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Provisional Landscape Pesticide Approval Application
$50.00
The Provisional Pesticide Approval is issued by the Department of Environment as an amendment to the Landscape Pesticide Permit authorizing the application of
insecticide
above the 50% total lawn/turf area per property per season authorized in the Landscape Pesticide Permit.
* Required fields
* 1.
Property owner(s) name:
* 2.
Property identification (Civic address and PID):
* 3.
Pesticide Operator’s Legal/Operating Name:
* 4.
Pesticide Applicator’s name and certification number:
* 5.
Percent of property treated to date:
* 6.
If approved, approximate date (YYYY/MM/DD) property will be treated:
(yyyy/mm/dd)
* 7.
Identified insect, numbers per square meter (m2) and monitoring method:
* 8.
Total lawn/turf area in square meters (m2) to be treated under the provisional approval:
* 9.
Percent (%) of total lawn/turf area of the property to be treated under the provisional approval:
* 10.
Pest Control Product Trade Name and Registration Number (PCP) to be used under this provisional approval:
11.
Mix volume in kilograms (kg) or liters (L) of active ingredient to be used in this treatment:
IF YOU HAVE ENTERED ALL RELEVANT INFORMATION, CLICK ON "ADD TO BASKET"
(ONLY ONCE) TO SUBMIT YOUR APPLICATION.
IF YOU WISH, PRINT A COPY FOR YOUR FILES USING YOUR BROWSER'S PRINT FUNCTION.