FS-2700-4h Special Use Permit for Campground and Related Granger-Th

Authorization ID: #AUTH_ID#
Contact ID: #HOLDER_ID#
Use Code: #USE_CODE#
Expiration Date: #EXPIRATION_DATE#

FS-2700-4h (XX/202X)
OMB No. 0596-0082

U.S. DEPARTMENT OF AGRICULTURE
FOREST SERVICE
SPECIAL USE PERMIT FOR
CAMPGROUND AND RELATED GRANGER-THYE CONCESSIONS
AUTHORITY:
Section 7 of the Granger-Thye Act, 16 U.S.C. 580d

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#HOLDER_NAME#, #HOLDER_ADD_LINE_1#, #HOLDER_ADD_LINE_2#, #HOLDER_ADD_LINE_3#,
#HOLDER_CITY#, #HOLDER_STATE#, #HOLDER_ZIP#
#HOLDER_NAME# (the holder) is hereby authorized to use and occupy National Forest System (NFS) lands in
the ______________________ National Forest, subject to the terms of this special use permit (permit).

FACILITY

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#PURPOSE#

____________________

LEGAL DESCRIPTION

ACRES

DISTRICTS

___________________________

_______

__________________

This permit covers #USE_ACRES# acres or #USE_MILES# miles, which are described above, are shown on the
map attached to this permit (hereinafter the “permit area”).
This permit is issued for the purpose of operating and maintaining a Forest Service developed recreation site or
sites as provided herein and in the attached appendices. The following are attached to and incorporated into this
permit:

Annual Operating Plan
Annual Granger-Thye Fee Offset Agreement
Holder Maintenance and Reconditioning Plan
Developed Recreation Site Maps
Facility and Improvement Inventory
List of Federally Owned Improvements Covered by Property Insurance
Operation of Federally Owned Drinking Water Systems
Granger-Thye Fee Offset Claim

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APPENDIX A:
APPENDIX B:
APPENDIX C:
APPENDIX D:
APPENDIX E:
APPENDIX F:
APPENDIX G:
APPENDIX H:

I. GENERAL TERMS
A. AUTHORITY. This permit is issued under Section 7 of the Granger-Thye Act, 16 U.S.C. 580d, and 36 CFR
Part 251, Subpart B, as amended, and is subject to their provisions.
B. AUTHORIZED OFFICER. The authorized officer is the Forest or Grassland Supervisor, a District Ranger, or
the Station, Institute, or Area Director with delegated authority pursuant to Forest Service Manual 2700.
C. TERM. This permit shall expire at midnight on #EXPIRATION_DATE#, provided that the permit term may be
extended up to 5 years by amendment at the sole discretion of the authorized officer based on sustained
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satisfactory performance or administrative need. Expiration of this permit shall not require notice, a decision
document, or any environmental analysis or other documentation.
D. CONTINUATION OF USE AND OCCUPANCY. This permit is not renewable. After it expires, continuation of
the use and occupancy authorized by this permit is at the sole discretion of the authorized officer. After
expiration, issuance of a new permit for the use and occupancy authorized by this permit shall be subject to
competition.
E. AMENDMENT. This permit may be amended in whole or in part by the Forest Service when at the discretion
of the authorized officer such action is deemed necessary or desirable to incorporate new terms that may be
required by law, regulation, directive, the applicable land management plan, or projects and activities
implementing the land management plan pursuant to 36 CFR Part 218. Any amendments to this permit under

this clause must be in writing and must be signed and dated by the authorized officer.

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F. COMPLIANCE WITH LAWS, REGULATIONS, AND OTHER LEGAL REQUIREMENTS. In exercising the
rights and privileges granted by this permit, the holder shall comply with all present and future federal laws and
regulations and all present and future state, county, and municipal laws, regulations, and other legal requirements
that apply to the permit area, to the extent they do not conflict with federal law, regulation, or policy. The Forest
Service assumes no responsibility for enforcing laws, regulations, and other legal requirements that fall under the
jurisdiction of other governmental entities.

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G. NON-EXCLUSIVE USE. The use and occupancy authorized by this permit is not exclusive. The Forest
Service reserves the right of access to the permit area, including a continuing right of physical entry to the permit
area and the authorized facilities and improvements for inspection, monitoring, or any other purpose consistent
with any right or obligation of the United States under any law or regulation. The Forest Service reserves the right
to allow others to use the permit area in any way that is not inconsistent with the holder's rights and privileges
under this permit, after consultation with all parties involved. Except for any restrictions that the holder and the
authorized officer agree are necessary to protect the installation and operation of authorized improvements, the
permit area shall remain open to the public for all lawful purposes. To facilitate public use of this area, all existing
roads shall remain open to the public, except for roads that may be closed by joint agreement of the holder and
the authorized officer.
H. ASSIGNABILITY. This permit is not assignable or transferable.
I. CHANGE IN CONTROL OF THE BUSINESS ENTITY

1. Notification. The holder shall notify the authorized officer when a change in control of the business entity that
holds this permit is planned.

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(a) In the case of a corporation, control is an interest, beneficial or otherwise, of sufficient outstanding voting
securities or capital of the business so as to permit the exercise of managerial authority over the actions and
operations of the corporation or election of a majority of the board of directors of the corporation.

(b) In the case of a partnership, limited partnership, joint venture, or individual entrepreneurship, control is a
beneficial ownership of or interest in the entity or its capital so as to permit the exercise of managerial authority
over the actions and operations of the entity.

(c) In other circumstances, control is any arrangement under which a third party has the ability to exercise
management authority over the actions or operations of the business.
2. Effect of Change in Control. Any change in control of the business entity as defined in clause I.H.1 shall
cause this permit to terminate upon issuance of a new permit to another party for the use and occupancy
authorized by this permit. The party who acquires control of the business entity must submit an application for a
permit for the type of use and occupancy authorized by this permit. Issuance of a new permit to the party
acquiring control shall be at the sole discretion of the authorized officer. The authorized officer shall determine
that the applicant meets requirements under federal regulations. If a new permit is issued to the party acquiring
control, the term shall be for no more than the balance of the term of this permit. Once the permit issued to the
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party acquiring control expires, issuance of a new permit for the type of use and occupancy authorized by this
permit shall be subject to competition.
J. LIMITATIONS. Nothing in this permit gives or implies permission to build or maintain any structure or facility
or to conduct any activity, unless specifically provided for in this permit. Any use not specifically identified in this
permit must be proposed in accordance with 36 CFR 251.54. Approval of such a proposed use through issuance
of a new permit is at the sole discretion of the authorized officer.
II. OPERATIONS, MAINTENANCE, AND RECONDITIONING

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A. ANNUAL OPERATING PLAN
1. The holder or the holder’s designated representative shall prepare and annually revise by ____________ an
annual operating plan. The annual operating plan shall be prepared in consultation with the authorized officer or
the authorized officer’s designated representative and shall cover all operations authorized by this permit,
regardless of season. The annual operating plan shall be submitted by the holder and approved in writing by the
authorized officer or the authorized officer’s designated representative prior to the operating season and shall be
attached to this permit as an appendix. Any operating plan revisions shall be submitted by the holder and
approved in writing by the authorized officer or the authorized officer’s designated representative before they are
implemented.

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2. The annual operating plan shall specify the operational requirements governing the sites covered by this
permit. At a minimum, the annual operating plan shall enumerate the minimum operating seasons and how the
holder will provide services to the public; protect public health and safety and the environment; and repair,
maintain, or enhance the function of the improvements covered by this permit. The annual operating plan shall
contain standards and sufficient detail to enable the Forest Service to monitor operations for compliance.

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3. The holder shall perform a condition survey of the water system each year before it is opened. The holder
shall prepare a brief written report that notes all deficiencies that may render compliance with Appendix G of this
permit (Operation of Federally Owned Drinking Water Systems) and other applicable regulatory requirements
infeasible. The condition survey report shall also include a detailed description of all water system deficiencies
and/or repair work which the holder has identified as requiring corrective action in order for the system to be in
compliance with Appendix G of this permit and applicable Federal and State safe drinking water regulation. If
repair work is necessary, a repair plan shall be attached to the condition survey report. The repair plan shall
identify all water system components requiring repair, estimated costs for repair and the approximate time
schedule to complete the repair. The report shall be sent to the authorized officer at least two weeks prior to
opening the system for the season. All deficiencies shall be corrected to the satisfaction of the Forest Service
prior to opening the system. Corrections and the date they were made shall be recorded in the condition
survey. If the system operates throughout the year, the condition survey shall be submitted to the Forest Service
by January 15 each year.
B. MINIMUM USE AND OCCUPANCY. Use and occupancy of the permit area shall be exercised at least
______________ days each year, unless otherwise authorized in writing under additional terms of this permit.
C. GRANGER-THYE (GT) FEE OFFSET AGREEMENT. Government maintenance and reconditioning projects
shall be performed in accordance with an annual GT fee offset agreement as provided in clause V.D.2 of this
permit.
D. HOLDER MAINTENANCE, RECONDITIONING, AND RENOVATION
1. The holder at its expense shall perform holder maintenance, reconditioning, and renovation as defined in
clause V.D.1(d) of this permit under a holder maintenance, reconditioning, or renovation plan approved by the
Forest Service. The holder maintenance, reconditioning, and renovation plan shall describe required holder
maintenance, reconditioning, and renovation responsibilities and their frequency. The work performed under this
plan shall not be subject to fee offset under clauses V.D.2 and V.E.1.
2. The holder shall maintain all equipment and other facilities on site in good repair and free of leakage of
lubricants, fuel, coolants, and hydraulic fluid. The holder shall properly dispose of all hazardous wastecontaminated soil, vegetation, debris; vehicle oil filters (drained of free-flowing oil); oily rags; and waste oil in
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accordance with local, State, and Federal regulations off of NFS lands and shall transport such substances or
arrange to have such substances transported in accordance with State and Federal regulations.
E. ALTERATION OF FEDERALLY OWNED IMPROVEMENTS. If during the term of this permit any federally
owned improvements are altered in any way, the material, equipment, fixtures or other appurtenances that are
affixed to or made a part of those improvements in connection with the alteration shall become the property of the
United States, regardless of whether the work is performed by the holder or any other party. The holder shall not
be entitled to any compensation for that property, other than to the extent it qualifies for fee offset under clause
V.E.
F. RESPONSIBILITY FOR DAY-TO-DAY ACTIVITIES. As a general rule, the holder shall conduct the day-today activities authorized by this permit. Some but not all of these activities may be conducted by a party other
than the holder, but only with prior written approval of the authorized officer. The holder shall continue to be
responsible for compliance with all the terms of this permit.

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G. MONITORING BY THE FOREST SERVICE. The Forest Service shall monitor the holder's operations and
reserves the right to inspect the permit area and authorized facilities and improvements at any time for
compliance with the terms of this permit. The holder shall comply with inspection requirements deemed
appropriate by the authorized officer. The holder’s obligations under this permit are not contingent upon any duty
of the Forest Service to inspect the permit area or authorized facilities or improvements. A failure by the Forest
Service or other governmental officials to inspect is not a justification for noncompliance with any of the terms of
this permit.

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H. CUTTING, DISPOSAL, AND PLANTING OF VEGETATION. This permit does not authorize the cutting of
trees, brush, shrubs, and other plants (“vegetation”). Vegetation may be cut, destroyed, or trimmed only after the
authorized officer or the authorized officer’s designated agent has approved in writing and marked or otherwise
identified what may be cut, destroyed, or trimmed. The holder shall notify the authorized officer when approved
cutting, destruction, or trimming of vegetation has been completed. The Forest Service shall determine in
advance of felling the method of disposal of trees felled in the permit area that meet utilization standards.
Disposal may be by sale or without charge per 36 CFR Part 223, as may be most advantageous to the United
States. Debris from felling that does not meet utilization standards shall also be disposed of according to
methods determined by the Forest Service. If sale to the holder is deemed appropriate for disposal by the
authorized officer, in consultation with the local timber management staff, any such timber sale contract between
the Forest Service and the holder shall not be interpreted to override or modify the Damage to United States
Property Clause, clause III.G, or the Indemnification of the United States Clause, clause III.J, in this permit or in
any way affect the Forest Service’s ability to recover as an additional insured under the insurance obtained by the
holder under the Insurance Clause, clause III.K, in this permit for any injury, loss, or damage arising from the
holder’s use and occupancy, including cutting, destruction, or trimming of vegetation in the permit area. Planting
of vegetation in the permit area must have prior written approval from the authorized officer.

D

I. SIGNS. Signs or other advertising posted on NFS lands shall be subject to prior written approval of the
authorized officer as to location, design, size, color, and content. Erected signs shall be maintained to standards
determined by the Forest Service.
J. NONDISCRIMINATION

1. The holder and its employees shall not discriminate against any person on the basis of race, color, sex (in
educational and training programs), national origin, age, or disability or by curtailing or refusing to furnish
accommodations, facilities, services, or use privileges offered to the public generally. In addition, the holder and
its employees shall comply with the provisions of Title VI of the Civil Rights Act of 1964 as amended, Section 504
of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972, as amended, and
the Age Discrimination Act of 1975, as amended.

2. The holder shall include and require compliance with the above nondiscrimination provisions in any thirdparty agreement made with respect to the operations authorized under this permit.
3. The Forest Service shall furnish signs setting forth this policy of nondiscrimination. These signs shall be
conspicuously displayed at the public entrance to the permit area and at other exterior or interior locations, as
directed by the Forest Service.
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4. The Forest Service shall have the right to enforce the foregoing nondiscrimination provisions by suit for
specific performance or by any other available remedy under the laws of the United States or the State in which
the violation occurs.
K. EQUAL ACCESS TO FEDERAL PROGRAMS. In addition to the above nondiscrimination policy, the holder
agrees to ensure that its programs and activities are open to the general public on an equal basis and without
regard to any non-merit factor.
L. RESERVATION SERVICES. Recreation.gov is the only authorized reservation service to be utilized by the
holder. No other reservation service of any kind may be used by the holder. Operational procedures for use of
Recreation.gov will be developed and placed in the annual operating plan.
M. SANITATION. The operation and maintenance of all sanitation and food service systems and facilities shall
comply with applicable standards set by state and local health departments.

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N. REFUSE DISPOSAL. The holder shall comply with all applicable federal, state, and local requirements
related to disposal of any refuse resulting from the use and occupancy authorized by this permit.

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O. ADVERTISING. The holder shall not misrepresent in any way, either orally; in online or print circulars,
brochures, advertising, and other media; or on its website, signs, or letterheads, any aspect of the use authorized
by this permit, including services provided by the holder, the status of this permit, or the permit area. All the
holder’s online or print circulars, brochures, advertising, and other media regarding use of the permit area shall
state that the permit area is located in the [name] National Forest or Grassland.
P. REGULATING SERVICES AND RATES. The Forest Service reserves the right to regulate the adequacy,
type, and price of services provided to the public and to require that these services conform to satisfactory
standards. The holder may be required to furnish a schedule of prices for sales and services authorized by this
permit. Such prices and services may be regulated by the Forest Service, provided that the holder shall not be
required to charge prices significantly different from those charged by comparable or competing businesses.
Q. SALE OF ALCOHOLIC BEVERAGES. The sale of alcoholic beverages is prohibited in the permit area.
R. GAMBLING. Gambling or gambling devices is prohibited on NFS lands, regardless of whether gambling or
gambling devices are lawful under state or local law.
S. FIREWORKS. The sale of fireworks is prohibited in the permit area. Possession or use of fireworks in the
permit area is also prohibited without prior written approval from the authorized officer.

D

T. DISORDERLY CONDUCT. Disorderly or otherwise objectionable conduct by the holder or those occupying
the permit area with the holder's permission shall upon proof thereof be cause for revocation of this permit.

U. USE OF SITE OR FACILITY NAME. Any new use by the holder of the name of a site or facility enumerated
in the permit area description on the first page of this permit (hereinafter “the property”) to identify goods and
services provided under this permit requires prior written approval from the authorized officer. New uses of the
property may be approved only if they are conducted in connection with the use and occupancy authorized by this
permit and in a manner consistent with the Forest Service’s mission, as determined by the Forest Service.
Existing uses of the property may continue during the term of this permit without written approval from the
authorized officer. Upon termination or revocation of this permit without issuance of a new permit to the holder,
any permission granted by the authorized officer for new uses of the property terminates, the holder shall
discontinue all new and existing uses of the property, and the holder relinquishes all rights arising from the
holder’s use of the property and waives any claim of rights arising from holder’s use of the property against the
Forest Service and any subsequent holder’s use of the property.
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U. USE OF SITE OR FACILITY NAME. Any use by the holder of the name of a site or facility enumerated in the
permit area description on the first page of this permit (hereinafter “the property”) to identify goods and services
provided under this permit requires prior written approval from the authorized officer. Uses of the property may be
approved only if they are conducted in connection with the use and occupancy authorized by this permit and in a
manner consistent with the Forest Service’s mission, as determined by the Forest Service. The holder
acknowledges that the property is owned solely by the Forest Service, the holder’s use of the property shall inure
to the exclusive benefit of the Forest Service, and the holder shall not acquire any rights in the property through
the holder’s use of it. Upon termination or revocation of this permit without issuance of a new permit to the holder,
any permission granted by the authorized officer for use of the property terminates, the holder shall discontinue all
use of the property, and the holder relinquishes all rights arising from the holder’s use of the property and waives
any claim of rights arising from holder’s use of the property against the Forest Service and any subsequent
holder’s use of the property.

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V. PAID SICK LEAVE REQUIREMENT. Executive Order 13706, Establishing Paid Sick Leave for Federal
Contractors, and its implementing regulations, including the federal contractor paid sick leave clause at 29 CFR
Part 13, Appendix A, are incorporated by reference into this authorization as if fully set forth in this authorization.

III. RIGHTS AND LIABILITIES

A. LEGAL EFFECT OF THE PERMIT. This permit, which is revocable and terminable, is not a contract or a
lease, but rather a federal license. The benefits and requirements conferred by this authorization are reviewable
solely under the procedures set forth in 36 CFR Part 214 and 5 U.S.C. 704. This permit does not constitute a
contract for purposes of the Contract Disputes Act, 41 U.S.C. 601. The permit is not real property, does not
convey any interest in real property, and may not be used as collateral for a loan.
B. VALID EXISTING RIGHTS. This permit is subject to all valid existing rights. Valid existing rights include
those derived from mining and mineral leasing laws of the United States. The United States is not liable to the
holder for the exercise of any such right or claim.

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C. ABSENCE OF THIRD-PARTY BENEFICIARY RIGHTS. The parties to this permit do not intend to confer
any rights on any third party as a beneficiary under this permit, including any party who has responsibility for any
day-to-day activities authorized by this permit, if approved by the authorized officer under clause II.F.

D. WATER FACILITIES AND WATER RIGHTS
1. Water Facilities. No ditch, reservoir, well, spring, seepage, or other facility to pump, divert, store, or convey
water (hereinafter “water facilities”) for which the point of diversion, storage, or withdrawal is on NFS lands may
be initiated, developed, certified, or adjudicated by the holder unless expressly authorized in this permit. The
authorization of any water facilities in the permit area is granted to allow use of water only in connection with the
[recreation residence, resort, marina, or specify use] authorized by this permit. If the use of any water facilities in
connection with this [recreation residence, resort, marina, or specify use] ceases, the authorization to use any
associated water facilities terminates. The United States may place conditions on installation, operation,
maintenance, and removal of water facilities that are necessary to protect public property, public safety, and
natural resources on NFS lands in compliance with applicable law. Any change in a water facility, including a
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change in the ownership or beneficial use of water or location of use of water from a water facility, that is not
expressly authorized in this permit shall result in termination of the authorization for that water facility.
2. Water Rights. This permit does not confer any water rights on the holder. The term “water rights” includes all
authorizations, such as certificates, reservations, decrees, or permits, for water use issued under state law. Any
necessary water rights must be acquired and maintained by the holder in accordance with State law and the
terms of this permit. After this permit is issued, all water rights obtained by the holder for facilities that divert or
pump water from sources located on NFS lands for use on NFS lands, whether authorized or unauthorized, are
for the benefit of the United States and shall be acquired in the name of the United States. Any expenses for
acquiring and maintaining water rights shall be the responsibility of the holder and not the responsibility of the
United States. The United States reserves the right to take all actions necessary to maintain and protect any right
to divert and use water on site.
WATER RIGHTS HELD IN THE NAME OF THE UNITED STATES (if none, so state)
Owner

Purpose of
Use

Decree,
License, or
Certificate #

Point of
Diversion

Point of
Use

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State ID #

3. Water Rights Acquired in the Name of the Holder
(a) Identification of Water Rights

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WATER RIGHTS HELD IN THE NAME OF THE HOLDER (if none, so state)

State ID #

Owner

Purpose of
Use

Decree,
License, or
Certificate #

Point of
Diversion

Point of
Use

(b) Termination or Revocation. Upon termination or revocation or of this permit, the holder shall transfer the
water rights enumerated in clause III.D.3(a) to any succeeding permit holder, for use only in connection with the
[recreation residence, resort, marina, or specify other use] authorized by this permit. If that use is not
reauthorized, the holder shall promptly petition in accordance with State law to remove from NFS lands the point
of diversion and water use associated with the water rights enumerated in clause III.D.3(a) or shall transfer these
water rights to the United States.
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(c) Documentation of Transfer. The holder and the holder’s heirs and assignees shall execute and properly file
any document necessary to transfer ownership of the water rights enumerated in clause III.D.3(a) to a succeeding
permit holder or the United States. By executing this permit, the holder hereby grants limited power of attorney to
the authorized officer to execute any document on behalf of the holder as may be necessary to transfer the water
rights enumerated in clause III.D.3(a) to a succeeding permit holder or the United States.
Holder’s initials and date: ________________
(d) Waiver. The holder waives any claims against the United States for compensation for any water rights
subject to clause III.D.3 that are transferred, removed, or relinquished as a result of revocation or termination of
this permit or for compensation in connection with imposition of any conditions on installation, operation,
maintenance, and removal of water facilities associated with water rights enumerated in clause III.D.3(a).

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E. NO WARRANTY OF ACCESS, SITE SUITABILITY, OR SERVICES. This permit authorizes the use and
occupancy of NFS lands by the holder for the purposes identified in this permit. The Forest Service does not
make any express or implied warranty of access to the permit area, of the suitability of the permit area for the
authorized uses, or for the furnishing of road or trail maintenance, water, fire protection services, search and
rescue services, or any other services by a government agency, utility, association, or individual.

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F. RISK OF LOSS. The holder assumes all risk of loss to the authorized improvements and all risk of loss of
use and occupancy of the permit area, in whole or in part, due to public health and safety or environmental
hazards. Loss to the authorized improvements and of use and occupancy of the permit area may result from but
is not limited to theft, vandalism, fire and any fire-fighting activities (including prescribed burns), environmental
contamination, avalanches, rising waters, winds, falling limbs or trees, and other forces of nature. If any
authorized improvements in the permit area are destroyed or substantially damaged, the authorized officer shall
conduct an analysis to determine whether the improvements can be safely occupied in the future and whether
rebuilding should be allowed. If rebuilding is not allowed, this permit shall terminate. If the authorized officer
determines that the permit area cannot be safely occupied due to a public health or safety or environmental
hazard, this permit shall terminate. Termination under this clause shall not give rise to any claim for damages,
including lost profits and the value of the improvements, by the holder against the Forest Service.
G. DAMAGE TO UNITED STATES PROPERTY. The holder has an affirmative duty to protect from damage the
land, property, and other interests of the United States that are associated with the use and occupancy authorized
by this permit. Damage includes but is not limited to destruction of or damage to NFS lands, fire suppression
costs, and destruction of or damage to federally owned improvements.

D

1. The holder shall be liable for all injury, loss, or damage, including fire suppression costs, prevention
and control of the spread of invasive species, and the costs of rehabilitation or restoration of natural
resources, resulting from the holder’s use and occupancy of the permit area. Compensation shall include
but not be limited to the value of resources damaged or destroyed, the costs of restoration, cleanup, or
other mitigation, fire suppression or other types of abatement costs, and all associated administrative,
legal (including attorney's fees), and other costs. Such costs may be deducted from a performance bond
required under clause III.L.

2. The holder shall be liable for damage to all roads and trails of the United States caused by use of the holder
or the holder's heirs, assignees, agents, employees, or contractors to the same extent as provided under clause
III.G.1, except that liability shall not include reasonable and ordinary wear and tear.
H. HEALTH AND SAFETY. The holder shall take all measures necessary to protect the health and safety of all
persons affected by the use and occupancy authorized by this permit. The holder shall promptly abate as
completely as possible and in compliance with all applicable laws and regulations any physical or mechanical
procedure, activity, event, or condition existing or occurring in connection with the authorized use and occupancy
during the term of this permit that causes or threatens to cause a hazard to the health or safety of the public or the
holder’s employees, agents, or contractors. The holder shall as soon as practicable notify the authorized officer
of all serious accidents that occur in connection with these procedures, activities, events, or conditions. The
Forest Service has no duty under the terms of this permit to inspect the permit area or operations of the holder for
hazardous conditions or compliance with health and safety standards.
I. ENVIRONMENTAL PROTECTION
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1. Compliance with Environmental Laws. The holder shall in connection with the use and occupancy authorized
by this permit comply with all applicable federal, state, and local environmental laws and regulations, including but
not limited to those established pursuant to the Comprehensive Environmental Response, Compensation, and
Liability Act (CERCLA), as amended, 42 U.S.C. 9601 et seq., the Resource Conservation and Recovery Act, as
amended, 42 U.S.C. 6901 et seq., the Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251 et seq.,
the Oil Pollution Act, as amended, 33 U.S.C. 2701 et seq., the Clean Air Act, as amended, 42 U.S.C. 7401 et
seq., the Toxic Substances Control Act, as amended, 15 U.S.C. 2601 et seq., the Federal Insecticide, Fungicide,
and Rodenticide Act, as amended, 7 U.S.C. 136 et seq., and the Safe Drinking Water Act, as amended, 42 U.S.C.
300f et seq.

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2. Definition of Hazardous Material. For purposes of clause III.I and section V, "hazardous material" shall mean
(a) any hazardous substance under section 101(14) of CERCLA, 42 U.S.C. 9601(14); (b) any pollutant or
contaminant under section 101(33) of CERCLA, 42 U.S.C. 9601(33); (c) any petroleum product or its derivative,
including fuel oil, and waste oils; and (d) any hazardous substance, extremely hazardous substance, toxic
substance, hazardous waste, ignitable, reactive or corrosive materials, pollutant, contaminant, element,
compound, mixture, solution or substance that may pose a present or potential hazard to human health or the
environment under any applicable environmental laws.

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3. Oil Discharges and Release of Hazardous Materials. The holder shall immediately notify all appropriate
response authorities, including the National Response Center and the authorized officer or the authorized officer’s
designated representative, of any oil discharge or of the release of a hazardous material in the permit area in an
amount greater than or equal to its reportable quantity, in accordance with 33 CFR Part 153 and 40 CFR Part
302. For the purposes of this requirement, “oil” is defined by section 311(a)(1) of the Clean Water Act,
33 U.S.C. 1321(a)(1). The holder shall immediately notify the authorized officer or the authorized officer’s
designated representative of any release or threatened release of any hazardous material in or near the permit
area which may be harmful to public health or welfare or which may adversely affect natural resources on federal
lands.
4. Remediation of Release of Hazardous Materials. The holder shall remediate any release, threat of release, or
discharge of hazardous materials that occurs in connection with the holder’s activities in the permit area, including
activities conducted by the holder's agents, employees, or contractors and regardless of whether those activities
are authorized under this permit. The holder shall perform remediation in accordance with applicable law
immediately upon discovery of the release, threat of release, or discharge of hazardous materials. The holder
shall perform the remediation to the satisfaction of the authorized officer and at no expense to the United States.
Upon revocation or termination of this permit, the holder shall deliver the site to the Forest Service in compliance
with all applicable laws and regulations and free and clear of contamination.

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J. INDEMNIFICATION OF THE UNITED STATES. The holder shall indemnify, defend, and hold harmless the
United States for any costs, damages, claims, liabilities, and judgments arising from past, present, and future acts
or omissions of the holder in connection with the use and occupancy authorized by this permit. This
indemnification and hold harmless provision includes but is not limited to acts and omissions of the holder or the
holder's heirs, assignees, agents, employees, or contractors in connection with the use and occupancy authorized
by this permit which result in: (1) violations of any laws and regulations which are now or which may in the future
become applicable; (2) judgments, claims, demands, penalties, or fees assessed against the United States; (3)
costs, expenses, and damages incurred by the United States; or (4) the release or threatened release of any solid
waste, hazardous waste, hazardous material, pollutant, contaminant, oil in any form, or petroleum product into the
environment. The authorized officer may prescribe terms that allow the holder to replace, repair, restore, or
otherwise undertake necessary curative actions to mitigate damages in combination with or as an alternative to
monetary indemnification.
.
K. INSURANCE. The holder shall furnish proof of insurance, such as a certificate of insurance, to the
authorized officer prior to issuance of this permit and each year thereafter that this permit is in effect. The Forest
Service reserves the right to review the insurance policy and require any changes needed to ensure adequate
coverage of the United States in connection with the authorized use and occupancy. The holder shall send an
authenticated copy of any insurance policy obtained pursuant to this clause to the Forest Service immediately
upon issuance of the policy. Any insurance policy obtained by the holder pursuant to this clause shall include the
United States as an additional insured in an endorsement to the policy, and the additional insured provision shall
provide for insurance coverage for the United States as required under this clause and to the extent of the full
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limits of insurance available to the holder. The holder shall give 30 days prior written notice to the Forest Service
of cancellation of or any modification to the insurance policy. The certificate of insurance, the authenticated copy
of the insurance policy, and written notice of cancellation or modification of an insurance policy should be sent to
the authorized officer. Minimum amounts of coverage and other insurance requirements are subject to change at
the sole discretion of the authorized officer on the anniversary date of this permit.
1. Liability. The holder shall have in force liability insurance covering losses associated with the use and
occupancy authorized by this permit arising from personal injury or death and third-party property damage in the
minimum amount of $#AMOUNT# as a combined single limit per occurrence.

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2. Property. The holder shall have in force property insurance at a minimum for each of the authorized federally
owned improvements listed in Appendix F of this permit, _____________ in the minimum amount per occurrence
listed for each of those improvements in Appendix F, for a total minimum amount per occurrence of $#AMOUNT
_____________, ___________. The types of loss to be covered by clause III.K.2 shall include but not be limited
to damage to the federally owned improvements listed in Appendix F. The United States shall be named as an
additional insured under the property insurance. At the sole discretion of the authorized officer, the Forest
Service may require the holder to use all proceeds from property damage insurance policies to repair, rebuild,
restore, or replace damaged federally owned property covered by the policy, or may obtain payment of those
proceeds from the holder or the insurance company.
3. Hazardous Materials. Depending on the holder's operations, the Forest Service may require the holder to
demonstrate the availability of funds to address any release or threatened release of hazardous materials that
may occur in connection with the holder's use and occupancy. Any requirements imposed would be established
on a case-by-case basis by the authorized officer based on the degree of environmental risk from the holder's
operations. The use and storage of normal campground maintenance items in nominal amounts would generally
not trigger financial assurance requirements.
L. BONDING. The authorized officer may require the holder to furnish a bond or other security for any of the
obligations imposed by the terms of this permit or any applicable law, regulation, or order.

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1. As a further guarantee of compliance with the terms of this permit, the holder agrees to deliver and maintain a
surety bond or other acceptable security, such as cash deposited and maintained in a federal depository or
negotiable securities of the United States, in the amount of $#AMOUNT# for [specify obligations covered, e.g., to
secure the holder’s obligation to restore the permit area after construction or upon revocation or termination of the
permit without issuance of a new permit]. The authorized officer may periodically evaluate the adequacy of the
bond or other security and increase or decrease the amount as appropriate. If the bond or other security
becomes unsatisfactory to the authorized officer, the holder shall within 30 days of demand furnish a new bond or
other security issued by a surety that is solvent and satisfactory to the authorized officer. The bond shall provide
that at the Forest Service’s sole discretion the surety shall pay the United States for any loss covered by the bond
or, in the event of complete default under the permit, shall pay a third party to operate the concession for the
balance of the permit term, without prejudice to any other rights and remedies of the United States. The bond
shall also provide that selection of a third party to operate the site is subject to Forest Service approval.

2. The bond shall be released or other security returned 30 days after (a) the authorized officer certifies that the
obligations covered by the bond or other security are met and (b) the holder establishes to the satisfaction of the
authorized officer that all claims for labor and material for the secured obligations have been paid or released.
3. The holder may be required to obtain additional bonding or security prior to undertaking additional
construction or alteration not covered by the bond or other security or when the authorized improvements are to
be removed and the permit area restored.
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IV. RESOURCE PROTECTION
A. WATER SYSTEMS

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1. The holder, as the water supplier and operator of the drinking water system, shall operate the system in
compliance with Forest Service Manual (FSM) Chapter 7420, applicable federal, state, and local drinking water
laws and all regulations applicable to public and nonpublic drinking water systems. This includes, but is not
limited to, renovation, operating and maintaining the system and conducting drinking water testing, maintaining
records to demonstrate compliance, and taking the appropriate corrective and follow-up actions in accordance
with Appendix G of this permit (Operation of Federally Owned Drinking Water Systems) and federal, state, and
any other applicable requirements. The holder shall be able to demonstrate compliance with Appendix G of this
permit (Operation of Federally Owned Drinking Water Systems) and all other applicable requirements by
maintaining all necessary records. For the purposes of this authorization, public water systems are as defined in
the Safe Drinking Water Act, 42 U.S.C. 300f et seq., as amended, and in the National Primary Drinking Water
Regulations, 40 CFR Part 141, or by state regulations if more stringent. Requirements under FSM 7420
applicable to the holder are set forth in this section and Appendix G to the permit entitled "Operation of Federally
Owned Drinking Water Systems.”

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2. For federally owned systems, the holder shall notify and consult with the Forest Service within 24 hours or on
the next business day after notification by the laboratory of a sample that tests positive for microbiological
contamination. The holder shall provide a copy of positive lab test to the Forest Service within one week of
receiving the lab result. The holder shall notify the State drinking water program and Forest Service within 48
hours of any failure to comply with a federal or state drinking water requirement and make a written record that
the notification occurred and place it in the system’s record file. The holder shall notify and consult with the
Forest Service within 48 hours of notification of a maximum contaminant level violation or an acute violation. The
holder shall respond to the microbial contamination event as specified in Appendix G of this permit (Operation of
Federally Owned Drinking Water Systems) and applicable regulations.

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3. The holder shall retain all records as required by applicable laws and regulations. The holder agrees to make
the records available upon request to the Forest Service and to any other regulatory agency authorized to review
Forest Service activities. Copies of microbiological test results for federally owned water systems shall be
forwarded monthly to the Forest Service by the 15th of the month following the sampling date. Copies of all other
drinking water sample results shall be forwarded to the Forest Service at the end of the operating season. If the
operating season is longer than six months in length, copies of sample results must be provided to the Forest
Service every six months. The holder shall clearly identify all sample results that violate FSM requirements or
state, federal, and local requirements when the copies are submitted. Sample results that violate any of these
requirements must have the results of required follow up samples attached. Copies of sample results that violate
state requirements must have documentation attached to demonstrate that the state was informed of the violation
within 48 hours of the lab notifying the holder of the results. The holder shall surrender all records for a federally
owned system to the Forest Service upon permit termination or revocation.

4. For federally owned systems, the holder shall provide the name of the water system operator in writing to the
Forest Service and notify the authorized officer within 72 hours of a change in personnel. Operators shall be
certified to operate drinking water systems for all water systems classified as community or non-transient, noncommunity or when otherwise required by the state in which the system is located. Records to demonstrate
operator certification shall be kept by the holder and made available to Forest Service upon request.
B. VANDALISM. The holder shall take reasonable measures to prevent and discourage vandalism and
disorderly conduct and when necessary shall contact the appropriate law enforcement officer.
C. PESTICIDE USE
1. Authorized Officer Concurrence. Pesticides may not be used outside of buildings in the permit area to control
pests, including undesirable woody and herbaceous vegetation (including aquatic plants), insects, birds, rodents,
or fish without prior written concurrence of the authorized officer. Only those products registered or otherwise
authorized by the U.S. Environmental Protection Agency and appropriate State authority for the specific purpose
planned shall be authorized for use within areas on NFS lands.
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2. Pesticide-Use Proposal. Requests for concurrence of any planned uses of pesticides shall be provided in
advance using the Pesticide-Use Proposal (form FS-2100-2). Annually the holder shall, on the due date
established by the authorized officer, submit requests for any new, or continued, pesticide usage. The PesticideUse Proposal shall cover a 12-month period of planned use. The Pesticide-Use Proposal shall be submitted at
least 60 days in advance of pesticide application. Information essential for review shall be provided in the form
specified. Exceptions to this schedule may be allowed, subject to emergency request and approval, only when
unexpected outbreaks of pests require control measures which were not anticipated at the time a Pesticide-Use
Proposal was submitted.

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3. Safety Plan. Before applying pesticides in the permit area, the holder shall submit to the authorized officer a
safety plan that includes, at a minimum, a precise statement of the treatment objectives; a description of the
equipment, materials, and supplies to be used, including pesticide formulation, quantities, and application
methods; a description of the lines of responsibility for project planning, project monitoring, and after-action
review; a description of any necessary interagency coordination; a copy of the current Pesticide-Use Proposal for
the permit; a description of the process by which treatment effectiveness will be determined; and a spill plan,
communications plan, security plan, and when required by applicable local requirements, a provision for prior
notification to sensitive individuals.
4. Reporting. By September 30th annually, the holder shall submit to the authorized officer a written report of
each pesticide application project completed during the previous 12-month period. The report shall contain
information pertaining to the pesticide application projects as requested by the authorized officer.

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5. Labeling, Laws, and Regulations. Label instructions and all applicable laws and regulations shall be strictly
followed in the application of pesticides and disposal of excess materials and containers. No pesticide waste,
excess materials, or containers shall be disposed of in any area administered by the Forest Service.
D. ARCHAEOLOGICAL AND PALEONTOLOGICAL DISCOVERIES. The holder shall immediately notify the
authorized officer of any antiquities or other objects of historic or scientific interest, including but not limited to
historic or prehistoric ruins, fossils, or artifacts discovered in connection with the use and occupancy authorized
under this permit. The holder shall leave these discoveries intact and in place until otherwise directed by the
authorized officer.

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E. NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION (NAGPRA). In accordance with 25
U.S.C. 3002 (d) and 43 CFR 10.4, if the holder inadvertently discovers human remains, funerary objects, sacred
objects, or objects of cultural patrimony on NFS lands, the holder shall immediately cease work in the area of the
discovery and shall leave these discoveries intact and in place. The holder shall follow the applicable NAGPRA
protocols for the undertaking provided in the NAGPRA plan of action or the NAGPRA comprehensive agreement;
if there are no such agreed-upon protocols, the holder shall as soon as practicable notify the authorized officer of
the discovery and shall follow up with written confirmation of the discovery. The activity that resulted in the
inadvertent discovery may not resume until 30 days after the authorized officer certifies receipt of the written
confirmation, if resumption of the activity is otherwise lawful, or at any time if a NAGPRA plan of action has been
executed by the Forest Service following tribal consultation and any preconditions have been met.
F. PROTECTION OF THREATENED AND ENDANGERED SPECIES, SENSITIVE SPECIES, AND SPECIES
OF CONSERVATION CONCERN AND THEIR HABITAT

1. Threatened and Endangered Species and Their Habitat. The location of sites within the permit area needing
special measures for protection of plants or animals listed as threatened or endangered under the Endangered
Species Act, 16 U.S.C. 531 et seq., as amended, or within designated critical habitat shall be shown on a map in
an appendix to this permit and may be shown on the ground. The holder shall take any protective and mitigation
measures specified by the authorized officer as necessary and appropriate to avoid or reduce effects on listed
species or designated critical habitat affected by the authorized use and occupancy. Discovery by the holder or
the Forest Service of other sites within the permit area containing threatened or endangered species of
designated critical habitat not shown on the map in the appendix shall be promptly reported to the other party and
shall be added to the map.
2. Sensitive Species and Species of Conservation Concern and Their Habitat. The location of sites within the
permit area needing special measures for protection of plants or animals designated by the Regional Forester as
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sensitive species or as species of conservation concern pursuant to FSM 2670 shall be shown on a map in an
appendix to this permit and may be shown on the ground. The holder shall take any protective and mitigation
measures specified by the authorized officer as necessary and appropriate to avoid or reduce effects on sensitive
species or species of conservation concern or their habitat affected by the authorized use and
occupancy. Discovery by the holder or the Forest Service of other sites within the permit area containing
sensitive species or species of conservation concern or their habitat not shown on the map in the appendix shall
be promptly reported to the other party and shall be added to the map.
G. CONSENT TO STORE HAZARDOUS MATERIALS. The holder shall not store any hazardous materials at
the site without prior written approval from the authorized officer. This approval shall not be unreasonably
withheld. If the authorized officer provides approval, this permit shall include or, in the case of approval provided
after this permit is issued, shall be amended to include specific terms addressing the storage of hazardous
materials, including the specific type of materials to be stored, the volume, the type of storage, and a spill or
release prevention and control plan. Such terms shall be proposed by the holder and are subject to approval by
the authorized officer.

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1. If the holder receives consent to store hazardous materials, the holder shall identify to the Forest Service any
hazardous material to be stored at the site. This identifying information shall be consistent with column (1) of the
table of hazardous materials and special provisions given at 49 CFR 172.101 whenever the hazardous material
appears in that table. For hazard communication purposes, the holder shall maintain Material Safety Data Sheets
for any stored hazardous chemicals, consistent with 29 CFR 1910.1200(c) and (g). In addition, all hazardous
materials stored by the holder shall be used, labeled, stored, transported, and disposed of in accordance with all
applicable Federal, State, and local laws and regulations. Any hazardous material transportation and disposal
manifests shall clearly identify the holder as the generator of the hazardous waste.
2. If hazardous materials are used or stored at the site, the authorized officer may require the holder to deliver
and maintain a surety bond in accordance with clause III.L.
3. The holder shall not release any hazardous materials onto land or into rivers, streams, impoundments, or into
natural or artificial channels leading thereto. All prudent and safe attempts must be made to contain any release
of these materials. The authorized officer in charge may specify conditions that must be met, including conditions
more stringent than those in applicable federal, state, and local laws and regulations, to prevent releases and
protect natural resources.

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4. If the holder uses or stores hazardous materials at the site, upon revocation or termination of this permit the
holder shall provide the Forest Service with a report certified by a professional or professionals acceptable to the
Forest Service that the permit area is uncontaminated by the presence of hazardous materials and that there has
not been a release or discharge of hazardous materials upon the permit area, into surface water at or near the
permit area, or into groundwater below the permit area during the term of the permit. If a release or discharge
has occurred, the professional or professionals shall document and certify that the release or discharge has been
fully remediated and that the permit area is in compliance with all applicable federal, state, and local laws and
regulations.
H. WATER WELLS AND ASSOCIATED PIPELINES
1. Other Jurisdictional Requirements. Clause III.D governs water rights and water facilities. The holder shall
obtain all required state and local water permits, licenses, registrations, certificates, or rights and shall provide a
copy of them to the authorized officer. For new wells, this information shall be provided prior to disturbing NFS
lands for the purpose of water use or development.
2. Well Construction or Development. For new or reconstruction of existing wells, the holder shall prepare a well
construction and development plan and submit it to the authorized officer for approval. The well development and
construction plan must have prior written approval from the authorized officer before well construction or
development is initiated. The holder shall follow applicable federal, state, and local standards for design,
construction, and development of new wells or reconstruction of existing wells. If such standards do not exist, the
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holder shall follow applicable standards issued by the American Society for Testing and Materials (ASTM),
American Water Works Association (AWWA), or National Ground Water Association (NGWA). The construction
and development plan must identify all potential sources for any proposed water injection during well construction
or development. Only non-chlorinated, potable water may be injected during construction or development of wells
to be used for monitoring or water withdrawal. Copies of all documentation for drilling, constructing, or developing
wells, including all drilling, boring, and well construction logs, shall be provided to the authorized officer within 60
days of completion of work.
3. Well Decommissioning. The holder shall properly decommission and abandon all wells that are no longer
needed or maintained in accordance with applicable federal, state, and local standards for water well
abandonment. If such standards do not exist, the holder shall follow applicable standards issued by the ASTM,
AWWA, or NGWA. At least 30 days prior to initiation of well decommissioning, the holder shall submit a well
decommissioning plan to the authorized officer. The well decommissioning plan shall have written approval from
the authorized officer before well decommissioning is initiated. All documentation of well decommissioning shall
be provided to the authorized officer within 60 days of completion of the work.

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V. LAND USE FEES AND DEBT COLLECTION

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A. LAND USE FEES. The holder shall pay to the USDA, Forest Service, an annual land use fee for the term of
this permit based on the market value of the use and occupancy authorized by this permit of _________ percent
of adjusted gross revenue as defined in clause V.B. The minimum annual land use fee for the authorized use and
occupancy shall be______________. If the percentage of gross revenue in a given year is less than the minimum
annual land use fee, the holder shall pay the minimum annual land use fee. The holder shall pay the land use fee
in advance of the authorized use and occupancy, as provided in clause V.C. Payments due before commercial
operations commence pursuant to clause V.C.1 are not refundable, except to the extent they are subject to fee
offset under clause V.D. The Forest Service may adjust the minimum land use fee every five years from the due
date of the first annual payment to make the annual land use fee commensurate with the market value of the
authorized use and occupancy.
B. DEFINITIONS

1. Adjusted Gross Revenue. Gross revenue plus applicable revenue additions, minus applicable revenue
exclusions.
2. Gross Revenue. The total amount of receipts from the sale of goods or services provided by the holder or
third party under the permit.
3. Revenue Additions. The following are added to gross revenue:

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(a) The value of goods and services that are donated or bartered; and

(b) The value of gratuities, which are goods, services, or privileges that are not available to the general public.
4. Revenue Exclusions. The following are excluded from gross revenue:
(a) Amounts paid or payable to a state licensing authority.

(b) Revenue from the sale of operating equipment and from capitalized or other assets used in authorized
operations.
(c) Refunds of use fees provided to the public by the holder.
C. PAYMENT SCHEDULE
1. Initial Payment. An initial cash payment representing the portion of the estimated annual land use fee for one
month of revenue during the operating season (but not less than $1,500, unless the total land use fee is less than
$1,500) shall be paid in advance of use each year, or the equivalent of that initial cash payment in GT fee offset
work shall be performed, beginning when the permit term commences or beginning when use commences each
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year thereafter. Any initial cash payment is not refundable, except to the extent that all or part of it may be offset
by the cost of work performed pursuant to a GT fee offset agreement as provided in clause V.D.

2. Subsequent Payments. The holder shall report sales, calculate fees due, and make payment in two
installments, on ______________, and on ______________.

2. Subsequent Payments. The holder shall report sales, calculate fees due, and make payment each month.

1. Definitions

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D. GT FEE OFFSET. Pursuant to 16 U.S.C. 580d, the Forest Service may offset all or part of the land use fee
by the amount paid by the holder for maintenance, renovation, reconditioning, and improvement deemed to be the
Government’s responsibility, as defined below, of federally owned improvements and their associated land.

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(a) Maintenance. Actions taken to keep fixed assets in an acceptable condition, including preventive
maintenance, normal repairs, replacement of parts and structural components, and other activities needed to
preserve a fixed asset so that it continues to provide acceptable service and achieves its expected life, and work
needed to comply with laws, regulations, codes, and other legal requirements as long as the original intent or
purpose of the fixed asset is not changed, but not including activities aimed at expanding the capacity of an asset
or otherwise upgrading it to serve needs different from or significantly greater than those originally intended, such
as construction of new facilities.
(b) Improvement. Advancing a fixed asset to a better quality or state or adding a new fixed asset to the
authorized improvements under the permit, including replacement, such as, substitution of a fixed asset or any of
its components with one having essentially the same capacity and purpose. Improvement is always the
responsibility of the Government rather than the holder.
(c) Reconditioning or Renovation. A type of maintenance, other than construction of new facilities, that
rehabilitates an existing fixed asset or any of its components to restore the functionality or life of the asset.

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(d) Holder Maintenance, Reconditioning, or Renovation. Maintenance, reconditioning, or renovation (MRR) that
neither materially adds to the value of the property nor appreciably prolongs its life and that serves only to keep
the facility in an ordinary, efficient operating condition, such as, from an accounting or tax perspective, work that
may be expensed, but not capitalized, including but not limited to interior decorating, interior painting, vandalism
repair, repair of broken windows, light bulb replacement, cleaning, unplugging drains, drive belt replacement,
preventive maintenance, lubrication of motors, greasing, servicing, inspecting, oiling, adjusting, tightening,
aligning, watering, weeding, sweeping, waxing, refinishing picnic tables, routine housekeeping, and general snow
removal.
(e) Government Maintenance, Reconditioning, Renovation, or Improvement. Maintenance reconditioning,
renovation, or improvement (MRRI) that arrests deterioration, improves and upgrades facilities, and appreciably
prolongs the life of the property, including but not limited to installing a new roof, new floor, or new siding;
rebuilding boilers; replacing pipes, pumps, and motors; repairing or maintaining the paths, lands, walks, walls, or
landscaping adjacent to other federally owned structures; replacing vault toilets with flush facilities, paving interior
roads, upgrading facilities, and installing utilities; and performing exterior painting and refinishing (other than
repair of unsightly visual marks caused by everyday use) and that is performed at the sole discretion of the
authorized officer.

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2. GT Fee Offset Agreement. Before issuance of this permit and before each operating season thereafter, the
Forest Service and the holder may annually enter into a written GT fee offset agreement that specifies the
Government maintenance, reconditioning, renovation and improvement (MRRI) to be used to offset the land use
fee. The agreement shall enumerate the portion of the land use fee to be offset by the cost of work paid for by the
holder and the schedule for completion of offset work; which projects are to be used for offset that year; standards
for completion of the projects; and examples of allowable costs.

E. HOLDER-PERFORMED FEE OFFSET WORK

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1. Work in Lieu of Cash Payments. Notwithstanding clauses V.A and V.C, the cost of work performed by the
holder pursuant to a GT fee offset agreement as provided in clause V.D.2 may be credited in lieu of cash
payments against the annual land use fee, provided that the work has been accomplished in accordance with the
GT fee offset agreement and has been accepted as completed by the Forest Service before the end of the
holder’s fiscal year. In the absence of an approved GT fee offset agreement, payment shall be made in
accordance with clauses V.A and V.C.
2. Documentation of Expenses. Prior to reimbursement or credit for GT fee offset work, the holder shall submit
sufficient documentation to allow the authorized officer to determine that the costs claimed are allocable to the GT
fee offset agreement, actual, reasonable, and not unallowable.
3. Final Payment. The Forest Service shall reconcile annually the actual land use fee against land use fees paid
and credit given by the Forest Service for GT fee offset work. The holder shall pay any additional land use fees
owed for the past year’s operations within 30 days of billing.
4. Overpayment. Overpayment of the land use fee will be reimbursed by the Forest Service only if paid pursuant
to clause V.A. Credit for offset work pursuant to clause V.D.2 is limited to the amount of the annual land use fee;
expenses will not be reimbursed if they are greater than the annual land use fee.

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F. HOLDER MAINTENANCE, RECONDITIONING, AND RENOVATION (MRR) PLAN. The holder at its
expense shall perform holder MRR as defined in clause V.D.1(d) of this permit under a holder MRR plan
approved by the Forest Service. The holder MRR plan shall describe required holder MRR and their frequency.
The work performed under the holder MRR plan shall not be subject to fee offset under clauses V.D.2 and V.E.1.

E. FOREST SERVICE-PERFORMED GT FEE OFFSET WORK
1. Work in Lieu of Cash Payments. Notwithstanding clauses V.A and V.C, the cost of work performed pursuant
to a GT fee offset agreement as provided in clause V.D.2 may be credited in lieu of cash payments against the
annual land use fee. The GT fee offset agreement shall specify that the Forest Service will perform the work or
contract with a third party to perform the work. In the absence of an approved GT fee offset agreement, payment
shall be made in accordance with clauses V.A and V.C.

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2. Payments. The holder shall deposit land use fees [annually or quarterly] into a cooperative account. All
deposits shall be retained by the Forest Service until expended or, if unutilized in 5 years, shall be deposited into
the U.S. Treasury.
3. Offset for Forest Service Oversight of Major Government MRRI Performed by the Holder. The Forest Service
may include in the GT fee offset agreement the cost of a Forest Service employee administering and overseeing
major government MRRI projects. For purposes of this clause only, a major government MRRI project is one
costing $[amount] or more.
F. HOLDER MAINTENANCE, RECONDITIONING, AND RENOVATION (MRR) PLAN. The holder at its
expense shall perform holder MRR as defined in clause V.D.1(d) of this permit under a holder MRR plan
approved by the Forest Service. The holder MRR plan shall describe required holder MRR and their frequency.
The work performed under the holder MRR plan shall not be subject to fee offset under clause V.D.2.
G. LAND USE FEE PAYMENTS

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1. Crediting of Payments. Payments shall be credited on the date received by the deposit facility, except that if a
payment is received on a non-workday, the payment shall not be credited until the next workday.
2. Disputed Fees. Land use fees are due and payable by the due date. Disputed land use fees, other than land
use fees recalculated pursuant to an audit, must be paid in full. Adjustments will be made if dictated by an
administrative appeal decision, a court decision, or settlement terms.

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3. Late Payments

(a) Interest. Pursuant to 31 U.S.C. 3717 et seq., interest shall be charged on any land use fee not paid within 30
days from the date it became due. The rate of interest assessed shall be the higher of the Prompt Payment Act
rate or the rate of the current value of funds to the United States Treasury (i.e., the Treasury tax and loan account
rate), as prescribed and published annually or quarterly by the Secretary of the Treasury in the Federal Register
and the Treasury Fiscal Requirements Manual Bulletins. Interest on the principal shall accrue from the date the
land use fee is due.
(b) Administrative Costs. If the account becomes delinquent, administrative costs to cover processing and
handling the delinquency shall be assessed.
(c) Penalties. A penalty of 6% per year shall be assessed on the total amount of any debt, including interest and
administrative charges, that is more than 90 days delinquent pursuant to 31 U.S.C. 3717(2)(e). Penalty shall
accrue from the same date on which interest charges begin to accrue.

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(d) Termination for Nonpayment. This permit shall terminate if the holder fails to pay any land use fee, interest,
or any other changes within 90 calendar days of the due date. The holder shall remain responsible for the
delinquent charges.
4. Administrative Offset and Credit Reporting. Delinquent land use fees and other charges associated with this
permit shall be subject to all rights and remedies afforded the United States pursuant to 31 U.S.C. 3711 et seq.
and 31 CFR 285.12(c). Delinquencies are subject to any or all of the following:
(a) Administrative offset of payments due the holder from the Forest Service.
(b) If in excess of 120days, referral to the United States Department of the Treasury for appropriate collection
action as provided by 31 U.S.C. 3711(g)(1) and 31 CFR 285.12(c).
(c) Offset by the Secretary of the Treasury of any amount due the holder, as provided by 31 U.S.C. 3720A et
seq.
(d) Disclosure to consumer or commercial credit reporting agencies.

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H. ACCOUNTING RECORDS AND ACCESS. The holder shall follow generally accepted accounting principles
or other cash basis of accounting in recording financial transactions. When requested by the Forest Service, the
holder at its own expense shall have its annual accounting records audited by an independent public accountant
acceptable to the Forest Service. The holder shall require any party who has responsibility for any day-to-day
activities under clause II.F of this permit to comply with these same requirements. The holder shall make all of
the accounting books and supporting records for the business activities authorized by this permit, as well as those
of any parties authorized to operate under clause II.F of this permit, available for audit by the Forest Service or
other federal agencies authorized to review Forest Service activities. The holder shall retain these records and
make them available for review for five years after the end of the year they were generated, unless disposition is
otherwise authorized by the Forest Service in writing.
VI. REVOCATION, SUSPENSION, AND TERMINATION
A. REVOCATION AND SUSPENSION
1. The Forest Service may suspend or revoke this permit in whole or in part:

(b) For noncompliance with the terms of this permit;

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(a) For noncompliance with federal, state, or local laws and regulations;

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(c) For failure of the holder to exercise the privileges granted by this permit; or

(d) At the discretion of the authorized officer, for specific and compelling reasons in the public interest.
2. The authorized officer may revoke this permit at the request of the holder. Revocation at the request of the
holder must be agreed to in writing by the authorized officer. As a condition of revocation of this permit at the
request of the holder, the authorized officer has discretion to impose any terms deemed appropriate as provided
for in this permit.
3. Prior to revocation or suspension, other than revocation at the request of the holder under clause VI.A.2 and
immediate suspension under clause VI.B, the authorized officer shall give the holder written notice of the grounds
for revocation or suspension and a reasonable period, not to exceed 30 days, to cure any noncompliance.

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B. IMMEDIATE SUSPENSION. The authorized officer may immediately suspend this permit in whole or in part
when necessary to protect public health or safety or the environment. The suspension decision shall be in
writing. The holder may request an onsite review with the authorized officer’s superior of the adverse conditions
prompting the suspension. The authorized officer’s superior shall grant this request within 48 hours. Following
the onsite review, the authorized officer’s superior shall promptly affirm, modify, or cancel the suspension.
C. APPEALS AND REMEDIES. Written decisions by the authorized officer relating to administration of this
permit are subject to administrative appeal pursuant to 36 CFR Part 214, as amended. Revocation or suspension
of this permit shall not give rise to any claim for damages by the holder against the Forest Service.

D. TERMINATION. This permit shall terminate when by its terms a fixed or agreed upon condition, event, or
time occurs without any action by the authorized officer. Examples include but are not limited to expiration of the
permit by its terms on a specified date and, in the case of a permit issued to a business entity, termination upon
change of control of the business entity and issuance of a new permit to another party for the use and occupancy
authorized in this permit. Termination of this permit is not subject to administrative appeal.
E. CONTINUATION OF OBLIGATIONS AND LIABILITIES BEYOND TERMINATION OR REVOCATION.
Notwithstanding the termination or revocation of this permit, its terms and conditions shall remain in effect and
shall be binding on the holder and the holder’s personal representative, successors, and assignees until all the
holder’s obligations and liabilities accruing before or as a result of termination or revocation of this permit have
been satisfied.

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VII. MISCELLANEOUS PROVISIONS
A. MEMBERS OF CONGRESS. No member of or delegate to Congress or resident commissioner shall benefit
from this permit either directly or indirectly, except to the extent the authorized use provides a general benefit to a
corporation.
B. CURRENT ADDRESSES. The holder and the Forest Service shall keep each other informed of current
mailing addresses, including those necessary for payment of fees.
C. HOLDER REPRESENTATIVE. The holder or a designated representative shall be present on the premises
at all times when the facilities are open to the public. The holder shall notify the authorized officer in writing as to
who the representative will be.

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K. MERGER CLAUSE. This permit, and any appendices incorporated into this permit by reference, constitute
the complete understanding of the parties to this permit as to the rights, duties, and obligations of each party as of
the date of issuance of this permit. In the event of any inconsistencies between any of the preceding printed
clauses and any subsequent clauses or provisions in the appendices attached to this permit, the preceding
printed clauses shall govern.
THIS PERMIT IS GRANTED SUBJECT TO ALL ITS TERMS.

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BEFORE THIS PERMIT IS ISSUED TO AN ENTITY, DOCUMENTATION MUST BE PROVIDED TO THE
AUTHORIZED OFFICER OF THE AUTHORITY OF THE SIGNATORY FOR THE ENTITY TO BIND IT TO THE
TERMS OF THIS PERMIT.
ACCEPTED:

___________________________________________________________________________________
[NAME AND TITLE OF PERSON SIGNING ON BEHALF OF HOLDER,
DATE
IF HOLDER IS AN ENTITY]
#HOLDER_NAME#
APPROVED:

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___________________________________________________________________________________
#AUTHORIZED OFFICER NAME#
DATE
#TITLE#
____________________ National Forest
USDA Forest Service

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On [date], before me, a notary public in the State of __________, personally appeared [name of holder], known to
me to be the person who signed the permit as the holder.
____________________
Notary Public for the State of __________
My commission expires [date]
U.S. DEPARTMENT OF AGRICULTURE
Forest Service
By:
(Authorized Officer)
Date:

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PAPERWORK REDUCTION ACT STATEMENT

According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not required to respond to,
an information collection request unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control
number for this information collection request is 0596-0082. Response to this information collection request is required to obtain or retain
benefits, specifically, a special use authorization. The authority for this information collection request is Section 7 of the Granger-Thye Act, 16
U.S.C. 580d. The time required to complete this information collection request is estimated to average 1 hour per response, including the time
for reviewing instructions, searching existing data sources, collecting and maintaining the data needed, and completing and reviewing the
information collection request. Send comments regarding this burden estimate or any other aspect of this information collection request,
including suggestions for reducing the burden, to Forest Service Information Collections Officer, SM.FS.InfoCollect@usda.gov, with OMB
control number 0596-0082 in the subject line.
PRIVACY ACT STATEMENT

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act statement serves to inform you of the following concerning the collection of the information
on this form.
Purpose: The Privacy Act of 1974 requires that the Director of Recreation, Heritage, and Volunteer Resources staff and the Director of
Lands, Minerals, and Geology Management staff provide the following statements to individuals from whom they request information.
Authority: Collection of this information solicited on this form is authorized by Section 7 of the Granger-Thye Act, 16 U.S.C. 580d.

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Routine Uses: The information collected will be used by Forest Service officials to ensure that your use of National Forest System lands is
administered in accordance with applicable statutes, regulations, and directives. The information collected from you is retained in the Special
Uses Data System (SUDS) and is retrieved by the Forest Service create reports for the Agency’s Special Uses Program, generate bills for
collection of land use fees for your authorization, monitor compliance with your special use authorization, and other matters pertaining to
administration of your special use authorization. SUDS is a component of the Forest Service’s Natural Resources Manager database (NRM).
A complete list of the routine uses of NRM can be found in the system of records notice associated with this form, FS-24.
Disclosure: The submission of this information is required to obtain or retain benefits, specifically, a special use authorization.
NONDISCRIMINATION STATEMENT
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its
agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based
on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance
program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all
bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape,
American Sign Language, etc.) should contact the State or local Agency that administers the program or contact USDA through the
Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than
English.

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To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File
a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all the information
requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit the completed form or letter to USDA by (1) mail:
U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 202509410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

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USDA is an equal opportunity provider, employer, and lender.

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