Form PPQ 585 PPQ 585 Application for Permit to Import Timber or Timber Produc

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0049 and 0579-0319. The time required to complete this information collection is estimated to average .5 hours 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.				OMB APPROVED 0579-0049 and 0579-0319
united states department of agriculture animal and plant health inspection service Plant Protection and quarantine Application for permit to import Timber or timber products	Instructions: Please type or print clearly. Permits are not issued to P.O. Boxes. Read the reverse side and the entire application before completing. Attach additional sheets of paper if more space is needed		Forward completed application to USDA-APHIS-PPQ Permit Services 4700 River Road, Unit 133 Riverdale, MD 20737-1236 1-877-770-5990; FAX (301) 734-8529
1. NAME AND UNITED STATES ADDRESS OF U.S. RESIDENT/LEGAL ALIEN: APPLICANT’S NAME:       ORGANIZATION NAME:       U.S. ADDRESS (Include City, State, and ZIP Code):       PHONE: (     )       FAX: (     )       E-MAIL:      		MAILING ADDRESS (if different than physical address):      

2. TIMBER OR TIMBER PRODUCTS TO BE IMPORTED:
Country of Origin	Scientific Names of Timber (Genus and Species)		Type of Timber: (Logs, Lumber, Chips, Cants, Billets, Pilings, Railroad Ties)
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
     	     		     
3. without bark with bark NOTE: If “With Bark” please indicate one of the following: Less than 15 pieces Greater than 15 pieces
4. Description of any processing before import: Kiln dried heat treated air dried
5. SIGNATURE OF APPLICANT:		6. PRINTED NAME OF APPLICANT:      		7. DATE:      

PPQ Form 585

JAN 2011

Warning: Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C. 7734(b)) or punishable by a fine of not more than $10,000, or imprisonment of not more than 5 years, or both (18 U.S.C. 1001).