Chipping Request Form

This will submit the second page of the form automatically to Ken. If you wish to fill out the form manually please email it to admin@bivc.net address Ken no late then June 30th 2024, so he can print it out for them.

Maine Forest Service

Chipping Request Form

Please complete this form and return it to your community sponsor

Name *

Phone *

Email *

Street Address: Bustins Lot Number(s) where chipping is reqested *

Cit / Town

Zip

Are you the owner of the property? *YesNo

Do you give the Maine Forest Service, its employees and members of the work crew permission to enter onto your property for the purpose of removing the brush pile(s)? *YesNo

Do you wish to keep the wood chips? *YesNo(if yes, chips will be deposited next to wood pile to be chipped)

I have completed the requirements on the attached form (checklist) and agree to allow the Maine Forest Service and the chipping crew admittance onto my property in order to access the pile(s) for chipping. I understand that the material may be chipped back onto my property. I understand that this program is to help homeowners dispose of brush, small diameter trees and tree limbs that could carry a wildfire towards homes, not to increase the size of my lawn or improve my view. I further understand that if the pile is not prepared per the checklist, it will not be chipped. I understand that MFS makes all efforts to have the piles chipped as soon as possible, however, the MFS provides no guarantees as to when the work will be completed. I will not make any attempt to load brush into the chipping machine. I understand that all work will be halted if this attempt is made. I understand that the MFS is not obligated to perform this service and that the MFS is not liable for its failure to perform this service.

The applicant, for him/her/itself, his/her/its contractors and employees, agrees to save, indemnify and to hold harmless the Maine Forest Service and/or its representatives from all liabilities and claims for damage by reason of injury or death to any person or persons, or damage to property from any cause whatsoever while, in, upon, or in anyway connected with the work associated with this request.

Signature *

Date

07/02/2024

Chipping Request Form

Maine Forest Service