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Soil Boring Application Form - Mchenry-Lake County Soil & Water Conservation District

MCHENRY-LAKE COUNTY SOIL & WATER CONSERVATION DISTRICT

SOIL BORING APPLICATION

SWCD File #SB-__________-________

Date Received:_____________________

Check # ______________

Amt. Paid:____________

For office use only

Applicant’s Name:________________________________________________________

Address:_______________________________________________________

City:______________________

State:_______________

Zip Code:_________

Home Phone: (____) _____-_______

Work Phone: (____) _____-_________

Boring Location/Address:

Permanent Property Index #

___-

__-

County: _________________

Current Zoning:__________________

SOIL BORING REQUIREMENTS

Accurately complete this soil boring application and provide a check or money order for $300.00 payable to McHenry-Lake County

SWCD for borings in McHenry County and $350 for borings in Lake County. (The Lake County Board of Health Septic Ordinance

requires more borings and additional information compared with the Public Health Ordinance for McHenry County).

Provide MLCSWCD with a sketch delineating the lot and precisely indicating where the proposed house and the proposed septic

absorption field will be located. Be sure to indicate the direction north and any restricted areas. Examples of restricted areas

include: easements, septic restricted areas, well setback zones, and other state and county restrictions.

This soil boring only indicates soil characteristics present in the area tested. If the intended location of the system changes, another

boring will likely be required. Any changes to the area tested, such as cutting, filling, or excessive trafficking may void the results of

a boring, and new boring may be required. Results of this boring cannot be officially interpreted by the McHenry-Lake County SWCD

for septic suitability or buildability.

The applicant is solely responsible for siting the septic location in compliance with county ordinance and obtaining permission for our

access to the property.

If the applicant for any reason decides to cancel the application before the soil boring is performed, a $30.00 processing fee will be

charged.

Applicant's Signature

Date

Fee: $300.00 McHenry County Borings - Please Make Checks Payable To: McHenry-Lake County SWCD

$350.00 Lake County Borings

1648 South Eastwood Drive

Woodstock, IL 60098

Phone: 815-338-0099 Ext 3

Fax: 815-338-7731

Revised 11/20/2011

Soil Boring Application Form - Mchenry-Lake County Soil & Water Conservation District

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