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Home My WebLink About061-450-010LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1a) (9199) VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF FOR ADMIN. USE ONLY Ex. # . Date of Receipt Date Accepted Date Expires The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both oacies of this notice. 1 eG FFA 1. TIMBER OWNER(S) OF RECORD: Name 1 l L. t -r J . G-�w lT cc � d S Address 7 GC -0 e , �4, -E 6R O N OR/1115— city R/✓1 City SORRY State GAS Zip Of -6% Phone 53rd 5S`I zSs ) SIGNATURE See Date TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). -Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at http:/Iwww.boe.ca.gov. A. ' Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log): Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood —%; Ponderosa pine/Sugar _ %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC) %; Other, conifer --2/o; Other, hardwood -_-0/6. 2. TIMBERLAND OWNER(S) OF RECORD: Name egaQd 5Ne F} q,, c,Aed 99 ctr-�Yv ®v City State - Zip 95916 Phone 5-30 5 69 z 55 i I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona fide intent" 114 CCR 1100 (b)J to convert to G KEAN6ni ar tBM $¢tip t 'and that I have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within 00 feet of the boundaries of the exem'� tion. .r SIGNA 3. LICENSED TIMBER OPERATOR(S): Name lqq P o, gC kX !! V_3 No. r� ac c;ra- '' 7'7T Statebio Phone -262- *Vsy— y3oc� o'r 530 •- 67.3-4q �- SIGNATUR -s v Date 4. Designate thea gaila,n escription of thegip of timberland conversion, A map showing the location of the timberland conversion MUST be attached: a map must show the boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number 22- 21 m &" iti 4 3 Ae- 461- - o 10 Page 1. NOTE: This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The folloWng are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http://www.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgement. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit (e.g. county, city). G. No timber operations shall be conducted until the Directors notice of acceptance is received and a valid copy of this Notice and the Directors acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. 6. I, (-AN iC A t)L0?- , declare as the authorized designee of the County Board of Supervisors that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has authorized a designee this item MUST b9gmpleted. If it his not, sere item 7.) SIGNATUG- Date Z /! a S 7. Registered ProfessisiioTfaall Forester preparing Notice: Name W l LLJ A kv% � A-AorF✓— Number 20 6 Address 9 8 6 Rio o Ll M h o Rivet Q P� City CL'>F! GC State CA Zip T J Phone SJa- 84??- 'PS*7S I certify that/, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days. prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the CountyBo d of S ,,visors has not designated a representative authorized to sign in Item 6., that/, or my supervised designee, contacted the county and the Notice is ' co f ce ith county regulations. Nov/ SIGNATURE of RPF 6:cru N ` I LJ 8. NOTICESUBMITTER(S): Name 10 14 z J - 6:cru41tAl Address Grp C�+�L'trN a2iy& City V State C: Zip 95 916 Phone coo f r Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATI ILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, => 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Vent*jra, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 .47M -C 4/M crJ7 5�,zZfwN!57zjl T,aBz2LLl DwN�5, Kc -6.020 u446. %uTrc C0uN71' /+PN 06),- X50 - :Pl to ?N A-0191 7 orV 7Z) IA�Y 3007- 5 'GT- n// S j �i✓R-ry i S iN l3u77W GnuN v e L u w7 03/02/2005 11.(0(4 5300938245 IQ A. j. 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