Get Brp Wm 04 Permit Form

Filling out the Brp Wm 04 permit form online is a crucial step for anyone looking to apply herbicides to waters in Massachusetts. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the Brp Wm 04 permit form online.

1. Click ‘Get Form’ button to obtain the Brp Wm 04 permit form and open it in your preferred editor.
2. In the 'Applicant Information' section, enter your name, address, telephone number, and Pesticide Bureau License Number. Make sure this information is accurate as it pertains to your application.
3. Under 'Waterbody Information', specify the name and location of the waterbody, its area in acres, maximum and mean depths, and the ownership description. Make sure to check the correct ownership type.
4. In the 'Treatment' section, indicate the extent of proposed treatment by selecting one of the options provided and fill in the corresponding acreage.
5. Attach a good quality map of the waterbody that shows the required details, such as vegetation composition, treatment areas, and proximity to public and private water sources.
6. For the 'Water Use' section, answer whether the water is used for private water supply, irrigation, livestock watering, recreational activities, or public supply. Provide additional information for uses within specific distances.
7. List the vegetation you intend to control, ranking them in descending order of abundance.
8. Detail the chemicals you plan to use, including their names, forms, application rates, and total volumes. Ensure all information is precise and complies with regulations.
9. In the 'Additional Information' section, read and acknowledge the conditions and responsibilities related to your application, including certification of truthfulness of your submission.
10. Finally, certify your application by printing your name, title, signing, and dating it. Review all information for accuracy before submitting.

Complete your Brp Wm 04 permit form online today to ensure compliance and promote environmental safety.