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2 <br /> PYROTECHNICS PERMIT CHECKLIST---ORANGE COUNTY SPEEDWAY 629-02 <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 County 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 <br /> receipt of information will be evidenced by the signature of the appropriate official on this form. <br /> Only after all criteria listed below have been met will the permit be issued. It should be further <br /> noted that all signatures must be written on the face of the permit in order for the permit to be <br /> valid. Penalties for use of pyrotechnics without a permit are cited in the North Carolina Building <br /> Code, Administration and Enforcement, Volume 1A, Chapter 8.1. <br /> CRITERIA APPROVED BY DATE <br /> 1. LETTER OF REQUEST RECEIVED FROM SPONSORING AGENCY Mike Tapp 5/16/02 <br /> 2. FIRE DEPARTMENT CONFIRMED ADEQUATE FIRE PROTECTION Contract with Caldwell 5/07/02 <br /> MEASURES WILL BE OBSERVED AT EVENT. Fire Dept to provide fire <br /> protection for all race <br /> events. (New requirement <br /> per Fire Code) <br /> 3. LAW ENFORCEMENT CONFIRMED THAT ADEQUATE MEASURES WILL BE Race track security on 5/16/02 <br /> IN PLACE TO ENSURE PUBLIC SAFETY DURING EVENT. duty during races will <br /> handle the crowd control <br /> 4. QUALIFICATIONS/LICENSE SUBMITTED FOR PYROTECHNIC Mike Tapp 5/16/02 <br /> OPERATOR <br /> 5. SITE LAYOUT SUBMITTED BY THE PYROTECHNIC OPERATOR. Mike Tapp 5/16/02 <br /> 6. INVENTORY OF PYROTECHNICS TO BE USED SUBMITTED Mike Tapp 5/16/02 <br /> 7. CERTIFICATE OF INSURANCE FOR GENERAL LIABILITY COVERAGE Pam Jones 5/16/02 <br /> RECEIVED,MUST INCLUDE COUNTYAS A NAMED INSURED ON THE <br /> FACE OF THE CERTIFICATE,MINIMUM LIMIT$1,000,000 PER <br /> PERSON/PER OCCURRENCE. <br /> 8. LOCATION OF PYROTECHNIC DISPLAY HAS CURRENT FIRE Mike Tapp 5/117/02 <br /> INSPECTION AND IS IN COMPLIANCE WITH THE STANDARD FIRE <br /> PREVENTION CODE, 1988,WITH NORTH CAROLINA AMENDMENTS. <br /> 9. SHOW SET UP HAS BEEN APPROVED BY THE FIRE OFFICIAL IN <br /> APPROPRIATE JURISDICTION PRIOR TO THE BEGINNING OF SHOW. <br /> CERTIFICATION RESPONSIBILITIES: <br /> ITEMS 1-7 ORANGE COUNTY DIRECTOR OF PURCHASING AND CENTRAL SERVICES or ORANGE COUNTY DIECTOR OF <br /> EMERGENCY MANAGEMENT OR DESIGNATE. <br /> ITEM 8: JURISDICTION'S FIRE OFFICIAL <br /> ITEM 9: ORANGE COUNTY DIRECTOR OF EMERGENCY MANAGEMENT OR DESIGNATE"NOTE: THIS SIGNATURE CERTIFIES THAT THE FIRE <br /> OFFICIAL IN THE APPROPRIATE JURISDICTION HAS MADE THE SET UP INSPECTION. IT IS NOT INTENDED TO INDICATE THAT THE <br /> COUNTY'S EMERGENCY MANAGEMENT DIRECTOR MUST INSPECT AND APPROVE SET UP PERSONALLY. FOLLOWING CERTIFICATION <br /> OF ITEM 9,PLEASE RETURN THIS FORM TO THE PURCHASING AND CENTRAL SERVICES DIRECTOR. <br /> 1.1FWPMTCKL <br />