Required fields are marked with asterisks (*)

Do Not Spray Agreement

Saddle Hills County

I do not wish the Agricultural Service Board of Saddle Hills County to conduct their roadside spraying program on the road allowance that is adjacent to my property. I also acknowledge my responsibility to maintain that portion of roadside, which lies between the boundary of my property and the centre line of the roadway, free of all noxious and/or prohibited weeds and brush.

I further understand that the Agricultural Fieldman or his designate will check this section of right-of-way. If any brush, noxious and/or prohibited weeds persist and are determined to be at an unacceptable level, the owner/occupant of the adjacent “Do Not Spray” area will be notified by Saddle Hills County. A time period will be set within which to control the weeds in a manner acceptable to the Agricultural Fieldman or his designate. Failure to comply may result in Saddle Hills County taking whatever steps it deems appropriate to control these weeds; this may include herbicide application.

I also understand that the municipality rights-of-way are the property of the County and should not be used as a buffer zone.

Name

Address

Phone Number

Email Address

Legal Land Location

Please provide a short description of the remedial action that will be used in controlling the weeds and brush in this section of road allowance.

Please sign in the box below

Clear

By checking this box, which functions as your legal signature, you confirm that you agree to the terms, conditions, and guidelines above for the period of January 1 to December 31 of the current calendar year

I understand that checking this box constitutes a legal signature

Using this image, draw where on the section of land you do not want sprayed, as well as any landmarks. Scan the completed image and upload it in the space to the right. Use the following shorthand to indicate landmarks:

F.S. - Farmstead

D. - Dugout

C. - Culverts

S. - Shelterbelts

XX. - Waterruns

G. - Garden

Upload your marked-up map

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Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of evaluating eligibility for "Do Not Spray Agreements" in Saddle Hills County. Direct any questions about this collection to: FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.

Please send me a pdf copy of this form

Yes

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