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pdfU.S. Department of Agriculture
Forest Service
FORM APPROVED
OMB NO. 0596-0019
TRAVEL
ZONES
(or campsite)
(Ref. FSM 2323)
In areas where specific campsites are assigned, list and code each site and the number of
nights assigned.
NIGHTS
VISITOR’S PERMIT
(15) TRAVEL PLAN
List or code all zones to be traversed, in sequence of travel, and number of nights to be
spent in each zone.
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
(16) REMARKS
(11) NUMBER OF PACK AND SADDLE STOCK
(12) NUMBER OF DOGS
(13) 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.
(14) VISITOR’S SIGNATURE
DATE
(17) ISSUING OFFICER’S SIGNATURE
FOREST CODE
OFFICE CODE
VISITORS MUST HAVE THIS PERMIT IN POSSESSION DURING STAY IN REQUIRED PERMIT AREAS
FS-2300-30 (02/10)
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 | 2010-01-28 |
File Created | 2010-01-28 |