Community Wildfire Protection Plan - Property Owner Survey
RequiredRequired Question(s)
Thanks in advance for taking the time to complete this 24-question survey. As your local Fire Safe Council, we are concerned about your safety during a wildland fire and are working on ways to reduce the risks within our community. This survey will help us identify areas within the community that need funding for risk reduction projects, and help to increase our chances of actually obtaining funding for such projects. We have attempted to protect your privacy as much as possible, but would appreciate full answers to all questions.
 
1.
Name: (Optional)
 

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2.

Phone number: (Optional)

 

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3.

E-mail address: (Optional)

 

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Required 4.
What tis the property type?
Primary residence
Rental residence
Business
Agricultural
Required 5.
What is the street name where the property is located:
 

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Required 6.

What is the nearest cross-street:

 

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Required 7.

What is the parcel size?

More than 10 acres
One to 10 acres
Less than one acre
Required 8.
My driveway exits onto (pick one):
A public (State or County) road
A private road
Required 9.
The road that serves the parcel
Has two or more ways out in case of an emergency
Is a dead-end road longer than 500 feet (if less than 500 feet and you can provide an estimated length please select "other" and note the estimated length below)
Other  
Required 10.
The primary roads leading to my home are:
Clearly marked with street signs at intersections.
Do not have street signs at intersections making it difficult for visitors to navigate.
Required 11.

 Regarding gates, which applies to your property (check one)?

I do not have a gate
I have an unlocked gate
I have a fire department "Knox box" for access to my gate
My gate is locked without fire department access
Required 12.
Where the roadway going to your home splits or makes a "Y", and the split roadways share the same road name, are there are approved (4" reflective on a contrasting background) address numbers at the intersection of the roadways indicating the correct roadway to take to reach your home.
Yes
No
This does not apply to me.
Required 13.
Regarding the address numbers at your property:
At my driveway I have approved address numbers (4" tall reflective numbers on a contrasting background) that are clearly visible to an approaching vehicle.
On my residence I have approved address numbers (4" tall reflective numbers on a contrasting background) that are easily visible from my driveway.
I do not have approved address numbers at my property.
Required 14.
With regard to the neighbors who share your road, please select one or more of the following that best describes your conditions.
We have identified a secondary evacuation/escape route for our neighborhood
We have not identified a secondary evacuation/escape route for our neighborhood
We have identified a sheltering-in-place / temporary refuge area
Not applicable
Required 15.

If a motor home and fire engine were traveling on my road in opposite directions (pick one):

The motor home and fire engine can easily pass
The motor home and fire engine will have difficulty passing
The motor home and fire engine could not pass
Required 16.

During an evacuation, how many large vehicles (i.e motorhome, travel trailer, horse trailer, etc.) will need to leave your property? 

 

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Required 17.

During an evacuation, how many large animals (large enough to require a trailer) will need to leave your property?  

 

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Required 18.
During an evacuation, how many people will need to leave your property? 
 

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Required 19.
During an evacuation, how many pets will need to leave your property? 
 

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Required 20.

 Are there mobility challenged people at your property who will need assistance during a community emergency (including those registered with PG&E as Medical Baseline Customers)?

Yes
No
Required 21.
With regard to the VEGETATION along your road, please select the best description from the choices below.
Grasses are mown to less than 4 inches, trees and brush are trimmed to provide 10' of horizontal clearance, and 15' of vertical clearance
Roadside vegetation is mostly well maintained, but some areas need improvement
Tall grass, brush and trees border and overhang the roadway
Required 22.
Pick one of the following that best describes your home's DEFENSIBLE SPACE, meaning that within the stated distance from your home there is not significant fuel.
I have adequate defensible space 0-5 feet of my home
I have adequate defensible space 0-30 feet of my home
I have adequate defensible space 0-100 feet or more of my home
Required 23.
HOME HARDENING is an important part of fire preparation. With regard to your home, select those items that are true:
I have wood shingle or wood siding
I have a potentially usable water source over 1000 gallons on my property
I have dual glazed windows
I have open wood decks/railings
I have enclosed my soffits and eaves
I have covered my gutters to keep them clean
My eaves and gutters are open but I clean them often during fire season
I have one or more accessory dwelling unit(s) on the property
I have 1-6 outbuildings on my property (garage, shed, etc.)
24.
Are there specific areas on or near your property where you see hazardous electrical conditions, including uninsulated PG&E power drops to your meter? If so, please describe:
 

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