REQUEST FOR UTILIZATION OF CAMP RIPLEY Original Request ATS # Change #______ to ATS #______ Unit: Unit Address: Date: Commercial Phone: Component: Point of Contact: DSN Phone: UIC E-Mail Address: Mission or Training Event: Will media be coming to CRTC to support your training event? Media POC: MEDIA POC # YES / NO Billeting Requirements: Troop Issue YES/NO and/or Maid Service Quarters YES/NO Housing (320)616-3138/3139/3140 EMAIL: Housing Manager: susan.m.ploof.mil@mail.mil/ Assistant Housing Manager heather.r.berens.mil@mail.mil Units/Organizations requesting Maid Service Quarters will submit a Standard Name Line Roster (SNL) outlining requirements to Camp Ripley, ATTN: JFMN-CRC-L Advance Party Main Body Preferred Area Other Buildings QTY Date of Arrival: Date of Arrival: Maid Service: Headquarters Time of Arrival: Time of Arrival: Dining Facility Date of Departure: Date of Departure: # Male Officers: # Female Officers: # Male Enlisted: # Female Enlisted: Total Number Personnel: # Male Officers: # Female Officers: # Male Enlisted: # Female Enlisted: Total Number Personnel: Education Center Resources YES/NO (Circle One) (List Date/Time/Duration of Training) SIZE QTY Date(s) Required Start/End Time Large (41-96) Medium (21-40) Small (11-20) Conference RM (1-10) LCD Projector Maintenance Shelter Troop Issue: Medical Supply Kitchen (list T-Bldg(s) below) TACC Resources YES/NO (Circle One) (List Date/Time/Duration of Training) ITEM QTY Date(s) Required Start/End Time Small (11-20) TACC Kitchen TACC Theater (204) TACC Gym TACC Cafeteria (240) Miscellaneous Buildings/Equipment Special Requests ITEM QTY Date(s) Required Start/End Time Recreation Center Copy Machine / Internet Access / IT Requests See Page 4-5 for Instructions ATS Form 23, dated 19 SEP 13 E-Mail: stacey.a.langner.mil@mail.mil CC: todd.i.martin.mil@mail.mil 35MM Projector PanoBoard ECF (See Page 2) Ripley Town Hall 1 of 5 RANGES/TRAINING AREAS Range Control (320)616-3137 SCHEDULING (320)616-2709 NOTE: Schedule Safety Briefing and submit Safety Orders to Range Control Personnel prior to Live Firing. Schedule Training Area Brief with Training Area Coordinator prior to Training Area usage. For automated qualification ranges (A-2, A-3, A-4,NRG, and CRG) you need to write in “ALL” weapons/ammo that will be used. Under RANGE/TRAINING column Annotate “AUTO” if tower operator is needed or Annotate “BOB” if you want targets left in up position, when TGT is hit it will go down and return to up position. If you are requesting a non standard qualification scenario (ie. Vehicle gunnery/CLFX) unit must submit RC Form 7 to Range Control 90 days prior to training. **NOTE: NO ADDITIONS/CHANGES (EXCEPT CANCELLATIONS) TO LIVE FIRE RANGES 24 HOURS PRIOR TO FIRING DATE TIME START/END RANGE/TRAINING AREA REQUESTED WEAPON/ AMMO # PERS BIVOUAC YES NO EQUIPMENT CLEANING FACILITY: Please fill out ECF Request Form and Submit to SFC Martin and SSG Yorek todd.i.martin.mil@mail.mil & nicole.j.yokek.mil@mail.mil Start date/time: End date/time: Number and type(s) of weapons: SIMULATIONS SCHEDULING MINI-RETS EST 2000 (Engagement Skills Trainer) HEAT (HMMWV Egress Assistance Trainer) MET (MRAP Egress Trainer) DFIRST - FLEXTRAIN SMS ROE (Rule of Engagement) CFFT (Call for Fire Trainer) VCOT (Virtual Convoy Operations Trainer) M-1 SIMNET CCTT M2A2 Mobile SIMNET CCTT ATS Form 23, dated 19 SEP 13 E-Mail: stacey.a.langner.mil@mail.mil CC: todd.i.martin.mil@mail.mil CRTC Operator Needed? YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO DATE START TIME END TIME 2 of 5 STS (Sniper Training System) YES/NO YES/NO LMTS (Laser Marksmanship Training System)** MGTS (Machine Gun Training System)** YES/NO YES/NO LCCATS(Laser Convoy Counter Ambush Training System)** VBS2 (Virtual Battlefield System) YES/NO IED KIT YES/NO ** These items are drawn from the MILES Warehouse Bldg 10-65 NOTE: OPERATOR WILL BE PROVIDED FOR FLEXTRAIN, CCTT, AND VBS2 EST, HEAT,AND CFFT INSTRUCTOR/OPERATION TRAINING CONTACT TADSS FACILITATOR SSG YOREK @320616-3129 OR nicole.j.yokek.mil@mail.mil AVIATION REQUIREMENTS Air Operations (320)616-2780 OR nathan.a.foster4.mil@mail.mil N/A Number and type of aircraft: Remarks (to include Aviation POC and Phone #) SUPPORT REQUIREMENTS (if any) Check all that apply TOWER MEDEVAC POL CLASS III---Questions? Dates Required: CRASH RESCUE FUEL TRUCK Call the POL Office at (320)616-3001/3002 or E-mail: michael.a.fenske.mil@mail.mil Bulk Fuel POL Pt #1(MATES) POL Pt #2(Area 9) POL Pt#3 (Area 7) No Tracked Vehicles No Tracked Vehicles) JP-8 (Avn) JP-8 (Grd) MOGAS Quantities in Gallons SUPPLY & SERVICES DIVISION---Questions? Call SSD at (320)616-3128 or e-mail MSG Flahave patricia.a.flahave.mil@mail.mil (Listing of Equipment Available @ Logistics http://www.minnesotanationalguard.org/campripley/index.php) N/A QTY PICK-UP DATE/TIME: UI NOMENCLATURE ATS Form 23, dated 19 SEP 13 E-Mail: stacey.a.langner.mil@mail.mil CC: todd.i.martin.mil@mail.mil TURN-IN DATE/TIME: QTY UI NOMENCLATURE 3 of 5 Name of individual to sign for equipment: Must be on DA Form 1687 MILES REQUIREMENTS To request MILES go here: Miles Request Memorandum Contact for MILES Phone: (320)616-3170 DSN: 871-3170 E-Mail: nicole.j.yorek.mil@mail.mil l AMMO/CLASS V PHONE: (320)632-7338 DSN: 871-7338 E-MAIL: derek.j.lindberg.mil@mail.mil or daniel.j.miner.mil@mail.mil Will Ammunition items (Class V) be required while at Camp Ripley? If yes, have forecasts and DA 581’s been forwarded thru command channels? (Must coordinate with ASP NLT Thirty (30) days prior to training dates.) Circle One YES NO YES NO MORALE WELFARE RECREATION (MWR) DIVIDEND CHECK Units in Annual Training (AT) status are authorized MWR dividend. To request MWR you need to fill out an ATS Form 39 (Strength Report/Request for Morale Support Fund Dividends) and turn it into NGMN-CRB PHONE: (320)616-3171 DSN: 871-3171 E-MAIL: heike.m.lewandowski.mil@mail.mil CONTRACT DINING FACILITY PHONE: (320)632-7431 DSN: 871-7431 E-Mail: christopher.a.degeest.mil@mail.mil Link to Contract Dining Facility Request BUSES Call Traffic Manager (320)616-2680/2681 www.dma.state.mn.us In the drop down menu go to Internal Use Only; JFHQ-MN; J-Staff; J4 Logistics; Transportation; Bus Request Form Note: Convoy Requests (DD Form 1265) must still be submitted to MNAG-LOG-T 90 days prior to movement ATS Form 23, dated 19 SEP 13 E-Mail: stacey.a.langner.mil@mail.mil CC: todd.i.martin.mil@mail.mil 4 of 5 Communication Needs for Minnesota National Guard Organizations: 1). Use your BN-BDE-34th_ID IMO for requests Communication Needs for Non-Minnesota National Guard Units and Organizations: 1). Verify your reserved building/room is internet capable – Internet Capable Buildings You may need to schedule a different building to accommodate your unit or agencies needs. 2.) Contact the Camp Ripley IMO – CW3 Bjerke at (320) 616-2702 no less than 30 days prior to arrival date at Camp Ripley. Failure to contact the the IMO at least 30 days in advance of arrival at Camp Ripley Training Center (CRTC) will result in denial of requests. COMMUNICATIONs Information-Technology Radio-Frequency Other-requirements Network Connections Phone Connections Long Distance Copier request Radio Frequency’s COMSEC (limited, unit should use theirs) Retrans Digital classrooms JCP – RCP support Underground utilities locating UAV use Wireless use NIPR VTC SIPR Satellite systems MWR Other Needed? Bldgs -or- TrainingArea YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO YES/NO Start Date End Date Unit Communications POC Information: ATS Form 23, dated 19 SEP 13 E-Mail: stacey.a.langner.mil@mail.mil CC: todd.i.martin.mil@mail.mil 5 of 5