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pdfFORM APPROVED
OMB NO. 0596-0019
EXPIRES 01/2010
VISITOR’S PERMIT
(14) TRAVEL PLAN
List or code all zones to be traversed, in sequence of travel, and number of nights to
be spent in each zone.
(Ref. FSM 2323)
TRAVEL
ZONES
(or campsite)
NIGHTS
U.S. Department of Agriculture
Forest Service
In areas where specific campsites are assigned, list and code each site and the
number of nights assigned.
WHEN SIGNED, THIS SINGLE – VISITOR PERMIT AUTHORIZES
(1) NAME (First, Middle Initial, and Last)
(2) MAILING ADDRESS (Optional)
(3) CITY AND STATE
(4)
ZIP
CODE
(5) TO VISIT (and to build campfires in accordance with regulations)
(6) DATES (Give best estimates of start and finish dates)
From
month/day
Through
month/day
(7) LOCATION OF ENTRY POINT
(8) LOCATION OF EXIT POINT
(9) PRIMARY METHOD OF TRAVEL
(10) NUMBER OF PEOPLE IN GROUP
(15) REMARKS
(11) NUMBER OF PACK AND SADDLE STOCK
(12) NUMBER OF WATERCRAFT OR VEHICLES
(Check Regulations – Vehicles not allowed in many permit areas)
I agree to abide by all laws, rules and regulations which apply to this area and will do my best to see that everyone in our group
does likewise.
(13) VISITOR’S SIGNATURE
DATE
(16) ISSUING OFFICER’S SIGNATURE
FOREST
CODE
OFFICE CODE
VISITOR’S MUST HAVE THIS PERMIT IN POSSESSION DURING STAY IN REQUIRED PERMIT AREAS
FS-2300-30 (11/96)
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 0596-0019. The time required to complete this
information collection is estimated to average 3 minutes per response.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its
programs and activities on the basis of race, color, national origin, gender,
religion, age, disability, political beliefs, sexual orientation, and marital or family
status. (Not all prohibited bases apply to all programs.) Persons with disabilities
who require alternative means for communication of program information
(Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at
202-720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights,
1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800)
795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity
provider and employer.
File Type | application/pdf |
Author | Steve Boutcher |
File Modified | 2007-02-16 |
File Created | 2007-02-16 |