Chipping Program Application(Please make sure piles are placed and all material is ready to be chipped prior to submitting your application)First Name (required)Last Name (required)Email (required)Phone Number (required)Street Address (required)City (required)Zip Code (required)Assessor's Parcel Number (required)Nearest Cross StreetAre you the owner of the parcel? (required)YesNoNumber of piles to be chipped? (required)Combined total width of pile/s (in feet) (required)Length of pile/s (in feet - 10ft max) (required)Height of pile/s (in feet - 5ft max) (required)How many acres of property were cleared? (1 minimum) (required)Where are the piles located? (required)Shoulder of RoadAlongside drivewayAlternate disposal method if this program were not offered? (required)BurnChipLandfillLeave on propertyIs this application part of a planned Neighborhood Chipping Event (required)NoYesIf yes, please indicate which neighborhoodBurke RanchFortress WayQuartz MountainWoodland RoadSunset HeightsKirkwoodAlpineSilver LakeWho prepared the pile/s? (required)MyselfI hired someoneHow many hours did it take you if you did it yourself?How much did it cost if you hired someone?By providing your initials below, you acknowledge and certify the following: I have completed the requirements on the Chipper Program Page and agree to allow the Amador Resource Conservation District (ARCD) staff and private contractor admittance onto my property in order to access the pile for chipping. I understand that the material will be chipped back onto my property. I understand that the ARCD provides this service through contracts with private chipping companies. The contractor has final authority to determine if a pile is suitable for chipping. I understand that if the pile is not prepared per the checklist, it will not be chipped. ARCD provides the contractors with a preferred weekly schedule, but final decisions for scheduling of chipping are made by the contractor. In addition, I will comply with the chipping crews' decisions as to where chipped material is deposited because safety is their foremost concern. 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 ARCD is not obligated to perform this service and that ARCD is not liable for its failure to perform this service or for the negligent performance of this service. The applicant agrees to hold harmless, indemnify, and to defend the ARCD and its employees from and against any and all claims for injury or damage arising from or connected with the work associated with this request, except for any such claim arising solely out of negligent acts or omissions attributable to the ARCD and its employees. It is understood that the duty to indemnify and hold harmless includes the duty to defend as set forth in Section 2778 of the California Civil Code. (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
