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Name: Date: Address: City: State: Zip Code: Telephone: Road to be Sprayed : & Additional Information : Calcium Chloride - LIME flags Length of application: Asphalt Emulsion - PINK flags Length of application: 1. 2. 3. North Barn South Barn HWY205, Rev. 03/23 Using the above address and instructions, you or our maintenance staff will place flags a few days before the first application. If your flags are not in your preferred location, please be sure to move the flags prior to the first application. No changes will be made after first application is applied. If there are any questions about your dust control area during the summer months, please call the appropriate Maintenance Facility. North 449-4781 or South 449-4791 The County Highway Department retains full control and authority to maintain said dust controlled areas with stone or by grading. Dust Control may be graded up at anytime at the discretion of the Supervisors at Allen County Highway Department. Grading will usually be necessary if holes begin to appear or the surface condition has deteriorated to a condition which is hazardous in the opinion of the Highway Department. Initial_______ (Minimum of 200 ft.) PLEASE READ THE FOLLOWING APPLICATION CONDITIONS: $ $2.25 for a total cost of feet times (Minimum of 200 ft.) ALLEN COUNTY HIGHWAY DEPARTMENT 200 E Berry St, Suite 280 Fort Wayne, Indiana, 46802 ( 260 ) 449 - 7369 Between Roads 2023 DUST CONTROL PROGRAM APPLICATION PERSONAL CHECK, CASHIERS CHECK OR MONEY ORDER ONLY. for a total cost of $1.45 feet times $ The undersigned has agreed to pay in advance for a dust control solution applied at a cost listed below, per centerline foot. The solution will be applied in two applications. Check / Money Order # : App # Applicant Signature : RETAIN A COPY OF APPLICATION AND CHECK FOR YOUR RECORDS. For Highway Dept. use only 0 0 SIGN ---PAGE BREAK--- Mail completed form and check to: Allen County Highway Department Attn: Dust Control 200 East Berry Street, Suite 280 Fort Wayne, IN 46802 HWY205, Rev. 03/23 In order to keep our surfaced roads clear of additional over spray and drag over, we will not spray up to the edges of surfaced roads, nor will we spray the radiuses where dust control meets another road. ALLEN COUNTY HIGHWAY DEPARTMENT The truck will only spray what has been purchased. If you aren’t sure of the flag placement, make sure both flags are placed at good starting points. For example, the spray truck may be coming from the North and your flag to the North side is placed in such a way that the footage purchased will stop before reaching the South flag. You may want to move your North flag farther South if this is not the area you are most concerned about. You need to account for the driver coming from either direction so that the area you most want sprayed is done. Even if the flags are too close you will get what was purchased and this way you will get it where you want it. 200 E Berry St, Suite 280 Fort Wayne, Indiana, 46802 ( 260 ) 449 - 7369 2023 DUST CONTROL PROGRAM APPLICATION FAQ