Plains Pilot Project Application Wildfire Partners 2022 Plains Pilot Project Application Step 1 of 3 - Contact Information 0% Primary Homeowner* First Last Address to be assessed* City* State*COALAKAZARCACTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWIWYZip Code* Contact Phone Number:*Email* Enter Email Confirm Email Your home must be located in eastern Boulder County - in Fire Zone 2 - to participate in the plains pilot program. View the Fire Zone map. If your home is in Fire Zone 1, please apply for the regular Wildfire Partners program here.Is your home located in Fire Zone 2?* Yes No Do you own your home? (Renters are not eligible to apply.)* Yes No Is the address above your primary residence? (Secondary residences and rental properties are not eligible to apply.)* Yes No Do you agree to participate in an individual home assessment? Homeowners who join this pilot project actively participate in an on-site assessment with a Wildfire Mitigation Specialist. This professional assessment - estimated to take 1-3 hours to complete - will identify the strengths and weaknesses in your home's defenses and recommend actions to take in order to reduce your risk. This assessment may identify trees for removal with flagging or blue paint. The assessment is provided free of charge.* Yes No Do you agree to sign the program's liability waiver? Your signature on the liability waiver is needed to ensure you understand mitigation does not guarantee your home will survive future wildfires.* Yes No Do you agree to participate in a follow-up survey after your assessment? As a participant in a pilot project, you will be asked for feedback on your assessment and input for designing and implementing potential future wildfire mitigation and education initiatives on the plains.* Yes No Is your schedule flexible? We will be offering a limited number of appointment options so that we can consolidate our site visits, and participants will only be able to choose from these limited options.* Yes No Are you a member of a Homeowners Association (HOA) or community group?* Yes No What is the name of your HOA or community group?* Does your HOA have any rules that could prevent you from undertaking mitigation measures such as removing vegetation, retrofitting your home, or mitigating your fence?* Yes No Unsure Please specify:*What is the name of your neighborhood or community?* Based on your current knowledge of wildfire mitigation, which of the following vulnerabilities do you think you may need to address in your action plan to help reduce your wildfire risk? Check all that apply. (Note: Your responses will not be used to deny your application.) Vegetation close to structures Combustible mulch Combustible fencing attached to your house Deck Items stored underneath your deck Detached garage Other accessory structures (i.e. sheds, chicken coops, pergolas, play structures) Recreational vehicle Wood shake roof Single pane windows Working with your neighbors to address risks located on their property Please select any of the following items that are adjacent to (touch) your property boundary: (Note: Your responses will not be used to deny your application.) Boulder County Open Space City of Boulder Open Space Other local government open space Other public land Vacant land Ditch Riparian area or wetland Golf course Land used for agriculture Other land with wildland vegetation Have you performed any mitigation measures in the past with the specific purpose of reducing your own wildfire risk? (Note: Your response will not be used to deny your application.)* Yes No Please describe the mitigation measures you've performed to reduce your wildfire risk:*Why are you interested in participating in this pilot project?*By clicking the button below, I/we affirm my/our desire to participate in the pilot project. If I am married, I acknowledge that my spouse affirms the desire to participate in the project as well. By checking the box below, you affirm that your responses to the questions contained in this application are accurate and true.* I/we affirm No, I/we do not affirm Δ
