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Fire Risk Rating for Homes in the Wildland/Urban Interface
This rating system was created by the Alaska Wildland Fire Coordinating Group (AWFCG) specifically for Alaskan residents. It is based on the National Fire Protection Association's Standard for Protection from Wildland Fire (nfpa 299). The form is divided into four sections, with each section rating adifferent risk factor for your home and its surroundings. Included in this survey are features of your community the attributes may or may not apply to the specifics you observe. Complete this form to the best of your ability to determine your home's overall fire risk. IN CASE OF EMERGENCY DIAL 911 Homeowner Name City AK ZIP Address Phone

Section I. ACCESS - To the Community from Your Home ConsiderAccess for Fire Vehicles and Resident Evacuation A. Accessibility to Community by Roads 1. Roads In/Out a. Maintained Road In/Out (All-Season) i. Multiple Roads ii. Single Road b. Unmaintained Road In/Out (Seasonal) i. Multiple Roads ii. Single Road 2. Attributes of Road a. Road Type i. Paved Road ii. Unpaved Road b. Access Type i. Truck/Emergency Vehicle Accessible accessible ii. Regular/Small CarLimited iii. 4WD Limited c. Road Slope i. Flat (less than 10%) ii. Moderate (10% -30%) iii. Steep (greater than 30%) d. Other Road Qualities i. Road Loops ii. Dead End (with turn around/cul-de-sac) iii. Dead End (no turn around) 3. Driveway to the Road a. Full access for Fire Vehicles from Road** b. Limited access for Fire Vehicle (over 200' long) c. Only 4WD vehicle access d. Only accessible byATV e. Limited by footpath from road 4. Other (no bridge = 0) a. two lane bridge (Heavy Weight Limit) b. one lane bridge (Moderate Weight Limit) c. limited access small bridge (limited acceptable weight) 5. No Roads B. Accessibility to Community (Other) 1. Access only by ATV 2. Access only by Water 3. Access only by Air 4. Access only by foot path Section I. Total

Points Score

0 1 2 3

0 10 1 2 0 1 2 0 1 2 0 1 2 3 4 1 2 3 18 1 3 5 7 25

**ROAD ACCESSIBILITY FOR FIRE VEHICLES MUST BE 12 FEET IN WIDTH WITH 13.5 FEET CLEARANCE, LESS THAN 10% GRADE, AND 100 FOOT TURNAROUND.

Section II. - COMMUNITY INFRASTRUCTURE - Attibutes of Your house in the Community This section examines the role of the community plays in the risk of wildfire affecting your home A. Electrical Utilities 1.Underground Power Lines (within 200' of residence) 0 2. Aboveground Power Lines (within 200' of residence) a. 10' right of way around power lines maintained 1 b. 10' right of way around power lines NOT maintained 3 B. Gas/Fuels Utilities (Propane, Diesel, Gasoline, and others) 1. Gas Tanks Stored Underground 0 2. Gas Tanks Stored Aboveground a. Fuel Barrels stored over 30' away 1 b. Fuel Barrelsstored less than 30' away 3 3. Large Capacity Fuels Storage Tanks within vicinity of home(s) C. Water Supply 1. Hydrants a. Hydrants within 1000' b. Hydrants greater than 1000' c. No Hydrants Available 2. Draft Sources a. Draft sources available (equals 0) i. open water ii. pumps b. Draft sources NOT available D. House Identification (with eletrical company, village council, etc.) 1. Houseofficially registered and Number Displayed 2. House officially registered and number NOT displayed 3. House NOT Registered E. Response Resources 1. Organized response less than 5 miles 2. Organized response greater than 5 miles 3. NO organized response F. NO Evacuation Plan for Community 3

0 1 3

2 3 4 0 1 3 0 1 3 3 (Street Displayed if Applicable)

Section II. Total 25 Section III. - NATURALCONDITIONS and FUELS (Within 300' of Dwelling effects the ability of Wildfire to spread in a given area) A. Slope 1. Minimal slope present (less than 10%) 1 2. Nearby moderate slopes (10% to 30%) 3 3. Nearby steep slopes (30% or greater) 5 B. Other Weather, Topographic, and Miscellaneous Features 1. Draws/ravines 2 2. Chimney or close-by canyons 2 3. Aspect (amount of daily sun exposure) 2 4. Strong...