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Permit No.______________________

General Requirements

Signed and dated

Completed Application:

payable by cash or check)

Application Fee (Contractor): $30 (

Instructions for the Applicant/Contractor

No work shall be started until an authorized representative of the Teton County has given written notice to the Applicant to proceed,

except in case of an emergency when verbal authorization may be given with a written permit within five (5) working days.

Clearly mark the limits of the intended treatments so the inspector can make an accurate evaluation of the road condition. The area to

receive dust abatement will be marked at the (4) corners of the project with whiskers. Please allow (5) business days for completion of the

evaluation.



Notify the Teton County Road & Bridge Dept. (208) 354-2932 within 24 hours after the treatment was applied.

Upon completion of the treatment, the County will NOT grade the treated portion of the road as long as the road remains in good

conditions provided the whiskers installed are clearly visible to the grader operator. However, if in the County’s opinion the condition of the

road deteriorates so that it is no longer safe or comfortable to drive, the County will grade the road as needed. You may or may not be

notified prior to grading.

The County may impose other requirements and restrictions as required and is at the sole discretion of the Teton County Public Works

Director.

The application of diesel fuel, stove oil, motor oil, etc. for dust abatement purposes is STRICTLY PROHIBITED by law.

Applicant/Contractor is liable for any accidents of incidents that arise from the road treatment.

In accepting this permit, the Applicant, its successors and assigns, agrees to hold the Teton County harmless from any liability caused

by the application of dust abatement.

Neither the acceptance of this permit nor anything herein contained shall be construed as a waiver by the Applicant or any rights given

it by the constitution or laws of the State of Idaho or of the United States.

If the applicant/contractor does not comply with the conditions of this permit, no additional permits will be issued to the contractor.

Dust abatement treatments are only effective during the dry season. The treated portion of the road will be included in the regular

gravel road maintenance schedule as soon as the rainy season resumes.

(Initial)________

Permit Issuance Checklist

County reviews application, in the order it was received. Additional information from the applicant may be needed.

County inspects the road to determine if any maintenance is needed prior to the abatement.

If maintenance is needed, staff will attempt to schedule the work at least (1) week prior to the scheduled application of dust

abatement material.

County prepares permit, develops conditions & special provisions (typically within (10) business days of receiving a complete

application packet).

Contractor

Signature

Printed Name

Date

_____________________________________

_________________________________________

___________

Applicant

Signature

Printed Name

Date

_____________________________________

_________________________________________

___________

For Office Use Only

Rec’d By: ___________________________ Date: _______________________ Permit #: __________________________

Approved __ By: _________________________ Date: _______________________

Permit Fee $30 Cash ___________ Check# ___________ Rec’d By: ____________ Date: _____________

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Application And Permit For Dust Abatement Of County Roads Form - Teton County Road And Bridge Department Page 2

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