Appendix 7B: Sample No Spray Request

Some landowners prefer that herbicides are not used to manage weeds in the roadsides that border their property. The following sample no-spray request form contains excerpted sections from similar forms found in county integrated roadside vegetation management (IRVM) plans. This sample permit is not meant to be comprehensive or a direct template. See the county IRVM plans on the Living Roadway Trust Fund’s IRVM website for examples of actual forms.

Prairie County Secondary Roads Department
No-Spray Request Form

I, __________________________, hereby request that the Prairie County Integrated Roadside Vegetation Management (IRVM) department, within the Secondary Roads Department, refrain from applying pesticides in the right-of-way adjacent to my property, located at the address of _______________________________________, on the ________ side of the road in Section_______ of ________________________Township along ___________________ road. In return, I agree that I am responsible for the vegetation management of the above-described portion of the right-of-way, including the destruction of noxious weeds and the prevention of new growth or regrowth of trees and brush. This request is valid for one growing season.

I understand that other parties (e.g., electric, gas, phone companies) may apply pesticides and herbicides and cut trees and brush within the right-of-way.

I acknowledge that if I fail to properly manage the right-of-way by non-chemical means, Prairie County reserves the right to spray the area, at which time the agreement becomes null and void and the right-of-way is returned to the IRVM for management. 

I understand that it is my responsibility to post and maintain “No Spray” signs provided by Prairie County Conservation at a rate of $____ per set. Signs must remain visible from the roadway. If they are not visible or properly maintained, the agreement becomes null and void.

Approval is ▢ given ▢ not given from date below to the end of the current calendar year. It is the applicant’s responsibility to submit a renewed application by January 1, ________.