Maine Department of Agriculture, Conservation and Forestry
Amendment to Forest Operations Notifications
Date: ____________
Notification #: _____________ Town, TWP., OR PLT___________________ County: ________________
Licensed Forester #: _________________
Landowner Signature: ______________________________________________ Date______________
Designated Agent Signature: _________________________________________ Date______________
Harvester Signature: ________________________________________________ Date______________
Changes in General Information: (Please circle that designated individual who is changing the information on this form:
Land Owner, Licensed Forester, Designated Agent or Timber Harvester.
Designation: ______________________________ Designation: ______________________________
Name: ___________________________________ Name: ___________________________________
Address: _________________________________ Address: _________________________________
_________________________________________ _________________________________________
Phone:___________________________________ Phone: ___________________________________
Additional Harvest Information:
Is the map different then original filed map? Yes No If yes, you must attached the revised map.
How many acres of planned harvest are included in this amendment? __________
Do you intend to clearcut? Yes No Any clearcuts in excess of 75 acres? Yes No
Clearcut size in acres ______
Changes to Chapter 21: Shade & Tree Retention Standards? Yes No Water crossings? Yes No
Specify activities: (List any activities, additions or changes that differ from the original filed notification).
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Zones in which you will be harvesting if different from original FON:
Zones in which you will be constructing land management road if
different from original FON:
Specify activities: (List any activities, additions or changes that differ from the original filed notification).
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Add additional sheets if necessary.
2014 GEO CODE _______________________(for official use only).
Maine Forest Service Section
Chapter 27 or LUPC Section
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