Ch21_Petition for Variance.doc 10/17/16
PETITION FOR VARIANCE
FROM PERFORMANCE STANDARDS
FOR MFS RULE, CHAPTER 21:
STATEWIDE STANDARDS FOR TIMBER HARVESTING
AND RELATED ACTIVITIES IN SHORELAND AREAS
pursuant to 12 M.R.S. §8869
Maine Forest Service, Department of Agriculture, Conservation & Forestry
22 SHS, Augusta, Maine 04333-0022 - (207) 287-2791 or in-state 1-800-367-0223
Petition Number
1. LANDOWNER
Name/Post Office mailing address & ZIP/daytime phone
DESIGNATED AGENT
(contact person)
Name/Post Office mailing address & ZIP/daytime phone
LOCATION of HARVEST SITE
Town/Township County
Attach additional sheets if necessary to fully answer questions 2-12
(Keyed to the appropriate question)
2.
Specific standard(s) for which a variance is requested; under MFS Rule, Chapter 21: Statewide Standards
for Timber Harvesting and Related Activities in Shoreland Areas (Sections 5-11).
3.
How will your proposed activities vary from the prescribed standards? What mitigation measures, if any, do
you propose in lieu of the standards?
4.
What specific conditions make it necessary to exceed the performance standards? Explain.
Unique characteristics of site . Economic Hardship
4.a
Explain:
5. Mandatory Variance Information:
Provide (on an additional sheet) a detailed description of the
present condition of the site and the expected condition after the implementation of all requested activities if the
variance is approved. The information should include but is not limited to: pre-harvest and post-harvest stand
conditions (acres affected, basal area, stand and stocking data, species, justification for the harvest), condition of trees
(insect and disease, decay, growth, windfirmness), soils information (dry ,wet, ledge), terrain (steep, flat, erosion
potential), harvest techniques and type of equipment to be utilized, Best Management Practices to be installed (before,
during and after the harvest), identify water bodies/wetlands and practices used to protect them, effect on wildlife and
habitat, etc…
6.
Unique characteristics of site.
If this request is based on the grounds of unique characteristics of the site, provide
any forest stand information that will support your need for the variance such as soils information, species of trees, stand
Ch21_Petition for Variance.doc 10/17/16
type, tree heights, stand acreages, basal areas, insect and disease analysis by appropriate forest entomologists or
pathologists, topographic data, water body information, etc.
7.
Economic Hardship.
If this request is based on grounds of economic hardship, provide any relevant financial data
that will support your claim for a variance.
8.
Cause of the problem, if any. (Variances will not be issued if hardship or extraordinary difficulties are claimed as
grounds for the variance and they were created by the owner or a predecessor in title).
9.
List alternative courses of action that were considered and reason(s) they were rejected.
10.
List names, addresses and phone numbers of landowners of all property adjoining the area of activity and
show their location on your map - item 11.
Abutter:
Name/Post Office mailing address & ZIP
Abutter:
Name/Post Office mailing address & ZIP
Abutter:
Name/Post Office mailing address & ZIP
Abutter:
Name/Post Office mailing address & ZIP
11.
What is the approximate time period planned to perform the activities requested in this variance?
Begin
and end
month/day/year
month/day/year
12.
Attach a map of sufficient detail showing the proposed activity related to the variance request and where it is
located. Show any roads, streams, zoned wildlife habitat and any other protection zones, stand types, and any other
information applicable to this request. Acceptable base maps include full size LUPC zoning maps, forest type maps at
scale of 1" = 1/4 mile or less, vertical aerial photographs or readable copies of same at a scale of 1" = 1/4 mile or less or
other accurate map with scale, title, and north arrow
.
CERTIFICATION. I hereby certify that the information contained herein is true, correct, and
complete to the best of my knowledge and belief.
________________________________________________________________________________
Signature of Landowner or/designated agent Date Submitted