PRESCRIBED BURN PLAN
The Prairie Enthusiasts
P.O. Box 1148
Madison, WI 53701-1148
Today’s date:
Click to enter
Lead Chapter:
CSC
☐
CRC
Date Received:
ESC
☐
☐
GPC
☐
MRC
NIPE
☐
☐
PBC
PSC
☐
☐
Sands
☐
SWC
☐
SCVC
SITE INFORMATION
Name:
Click to enter
Address:
County: Click to enter
Click to enter
Township
Click
N
Range Click ☐ E ☐
First Name:
Click to enter
W
1/4
Click
Section
Click
LANDOWNER INFORMATION
Last Name:
Click to enter
Street Address:
City:
Phone:
Click to enter
Click to enter phone number
Cell Phone:
Click to enter
State, Zip:
Click to enter
Click to enter phone number
Email Address:
Click to enter
BURN SITE INFORMATION (Note on burn plan map when applicable, specific fuel heights for grasses)
Acreage:
Click
Primary fuel type:
Slope percentages(s):
Firebreak type(s):
Click to enter
Click to enter
Secondary fuel type:
Click to enter
Slope aspect(s): Click to enter
Click to enter
Firebreak width(s): Click to enter
Hazards (e.g., utility poles/boxes, overhead power lines, stored fuels, homes, smoke hazards): Click to enter
OBJECTIVES (e.g., remove duff, stimulate warm season grasses, simulate prairie forbs, control invasives, prepare for seeding)
Click to enter
NOTIFICATION REQUIREMENTS (Requirements vary by county or township)
County Sheriff Dispatch:
Neighbor(s):
Click to enter phone number
Township Fire Department:
Click to enter phone number
Click to enter phone number
DNR:
Click to enter phone number
PERMIT REQUIREMENTS (Requirements vary by county or township)
Permitting entity:
Click here to enter text.
Phone:
Click to enter phone number
Permitting entity:
Click here to enter text.
Phone:
Click to enter phone number
BURN PRESCRIPTION WINDOW (if prescription is not the listed range, then address that issue in the section for additional considerations)
Date:
earliest
Click to enter
latest
Wind speed (3-18 mph) Click to enter
Click to enter
Acceptable wind direction(s):
Relative humidity (25-60%)
Click to enter
Click to enter
Air temperature (40-80 °F)
Click to enter
☐
TPE PRESCRIBED BURN PLAN
Site name:
Click to enter
PERSONNEL NEEDS (include burn boss and crew leader names if known)
Burn boss:
Click to enter
Crew leader:
Click to enter
Crew size (excluding apprentices): Number
EQUIPMENT NEEDS (List number of each needed)
Enter
Drip torch
Enter
ATV
Enter
Pulaski
Enter
Weather kit
Enter
Backpack pump
Enter
ATV pumper
Enter
2-way radios
Enter
Nomex clothing
Enter
Flappers
Enter
Pumper truck
Enter
First aid kit
Enter
Cell phones
Enter
Rakes
Enter
Chainsaw
Enter
Road warning signs
Enter
COMMUNICATION PLAN (explain how communication equipment will be used during the burn)
Click to enter
IGNITION PLAN (identify the sequence of the burn on the burn plan map, label backing fires and head fires, discuss blackline requirements.)
Click to enter
MOP UP PLAN (include the length of observation time after there is no visible signs of smoke/fire, and resources available during that time)
Click to enter
CONTINGENCY PLAN (Explain approaches to controlling a fire that escapes, such as contacts, secondary control lines, and access roads)
Click to enter
ADDITIONAL CONSIDERATIONS (e.g., deviations from suggested prescriptions, refugia, cultural resources, biological considerations)
Click to enter
BURN PLAN MAP (example burn plan maps can be found at http://www.theprairieenthusiasts.org/outreach.htm)
Attach an aerial photo. The map should have the following labeled features: access roads or lanes, road leading to nearest town, property
boundaries, burn unit location, fire breaks, fire and smoke hazards, escape routes, safety zones, water resources, fences (and gates). A topographic
map may also be attached to describe the effect of slope on the burn (or slopes can be described on the aerial photo).
PLAN AUTHOR
Name:
Click to enter
Phone:
Click to enter phone number
Email:
Click to enter
TPE APPROVAL (To be completed by chapter approving authority)
Reviewer Signature:
Attach an additional page to complete sections if needed.
Phone:
Date: