Nevada County Defensible Space Inspection Request Form

Nevada County Defensible Space Inspection Request Form
Address Map Locator
Address of Issue (Required)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parcel Number of Issue (if known):
Your Full Name (Required):*

First NameLast Name
Your Address (Required): *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number (Required):*
Please enter a valid phone number.
Your Email Address:
example@example.com
Remain Confidential (Required)*

YesNo
NOTE: Your valid contact information must be completed in full, or the request will be considered incomplete.
VIOLATIONS
Please select from the violation options below to assist in describing the issue(s):

1. Maintain a defensible space of one hundred (100’) feet from each side of a Structure.2. Maintain a one hundred foot wide area of land around Structure(s) located on an adjacent improved parcel.3. Maintain free of ladder fuels a minimum of a ten (10’) foot wide strip of land beyond the shoulder of a roadway serving as primary ingress and egress to the parcel, to a height of fifteen (15’) feet along the boundary of a Parcel.4. Remove the portion of a tree that extends within 10 feet of the outline of a chimney, stovepipe or Roofline of a Structure.5. Climbing vines must be removed from trees and Structures within the one hundred (100’) foot defensible space zone around Structure(s).6. Maintain a tree, shrub or other plant adjacent to or overhanging a building free of dead or dying wood.7. Maintain the roof of a Structure free of leaves, needles or other vegetative materials.8. Maintain the Parcel free of ladder fuels within the one hundred (100’) foot Defensible Space area around Structure(s).9. Provide a minimum of ten (10’) foot clearance of all combustible material and hazardous vegetation surrounding propane tanks, generators, privately owned power poles, and fuel storage tanks.10. Maintain a five (5’) foot ember-resistant zone around structures and underneath decks, stairs, porches or other combustible material attached to Structures.11. Improved and unimproved parcels less than or equal to one acre in size may be treated as a Fuel Modification Area for the entirety of the parcel within the discretion of the public official.
Please provide a detailed description of the issue:

0/500
Printed Name (Required):*
Signature*

Clear
Date

MonthDayYear
Date
Record of complaints are considered “acquired in confidence” consistent with Section 1040 Of the Evidence Code and Section 6254 of the Government Code. In submitting this complaint, I understand that this form is a public record.
Should be Empty: