WILDFIRE FUELS MITIGATION PROGRAM PRIVATE PROPERTY OWNERS' PARTICIPATION

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The Town of Green Mountain Falls

P.O. Box 524, 10615 Green Mountain Falls Road, Green Mountain Falls, CO 80819

{719) 684-9414 www.gmfco.us

Name

Permanent Residence Address

GMF Property Address, if different from the address above.

Phone Number:

Email:

In the space below, please answer "yes" to all that apply:

I would like my GMF property to be registered as participating in GMF's Fire and Fuels mitigation program.' This means I will be notified of all programs initiated by GMF for the purpose of assessing and developing specific actions to remediate fuels on public and private property.

Yes

Clear selection

I would like to have a free assessment of my property performed to determine the actions necessary to comply with recommended Fire Wise programs to protect my home. Please have someone contact me to learn more.

Yes

Clear selection

I would like to participate in a program to trim my trees to 10 feet above the ground to eliminate ladder fuels. Please have someone contact me to learn more.

Yes

Clear selection

I would like to have Nuisance Trees (diseased, dead, or dying) removed from my property. Please have someone contact me to learn more.

Yes

Clear selection

I pledge to do my part to protect Green Mountain Falls from Wildfire by performing recommended best practices on my property as described on the attached checklist and links provided.

Yes

Clear selection

I would like to volunteer my time to participate in fire mitigation projects in Green Mountain Falls. (Projects could include education, home assessments, helping feed a chipper, picking up and removal of fire fuels, writing grants, assisting those who are physically unable to perform home fuels mitigation, etc.) Let us know your interest.

Yes

Clear selection

I would like to donate to Green Mountain Falls' Wildfire Fuels Mitigation Fund which will be used only for the purpose of fire mitigation projects in Green Mountain Falls on both public and private property. Checks should be made out to Town of Green Mountain Falls with a notation of 'fire mitigation' at the bottom.

Yes

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If you choose to donate, please indicate the amount of your donation and method of payment

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