Star Lake Dust Control Application Request

STAR LAKE DUST CONTROL APPLICATION REQUEST

STAR LAKE TOWNSHIP, PO BOX 61, DENT MN 56528
Email
example@example.com
Date*

MonthDayYear
Date
It is hearby requested that a Dust Control Agent be applied to address* St./Ave./Rd./Ln./Dr.

The application area is for how many feet? (500ft Min.) * feet, beginning at address* and ending at address*. Specific 911 address #'s or street intersections are recommended. (See Township Dust Control Policy, Section 1, para. d. sub. 3 for specific guidelines regarding dust control application.)

The residents making this request have appointed First Name* Last Name* as the Resident Point of Contact (POC). The POC can be reached at this email/phone # for coordination purposes: Email* | Area Code* Phone Number*.
*Applications WITHOUT this contact information WILL NOT be accepted!
Dust Control Applications and full payment must be received by May 1st.

*No application will be started without full payment made.

While Star Lake Township is coordinating the Dust Control Application, it is understood that the residents requesting the Dust Control are bearing the full cost of the Dust Control application.

The township requires areas to be treated with a dust control agent to be a MINIMUM of 500 feet long.

Shortly prior to the actual application date the township will contact the POC to coordinate flagging of the application area. The Township makes no warranty of Dust Control effectiveness, as product efficacy may be affected by soil conditions, weather conditions, traffic density, etc.. It is estimated that the Dust Control Application should effectively perform from 150 to 200 days depending upon those conditions outlined above.
Signature*

Clear
Submitted By:______ Resident Point of Contact
Please verify that you are human*
Mail Payment to: STAR LAKE TOWNSHIP, PO BOX 61, DENT MN 56528

Any questions please contact Dale Lewis at sup1@starlaketownship.org or Paulette Johnson at clerk@starlaketownship.org.

*According to the U.S. EPA “unpaved roads are the largest source of particulate air pollution in the country.” Unpaved roads produce almost 5X the particulate matter as construction activities and wind erosion combined! A single vehicle traveling a gravel road once a day for a year will produce 1 ton of dust per mile!
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STAR LAKE DUST CONTROL APPLICATION REQUEST

Dust Control Applications and full payment must be received by May 1st.