MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C5ED54.75985340" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C5ED54.75985340 Content-Location: file:///C:/0C4BB24E/GravelPitApplication.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Gravel Pit Application

APPLICATION= FOR EARTH EXCAVATION

TOWN OF ALE= XANDRIA

(Incomplete applicatio= ns will be returned to the applicant with no action taken by the Board)

Date Received:_______________________            =             &nb= sp;            =   File No.:____________

 

   &nbs= p;        Fee Schedule:     &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     Amount      Check #

   &nbs= p;            &= nbsp;       a.  Application……………………&= #8230;……………………$ 75.00      &n= bsp;          

   &nbs= p;            &= nbsp;       b.  Engineering Fee…………………………&#= 8230;…………_______

   &nbs= p;            &= nbsp;       c.  Advertising……………………&= #8230;……………………$100.00       _______    _______

d.  Certified Mail:  gravel Pit Owner @ $4.42…………..._______

   &nbs= p;            &= nbsp;       e.  Number of Abutters _______@ $4.42…………..……._______     _______    _______

   &nbs= p;       

   &nbs= p;            &= nbsp;           TOTAL………………………= …………………..….$_______

(Fees should be paid with two separate checks or mo= ney orders.  A check or money orde= r for the total amount of items a, b and c should be made payable to the Town of Alexandria.  A check or money = order for the total amount of items d and e should be made payable to the United States Postal Service)

 

  1.   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; 

 

Name of Agent or Pit Owner,= if different from owner:   &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

(Notarized letter must be submitted indicating a= gent assigned and the amount of authority given)

 

Signature of owner/applican= t:                =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =         

 

  1.    &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   

Telephone Number:              &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

 

  1.    &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;         

(Note Section XV requires submission of completed applications 21 days before the next regularly scheduled Planning Board mee= ting before permit expiration.)

 

  1.             = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;               &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          

 

  1.      = ;             <= /span>       &n= bsp;    Lot #:     &nb= sp;                &n= bsp;    Zoning District(s):    = ;            &n= bsp;            = ;   

 

  1.    &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;           =

 

  1.   &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =   

 

  2. Excavation and/or Reclamation Plans completed by certified engineer.
  3. Name, address and license # of engineer
  4. Engineer cost estimates
  5. Evidence of bondability
  6. Test pit results
  7. Abutters list
  8. Local, State and/or Federal Permits
  9. Fees

ALEXANDRIA = PLANNING BOARD

LIST OF ABU= TTERS

(To be atta= ched and submitted with application)

 

Name of Applicant&n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;         Tax Map #            =   Lot #           &nb= sp; 

 

Name of Agent or Pit Operator if different from Owner =         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             =

 

Address  = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            &= nbsp;           &nbs= p;            &= nbsp; 

 

Abutter means any person whose property is located in Alexandria or adjoining towns, and adjoins or is directly across the street= or stream from the land under consideration by the Planning Board.  For purposes of receiving testimony only, and not for purposes of notification, the term “abutter” shall include any person who is able to demonstrate that his land will be directly affected by any proposal under consideration.  For purposes of receipt of notific= ation by a municipality of a local land use board hearing, in the case of an abut= ting property being under a condominium or other collective form of ownership, t= he term abutter means the officers of the collective or association, as define= d in RSA 356-B:3, XXIII.

 

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>

  1. Name   =        &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;   Tax Map #        &n= bsp;         Lot #           &= nbsp;  

Address=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

Zip Code        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           <= /p>


TOWN OF ALE= XANDRIA

NEW HAMPSHI= RE

 

 

&nbs= p;

 

 

Da= te

Submitted

 

Date

Waived

 

Application Checklist

 

 

 

 
  1. Signed and dated application form.

 

 

 
  1. List all abutters.

 

 

 
  1. Copies of any required local, state, or federal permits.

 

 

 
  1. Excavation plan at a scale of 1” =3D 100’ showing the information l= isted below:

 

 

 
    1. Name and address of owner, excavator, and all abutters.

 

 

 
    1. Name, address, and signature of person preparing the plan; date of plan, scale, and north arrow.

 

 

 
    1. Sketch and description of the location and boundaries of proposed and any existing excavations in square feet and acres and the municipalities involved.

 

 

 
    1. Zoning district boundaries of excavation area and within 200’ of the area boundary.

 

 

 
    1. Lot lines, public streets, driveways, intersections, rights-of-way, and= all easements within 200’ of the excavation.

 

 

 
    1. Locations of existing buildings, structures, septic systems, and wells within 200’ of the excavation.

 

 

 
    1. Topography at contour levels of five feet or less.

 

 

 
    1. All surface drainage patterns, including wetlands and standing water.

 

 

 
    1. Sketch and description of existing and proposed access roads, including wi= dth and surface materials.

 

 

 
    1. Breadth, depth, and slope of the proposed excavation.

 

 

 
    1. Elevation of the highest annual average groundwater table within or next to t= he proposed excavation.

 

 

 
    1. Test pit data or log of borings to within either the seasonal high water= table or a minimum of six feet below the proposed excavation depth.

 

 

 
    1. Fencing, buffers, or other visual barriers, including height and materials.<= /li>
    2. Measures to control erosion and sedimentation, water and air pollution and a= ny hazards to public safety.

 

 

 
  1. Reclamation plan at a scale of 1” =3D 100’ including the information below:

 

 

 
    1. Name, address, and signature of the person preparing the plan; date of pl= an, scale, and north arrow.

 

 

 
    1. All boundaries of the area proposed for reclamation and the land within 200’ of these boundaries.

 

 

 
    1. Final topography at contour intervals of five feet or less.

 

 

 
    1. Final surface drainage pattern.

 

 

 
    1. Timetable as to fully depleted sites within the project area.

 

 

 
    1. Schedule of final reclamation activities, including seeding mixtures, cover vegetation fertilizer types, and application rates.

 

 

 
  1. Evidence of ability to be bonded.

 

 

 

 

Excavation Checklist

 

1.      The excavation is within 50’ of a disapproving abutter or 10’ of = an approving abutter.

 

 

 

2.      The excavation will not be unduly hazardous to the public welfare.

 

 

 

3.      Existing visual barriers will not be removed except to gain access to the excavati= on.

 

 

 

4.      The excavation will not substantially damage a known aquifer.

 

 

 

5.      The excavation is not closer than 150’ to an existing dwelling or to a = site for which a building permit has already been issued.

 

 

 

6.      The excavation is not below road level within 50’ of the public right-of-way.

 

 

 

7.      Vegetation is maintained within the peripheral areas of two abovementioned requireme= nts.

 

 

 

8.      Fuels, lubricants, etc., are not stored on the site.

 

 

 

9.      If temporary slopes exceed 1:1 grade, an appropriate barricade is provided.<= /p>


 

 

 

 

10.  The= excavation will not cause the accumulation of freestanding water for prolonged perio= ds.

 

 

 

11.  The excavation is not within 75’ of any great pond, navigable river, or= any other standing body of water ten acres or more in area.

 

 

 

12.  The= excavation is not within 25’ of any stream, river, brook that normally flows throughout the year, or any naturally-occurring standing body of water le= ss than ten acres, prime wetland, or any other wetland greater than five acr= es in area.

 

 

 

 

Reclamation Checklist

 

1.      Tree seedlings will be planted in areas visible from a public way to replace t= rees that were removed.

 

 

 

2.      All disturbed areas will be reseeded.

 

 

 

3.      Provision is made for the removal of all stumps and other debris.

 

 

 

4.      Soils will be graded according to soil type, and changes in slope will not be abrupt.

 

 

 

5.      No standing bodies of water created by the excavation will be left if they create a public safety hazard.

 

 

 

6.      The topography will be left so that drainage reverts to its original points a= nd proportions of flow.

 

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