ROOSEVELT COUNTY WEED DISTRICT
NOXIOUS WEED MANAGEMENT COMPLIANCE FORM
· Applicant must have a copy of the Roosevelt County Weed Management Plan on file (optional)
· This compliance form must be reviewed and re-filed every five years
· Upon renewal, an inspection must be made by the Roosevelt county Weed District at a nominal fee.
· Maps must be provided annually with permitted boundaries and reclaimed field locations indicated. All permitted acres must be checked for noxious weeds and all treatment sites marked on the maps.
· Any noxious weeds found by other agencies inspecting the permitted acres must be reported to the Roosevelt County Weed District.
· All known noxious weeds will be controlled in accordance with the County Noxious Weed Management Plan.
· All small grain cropland, reclaimed land, and native grassland must be inspected annually.
· Applicant must contact weed control professionals to spray weeds and handle all restricted use chemicals.
· Chemical, biological, mechanical, and integrated treatments are all allowed subject to Roosevelt County Weed District approval.
· Roosevelt County Weed District reserves the right of spot-inspection for compliance.
List of noxious weeds declared by the State of Montana and the Roosevelt County Weed District:
Priority 1A
1. Yellow starthistle
Priority 1B
1. Dyers woad 4. Scotch brome 7. Eurasian watermilfoil
2. Purple loosestrife 5. Flowering rush 8. Curlyleaf pondweed
3. Rush sleletonweed 6. Japanese knotweed complex
Priority 2A
1. Tansy ragwort 4. Blueweed 7. Orange hawkweed
2. Tall buttercup 5. Hoary alyssum 8. Perennial pepperweed
3. Yellowflag iris 6. Meadow hawkweed complex
Priority 2B
1. Babysbreath 8. Field bindweed 15. Dalmation toadflax
2. Canada Thistle 9. St. John’swort 16. Yellow toadflax
3. Leafy spurge 10. Sulfur cinquefoil
4. Whitetop 11. Common tansy
5. Russian knapweed 12. Oxeye daisy Regulated Weeds:
6. Spotted knapweed 13. Houndstongue Russian olive, Cheat grass,
7. Diffuse knapweed 14. Saltcedar (tamarix) Hydrilla
DATE OF APPLICATION:
NAME OF APPLICANT:
Contact Person:
ADDRESS:
PHONE:
LAND USE: ( ) Agriculture If Agriculture, list what type:
( ) Pasture Non-Crop
( ) Commercial
( ) Garden
( ) Residential
NOXIOUS WEEDS PRESENT:
TYPE OF CONTROL TO BE USED: ( ) Chemical
( ) Biological
( ) Mechanical
( ) Integrated
If cultivation is to be used, explain your plan of revegetation:
CHEMICALS TO BE USED:
NUMBER OF ACRES TO BE CONTROLLED:
PIT INSPECTION
FOR NOXIOUS WEED COMPLIANCE
ROOSEVELT COUNTY WEED DISTRICT
307 Broadway
Culbertson, MT 59218
Phone: 406-787-5312 Fax: 406-787-6612
NAME OF OPERATOR: ______
NAME OF PIT: ______
LEGAL DESCRIPTION: ______
LANDOWNER NAME (I/A): ______
INSPECTION TIMETABLE: ______ANNUAL ______SEMI-ANNUAL
NOXIOUS WEEDS FOUND OR PREVIOUSLY LOCATED:
COMMENTS:
OPERATOR ______(IS) ______(IS NOT) IN COMPLIANCE WITH THE GUIDELINES OF THE OPEN PIT MINING LAW, THE MONTANA WEED MANAGEMENT PLAN, AND THE ROOSEVELT COUNTY WEED MANAGEMENT PLAN.
ROOSEVELT COUNTY WEED CORRDINATOR
CLAY PETERSEN
______
SIGNATURE
______
DATE
Environmental Action Checklist
NOTE: For any "yes" answer to the following, explain how environmental impacts will be handled in the project area. Use the back of this sheet or additional paper if needed.
[ ] YES [ ] NO Significant use of the area by important wildlife and fish species.
[ ] YES [ ] NO Important vegetation communities present that may be impacted.
[ ] YES [ ] NO Significant topographic features or aesthetic values are present.
[ ] YES [ ] NO Surface or ground water resources are present that may be affected.
[ ] YES [ ] NO Fragile soils or soils requiring special consideration are present.
[ ] YES [ ] NO Area has reclamation considerations, i.e. past mining, erosion, saline seep.
Additional Comments:
______
prepared by date
Office Use Only
______Approval
______Approval with Modification
Modification:
______Disapproval
Needed for compliance:
Roosevelt County Weed District
______
(Supervisor)
Roosevelt County Weed Board
______
(Chairman)
Applicant/Landowner Date:
______