FREE Composted Mulch Chipping Program

FREE Community Chipping and Mulch Program

Your personal data is secure and private. It will not be sold or disclosed; please fill out all fields. Chips will be left onsite.

Fields marked with an * are required.

Name*

First Name

Last Name

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

What is the nearest cross-street?*

Home Phone*

Cell Phone

How many hours were spent preparing the defensible space?*

(enter estimated number of hours)

Please indicate the date when the pile preparation occurred*

How many piles need to be chipped?*

Participants in the program agree to collect free compost available at the Las Virgenes Municipal Water District. How will you be collecting the compost? *

I will be collecting the compost on my own. I need assistance.

if you require assistance, please email the Program Coordinator at akunsch@rcdsmm.org

How many acres was the area that you thinned / removed brush for chipping?*

On how many square feet will you be spreading the mulch/compost mix?*

How did you hear about this program?*

Friends / Neighbors Newsletter Social Media (Instagram, Facebook...) Local Fire Department Local Fire Safe Council

Other:

Who occupies the property?*

Owner Renter Vacant (with structures) Vacant (empty lot)

If applicable, notify renter of your participation in this program.

Is there a gate to enter the property?*

Yes No

If yes, please provide detail in the comments section.

Are the piles accessible by pickup truck?*

Yes No

All piles should be accessible by pick-up truck for curb-side chipping.

Special Instructions/Directions

Administrative Provisions

Chipping service requestor (participant) agrees to abide by the requirements of this program, which may change from time to time. Participants declare that he/she/they are the owner of the property or his/her/their agent. Participants grant the Resource Conservation District of the Santa Monica Mountains (RCDSMM), contractors, bidders and agents, permission to enter the property only for safety inspections, pile inspections, chipping services and monitoring. Participant acknowledges that the RCDSMM provides this service through contracts with chipping vendors. Participant agrees that submittal of this form is not a guarantee of delivery of service, performance, or satisfaction. All activities are funding dependent. Participant agrees to comply with the chipping crew's decisions knowing safety is their foremost concern. Participant agrees not to load brush into the chipper. Participant agrees to waive and release the RCDSMM and all its employees, Boards, contractors, volunteers, officers, and agents from all liability arising from participation in this program. Participant agrees to be added to the chipping email list. Participant understands and agrees that the RCDSMM has the right to refuse service to participants that do not comply with these conditions, other specific parameters, or for unsuitable piles.

Participant agrees not to amend (to add to) chipping piles after completion of this form. Participant agrees that piles that are amended after completion of this form will be held over into the next chipping period.

Do you agree to these terms?*

Yes No

Signature*

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Use your mouse or finger to draw your signature above

This program is administered by the Resource Conservation District of the Santa Monica Mountains. Funding is provided by a grant from the National Fish and Wildlife Foundation in partnership with the Conservation Biology Institute.

In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discrimination on the basis of race, color, national origin, sex, age, or disability.