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A person required to have a permit under 18 AAC 90.500 or 18 AAC 90.505 shall submit a completed application to the department as required by 18 AAC 15.020, using a form supplied by the department. The application must identify
(1) the common or brand name of each pesticide to be used, the name of the seller or distributor from whom the pesticide is obtained, and the EPA registration number for each pesticide;
(2) the targeted pests to be controlled by the pesticide;
(3) each type of formulation to be used;
(4) each type of adjuvant to be used;
(5) the percentage of each active ingredient in each formulation;
(6) the rate of application for each active ingredient to be applied;
(7) the proposed protective area under 18 AAC 90.800, if the pesticide is to be applied as part of a forestry vegetation management project;
(8) a description of the treatment area where the pesticide will be applied, including
(A) the location depicted on a map or plat issued by the United States, the state, or municipality;
(B) the size of the treatment area;
(C) vegetation in the treatment area;
(D) each potentially affected surface water or marine water body within 200 feet of the treatment area;
(E) soil type, including drainage characteristics, in the treatment area; and
(F) average annual precipitation;
(9) the proposed date and time of each pesticide application;
(10) the method of application;
(11) the method of disposal of excess pesticides and empty pesticide containers;
(12) special precautions planned to protect human health, safety, and welfare, animals, and the environment;
(13) evidence that a person who directs, carries out, or participates in a pesticide program or project described in 18 AAC 90.500 or 18 AAC 90.505 has working knowledge of the pesticides to be applied, the necessary safety precautions, and potential impact on the environment; the evidence required by this paragraph must include proof of appropriate certification under 18 AAC 90.300 - 18 AAC 90.315;
(14) for an application of a pesticide by aircraft or helicopter, a current copy of the Federal Aviation Administration's operations certificate for the aircraft or helicopter, as appropriate;
(15) if requested by the department, proof of land ownership or permission from the landowner to apply the pesticide on the treatment area;
(16) information that demonstrates to the department's satisfaction that the pesticide to be applied does not cause an unreasonable adverse effect; and
(17) other information that the department requests and that the department considers pertinent to compliance by the applicant with this chapter.
History: Eff. 2/15/98, Register 145; am 11/30/2003, Register 168
Authority: AS 46.03.010
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Last modified 7/05/2006