|
<br />
<br />I
<br />
<br />,/
<br />
<br />.
<br />
<br />.'
<br />
<br />.~.
<br />
<br />.-,
<br />
<br />IN WITNESS WHE;:AEOF, the Secretary 0/ Agricu~ure by the [Deputyl Regional Forester, Forest Service
<br />_ _ has executed this E,asemenl pursuant to delegations of alJlhcrity specified in 7 CFR 2.42 and 36 CFR '
<br />,"1251.52 on the day ,.nd year written above.
<br />
<br />,..\
<br />i
<br />'1
<br />I
<br />!
<br />
<br />.
<br />
<br />-'
<br />/
<br />.I
<br />~
<br />
<br />i
<br />!
<br />~
<br />i
<br />i
<br />i
<br />I
<br />I
<br />.- I
<br />i
<br />,
<br />
<br />.
<br />
<br />UNITED STATES OF AMERICA
<br />
<br />BY
<br />
<br />TOM L THOMPSON
<br />Deputy Regional. Forester
<br />Rocky Mountain Region
<br />Forest Service
<br />Department of Agriculture
<br />
<br />ACKNOWLEDGMENT
<br />
<br />State 01 ColNado )
<br />) ss:
<br />County of J.,lferson )
<br />
<br />'.
<br />\
<br />j
<br />
<br />The forE,going instrt.iment was acknowledge<:! before me on this
<br />. 199-, by Tom L.Thompson.
<br />
<br />Witness my hand and official seal.
<br />
<br />.
<br />
<br />day of
<br />
<br />(seaQ
<br />
<br />Notary Publio Signature
<br />
<br />My Commis~ion Expires:
<br />
<br />Aor;orQn<,J1o fh<> ?apGlWorl< Raduction Acto! 1995. 00 p"""'" oro """,ill>Ci to "'op"n<l to 0 coCQcij"; of info01'lalion unl... it di'fllay. . ","id
<br />OMS control OlQrlber. The valid OMS contr"ol number for lhi:; information t:ottOC'fiOf\ is 06'96.-ooa'2. Thia information is needod by the Forast
<br />SQ~ to QvaJUC1,tQ IlKlUe,sb to u:e Natio[lal Forasl $ystliCTI l.ands and rnanage thosliIlanc;.s to pmtect \"Iatural rasourcas, administer the USQ,
<br />aJ'Id ensum pub';; l1aallh and tafety. This information is roquired' to Qblain cr relain a benelit. The llUthority for that r'eGuil'l3rnant is providQd
<br />by 111. Of!l'1l1ic ,lctol 1e97 and Iho Fod.ra1 land poncy and Man:>gomont Act of 1976, whiel1,ulhorimlhe SElC"'Wy of Ag,"",ttu'" to
<br />prcmulgat9 rufg~ and tagl.llalioM$ for pvthorizing and managing NationaJ ForastSystgm lat'lds. TheliQ statute:. along with th0 Term Permit
<br />Act National Fe.".l Ski Al93, ?01'1~ Act Grongor.Thy. Act Minora! Lossing Act. N..... TOIl1l ?onnit Ac~ Act ot S4ptOlnber 3,1954,
<br />Wildem... Act Natiooal Fe""t Road. MdT,,"I. Act Ael 01 Nov.mbor 16,1973, AreI1l1OlogicaJ Rocou",.. Protection Act and Alaska
<br />Naaonal Intere:c l..and~ ConGsrvation Al;l authoriZe the Secretary of AgriCUlture to issue auihotiz.alfons fer the u.sa and QCc:\.Ipancy of
<br />Nalional Fore~t Sy::;tem lands, The $ecrglarf DI Agriculwra's ~9Y\atiOf'lS al36 CFR P~rt2S1. Subpart 8, ~urabijsh procedLlres foris$uing
<br />!ho~e autl1oriza1ions,
<br />
<br />Th. Privacy Ac'.ol 1974 (5 V.S.C. 5520) and 1110 Fl9odom ollolormation Act (5 V.S.C. 5521 go..m <he conndenDoJily to b. pr<>;idod lor
<br />information ra':lINed by the Fora:t SaNlca.
<br />
<br />Pucl1c rapQr'!in~1 blJrden tor ltIi: co{fecO"on ofinformatiQn. if rnquQ~led, is e:;Qmaloo to a....erage 1 hour par responsa for annual financial
<br />inlormation; a1nragQ "i hourpQr respan$G to prepa.re or updatlJ operacon and/or maintonant:8 plan; average' hour par raspoMs for.
<br />inSf:leenol'\ relJNts.; end el"\ al/oraS"Q or 1 hour to'f aach r&qusSllhat may include such thil'\gs a.!O reports, I09~< facility and usar informatlon,
<br />sublea.::;e infon"naUon. atld othQr similar'miscslJ.anaou; lnfonnstion reqLla~ls. Thi; include::. the ti'rna tor rgvtawing iMst.MJetlons. ~8arcning
<br />a:ri;ong data. 5:Jures::;, salhoring and mainca1nlng the data ngedQ,d. and completing and rnvla'Wing the col!ec~Qn of information. ~nd
<br />commenrs T"BSl",rding thh; burdeo B~ijmatg Qrany otharaspsd of this collection 01 into rmacQn , fnc{1Jding s.u9'~:;tiOI1~ tar !&dueing this
<br />10 Daj:)attm&flt ct Agrio..lltun!l, Clea1"3l\C9 OHicQr. OIRM, AG Box 7630, Washington. D.C. 20250; and to tha OffiC4 of Management an
<br />P,perwor1< P..duclion Prtli.ct [OMB ~ 059';-<'082). Washington, D.C. 20503.
<br />
<br />989-, 900/S00.d SV!-L
<br />
|