Will stream crossings be constructed within the proposed treatment area or a road permit road providing access to the treatment area? Yes No MAINTAINING STREAM BANK AND CHANNEL STABILITY ON S4, S5, and S6 STREAMS - FPPR section 52 (2) Is the proposed treatment in the RMZ of an S4, S5 or S6 stream that is directly tributary to an S1, S2 or S3 stream and the activity is likely to contribute significantly to the destabilization of the stream bank or the stream channel? Yes No DOMESTIC WATER LICENCES (inside or outside of community watershed) - FPPR section 59 Does the proposed treatment area contain water sources that are diverted for human consumption by a licensed waterworks? Yes No LICENCED WATER WORKS (inside or outside of a community watershed) - FPPR section 60 Does the proposed treatment include areas that are within 100 m of a licensed waterworks? Yes No FISHERIES SENSITIVE WATERSHED - GAR section 14, FPPR section 8.1 Are any activities proposed within a fisheries sensitive watershed? Yes No COMMUNITY WATERSHED - GAR section 8, FPPR section 8.2, 61, 62 and 84 Does the proposed treatment area include areas that are within a community watershed? Yes No Will this project require road construction or deactivation within a community watershed? Yes No WATERSHED ASSESSMENT CONSIDERATIONS - FRPA section 180 areas with "significant watershed sensitivity" Does the proposed treatment area include areas that have watershed assessment considerations? Yes No SOIL DISTURBANCE AND PERMANENT ACCESS STRUCTURES - FPPR sections 35 and 36 Treatment Unit Proposed Max. Allowable Soil Disturbance (%) (5% or 10%) Proposed Max. Soil Disturbance for Roadside Work (%) Proposed Max. Permanent Access Structures (%) Comments 25 25 Do the proposed Permanent Access Structures exceed 7% of the area? Yes No LANDSLIDES AND TERRAIN STABILITY - FPPR section 37
Is the introduction and spread of invasive plants likely as a result of the proposed treatment? Yes No NATURAL RANGE BARRIERS - FRPA section 48, FPPR section 18 Are there natural range barriers within the proposed treatment area that are likely to be removed or rendered ineffective? Yes No LAND USE OBJECTIVES (Higher Level Plans and objectives set by Government under the Land Act) Are land use objectives (higher level plans or objectives under the Land Act) that apply to the proposed treatment area or a Road Permit necessary to provide access to the treatment area? Yes No Do the proposed activities conflict with land use objectives (higher plans or objectives under the Land Act)? Yes No G. OTHER CONSIDERATIONS AND REQUIREMENTS CONSULTATION – FIRST NATIONS Nation Concerns Identified and Measures to Address First Nations consultation complete? Yes No CONSULTATION – GENERAL EXISTING TENURE HOLDERS (Forest, Range, Guide Outfitters, Trappers) Tenure Holder Concerns Measures proposed to address licensee's concerns Yes No Yes No Yes No PRIVATE PROPERTY Does private property border the proposed treatment area? Yes No SMOKE MANAGEMENT Does a smoke management plan exist for the proposed treatment area? Yes No SAFETY
PLANTING: Is planting a treatment identified in this prescription or required as a legislative obligation? Yes  No  STOCKING STANDARDS TU Stocking Standard ID Pref. Spp. Acc. Spp. Well Spaced Stem/ha Minimum Height (m) Regen Delay Free Growing (years) TSS MSS MITD Pref. & Acc. Pref. Pl Others RTH (%) K. Outstanding Works L. ADMINISTRATION PREPARATION FOREST PROFESSIONAL NAME (Printed) FOREST PROFESSIONAL SIGNATURE MEMBER NUMBER DATE M. ATTACHMENTS MAPS : Yes  No  FIELD DATA CARDS: Yes  No  WUI WTA Plots and Photos: Yes  No  CRUISE DATA: Yes  No  AIR PHOTOS/IMAGERY: Yes  No  BURN PLAN: Yes  No  MODELING/DATA ANALYSIS: Yes  No  OTHER: Yes  No  TERRAIN STABILITY ASSESSMENT Yes  No  VISUAL IMPACT ASSESSMENT Yes  No  Completed By: Completed By: Date: Date: ARCHAEOLOGY IMPACT ASSESSMENT Yes  No  BIOLOGIST ASSESSMENT Yes  No  Completed By: Completed By: Date: Date: ADDITIONAL COMMENTS: