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Gravel Donation for Community Facility - Application Form

Community Facility Name

Contact Name

Facility Location (Legal Land Description or Rural Address)

Phone Number

Please indicate the desired location for gravel stockpiling

OPTIONAL - Please provide a map of your desired stockpiling location. Allowed file types include: pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Disclaimer:

We understand that as per policy N3: Gravel Donations for Community Facilities:

1. The County will provide an amount of gravel approved by the General Manager of Transportation and Utilities, or designate, to a maximum of sixty-five (65) tonnes every other year, per Community Facility within the County.

2. The gravel will be supplied from County sources.

3. Gravel will be delivered by County forces on a timeline determined by the County.

4. Spreading and placement of the gravel shall be the responsibility of the recipient.

Please sign using either your finger (if on a mobile device), or your mouse (if on a computer)

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Email Address (you will be sent an email confirmation of your application)