Application Request For Dust Control Registration Deadline is May 1st Request For Dust Control First Name * County * Address * City * State * Zip * Cell Phone * Phone Number Email * Directions (from nearest major hwy/intersection) * Special Treatment Instruction Regarding Your Road/Property How Did You Hear About Us? DEW * I hereby request DEW Dust Control to apply a dust control agent to the above stated width/length of roadway adjacent to my property at the above location. DEW * I have contacted ( or received from) DEW Dust Control current pricing and a quote. I will call with my credit card before the registration deadline, May 1. May payment is in the amount of DEW * I understand that DEW Dust Control is making this product and service available as a convenience to residents to aid in controlling nuisance dust on gravel roads. My payment is required in advance of the program deadline of May 1 to guarantee participation in this annual program. Applications/payments received after May 1 will be placed on trucks as availability allows and may require an additional fee. I understand that scheduling is based on spray truck availability, weather conditions, and various county lead times for road preparation. I understand that DEW Dust Control will make every attempt to apply my dust control as early as possible in the season, but this may be delayed based on the above factors. DEW * I understand that there are variables that can affect the performance of this product. They include: preparation of the road/property, weather conditions, type of terrain and road surface material, volume of traffic on my road and continued maintenance of the road/property. DEW * I understand that proper preparation of the road/property is necessary for optimal performance of this product. I have contacted my county/township/special roads district to obtain permission and arrange for preparation of my road/property. I understand that DEW Dust Control will notify the county/township/special roads district of my registration for dust control, but the responsibility of requesting this work from the county agency is mine. If I am on a private road, it is my responsibility to arrange for necessary preparation. List County/Township/Special Roads District responsible for maintaining my road. DEW * I understand that while efforts are made to avoid disturbing a treated area, the County/Township/Special Roads District reserves the right and responsibility to blade or perform other maintenance to ensure a safe, serviceable roadway. DEW * I understand that if for any reason a refund is due, including, but not limited to, contract cancellation or changes to the amount of treated area, a refund check will be processed August 1st. Captcha If you are human, leave this field blank. Submit Δ
