*1.What is the wildfire hazard/issue you have identified?(Required.)

*2.On a scale of 1-5, how severe of a wildfire hazard would you say it is?(Required.)

1 (Lowest Severity)

2

3

4

5 (Highest Severity)

Other (please specify)

*3.When was the hazard identified? (month and/or year)(Required.)

*4.Where is the hazard located? (Home/Property Address, Road, Landmark, Community, Other)(Required.)

*5.Is the location of the hazard managed by a federal, state, or local government agency, or on tribal land or private land?(Required.)

Federal

State

Local Government/Agency

Tribal Land

Private Land

Other

*6.What type of vegetation is in or adjacent to the identified location? (ex: timber, shrubland, oak woodland, grassland, riparian, etc.)(Required.)

*7.What are the assets/resources at risk? (examples include but are not limited to: Infrastructure, Human Communities, Wildlife Habitat, Municiple Watersheds, Livestock, etc.)(Required.)

*8.What is the estimated asset/resource value as a dollar amount? (If Applicable)(Required.)

*9.What do you think the likelihood of a wildfire occurrence is currently due to the identified hazard?(Required.)

1 (Low)

2

3

4

5 (High)

*10.On a scale of 1-5, what do you think the wildfire severity and intensity would be if one did occur with the hazard still in place?(Required.)

1 (Low)

2

3

4

5 (High

*11.Is the location in a wildfire footprint?(Required.)

Yes

No

*12.Are there any current wildfire mitigation efforts or resources regarding the hazard? (ex: any current fuel reduction projects, fuel breaks, fire suppression personnel, nearby hydrants and water sources?)(Required.)

*13.What are some of the solutions you would like to see? (ex: thinning and removal of shrubs and a focus on building defensible space around my property and neighbors)(Required.)

14.Respondent Information (information will not be shared with outside sources and will only be used for projects led by Colusa County Resource Conservation District and direct partners)

Name

Email

Phone

Address