HomeMy WebLinkAbout2008 McKean Square Prescribed Burn Understanding ' r� r.k.
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14168 Oak Park Blvd. N • Box 2007 • Oak Park Heights, MN 55082 • P t e (651) 439 -4439 • Fax (651) 43 0574 ..---
October 22, 2008 ,4 -T `1 i �,::.` ,
TO: Mr. Joe Schaffer, President 51006 ' `ecbm r \ ` a -
Minnesota Native Landscapes, Inc.
14088 Hwy 95 NE
Foley, MN 56329
RE: Prescribed Prairie Bum — Fall 2008
Dear Mr. Schaffer:
I am in receipt of the request to perform a prescribe burn in an area south of Boutwell's Landing in the McKean Square Development
— see attached documents as received. The City of Oak Park Heights does not maintain a permit format for the project you wish to
undertake. Therefore we must utilize our best judgment to ensure utmost safety and care, while affording you and your client the
opportunity to complete the task.
You wish to perform the burn sometime between October 29 and December 1". 2008 — Dependin¢ on Proper Weather
Conditions.
You must comply with the following limitations:
1. Take all necessary precaution to ensure that the project is performed with utmost safety and care. Best Management
Practices and other applicable industry standards shall be followed.
2. Secure all DNR and/or MPCA permits or any other permits required by law.
3. You and/or the owner will be responsible to reimburse the City for costs incurred related to any actual emergency activities
(fire suppression, rescue, etc) stemming from this project.
4. You will notify the City Fire Department — Mr. Mike Bell 24 hours prior to any actual bum activities — his number is 651-
275 -4401 or 651-775-5561.
5. Provide proof of liability insurance covering activities as proposed not less than $1,000,000. Fax this to me 651 - 439 -0574
asap.
6. You must notify adjacent residences, in advance, about the burn and advise them of what measures should be taken to
preclude smoke and odor from entering their homes and what to expect in general about the project. The City is not
responsible for contacting adjacent property owners.
7. You and/or the owner are responsible to reimburse the City for any and all damages that may occur to City property,
including all administrative and legal fees necessary to collect such dollars.
By signing below, you agree to the items as stated (1 -7) and hold the City harmless from any and all liability resulting from these
activities. Once I have from you this signed copy, in original format, proof of liability insurance and DNR Permit I will then issue the
final permit.
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+ . e Scha ` . , ' r' —Minnesota Native Landscapes ?4r .... k _ ,, , _.., -_,_„ , � •M• � •
l AMY B. SCHAFFER
s .
.. Nored,• Public— Minnesota
Notary Publ ',Name and Seal .. ' .: .., , M, Comm: Expires Jan. 31, 200
Cc: Mark Vierling, City Attorney,
Tom Ozzello, DPW
Ms. Liz Jefferson, Campus Administrator, Boutwells Landing
ACORD CERTIFICAI _ OF LIABILITY INSURAN,E OP ID SE DATE(MM1DD/YYYY)
NATIV -1 10/23/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Mahowald Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 129 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Cloud MN 56302
Phone: 320- 251 -3751 Fax: 320- 251 -2373 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Secura Insurance Company 22543
INSURER B
Minnesota Native Landscapes,
Inc. INSURER C:
8740 77th St NE INSURER D:
Otsego MN 55330
INSURER E.
•
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1RSK aUD'L POLICY EFFECTIVE POLICY EXPIRATION LIMBS
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIVY) DATE (MM1DD/YY)
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
UAMA tIV
A X COMMERCIALGENERALLIABILITY 20 -CP- 3118620 -6 /OOC 10/15/08 10/15/09 PREMIS V ES (EaKoccurenceItU ) $ 300000
CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10000
PERSONAL &ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2000000 —
- I POLICY
PRO- LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
A X ANY AUTO 20 -A- 3118621 -6/000 10/15/08 10/15/09 (Ea accident)
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON -OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5000000
A X IOCCUR CLAIMS MADE 20 -CU- 3118623 -6 /00G 10/15/08 10/15/09 AGGREGATE $ 5000000
$
DEDUCTIBLE $
X RETENTION $ $
W(.. SIAIU VIH
WORKERS COMPENSATION AND X TORY LIMITS ER
A
EMPLOYERS' LIABILITY 20 -WC- 3118622 -6/00C 10/15/08 10/15/09 EL.EACHACCIDENT $ 500000
ANY PROPRIETOR/PARTN
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000
If yes, describe under
SPECIAL PROVISIONS below Et DISEASE - POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
CITY145 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Oak Park Heights NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Eric Johnson IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
14168 Oak Park Blvd
P.O. Box 2007 REPRESENTATIVES.
Oak Park Heights MN 55082 a REP D A � /01.01.„— �}-
ACORD 25 (2001108) O ACORD CORPORATION 191
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
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Private Lands Prescribed -Burn -Plan Burn ID :— d 56 2008
Minnesota Native Landscapes, Inc. .. Bouwtells Landing -Liz Jefferson
8740 77 Street SW of Norwich Cir N and Norwich Pky N.
c Otsego, MN 55330 a Oak Park Heights, MN 55082
Telephone: (763) 295 -0010 Cell: Telephone: 612- 275 -5001 Cell: 651 - 775 -5866
County Sec TWP Range : Forty Lat/Long (D.M.S) optional
Washington 05 T29N R2OW SE of NW Lat — 45°01'46.71" N
Long — 92 °50'10.73 W
Burn Unit Description
F Size of Bum
Fuel Model
(acres)
1. 1 -SHORT GRASS (1') 2
2. 3 -TALL GRASS (2 1/2')
Additional Burn Unit Descriptors as needed (e.g. overstory /understory, soil, other ownerships within burn area, other descriptors (power lines, roads etc)):
Burn units are upland buffers surrounding a water feature. The burn units are surrounded by turf, paved trails, rock retaining
walls or water, any areas adjacent to structures will have an 8ft burn break around it.
Objectives
Purpose of burn: To eliminate encroaching woody species, to invigorate warm season native plants, to restrict cool season
noxious weeds and to eliminate accumulated debris.
Bum Prescription Window (use BEHAVE to calculate)
Outputs Prescription Parameters Guidance Prescription Parameters
Acceptable Spread Rate Flame Length Wind Speed
Wind Relative 1 -Hr FM 1000 -Hr
Direction(s) Head Backing Head Backing 20' Mid flame Temp. Humidity (opt) FM (opt)
Maximum Max Max Max Min
Prescription 15 80 25
Any
Minimum Min Min Min Max
Prescription 5 40 60
Desired burn date window: From September 2008 through December 2008
Additional Considerations
Consideration Mitigation (brief description)
Adjacent Landowner Concems: Keep smoke light toward homes on south and north end.
Peat Soils or Wet Soils:
Other:
Emergency Telephone Numbers Other Bum Activity Contacts
Forestry (651) 982 -9720 ext. 224 Art Widerstrom
Fire Dept Bayport Fire Department: (651) 275-
4401, or 9 - -
Sheriff , or 9 - -
Medical , or 9 -1 -
6o� 4wz 1 15 tc cii
Personnel Needs (minimum required to conduct bum)
Bum Boss Name (optional): Jake Janski
# Needed Position Names (Optional)
2 Ignition
4 supression
Equipment Needs
# Needed Equipment Type
0 Engine /500 Gallon Tank
I' 1 Engine /200 Gallon Tank
1 ATV
2 Drip Torch(es)
E 4 Backpack Pumps
E 4 Two -Way Radios
• 4 PPE Gear
1 Chainsaw
0 Shovel
2 Rake
4 First Aid Kit
1 Weather Kit
4 Cell Phone
Operations Plans
Pre -burn Site Preparation Completed (e.g. fire breaks, fuel reduction, etc.): All areas adjacent to burnable fuels will have 8ft breaks
mowed.
Ignition /Firing Plan (e.g. provisions for a test fire, firing pattern, preferred wind direction, hazards /special considerations): All areas will be back
burned unless conditions allow small controlled head fires.
Holding Plan (e.g. holding lines, personnel): Perimeters to be monitored by water equipped crewmembers
Patrol /Mop -up Plan (e.g. mop -up process, patrol instructions): All areas to be monitored until cold.
Contingency Plans
Where needed, consider secondary control lines, contingency resources, trigger points, backup plan for equipment failure, etc.:
Escapes can be controlled at turf, roads, and trails.
Smoke Management Plan
Where needed, describe how you intend to mitigate the effects of smoke on roads, neighbors and other sensitive areas:
Smoke will be minimized toward all buildings.
Safety Plan
As needed, identify safety zones, escape routes, and communications: Paved areas and turf will serve as safety areas
List of Attachments
® Project Map (required) ❑ Fire Behavior Calculations (optional) Other:
Signatures
Prepared by: Jake Janski et Title: Land Management Supervisor Date: G — 1 .C)
DNR Reviewed by: \ Title: Date: f d V
To be Completed by DNR Forestry Office: Burn Comp - xity Low ❑ Moderate ❑ High yi
❑ Minnesota Open Burning Permit issued '[Local permit required from: tj/()
Contact: ❑ Cambridge (763- 689 - 7116), ❑ Little Falls (320- 616 - 2459), or ❑ Sandstone (320 245 - 6789) for dayy - -of - burn permit activation.
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