2709.11_41.2_exhibit03
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FOREST SERVICE HANDBOOK
ALASKA REGION (REGION 10)
JUNEAU, ALASKA
FSH 2709.11 – SPECIAL USES HANDBOOK
CHAPTER 40 – SPECIAL USES ADMINISTRATION
Supplement No.: R-10 2709.11-2006-5
Effective Date: December 22, 2006
Duration: This supplement is effective until superseded or removed.
Approved: /s/ Paul K. Brewster (for)
DENNIS E. BSCHOR
Regional Forester
Date Approved: 12/06/2006
Posting Instructions: Supplements are numbered consecutively by Handbook number and
calendar year. Post by document; remove the entire document and replace it with this
supplement. Retain this transmittal as the first page(s) of this document. The last R-10
Supplement to this Handbook was 2709.11-2006-4 to chapter 40.
New Document
2709.11_41.2_exhibit03
3 Pages
Superseded Document(s) by
Issuance Number and
Effective Date
2709.11,41 Exhibit03 (2709.11-2003-4,
6/30/2003)
2709.11_41.2_exhibit04 (2709.11-2003-5,
6/30/2003)
8 Pages
3 Pages
Digest:
This supplement removes 41.2_exhibit03 – FS-2700-4, Special Use Permit for ANILCA cabins.
Users must use the Special Uses Data System (SUDS) to ensure development of the most current
version of an authorization.
Renumbers 41.2_exhibit04 – R10-2700-16 (Alaska Region Outfitter/Guide Performance
Evaluation) to now be 41.2_exhibit03.
R-10 SUPPLEMENT 2709.11-2006-5
EFFECTIVE DATE: 12/22/2006
DURATION: This supplement is effective until superseded or removed.
2709.11_41.2_exhibit03
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FSH 2709.11 – SPECIAL USES HANDBOOK
CHAPTER 40 – SPECIAL USES ADMINISTRATION
41.2 – Exhibit 03
R10-2700-16, Alaska Region Outfitter/Guide Performance Evaluation
USDA Forest Service
R10-2700-16 (1/99)
ALASKA REGION OUTFITTER/GUIDE PERFORMANCE EVALUATION
Mid-Summer Evaluation (circle one) Annual Evaluation
This evaluation is to be done on each permit holder. This evaluation is to be presented to the holder of
the special use permit or transmitted by cover letter shortly after completion of the evaluation.
Name of Holder: WEE KETCHUM
District/Monument:
N. PRINCE OF WALES
Location and/or Camp Number:
Circle Appropriate Responses:
Holder Representative Present:
Type of Operation:
RED LAKE
Yes
Date Inspected:
No
FRESH WATER FISHING
7/21/99
Camp in Operation:
Yes
No
Evaluation:
A - Acceptable; UN - Unacceptable; NI - Needs Improvement; NC - Not Checked; NA - Not Applicable
A
UN
NI
NC
1. All improvements are authorized by permit, location and
development as authorized.
NA
X
X
2. Clean up and sanitation in accordance with permit.
Comments: Item 2: In order to reduce conflicts with local bears, need to remove and properly
dispose of solid waste two or more times a week.
B. Permit Compliance:
A
UN
3. Signed permit submitted on time and complete.
4. Payments received by due date.
5. Holder submitted/dated/corrected operating plan.
8. Compliance with Title VI, Nondiscrimination (Clause B-1)
9. Holders advertising refers to use on National Forest lands
(Clause X-30)
NA
X
X
X
X
X
6. Actual use reports completed and submitted on time.
7. Compliance with Federal, State, Borough, laws and regulations
NC
X
1. Compliance with terms of permit and operating plan.
2. Insurance submitted on time and complete.
NI
X
X
X
Comments: Item 8: Need to post nondiscrimination posters at point of initial contact with clients,
and in camp.
R-10 SUPPLEMENT 2709.11-2006-5
EFFECTIVE DATE: 12/22/2006
DURATION: This supplement is effective until superseded or removed.
2709.11_41.2_exhibit03
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FSH 2709.11 – SPECIAL USES HANDBOOK
CHAPTER 40 – SPECIAL USES ADMINISTRATION
C. Public Service:
A
1. Holder behaves professionally toward the people they serve,
other agencies and other permit holders, and during
interactions with the Forest Service. (Clause B-101).
X
UN
NI
NC
X
2. Number and qualifications of employees meets permit
specifications.
X
3. Clients provided with health and safety standards as provided in
the approved operating plan/safety plan.
X
4. Equipment provided meets health and safety standards as
required in the approved operating plan.
5. Rates, services, and/or accommodations provided as submitted in
the approved operating plan
X
Comments: ITEM 2. All clients need to be provided with life vests in all boats.
Tally of comments received from clients/Public:
7
Positive comments
5
Negative Comments
Evaluator(s) MOLLIE BROWN
Date
Prior Performance (if applicable):
Are items from last performance evaluation corrected?
Yes
No
7-21-99
(circle one)
Comments and/or Corrective Action Needed:
Mid Season Rating:
Acceptable
Probationary
Unacceptable
(circle one)
Annual Rating:
Acceptable
Probationary
Unacceptable
(circle one)
The annual rating is subject to appeal under 36 CFR 251 Subpart C. The District/Monument Ranger is
wiling to meet with the holder to discuss any concerns, or issues related to this evaluation. Any appeal
and a statement of reasons must be submitted to the
Forest Supervisor at __________,
within 45 days of the date of the annual rating.
Comments on Rating (Space is available for Forest Service and Holders comments):
District/Monument Ranger:
Date
Holder:
Date
NA