Dispersed Camping Permit

Gogebic County Forestry & Parks Commission

County Forest Lands Dispersed Camping Permit

Permittee First Name

Permittee Last Name

Permission is hereby granted to

Permittee Address (Street/City/State/ZIP)

Phone #

who shall be subject to all conditions listed herein which allow dispersed camping (tent only) within the Gogebic County Forest for no more than 14 nights as instructed below:

The permittee in consideration of such permission agrees to:

1. Assume all risks and accept all liability which may be involved in entering upon and camping within county forest land.

2. Permittee is responsible to verify the location of camp is distanced more than one mile from any county owned campgrounds and is within the county forest boundaries.

3. The permittee shall not interfere with normal county forestry and parks operations.

4. Permittee shall be responsible for disposal of all rubbish and litter of any nature brought upon the premises. Failure to do so will result in a fine.

5. Permittee will not interfere with wildlife or alter natural habitats.

6. Neither sell, give away, nor exchange and material taken.

7. This permit is valid for 14 nights from issue date.

Permit Issue Date

Permit Expiration Date

I declare that the information I have provided is accurate and complete and I agree to adhere to the conditions as outlined above.

I agree to protect, indemnify and save harmless the Gogebic County Forestry and Parks Commisson and the County of Gogebic and their agents, servants and employees from and against all causes of action, claims, demands, suits, liability or expense by reason of loss or damage to any property or bodily injury to any person, including death, as a direct or indirect result of te identified use or uses of this special use permit or in connection with any action or ommission fthe Permittee, who shall defend the Gogebic County Forestry and Parks Commissin or any of its employess in any such cause of actions or claims.

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