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nne <br />Burn Boss Name(s}: i Justin Sykora <br />#Needed Position I <br />wi <br />�� <br />� <br />� <br />E <br />� <br />E # Needed <br />.� <br />� <br />' �i�j� <br />rn <br />it f# I <br />Burn Crew <br />Equipment Type <br />Slip on pumper units, Backpacks, Drip Torches <br />m <br />ment Needs <br />conduct burn <br />Operations Plans <br />O11 C011lpl@t@d (e.g. fire breaks, fuel reduction, etc.): Appropriate fire breaks around site <br />Ig�tl�iDnlFiEi�g P1111 (e.g. provisionsfor a testfire, firing pattern, preferredwind direction, hazardslspeciaiconsiderations): Specifics determined at <br />time of burn; general plan is backfire till safe, flank both sides, strip headfires till complete <br />HOldlllg �I�fM (e.g. holding lines, personnel): Specificsdetermined attime of bum <br />Fatr�If6A��-u� ��dMi (e_g. mop-up process, patrol instructions): Personal will be kept on-site tiii completely extinguished <br />Contingency Plans <br />Where rFee@eat, consider secondarycontrol lines, confingency resources, trigger points, backup plan for equipmentfailure, etc.: <br />Specifics Determined at time of burn <br />Smoke Management Plan <br />Where needed, describe how you intend to mitigate the effects of smoke on roads, neighbors and other sensitive areas: <br />Adjacent landownerscontacted, Deploy Smoke on Road signs, Conducting bum with appropriate wind directions. <br />Safety Plan <br />As needed, identify safely zones, escape routes, and communications: Safety zones and escape routes will be determinedon site prior to <br />communications be cell phone; emergency medical kits on site <br />❑ Project Map (required) <br />Prepared by: JuStlll Sykora <br />List of Attachments <br />� Fire Behavior Calculations (optiona� Other: <br />Signatures <br />�rit��. Land Management Supervisor Date: <br />DNR Reviewed by: ��'}� �f � Tk���; ���� �.� �ate: 3;�,;J _ C� <br />❑ Minnesota Open Burning Permit issued L� �.pCal permit required f�om: ��� � �,� ��� �' D, <br />Contact �Cambridae (763-689-7'i163, 0 Liftle Falls (320-61Fr2459), or �] Sandstone (32Q245-6789) fOC day-of-burn ��it BCiiyatipfl <br />To be Completed by DNR Forestry Office: Bum Complexity ; Low � Moderate ❑ High ❑ <br />