.657/1/2011 Matt Morgan Cutting/Piling 9
$
187.657 /2/2011 Matt Brown Cutting/Piling 9
$
187.657/2/2011 Matt Morgan Cutting/Piling 9
$
187.657/3/2011 Matt Brown Cutting/Piling 9
$
187.657/3/2011 Matt Morgan Cutting/Piling 9
$
187.657/6/2011 Matt Brown Cutting/Piling 10
$
208.507/6/2011 Matt Morgan Cutting/Piling 10
$
208.507 /7 /2011 Matt Brown Cutting/Piling 8
$
166.807 /7 /2011 Matt Morgan Cutting/Piling 8
$
166.80-~
$
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
$
125.108/8/2011 Chris Seraphin Cutting - Ducker 6
$
125.108/9/2011 Rusty Batman Slash Removal Ducker 8
$
166.808/9/2011 Chris Seraphin Slash Removal Ducker 8
$
166.808/10/2011 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$
166.808/15/2011 John Kelly Cutting - Hillside Campsite 8
$
166.80.011 Rusty Batman Cutting - Smith Lodge 8
$
166.80011 Chris Seraph in Cutting - Smith Lodge 8
$
166.808/17/2011 Rusty Batman Cutting - Smith Lodge 8
$
166.808/17 /2011 Chris Seraphin Cutting - Smith Lodge 8
$
166.808/19/2011 John Kelly Cutting - Smith Lodge 8
$
166.808/21/2011 Rusty Batman Cutting - Smith Lodge 8
$
166.808/21/2011 Chris Seraph in Cutting - Smith Lodge 8
$
166.808/21/2011 John Kelly Cutting - Smith Lodge 8
$
166.808/22/2011 Rusty Batman slash removal Smith Lodge 8
$
166.808/22/2011 Chris Seraph in Cutting - Smith Lodge 8
$
166.808/22/2011 John Kelly Cutting - Smith Lodge 8
$
166.802/23/2011 Rusty Batman slash removal Smith Lodge 8
$
166.808/23/2011 Chris Seraphin Cutting - Smith Lodge 8
$
166.808/24/2011 Rusty Batman slash removal Smith Lodge 8
$
166.808/24/2011 Chris Seraphin Cutting - Smith Lodge 8
$
166.808/27 /2011 Rusty Batman slash removal Smith Lodge 8
$
166.808/27/2011 Chris Seraphin Cutting - Smith Lodge 8
$
166.808/27/2011 John Kelly Cutting - Smith Lodge 8
$
166.808/28/2011 John Kelly Cutting - Smith Lodge 8
$
166.808/29/2011 Chris Seraph in Deertrail cutting 8
$
166.80-011
John Kelly Deertrail cutting 8$
166.80011 Chris Seraphin Deertrail cutting 8
$
166.808/31/2011 Chris Seraphin Deertrail piling 8
$
166.80$
-$
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~
111
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 $ 166.809/6/2011 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 $ 166.809/10/2011 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 $ 166.80I
2/201 John elly ipp·n 8 $ 166.80I
/2011 Chris Ser ph· ipp·n 8 $ 166.80I
/2011 Rus y tmanc
ipp 8 166.809/ /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 $ 83.409/17/20 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. 02 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
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.B10/1/2011 Jo n K I ou d r otary Area B
$
66.B10/2/2011 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 1I
/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$
12011 Chris S aphin Sout sid Along BC B
$
2 1 J hn Kel y S ut sid long BC
$
B3. 10/ /2011c
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.BO10/16/2011 John Kelly Rifle Range 4
$
B3.4010/17/2011 Chris Seraph in Rifle Range B
$
166.BO10/ /2011 John Kelly Rifle Range B
$
166.BO10/lB/2011 Chris Seraph in Rifle Range B
$
166.BO 10/21/2011 Chris Seraphin Rifle Range B$
166.BO10/21/2011 John Kelly Rifle Range 4
$
B3.4010/22/2011 Chris Seraph in Rifle Range 4
$
B3.4010/22/2011 John Kelly Rifle Range B
$
166.BO10/23/2011 Chris Ser phi Rifle Range B
$
166.BO10/23/2011 John Kelly Rifle Ra g B
$
166.BO10/24/2011 Chris Seraph in Rifle a B
$
66.BO10/24/2011 John Kelly Rifle Range B
$
6 .BO10/25/2011 Chris Seraph in Nicol Entrance B
$
6 .BO10/2B/2011 Chris Seraph in Nicol Entrance B
$
6 .BO10/2B/20 John Kelly Nicol Entrance
$
. 010/29/20 1 C ris Seraph in Nicol Entrance
$
6 .BO.2011
Jo n elly Nicol Entrance 6 .BOv2011 Chris Seraphin Nicol Entrance B 6 .BO
/2011 John Kelly io t ance B
$
166.BO10/31/2011 Ch is Seraphin Nicol Entrance 6
$
125.1010/31/2011 John Kel Nicol Entrance 6
$
125.10Form 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.
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 RanchContact Person:
Leslie ThibodeauxAddress:
2331 County Road 68CCity/Zip Code:
Red Feather Lakes, CO 80545Phone (Work/Cell):
970-881-2144 (camp) 970-584-2218 (Leslie's Office)Email:
leyoung@bsamail.orgFax:
970-330-7961Community At Risk Information
Name of Project:
Ben Delatour Scout RanchCommunity Name(s):
Red Feather LakesCounty:
LarimerCongressional District:
4Latitude (decimal degrees):
40.744Longitude (decimal degrees):
-105.508Threat Description
(check all that apply)
Homes:
~
Number of: 600Infrastructure:
~
Estimated value of: 5 millionBusinesses:
~
Number of: 3Economic Viability:
~
Estimated value of: 1 mil/yearWatersheds:
~
Number of: IHistoric Structures:
~
Number of: 2Other (Describe):
Sensitive habitat in the Elkhorn Drainage for endangered Prebles Meadow Jumping Mouse hudonius preblei) and Arapahoe snowfly (Capnia Arapahoe) (listing status pending) (ZapusRequested 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
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
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) ~yesD
no
Inprogress
Is
this project part of the plan?
(check one) ~yesD
no
BDSR CWPP was completed in 2007