Fs 2400 1 Form PDF Details

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QuestionAnswer
Form NameFs 2400 1 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfs 2400 1, fs form 7600b fillable form, fs 147 form, fs 2400 1 form

Form Preview Example

FS-2400-1

 

 

 

 

 

 

 

 

 

 

 

 

 

OMB No.: 0596-0085

BLM-5450-24

 

 

FOREST PRODUCTS REMOVAL PERMIT AND CASH RECEIPT

 

Expires: 10/31/2018

(08/2016)

 

 

 

(AUTH: 16 USC 472A, 551; 30 USC 601, 602; 43 USC 1201; 16 CFR 223; & 43 CFR 5420)

 

 

 

 

 

 

U.S. DEPARTMENT OF AGRICULTURE – FOREST SERVICE

 

 

 

 

 

 

U.S. DEPARTMENT OF THE INTERIOR – BUREAU OF LAND MANAGEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FS Region/BLM State: [

]

 

 

 

 

FS National Forest/BLM District:

 

 

IV#Udqjhu#Glvwulfw2EOP#Ilhog#Ri﾿fh=#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permittee’s Name and Complete Address:

 

Permit No.

 

Preparation Date

 

Payment Method

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

Hiihfwlyh#Gdwh#

 

Termination Date

 

Ordg#Wlfnhw#Qxpehuv#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

Wkux=#

City/State:

 

 

 

 

 

 

 

 

Surgxfw#Sodq#

From:

Wkux=#

Zip Code:

 

 

 

 

 

 

 

Qxpehu=#

 

Name:

 

 

Shuplwwhh#Lghqwl￀fdwlrq#

 

 

 

Type

 

 

Sxeolf#Odqg#W|sh#

 

 

Frxqw|#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yhklfoh+v,#Lqirupdwlrq#

 

Dvvrfldwhg#Fkdujhv#

 

 

 

Shuplw#Duhd#Ghvfulswlrq=#

Year:

 

 

Year:

 

 

 

Ixqg#

Dprxqw#

 

 

 

 

 

 

Make:

 

 

Make:

 

 

 

 

 

 

 

 

 

 

 

Model:

 

 

Model:

 

 

 

 

 

 

 

 

 

 

 

Color:

 

 

Color:

 

 

 

 

 

 

 

 

 

 

 

License:

 

 

License:

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

State:

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRODUCT DESIGNATION

 

 

 

 

 

Unit of

 

 

 

 

Rate Per

Dvvrf1#

Total Cost of

Cost of

 

 

 

 

 

 

#Phdvxuh#

Txdqwlw|#

 

 

Surgxfw#

Fkdujhv#

Surgxfwv#

 

Dvvrf1#Fkdujhv#

 

 

Surgxfw#

 

Vshflhv#

+XRP,#

 

Sold

 

 

UOM

$ per UOM

+',#

 

+',#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Permit Costs:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wrwdo#Sxufkdvh#Sulfh=#

 

 

 

 

 

 

 

PRODUCT QUANTITY REMOVAL RECORD

 

 

 

 

 

 

Txdqwlw|#

 

 

Txdqwlw|#

 

 

 

Txdqwlw|#

 

 

Txdqwlw|#

 

Date

Time

Uhpryhg#

Date

Time

Uhpryhg#

Date

Time

Uhpryhg#

Date

Time

Uhpryhg#

 

Iru#EOP#odqgv#rqo|/#Shuplwwhh#fhuwl﾿hv#wkdw#wkh|#duh#ri#wkh#djh#ri#pdmrulw|#lq#wkh#vwdwh#wkh|#uhvlgh#lq#dqg/#li#sxufkdvlqj#wlpehu/#duh#d#Xqlwhg#Vwdwhv#flwl}hq#

SIGNATURES

PERMITTEE

Date

AUTHORIZED AGENCY/VENDOR

Date

PRIVACY ACT NOTICE

Wkh#iroorzlqj#lqirupdwlrq#lv#surylghg#wr#frpso|#zlwk#wkh#Sulydf|#Dfw#ri#4<:7#+SO08:<,1##8#X1V1F1#885d#dxwkrul}hv#dffhswdqfh#ri#wkh#lqirupdwlrq#uhtxhvwhg#rq#wklv#irup1##Wkh#Iruhvw# Vhuylfh#dqg#Exuhdx#ri#Odqg#Pdqdjhphqw#xvh#wklv#lqirupdwlrq#wr#pdlqwdlq#dq#lqyhqwru|#ri#iruhvw#surgxfw#lqirupdwlrq#dqg#wr#dgmxglfdwh#|rxu#uljkwv#wr#iruhvw#surgxfwv1##Wkh#lqirupdwlrq# uhtxluhg#e|#wklv#irup#pd|#eh#glvforvhg#sxuvxdqw#wr#wkh#uhjxodwlrqv#lq#:#FIU#418#ru#76#FIU#51891##Li#|rx#gr#qrw#ixuqlvk#doo#wkh#lqirupdwlrq#uhtxluhg#e|#wklv#irup/#|rxu#dssolfdwlrq#pd|#eh# uhmhfwhg1#

BURDEN AND NONDISCRIMINATION STATEMENTS

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0085. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s

income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program lqirupdwlrq#+Eudlooh/#odujh#sulqw/#dxglrwdsh/#hwf1,#vkrxog#frqwdfw#XVGDᄊv#WDUJHWFhqwhu#dw#5350:5305933#+yrlfh#dqg#WGG,1#Wr#﾿oh#d#frpsodlqw#ri#glvfulplqdwlrq/#zulwh#XVGD/#Gluhfwru/#Ri﾿fh#

of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.

(Continued on page 2)

(Form 5450-24, page 1)

FS-2400-1 BLM-5450-24 (08/2016)

 

OMB No.: 0596-0085

FOREST PRODUCTS REMOVAL PERMIT AND CASH RECEIPT

Expires: 10/31/2018

U.S. DEPARTMENT OF AGRICULTURE – FOREST SERVICE

 

U.S. DEPARTMENT OF THE INTERIOR – BUREAU OF LAND MANAGEMENT

 

PERMIT NO.:

GENERAL CONDITIONS

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41

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51

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61

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71

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OTHER CONDITIONS

(Form 5450-24, page 2)

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Step # 1 for filling in fs form 7600b fillable form

2. Just after completing the last section, go to the next part and fill out the necessary details in all these blank fields - Unit of Phdvxuh XRP, Sold, Rate Per Surgxfw UOM, Dvvrf Fkdujhv per UOM, Total Cost of Surgxfwv, Total Permit Costs, Date, Time, Date, Time, Date, Time, Date, Time, and PRODUCT QUANTITY REMOVAL RECORD.

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3. This next step focuses on Permit No, and GENERAL CONDITIONS - type in every one of these blank fields.

GENERAL CONDITIONS, GENERAL CONDITIONS, and Permit No of fs form 7600b fillable form

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fs form 7600b fillable form conclusion process outlined (part 4)

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