Prescribed Burn Plan

Prescribed Burn Plan

It is the users responsibility to complete and follow the burn plan in accordance with ACT 695.
Landowner's Name

First NameLast Name
Landowner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Geolocation
Latitude of Property To Burn - Decimal Degrees - Example 35.66788
Longitude of Property to Burn - Decimal Degrees - Make sure to put "-" sign before the number. Example: -92.38488
County
Land Use Types

Other
Description of Area to Be Burned
Official Notifications Before Burn

Forestry Division Dispatch 1-800-830-8015
Sheriff's Office Phone Number
Local Fire Dept Phone Number
Neighbor Notifications (Within 1/4 Mile)
Name and Phone Number
Neighbor Notifications (Within 1/4 Mile)
Name and Phone Number
Neighbor Notifications (Within 1/4 Mile)
Name and Phone Number
Neighbor Notifications (Within 1/4 Mile)
Name and Phone Number
Prescribed Burn Preparations
Prescribed Burn Objectives

Other
Fire Break Preparations (Check all that apply)

Other
Firing Techniques (Ex. Start ignition on the downwind side until black is built, etc.)
Fire Sensitive Areas (Adjacent Young Pine Plantations, Buildings, Chicken Houses,etc)
Smoke Sensitive Areas (Roads, Chicken Houses, Hospitals, Residences, Etc)
Contingencies Including Safety Zones, Escape Routes, Mop up specifications Etc)
Additional Info
Weather Information

Weather Parameters (Must Put One Character To Make List Show Up On PDF)

Personnel Assignments (Must Put One Character To Make List Show Up On PDF)

Official Notifications Before Burn