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2 <br />PYROTECHNICS PERMIT CHECKLIST---ORANGE COUNTY SPEEDWAY 6-30-01 <br />North Carolina General Statue 14-413 empowers County Commissioners in the State to issue <br />permits for the use of pyrotechnics in connection with shows of all descriptions after satisfactory <br />evidence is produced.to the effect that the pyrotechnics will be used for the aforementioned <br />purposes and no others. <br />The Orange Counfiy Commissioners have adopted a policy which cites the completion of the <br />following criteria as prerequisite to the issuance of a pyrotechnics permit. Verification of the receipt <br />of information will be evidenced by the signature of the appropriate official on this form. Only after <br />all criteria listed below have been met will the permit be issued. It should be further noted that all <br />signatures must be written on the face of the permit In order for the permit to be valid. Penalties for <br />use of pyrotechnics without a permit are cited in the North Carolina Building Code, Administration <br />and Enforcement, Volume 1A, Chapter $.1. <br />CRITERIA APPROVED BY DATE <br />1. LETTER OF REQUEST RECEIVEp FROM SPONSORING AGENCY Mike Tapp 5/1/01 <br />2. FIRE DEPARTMENT CONFIRMED ADEQUATE FIRE PROTECTION Contrail with Caldwell Fine 5/16/01 <br />MEASURES WILL BE OBSERVED AT EVENT. Dept to provide fire <br /> protectlon for all race <br /> events. (New requirement <br /> er Fire Code <br />3. LAW ENFORCEMENT CONFIRMED THAT ADEQUATE MEASURES Race track security on 513/01 <br />WILL BE IN PLACE TO ENSURE PUBLIC SAFELY DURING EVENT. ' duty during races will <br /> handle the crowd control <br />4. QUALIFICATIONS/LICENSE SUBMITTED FOR PYROTECHNIC Mike Tapp 5/01/01 <br />OPERATOR <br />5. 51TE LAYOUT SUBMITTED BY THE PYROTECHNIC OPERATOR. Mike Tapp 5/01/01 <br />6. INVENTORY OF PYROTECHNICS TO BE USED SUBMITTED Mike Tapp 5101/01 <br />7. CERTIFICATE OF INSURANCE FOR GENERAL LIABILITY COVERAGE Pam Jones 5/01/01 <br />RECEIVED; MUST INCLUDE COUNTY AS A NAMED INSURED ON THE <br />FACE OF THE CERTIFICATE; MINIMUM LIMIT 31,000,000 PER <br />PERSON/PER OCCURRENCE. <br />8. LOCATION OF PYROTECHNIC DISPLAY HAS CURRENT FIRE Mike Tapp 5/15/01 <br />INSPECTION AND IS INCOMPLIANCE WITH THE STANDARD FIRE <br />PREVENTION CODE, 1988, WITH NORTH CAROLINA AMENDMENTS. <br />9. SHOW 5ET UP HAS BEEN APPROVED BY THE FIRE OFFICIAL IN <br />APPROPRIATE JURISDICTION PRIOR TO THE BEGINNING OF • <br />SHOW. <br />CERTIFICATION RESPONSIBILITIES: <br />ITEMS 1-7: ORANGE COUNTY DIRECTOR OF PURCHASING AND CENTRAL SERVICES or ORANGE COUNTY <br />DIRECTOR OF EMERGENCY MANAGEMENT OR DESIGNATE. <br />ITEM 8: JURISDICTION'S FIRE OFFICIAL <br />ITEM 9: ORANGE COUNTY DIRECTOR OF EMERGENCY MANAGE=MENT OR DESIGNATE'' NOTE: THIS <br />SIGNATURE CERTIFIES THAT THE FIRE OFFICIAL IN THE APPROPRIATE JURISDICTION HAS MADE <br />THE SET UP INSPECTION. IT IS NOT INTENDED TO INDICATE THAT THE COUNTY'S EMERGENCY <br />MANAGEMENT DIRECTOR MUST INSPECT AND APPROVE 5ET UP PERSONALLY. <br />FOLLOWING CERTIFICATION OF ITEM 9, PLEASE RETURN THIS FORM TO THE PURCHASING AND <br />CENTRAL SERVICES DIRECTOR. <br />