Government Exhibit 5

USDA - Forest Service

SPECIAL USE APPLICATION FOR NONCOMMERCIAL GROUP USES

(Ref.: 36 CFR 251.54)

18 U.S.C. 1001 makes it a crime for any person knowingly and willfully to make to any departmenmt or aagency of the United States any false, ficticious, or frauduent statements or representations as to any matter within its jurisdiction.

PART I - APPLICANT INFORMATION

(Please include zip code and day and evening phone numbers with area code.)

Name of Group: Rainbow Family

Name of Contact: Bill Baxter

Day Phone: (Blank)

Evening Phone: (Blank)

Address of Group or Contact (whichever is applicable):

Bill Baxter, West Virginia

Josef Greenfeather, CA

PART II - DESCRIPTION OF PROPOSED ACTIVITY

Mid Atlantic/ New England Regional Peace Gathering

PART III - LOCATION AND DESCRIPTION OF NATIONAL FOREST SYSTEM LAND AND FACILITIES APPLICANT WOULD LIKE TO USE

Warrants 3134, 3064, 3014, 3017 Cherry Grove Township.

Wooded Forest Land and open meadows

Area to be used for camping and common areas and parking.

PART IV - ESTIMATED NUMBER OF PARTICIPANTS AND SPECTATORS FOR PROPOSED ACTIVITY

Participants: 500-2500 Spectators: ________

PART V - STARTING AND ENDING DATE AND TIME OF PROPOSED ACTIVITY

Start: 08/21/96 End: 09/ /96

PART VI - NAME OF PERSON (S) WHO WILL SIGN A SPECIAL USE AUTHORIZATION ON BEHALF OF GROUP (May be same as contact listed in Part I)

Name: ______________________________ Address: ______________________________________

Day Phone: ( )____________ ______________________________________

Evening Phone: ( )____________ ______________________________________

Name: ______________________________ Address: ______________________________________

Day Phone: ( )____________ ______________________________________

Evening Phone: ( )____________ ______________________________________

APPLICATION NOT VALID UNLESS SIGNED BY CONTACT

Signature of Contact (Date)

(unsigned)

__________________________________________________________________________________________

FOREST SERVICE USE ONLY

__________________________________________________________________________________________

Authorization Granted___ Denied ___ Date: ___Time:____

Public reporting burden for this collection of information is estimated to average 15 minutes per response. including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden. to Department of Agriculture, Clearance Officer. OIRM, Room 404-w, Washington, D.C. 20250; and to the Office of Management and Budget, Paperwork Reduction Project (OMB #0596-0082), Washington, D.C. 20503. :

PART III - REPORT ON APPLICATION (Forest Officer Completes) (BLANK)

  1. General description of the area and adaptability for the proposed use. Outline area on separate map if needed to clarify proposed use area.
  2. If previously under authorization indicate:
  3. a. Name of Holder b. Date Authorized c. Date Closed

  4. Describe any encumberances on the land, such as withdrawals, power projects, easements, rights of way, mining claims, leases, etc. Show on map provided.
  5. State approximaate amount and kinds of timber to be cut, recommended stumpage prices, method of scaling: include recommendation disposal of merchantable timber: (a) to holder at current damage appraisal or (b) to others than holder under regular timber sale procedure.
  6. a. Will proposed use conform to Forest Land and Resource Management Plan? Yes No
  7. b. Has an Environmental Assessment been prepared? Yes No

    c. Has an Environmental Impact Statement (P.L 91-190, 42 USC 4321)been prepared? Yes No

    (Note: If no is maarked with an X in any of the above questions, explain in item 6 below.)

  8. Recommendations, including any factors which might affect the granting of the authorization or future use of the land.
  9. List mandatory and optional clauses which should be made a part of this authorization (See FSM 2780).
  10. Fee Recommendation (Describe here or on computation sheet attached).
  11. Recommend

a. Approval* or Disapproval* b. Signature (Sign in ink) c. Title d. Date

10.Final Approval* or Disapproval* b. Signature c. Title d. Date

*Delete one by lining it out. U.S. Government Printing Office 1996

10a. Describe other reasonable alternative proposals considered.

10b. Give explanation of why it is necessary to utilize Federal lands and why the alternatives in item 10a were not selected.

  1. Provide statement of need for proposed use, including the economic feasibility and items such as: A) cost of proposal (construction, operation, and maintenance; b) estimated cost of next best alternative; and (c) expected public benefits. (If extra space is needed, use page 3, REMARKS).
  2. Describe Probable effects on the area population, including social and economic aspects, and rural lifestyles.
  3. Describe likely environmental effects that the proposed use will have on: (a) air quality; (b) visual impact; (c) surface and ground waste quality and quantity; (d) control or structural change on any stream or other body of water; (e) existing noise levels; (f) land surface, including vegetation, permafrost, soil and soil stability; and (g) population of fish, plant, wildlife and marine life, including threatened and endangered species. (If extra space is needed, use paage 3, REMARKS).
  4. Describe what actions will be taken to protect the environment from the effects of the proposed use.
  5. Name all Federal, State, County, or other departments/agencies where an application for this is being filed. Attach appropriate license, building permit, certificate or other approval document.

I HEREBY CERTIFY, that I am of legal age and authorized to do business in the State and that I have personally examined the information contained in the application and that this information is correct to the best of my knowledge.

16a. Applicant's Signature (Sign in Ink)

16b. Date

Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly aand willfully to make to any department or agency of the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.