**BURNED AREA REHABILITATION PLAN REVIEW AND APPROVAL**

**I. Project Leader** approval that the Burned Area Rehabilitation Plan
meets approved land management plan management objectives**.**

*Project Leader, XXXXX* Date

**II. Regional Fire Management Coordinator** concurrence that the plan
fits the technical definition for use of Rehabilitation finding.

*Regional Fire Management Coordinator, Region X* Date

**III. Rehabilitation Funding Approval (check one box below):**

> □ Approved
>
> □ Approved with Revision (see attached)
>
> □ Disapproved

*Regional Director, Region X* Date

**IV. Rehabilitation Funding Approval (check one box below):**

> □ Approved
>
> □ Approved with Revision (see attached)
>
> □ Disapproved

*National Office* Date

**YYYYY Fire**

**BURNED AREA REHABILITATION PLAN**

**UNIT:** XXXXX

**LOCATION:** *City, County, State*

**DATE:** *Date Prepared*

**PREPARED BY:** *Individual, formal team, or ad hoc team*

Submitted By:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_\_\_\_\_\_\_\_\_

*Title (i.e., Burned Area Rehabilitation Team Leader*.)

**EXECUTIVE SUMMARY**[]{#__RefHeading___Toc92010361 .anchor}

**Introduction**

This Burned Area Rehabilitation Plan has been prepared in accordance
with Department of the Interior and ZZZZZ policy. This plan provides
rehabilitation recommendations for all lands burned within the YYYYY
Fire perimeter and downstream impact areas including: public lands
administered by the ZZZZZ and other jurisdictions if necessary. The
primary objectives of the YYYYY Fire Burned Area Rehabilitation Plan
are:

-   To repair or improve lands unlikely to recover naturally from severe
    wildland fire damage by emulating historic or pre-fire ecosystem
    structure, function, diversity, and dynamics according to approved
    land management plans.

-   Restore or establish healthy, stable ecosystems, even if these
    ecosystems cannot fully emulate historic or pre-fire conditions as
    specified in approved land management plans.

-   Repair or replace fire damaged minor operating facilities (e.g.,
    campgrounds, interpretive signs and exhibits, shade shelters,
    fences, wildlife guzzlers, etc.)

This plan addresses rehabilitation treatments. *Summarize who did what.
Such as: The burned area emergency response team conducted an analysis
of fire damages throughout the lands impacted by the fire. The watershed
assessment group assessed the overall watershed changes caused by the
fire and developed a burn severity map. Archeologists inventoried
suppression impacts for potential damage to cultural sites as well as
initiating a cultural resource damage assessment. The vegetation
specialist evaluated and assessed fire damages and suppression impacts
to vegetative resources, including threatened and endangered (T&E)
species, and identified values at risk associated with vegetative
losses. The wildlife biologist conducted an assessment of T&E species
and initiated and closed Section 7 consultations with U.S. Fish and
Wildlife Service. The GIS specialists gathered the data layers necessary
for the plan, coordinated GPS activities. The operations specialists
inventoried fire damaged fences and developed specifications for their
repair and replacement.*

Individual resource Burned Area Assessment Reports produced by these
specialists are in Appendix I.. The individual rehabilitation treatments
specifications including effectiveness monitoring identified in the
assessments can be found in Part F. A summary of the costs by
jurisdictions is in Part E. Appendix II contains the National
Environmental Policy Act (NEPA) compliance documentation summary.
Appendix III contains the Burned Area Rehabilitation Plan maps. Appendix
IV contains photo documentation. Appendix V contains supporting
documentation.

**Fire Background**

*Provide a summary of the fire.*

-   *When and how it started.*

-   *A chronological summary of fire and fire management organization
    growth.*

-   *Issues to be addressed in the Burned Area Rehabilitation Plan*

**Fire Damages and Threats to Human Safety and Natural and Cultural
Resources**

*Discuss the damages caused by suppression activities and the fire. List
the recommended rehabilitation treatments recommended in the plan.
Summarize the individual resource burned area assessments.*

**XXXXX Management** **Requirements**

*Provide basic field unit information and issues that will affect
rehabilitation. Identify issues and concerns (hazardous environments,
T&E species regulation, wilderness designation, cultural resource
restrictions, water quality requirements, etc.) that will impact Burned
Area Rehabilitation Plan objective achievement as discussed in approved
land management plans that are pertinent to rehabilitation actions under
consideration.*

*Identify (include page number, approving officials name, and date
approved for review and auditing purposes) pertinent passages from
approved land management plans (i.e., Comprehensive Conservation Plan,
Master Plan, Habitat Management Plan, Grazing Management Plan, Marsh and
Water Management Plan, etc.) that justify the proposed rehabilitation
activities. Such as:*

-   *ARestore riparian areas invaded by salt cedar to historic
    Southwestern Willow Flycatcher habitat@ (Lower Colorado River Refuge
    Complex Comprehensive Conservation Plan, page 31, Cathy Smith,
    October 2, 1997).*

-   *ARehabilitate longleaf-wiregrass communities degraded by past
    forest practices@ (St. Marks NWR Habitat Management Plan, page 56,
    John Doe, February 29, 2001).*

-   *AMaintain grazing allotment fences in the Coot Creek Allotment@
    (Ely District, B.M., Coot Creek Grazing Allotment Management Plan,
    page 43, Jane Doe, March 24, 1989).*

**TABLE OF CONTENTS**[]{#__RefHeading___Toc92010362 .anchor}

[**EXECUTIVE SUMMARY** 1](#__RefHeading___Toc92010361)

[**TABLE OF CONTENTS** 3](#__RefHeading___Toc92010362)

[**PART A - FIRE LOCATION AND BACKGROUND INFORMATION**
4](#__RefHeading___Toc92010363)

[**PART B - NATURE OF PLAN** 4](#__RefHeading___Toc92010364)

[**PART C - REHABILITATION ASSESSMENT** 5](#__RefHeading___Toc92010365)

[**PART D - TEAM ORGANIZATION, MEMBERS, AND RESOURCE ADVISORS**
6](#__RefHeading___Toc92010366)

[**PART E - SUMMARY OF ACTIVITIES AND COSTS**
8](#__RefHeading___Toc92010367)

[**PART F - INDIVIDUAL SPECIFICATION** 9](#__RefHeading___Toc92010368)

[**PART H - CONSULTATIONS** 12](#__RefHeading___Toc92010369)

[**APPENDIX I - BURNED AREA ASSESSMENT REPORTS**
13](#__RefHeading___Toc92010370)

[**APPENDIX II - ENVIRONMENTAL COMPLIANCE**
15](#__RefHeading___Toc92010371)

[**APPENDIX III - MAPS** 19](#__RefHeading___Toc92010372)

[**APPENDIX IV - PHOTO DOCUMENTATION** 20](#__RefHeading___Toc92010373)

[**APPENDIX V - SUPPORT DOCUMENTS** 21](#__RefHeading___Toc92010374)

**PART A - FIRE LOCATION AND BACKGROUND
INFORMATION**[]{#__RefHeading___Toc92010363 .anchor}

  ------------------------------- ---------------------------------------
  Fire Name                       YYYYY

  Fire Number                     

  Agency Unit                     

  Region                          

  State                           

  County(s)                       

  Ignition Date/Cause             

  Zone                            

  Date Fully Contained            

  Jurisdiction                    Acres

  XXXXX                           

  *other jurisdictions*           

  *other jurisdictions*           

  *other jurisdictions*           

  *other jurisdictions*           

  *other jurisdictions*           

  Total Acres                     

  Date Contained                  
  ------------------------------- ---------------------------------------

**PART B - NATURE OF PLAN**[]{#__RefHeading___Toc92010364 .anchor}

Type of Action (check one box below)

  -------- --------------------------------------------------------------
           Initial Submission

           Amendment to the Initial Submission
  -------- --------------------------------------------------------------

**PART C - REHABILITATION ASSESSMENT**[]{#__RefHeading___Toc92010365
.anchor}

Rehabilitation Objectives

-   *Locate and stabilize severely burned slopes which pose a direct
    threat to human life, property or critically important cultural
    and/or natural resources.*

-   *As practical and necessary, restore natural conditions to areas
    disturbed by fire suppression actions.*

-   *Prevent the establishment of non-native invasive plants.*

-   *Prevent degradation of unburned areas within the fire perimeter
    before spring greenup by wild ungulates and horses.*

-   *Etc.*

-   *Etc.*

**PART D - TEAM ORGANIZATION, MEMBERS, AND RESOURCE
ADVISORS**[]{#__RefHeading___Toc92010366 .anchor}

I. Burned Area Emergency Response Team Members: *(List of technical
specialists used to develop the plan)*

  ------------------------- ---------------------------------------------
  **Position**              **Team Member (Agency)**

  Team Leader               *Cathy Smith (FWS)*

  Public Information        

  Operations                

  NEPA Compliance &         
  Planning                  

  Hydrologist               

  Soil Scientist            

  Geologist                 

  Cultural                  
  Resources/Archeologist    

  Vegetation Specialist     

  Wildlife Biologist        

  GIS Specialist            

  Documentation/Computer    
  Specialist                

  Photographer              

  *Other Technical          
  Specialists*              
  ------------------------- ---------------------------------------------

III\. Resource Advisors: (Note: Resource Advisors are individuals who
assisted the Burned area emergency response team with the preparation of
the plan. See Part H for a full list of agencies and individuals who
were consulted or otherwise contributed to the development of the plan.

  --------------- -------------------------------------------------------
  **Name**        **Affiliation**

  *Jane Doe*      *XXXXX NWR, Project Leader*

                  

                  

                  

                  

                  

                  

                  

                  

                  

                  

                  

                  

                  
  --------------- -------------------------------------------------------

**PART E - SUMMARY OF ACTIVITIES AND
COSTS**[]{#__RefHeading___Toc92010367 .anchor}

The summary of activities and cost table below identifies rehabilitation
costs charged or proposed for funding from subactivity 9262 funding
sources.

REHABILITATION ACTIVITIES COST SUMMARY TABLE - YYYYY Fire

  ------------------------------------------------------------------------------------------
  Spec \#       Title                     Unit     Unit Cost \# of    Work      Cost
                                                             Units    Agent     
  ------------- ------------------------- -------- --------- -------- --------- ------------
  *1*           *Sagebrush planting and   *Acre*   *\$       *200*    *C or FA* *\$52,970*
                seeding*                           264.85*                      

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

  **TOTAL                                                                       
  COST**                                                                        

  **Work                                                                        
  Agent**:                                                                      
  CA=Coop                                                                       
  Agreement,                                                                    
  FA=Force                                                                      
  Account,                                                                      
  G=Grantee,                                                                    
  P=Permitee,                                                                   
  SC=Service                                                                    
  Contract,                                                                     
  TSP=Timber                                                                    
  Sales                                                                         
  Purchaser,                                                                    
  V=Volunteer                                                                   
  ------------------------------------------------------------------------------------------

**PART F - INDIVIDUAL SPECIFICATION**

+-------------+-----------------------+----------+--------------------+
| **TREATME   |                       | **PART E |                    |
| NT/ACTIVITY |                       | SPECI    |                    |
| NAME**      |                       | FICATION |                    |
|             |                       | \#**     |                    |
+-------------+-----------------------+----------+--------------------+
| **NFPORS    |                       | **FISCAL |                    |
| TREATMENT   |                       | Y        |                    |
| C           |                       | EAR(S)** |                    |
| ATEGORY\*** |                       |          |                    |
|             |                       | **(list  |                    |
|             |                       | each     |                    |
|             |                       | year):** |                    |
+-------------+-----------------------+----------+--------------------+
| **NFPORS    |                       | **WUI? Y |                    |
| TREATMENT   |                       | / N**    |                    |
| TYPE \***   |                       |          |                    |
+-------------+-----------------------+----------+--------------------+
| **IMPACTED  |                       | **       |                    |
| COMMUNITIES |                       | IMPACTED |                    |
| AT RISK**   |                       | T&E      |                    |
|             |                       | S        |                    |
|             |                       | PECIES** |                    |
+-------------+-----------------------+----------+--------------------+

\* See NFPORS Restoration & Rehabilitation module - Edit Treatment
screen for applicable entries.

**WORK TO BE DONE** (describe or attach exact specifications of work to
be done):

+-----------------------------------------------------------------------+
| Number and Describe Each Task:                                        |
|                                                                       |
| A. General Description:                                               |
|                                                                       |
| B. Location/(Suitable) Sites:                                         |
|                                                                       |
| C. Design/Construction Specifications:                                |
|                                                                       |
| 1\.                                                                   |
|                                                                       |
| 2\.                                                                   |
|                                                                       |
| 3\.                                                                   |
|                                                                       |
| D. Purpose of Treatment Specifications:                               |
|                                                                       |
| E. Treatment Effectiveness Monitoring Proposed:                       |
+-----------------------------------------------------------------------+

**LABOR, MATERIALS AND OTHER COST:**

+----+-------------+--------------+--------+----+----+------+--------+
| *  |             |              |        |    |    |      | **COST |
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| SU |             |              |        |    |    |      |        |
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| LI |             |              |        |    |    |      |        |
| ES |             |              |        |    |    |      |        |
| (  |             |              |        |    |    |      |        |
| It |             |              |        |    |    |      |        |
| em |             |              |        |    |    |      |        |
| @  |             |              |        |    |    |      |        |
| C  |             |              |        |    |    |      |        |
| os |             |              |        |    |    |      |        |
| t/ |             |              |        |    |    |      |        |
| Ea |             |              |        |    |    |      |        |
| ch |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| Qu |             |              |        |    |    |      |        |
| an |             |              |        |    |    |      |        |
| ti |             |              |        |    |    |      |        |
| ty |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| #  |             |              |        |    |    |      |        |
| Fi |             |              |        |    |    |      |        |
| sc |             |              |        |    |    |      |        |
| al |             |              |        |    |    |      |        |
| Y  |             |              |        |    |    |      |        |
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| rs |             |              |        |    |    |      |        |
| =  |             |              |        |    |    |      |        |
| C  |             |              |        |    |    |      |        |
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| t/ |             |              |        |    |    |      |        |
| It |             |              |        |    |    |      |        |
| em |             |              |        |    |    |      |        |
| ): |             |              |        |    |    |      |        |
| ** |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
|    |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| T  |             |              |        |    |    |      |        |
| OT |             |              |        |    |    |      |        |
| AL |             |              |        |    |    |      |        |
| M  |             |              |        |    |    |      |        |
| AT |             |              |        |    |    |      |        |
| ER |             |              |        |    |    |      |        |
| IA |             |              |        |    |    |      |        |
| LS |             |              |        |    |    |      |        |
| A  |             |              |        |    |    |      |        |
| ND |             |              |        |    |    |      |        |
| SU |             |              |        |    |    |      |        |
| PP |             |              |        |    |    |      |        |
| LY |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| ** |             |              |        |    |    |      | **COST |
| TR |             |              |        |    |    |      | /      |
| AV |             |              |        |    |    |      | ITEM** |
| EL |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
| (P |             |              |        |    |    |      |        |
| er |             |              |        |    |    |      |        |
| so |             |              |        |    |    |      |        |
| nn |             |              |        |    |    |      |        |
| el |             |              |        |    |    |      |        |
| or |             |              |        |    |    |      |        |
| E  |             |              |        |    |    |      |        |
| qu |             |              |        |    |    |      |        |
| ip |             |              |        |    |    |      |        |
| me |             |              |        |    |    |      |        |
| nt |             |              |        |    |    |      |        |
| @  |             |              |        |    |    |      |        |
| Ra |             |              |        |    |    |      |        |
| te |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| R  |             |              |        |    |    |      |        |
| ou |             |              |        |    |    |      |        |
| nd |             |              |        |    |    |      |        |
| T  |             |              |        |    |    |      |        |
| ri |             |              |        |    |    |      |        |
| ps |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| #  |             |              |        |    |    |      |        |
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| sc |             |              |        |    |    |      |        |
| al |             |              |        |    |    |      |        |
| Y  |             |              |        |    |    |      |        |
| ea |             |              |        |    |    |      |        |
| rs |             |              |        |    |    |      |        |
| =  |             |              |        |    |    |      |        |
| C  |             |              |        |    |    |      |        |
| os |             |              |        |    |    |      |        |
| t/ |             |              |        |    |    |      |        |
| It |             |              |        |    |    |      |        |
| em |             |              |        |    |    |      |        |
| ): |             |              |        |    |    |      |        |
| ** |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
|    |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| T  |             |              |        |    |    |      |        |
| OT |             |              |        |    |    |      |        |
| AL |             |              |        |    |    |      |        |
| TR |             |              |        |    |    |      |        |
| AV |             |              |        |    |    |      |        |
| EL |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| ** |             |              |        |    |    |      | **COST |
| CO |             |              |        |    |    |      | /      |
| NT |             |              |        |    |    |      | ITEM** |
| RA |             |              |        |    |    |      |        |
| CT |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
| (L |             |              |        |    |    |      |        |
| ab |             |              |        |    |    |      |        |
| or |             |              |        |    |    |      |        |
| or |             |              |        |    |    |      |        |
| E  |             |              |        |    |    |      |        |
| qu |             |              |        |    |    |      |        |
| ip |             |              |        |    |    |      |        |
| me |             |              |        |    |    |      |        |
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| C  |             |              |        |    |    |      |        |
| os |             |              |        |    |    |      |        |
| t/ |             |              |        |    |    |      |        |
| Ho |             |              |        |    |    |      |        |
| ur |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| #H |             |              |        |    |    |      |        |
| ou |             |              |        |    |    |      |        |
| rs |             |              |        |    |    |      |        |
| X  |             |              |        |    |    |      |        |
| #  |             |              |        |    |    |      |        |
| Fi |             |              |        |    |    |      |        |
| sc |             |              |        |    |    |      |        |
| al |             |              |        |    |    |      |        |
| Y  |             |              |        |    |    |      |        |
| ea |             |              |        |    |    |      |        |
| rs |             |              |        |    |    |      |        |
| =  |             |              |        |    |    |      |        |
| C  |             |              |        |    |    |      |        |
| os |             |              |        |    |    |      |        |
| t/ |             |              |        |    |    |      |        |
| It |             |              |        |    |    |      |        |
| em |             |              |        |    |    |      |        |
| ): |             |              |        |    |    |      |        |
| ** |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
|    |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| T  |             |              |        |    |    |      |        |
| OT |             |              |        |    |    |      |        |
| AL |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| NT |             |              |        |    |    |      |        |
| RA |             |              |        |    |    |      |        |
| CT |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| *  |             |              |        |    |    |      |        |
| *S |             |              |        |    |    |      |        |
| PE |             |              |        |    |    |      |        |
| CI |             |              |        |    |    |      |        |
| FI |             |              |        |    |    |      |        |
| CA |             |              |        |    |    |      |        |
| TI |             |              |        |    |    |      |        |
| ON |             |              |        |    |    |      |        |
| CO |             |              |        |    |    |      |        |
| ST |             |              |        |    |    |      |        |
| S  |             |              |        |    |    |      |        |
| UM |             |              |        |    |    |      |        |
| MA |             |              |        |    |    |      |        |
| RY |             |              |        |    |    |      |        |
| ** |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| ** | **PLANNED   | **PLANNED    | **WORK | *  | ** | *    | **P    |
| FI | INITIATION  | COMPLETION   | A      | *U | UN | *PLA | LANNED |
| SC | DATE        | DATE         | GENT** | NI | IT | NNED | COST** |
| AL | (           | (M/D/YYYY)** |        | TS | CO | A    |        |
| YE | M/D/YYYY)** |              |        | ** | ST | CCOM |        |
| AR |             |              |        |    | ** | PLIS |        |
| ** |             |              |        |    |    | HMEN |        |
|    |             |              |        |    |    | TS** |        |
+----+-------------+--------------+--------+----+----+------+--------+
| FY |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| FY |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| FY |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| FY |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
| \_ |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+
| *  |             |              |        |    |    |      |        |
| *T |             |              |        |    |    |      |        |
| OT |             |              |        |    |    |      |        |
| AL |             |              |        |    |    |      |        |
| ** |             |              |        |    |    |      |        |
+----+-------------+--------------+--------+----+----+------+--------+

**Work Agent**: C=Coop Agreement, F=Force Account, G=Grantee,
P=Permittees, S=Service Contract, T=Timber Sales Purchaser, V=Volunteer

SOURCE OF COST ESTIMATE

  ------------------------------------------------------------- ---------
  1\. Estimate obtained from 2-3 independent contractual        
  sources.                                                      

  2\. Documented cost figures from similar project work         
  obtained from local agency sources.                           

  3\. Estimate supported by cost guides from independent        
  sources or other federal agencies                             

  4\. Estimates based upon government wage rates and material   
  cost.                                                         

  5\. No cost estimate required - cost charged to Fire          
  Suppression Account                                           
  ------------------------------------------------------------- ---------

**P** = Personnel Services, **E** = Equipment **M** =
Materials/Supplies, **T** = Travel, **C** = Contract, **F** =
Suppression

**RELEVANT DETAILS, MAPS AND DOCUMENTATION INCLUDED IN THIS REPORT:**

  -----------------------------------------------------------------------
  List Relevant Documentation and Cross-Reference Location within the
  Accomplishment Report.

  -----------------------------------------------------------------------

TOTAL COST BY JURSIDICTION

  ------------------------------------------------- ----------- ----------
  **JURISDICTION**                                  **UNITS     **COST**
                                                    TREATED**   

                                                                

                                                                

                                                                

                                                    **TOTAL     
                                                    COST**      
  ------------------------------------------------- ----------- ----------

**PART G - RESTORATION REQUIREMENT**

The following are post-rehabilitation implementation, operation,
maintenance, monitoring, and evaluation actions beyond three years from
fire control to ensure the effectiveness of initial investments.
Estimated annual cost and funding source (subactivity) is indicated.

*1. Monitor and maintain drip irrigation system (\$25,000 - 1261)*

*2. Long-term Monitoring*

*A. Monitor riparian vegetation recovery (\$10,000 - 1261)*

*B. Complete district cultural resources systematic survey (\$75,000 -
1261)*

*C. Southwestern willow flycatcher population monitoring (\$25,000 -
1261)*

*3. Etc.*

*4. Etc.*

*5. Etc.*

**PART H - CONSULTATIONS**[]{#__RefHeading___Toc92010369 .anchor}

*U.S. Fish and Wildlife Service*

*Jane Doe, Regional Archeologist*

*National Marine Fisheries Service*

*John Doe, Anadromous Fish Biologist*

*Umatilla Tribe*

*Jane J. Doe, Tribal Council Member*

*Etc., etc., etc.*

**APPENDIX I - BURNED AREA ASSESSMENT
REPORTS**[]{#__RefHeading___Toc92010370 .anchor}

-   *Soil & Watershed Damage Assessment Report*

-   *Vegetation Damage Assessment Report*

-   *Forest Damage Assessment Report*

-   *Wildlife Damage Assessment Report*

-   *Cultural Damage Assessment Report*

-   *Faculty Assessment* *Report*

-   *Etc.*

**YYYYY FIRE *RESOURCE* DAMAGE ASSESSMENT REPORT**

?.  Objectives

```{=html}
<!-- -->
```
I.  Issues

II. Observations

    A.  Background Information

    B.  Reconnaissance Method

    C.  Findings

III. Recommendations

     A.  Management (specification related)

     B.  Specification Monitoring (specification related)

     C.  Management (non-specification related)

IV. Consultations

V.  References

**APPENDIX II - ENVIRONMENTAL COMPLIANCE**[]{#__RefHeading___Toc92010371
.anchor}

**Federal, State, and Private Lands Environmental Compliance
Responsibilities**

All projects proposed in the YYYYY Burned Area Rehabilitation Plan that
are prescribed, funded, or implemented by Federal agencies on Federal,
State, or private lands are subject to compliance with the National
Environmental Policy Act (NEPA) in accordance with the guidelines
provided by the Council on Environmental Quality (CEQ) Regulations (40
CFR 1500-1508); Department of the Interior and ZZZZZ. This Appendix
documents the Burned area emergency response team considerations of NEPA
compliance requirements for prescribed rehabilitation and monitoring
actions described in this plan for all jurisdictions affected by the
YYYYY Fire.

**Related Plans and Cumulative Impact Analysis**

XXXXX Burned Area Rehabilitation Plan *(approval date)*. The XXXXX Fire
Burned Area Rehabilitation Plan was reviewed and it was determined that
actions proposed in the YYYYY Fire Burned Area Rehabilitation Plan
within the boundary of the XXXXX Fire are consistent with the management
objectives established in the Comprehensive Conservation Plan. The
Comprehensive Conservation Plan NEPA compliance process specifically
addresses:

-   *List specific issues*

*(Duplicate for all plans reviewed)*

**Cumulative Impact Analysis**

Cumulative effects are the environmental impacts resulting from the
incremental impacts of a proposed action when added to other past,
present, and reasonably foreseeable future actions, both Federal and
non-Federal. Cumulative impacts can result from individually minor, but
collectively significant actions taking place over a period of time. The
rehabilitation treatments for areas affected by the YYYYY Fire, as
proposed in the YYYYY Fire Burned Area Rehabilitation Plan, do not
result in an intensity of impact (i.e. major ground disturbance, etc.)
that would cumulatively constitute a significant impact on the quality
of the environment. The treatments are consistent with the above
jurisdictional management plans and associated environmental compliance
documents and categorical exclusions listed below.

**Applicable and Relevant Categorical Exclusions**

The individual actions proposed in this plan for XXXXX are Categorically
Excluded from further environmental analysis as provided for in the
*specify relevant departmental and agency Categorical Exclusions*. All
applicable and relevant Department and Agency Categorical Exclusions are
listed below. Categorical Exclusion decisions were made with
consideration given to the results of required emergency consultations
completed by the Burned area emergency response team and documented
below.

Applicable Department Categorical Exclusions

*List*

Applicable ZZZZZ Categorical Exclusions

*List*

**Statement of Compliance for the YYYYY Fire Burned Area Rehabilitation
Plan.**

This section documents consideration given to the requirements of
specific environmental laws in the development of the YYYYY Fire Burned
Area Rehabilitation Plan. Specific consultations initiated or completed
during development and implementation of this plan are also documented.
The following executive orders and legislative acts have been reviewed
as they apply to the YYYYY Fire Burned Area Rehabilitation Plan:

-   National Historic Preservation Art (NAPA).

-   Executive Order ll988. Flood plain Management.

-   Executive Order 11990. Protection of Wetlands.

-   Executive Order 12372. Intergovernmental Review.

-   Executive Order 12892. Federal Actions to Address Environmental
    Justice in Minority and Low-income Populations.

-   Endangered Species Act.

-   Secretarial Order 3127. Federal Contaminated

-   Clean Water Act.

-   Clean Air Act.

**CONSULTATIONS**

-   *List partners and neighbors consulted*

**NEPA Checklist**: If any of the following exception applies, the
Burned Area Rehabilitation Plan cannot be Categorically Excluded and an
Environmental Assessment (EA) is required.

(Yes) (No)

( ) ( ) Adversely affect Public Health and Safety

( ) ( ) Adversely affect historic or cultural resources, wilderness,
wild and scenic rivers aquifers, prime farmlands, wetlands, floodplains,
ecologically critical areas, or Natural Landmarks.

( ) ( ) Have highly controversial environmental effects.

( ) ( ) Have highly uncertain environmental effects or involve unique or
unknown environmental risks.

( ) ( ) Establish a precedent resulting in significant environmental
effects.

( ) ( ) Relates to other actions with individually insignificant but
cumulatively significant environmental effects.

( ) ( ) Adversely effects properties listed or eligible for listing in
the National Register of Historic Places

( ) ( ) Adversely affect a species listed or proposed to be listed as
Threatened or Endangered.

( ) ( ) Threaten to violate any laws or requirements imposted for the
\"protection of the environment\" such as Executive Order 1 1 988
(Floodplain Management) or Executive Order 1 1 990 (Protection of
Wetlands).

**National Historic Preservation Act**

Ground Disturbance:

( ) None

( ) Ground disturbance did occur and an archeologist survey, required
under section 110 of the NHPA will be prepared. A report will be
prepared under contract as specified by the Burned Area Rehabilitation
Plan.

A NHPA Clearance Form:

( ) Is required because the project may have affected a site that is
eligible or on the national register. The clearance form is attached.
SHPO has been consulted under Section 106 (see Cultural Resource
Assessment, Appendix I).

( ) Is not required because the Burned Area Rehabilitation Plan has no
potential to affect cultural resources (initial of cultural resource
specialist).

**Other Requirements**

(Yes) (No)

( ) ( ) Does the Burned Area Rehabilitation Plan have potential to
affect any Native American uses? If so, consultation with affiliated
tribes is needed.

( ) ( ) Are any toxic chemicals, including pesticides or treated wood,
proposed for use? If so, local agency integrated pest management
specialists must be consulted.

I have reviewed the proposals in the YYYYY Fire Burned Area
Rehabilitation Plan in accordance with the criteria above and have
determined that the proposed actions would not involve any significant
environmental effect. Therefore it is categorically excluded from
further environmental (NEPA) review and documentation. Burned area
emergency response team technical specialists have completed necessary
coordination and consultation to insure compliance with the National
Historic Preservation Act, Endangered Species Act, Clean Water Act and
other Federal, State and local environment review requirements.

Burned Area Emergency Response Team Environmental Protection Specialist
Date

Project Leader, XXXXX Date

**APPENDIX III - MAPS**[]{#__RefHeading___Toc92010372 .anchor}

-   *Fire Perimeter*

-   *Jurisdiction Map*

-   *Suppression Impacts*

-   *Soils*

-   *Burn Severity*

-   *Vegetation Communities*

-   *Vegetation Mortality*

-   *Threatened and Endangered Species Areas*

-   *Invasive Species*

-   *Wind Erosion Risk Map*

**APPENDIX IV - PHOTO DOCUMENTATION**[]{#__RefHeading___Toc92010373
.anchor}

**APPENDIX V - SUPPORT DOCUMENTS**[]{#__RefHeading___Toc92010374
.anchor}