Page 9 of 31

procedures to be established by the Township Council and may modify, affirm or reverse the decision of the Township Engineer.

Any person who violates any provision of this Chapter shall be liable to a fine of not more than $5,000.00 or to imprisonment for a term not to exceed 90 days or both such fine and imprisonment, at the discretion of the Municipal Court. Every day in which such violation continues after due notice has been served shall constitute a separate violation or offense. Upon order of the Court, the violator shall pay all costs associated with analytical testing, remediation, removal and proper disposal of soil/fill material determined to not comply with the definition of acceptable soil/fill.

The person receiving a permit pursuant to this Chapter shall comply with all conditions set forth in the permit. Submitting false information or noncompliance with a permit may subject the person receiving a permit to a penalty pursuant to section X above and/or suspension or revocation of such a permit.

Instructions: The supplier shall make the acceptability determination at the site of soil/fill origin and will complete Parts 1 and 2 of this form. Part 3 will be completed by the person receiving the material to be used as acceptable soil/fill material.

Part 1: Supplier of soil/fill material information

Date: ___

Name (print): _____ Title: _____

Company Name: ___

Street Address: ___

City: _____ State: ___ Zip: ___

Phone #:_____ Email Address:_____

Part 2: Source of acceptable soil/fill material site information

Source Site Name: ___

Past Site Name(s) if known:___

Street Address:

Block ___ Lot(s) ___

City: _____ State: _____ Zip: _____

Brief history of the source property, including all property uses:

___