Florida Department of Agriculture and Consumer Services
|Florida Department of Agriculture and Consumer Services |
|Florida Forest Service |
| |
|RECOMMENDATION FOR CERTIFICATION |
|Florida Administrative Code 5I-2.006(2)(e) |
|Telephone: (850) 681-5900 |
| Broadcast Burner Pile Burner |
|Applicant Contact Information |
|Last Name |First Name |MI. |
|Customer Number (if applicable, required for pile burner) |
|Complete Home Mailing Address and Telephone Number |
|Street |City |
|State |Zip Code |Telephone Number with Area Code |
|Complete Business Name, Address and Telephone Number |
|Business Name |
|Street |City |
|State |Zip Code |Telephone Number with Area Code |
|Burn Review Information |
|Date of burn |Type |Authorization Number |
|Reviewer’s Name (please print) |Title |
| | |
| |
|(Reviewer: Please make sure that the attachments correspond with the type of burner certification needed for approval) |
| |
|Broadcast: ο Copy of the Florida Forest Service certificate of course completion |
|ο Copy of the Prescribed Burning Plan |
|ο Required Maps (burn area and smoke screen) |
| |
|Pile Burner: ο Copy of the Florida Forest Service letter mailed to Pile Burner |
|ο Copy of the Burn Plan for Pile Burners (DACS-11051), reviewed and approved |
|ο Smoke Screen Map |
|Center/District Manager (please print) |Signature |Date |
| | | |
INSTRUCTION FOR REVIEWER AND APPROVER:
Broadcast Burner: Applicants must successfully pass the Florida Certified Prescribed Burn Manager Training Course, complete three prescribed burns; the third one will be the one you review. Only one prescribed burn is required after successfully completing the Correspondence Course. Only one burn prescription is reviewed by the center/district personnel and approved by the center/district manager for both courses. (Reviewer must be a certified burner)
Pile Burner: A certification number will be issued after passing the Pile Burner course and completing one burn plan (prescription form FDACS-11051) reviewed, approved and executed. The burn plan will be reviewed by the center/district personnel and approved by the center/district manager. (Reviewer must have completed the certified pile burner course)
After approval, the center/district personnel will send the completed Recommendation for Certification Form (with the attachments) to the Forest Protection Bureau. A certificate number will be issued and mailed to the applicant. Information on the form is documented into the Fire Management Information System (FMIS).
FDACS-11477 Rev. 04/15
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NICOLE “NIKKI” FRIED
COMMISSIONER
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