DOA-BIOLOGICAL CONTROL REQUEST

BIOLOGICAL CONTROL REQUEST

SFN 62263
NORTH DAKOTA DEPARTMENT OF AGRICULTURE NOXIOUS WEED DIVISION
North Dakota Department of Agriculture 600 E Boulevard Ave, Dept 602 Bismarck, ND 58505-0020 1-800-242-7535
APPLICANT
Name
Email Address
example@example.com
Telephone Number
Format: (000) 000-0000.
Address

Mailing Address

Street Address Line 2

CityState

ZIP Code
LEGAL LANDOWNER/LAND MANAGER (if different than Applicant)
Name
Email Address
example@example.com
Telephone Number
Format: (000) 000-0000.
Address

Mailing Address

Street Address Line 2

CityState

ZIP Code
LOCATION
Township
Range
Section
Quarter
Latitude
Longitude
Pickup AccessUTV / ATV AccessWalk-in Access
Canada ThistleLeafy SpurgePoison HemlockDalmatian ToadflaxYellow ToadflaxPurple LoosestrifeCommon MulleinSaint JohnswortOther (specify)
SITE CHARACTERISTICS
Physical
Fine (Clay)Medium (Silt/Loam)Coarse (Sand/Gravel)
Well-DrainedModerately Well-DrainedPoorly Drained
NoneLowModerateHigh
Slight SlopeSteep SlopeLevelHilltopValley
5. DIRECTION SLOPE FACES
Biological
ContinuousInterrupted
7. ESTIMATED ACRES OF WEED INFESTATION
YesNoConiferousDeciduousMixed
FullPartialNone
Cultural
PasturePublic LandDitchIdle (Cropland)Other
MowingGrazingInsecticidesHerbicides
YesNo
If yes, specify agents used and when*
YesNo
YesNo
Should be Empty:

BIOLOGICAL CONTROL REQUEST