Request for No Spraying Due to Extenuating Circumstances

Request for No Spraying Due to Extenuating Circumstances Contact Information of the Landowner/Occupant of Land Name(s): _____________________________________________________________________ Mailing Address: _______________________________________________________________ Phone: ________________________________ Alternate Phone: ________________________ Email: _______________________________________________________________________ Property Location CR#: __________________________Road Name: ___________________________________ PIN: __________________________ Road Section ID: ________________________________ Specifics: ____________________________________________________________________ No Spray Options Available OPTION 1 - Adopt-A-Road Program A Program where a group of 3 or more participants “adopt” a section of County Road and undertake various vegetation control activities. OPTION 2 – No Spray Agreement An Agreement between the County and a Landowner/Occupant, where the Landowner/Occupant takes alternative vegetation control actions to control noxious weeds within the road allowance adjacent to their lands, and therefore, the County does not include that section of the road allowance in the Roadside Spraying Program. I confirm that the above two options were provided to me and further confirm neither option are something I can complete or agree to conduct and therefore, request the road allowance adjacent to my property not be included in the Roadside Spraying Program due to extenuating circumstances. I understand that my Application for “Request for No Spraying Due to Extenuating Circumstances” is subject to approval by the Director of Public Works and prior to approval, I will be contacted by the Director Public Works to discuss the request. The Landowner/Occupant should follow up with the County Public Works Department if they have not been contacted by the Director Public Works within five (5) business days following submission of their request. Landowner/Occupant ______________________________ Date ___________________________ No spray requests are not guaranteed until the review process is completed and approval granted by the Director of Public Works. *************************************************************************************************************** Request for No Spraying due to Extenuating Circumstances is: [ ] APPROVED [ ] DENIED Terry McCann, Director Public Works ______________________________ Date ___________________________

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Request for No Spraying Due to Extenuating Circumstances

Contact Information of the Landowner/Occupant of Land
Name(s): _____________________________________________________________________
Mailing Address: _______________________________________________________________
Phone: ________________________________
Alternate Phone: ________________________
Email: _______________________________________________________________________
Property Location
CR#: __________________________Road Name: ___________________________________
PIN: __________________________ Road Section ID: ________________________________
Specifics: ____________________________________________________________________

No Spray Options Available

OPTION 1 – Adopt-A-Road Program
A Program where a group of 3 or more participants “adopt” a section of County Road and undertake various vegetation control activities.

OPTION 2 – No Spray Agreement
An Agreement between the County and a Landowner/Occupant, where the Landowner/Occupant takes alternative vegetation control actions to control noxious weeds within the road allowance adjacent to their lands, and therefore, the County does not include that section of the road allowance in the Roadside Spraying Program.

I confirm that the above two options were provided to me and further confirm neither option are something I can complete or agree to conduct and therefore, request the road allowance adjacent to my property not be included in the Roadside Spraying Program due to extenuating
circumstances.

I understand that my Application for “Request for No Spraying Due to Extenuating Circumstances” is subject to approval by the Director of Public Works and prior to approval, I will be contacted by the Director Public Works to discuss the request. The Landowner/Occupant should follow up with the County Public Works Department if they have not been contacted by the Director Public Works within five (5) business days following submission of their request.
Landowner/Occupant ______________________________ Date ___________________________

No spray requests are not guaranteed until the review process is completed and approval granted by the Director of Public Works.
***************************************************************************************************************
Request for No Spraying due to Extenuating Circumstances is:
[ ] APPROVED [ ] DENIED
Terry McCann, Director Public Works ______________________________

Date ___________________________

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