Laserfiche WebLink
.arfield County / Conservation Districts' Noxious Weed Cost Share Application <br />For anyone owning or operating taxable land in Garfield County. <br />Please read and fill our entire application. Incomplete or late applications will <br />not be processed. No exceptions. <br />Return to: Conservation District-Aft: Noxious Weed Cost Share Program <br />258 Center Dr <br />Glenwood Springs, CO 81601 <br />945-5494 ext 105 <br />Application deadlines are July 16, 2010 (spring treatment) and November 19, 2010 (fall). Receipts <br />must be turned in by November 30, 2010. <br />Land location (legal description to nearestof % section): itn I Q AJEYa <br />s? Ye. <br />Landowner: Landuser: <br />Mail address i J Mail address /?t ?D J <br />City O:AAAZIl zip City zipg' /(v q7 <br />Phone Number 12d -294 -13 1 <br />Social Security Number <br />Send Correspondence to: Direct questions to: <br />MUST BE SIGNED BY LAND OWNER <br />Release and Indemnity Agreement for Weed Cost Share Program <br />All participating land owners in the Garfield County / Conservation Districts' Weed Cost Share Program must <br />sign this release. <br />The undersigned wishes to participate in the Weed Cost Share Program, as described in the Weed Management <br />Plan attached to this Application, for the purpose of controlling the weeds specified on the project area map included <br />in the Weed Management Plan and for the protection of property throughout Garfield County. <br />2. The undersigned is a volunteer Weed Cost Share Program participant, is over 18 years of age, and owns the land to <br />which the Weed Management Plan will be applied. <br />3. ' The undersigned acknowledges that control of weeds through the use of herbicides and mechanical and other <br />methods can be dangerous or hazardous activities. The undersigned also acknowledges that there may be hazards <br />not immediately apparent in the use herbicide, mechanical and other methods of weed control. The undersigned, <br />therefore, certifies that he/she will strictly adhere to herbicide label restrictions if he/she applies a herbicide, rather <br />than obtaining application services, and will exercise caution in the use of all other methods of weed control. <br />4. The undersigned, aware of these factors, undertakes activities in the Weed Cost Share Program at his/her own risk <br />and releases the Board of Commissioners of Garfield County, the Garfield County Vegetation Management <br />Department, the Garfield County Weed Advisory Board, the Natural Resources Conservation Service, Bookcliff, <br />South Side, and Mount Sopris Conservation Districts, their employees and agents and all members thereof, in their <br />personal and official capacities, from any liability whatsoever resulting from any injury to the undersigned or the <br />undersigned's real and personal property due to or related to the undersigned's participation in the Weed Cost Share <br />Program. This release applies whether dangers or hazards are, or are not, apparent to the undersigned. <br />5. Further, the undersigned agrees to fully defend and indemnify the entities and individuals, named in Paragraph 4, <br />from any claim or lawsuit or loss by any third party (ies) resulting from the undersigned's participation in the Weed <br />Cost Share Program, including application of herbicides to the undersigned's land. <br />6. Nothing in this Release and Indemnity Agreement shall be construed as or is intended to be a waiver of <br />governmental immunity under Colorado law. <br />Signature of Landowner: ?4?;/Lif.1 - Date IP11/ 0