NOTICE

DO NOT REMOVE THIS SIGN UNTILALL WATER USE RESTRICTIONS HAVE EXPIRED


This area of Click here to enter text._ was chemically treated on Click here to enter text. for the control of an
NAME OF WATERBODY MONTH/DAY/YEAR
aquatic nuisance under: (select applicable authorizationbelow)Company/Individual Responsible for Treatment:
☐ DEQ Certificate of Coverage No.Click here to enter text.Name:Click here to enter text.
☐ DEQ Permit No.Click here to enter text. Address:Click here to enter text.
☐ Permit by Rule, pursuant to 324.3303(2)Phone:Click here to enter text.

USE RESTRICTIONS:

These use restrictions are a compilation of all federal product label restrictions of the chemical products listed below.

SWIMMING:
☐ No restrictions ☐Do not swim or bathe until:Click here to enter text.
(Swimming restrictions are due to operational concerns only and are not health-based restrictions unless the product used is Navigate 2,4D.)
DRINKING WATER:
☐ No restrictions ☐Do not drink water until:Click here to enter text.
DOMESTIC USES:
☐ No restrictions ☐Do not use water for domestic purposes until:Click here to enter text.
(Domestic uses include but are not limited to: washing of household items, clothes, dishes, etc.)
IRRIGATION:
☐ No restrictions ☐Do not irrigate food crops untilClick here to enter text.
☐ Do not irrigate ornamentals untilClick here to enter text. ☐ Do not irrigate turf untilClick here to enter text.
(Do not use treated water for nursery, newly seeded turf, or greenhouse irrigation without specific label review.)
LIVESTOCK WATERING:
☐ No restrictions ☐Do not water livestock until:Click here to enter text.
FISHING:
There are no fishing restrictions or fish consumption restrictions required by federally approved aquatic pesticide labels.

LIST OF CHEMICALS PERMITTED FOR USE AT THIS SITE:

Please list the chemical product/active ingredient as well as the specific chemical brand name that will be used.

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The chemicals used for Aquatic Nuisance Control are registered by the U.S. Environmental Protection Agency and the Michigan Department of Agricultureand Rural Development. The potential for damage to fish and other non-target organisms is minimal provided that the product is used as directed on the product label and the permit. To minimize the possible effects on health and the environment, the treated water is restricted for the above purposes.

For permitting information contact: Department of Environmental Quality, Water Resources Division, PO Box 30458, Lansing, MI 48909-7958, telephone: (517) 284-5593, e-mail:

ATTACH TREATMENT MAP BELOW, IF REQUIREDPURSUANT TO 324.3310(d)

Authority: Parts 31 and 33 of P.A. 451 of 1994, as amended EQP-2797 (Rev. 11/2014)