Technical Review Form
Please fill out the form below and submit the appropriate flat fee or prepaid estimate to RCCD. We will then contact you for scheduling. *NOTE: RCCD works as an agent for the town. All payments made directly to RCCD are on behalf of the town. All work is done at the direction of the town and any reports issued will be addressed and sent to the town.
*PLEASE NOTE* Rate changes will take affect January 1, 2026
Property Owner Name
*
First/Last or Company Name
Project Address
*
Project Town
*
Project Tax Map & Lot Number
*
*Very important to include the correct map/lot #
Project Contact (person who will be scheduling the work)
*
Project Contact Phone #
*
Project Contact Email
Comments or Notes:
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Payment Options
*
Credit/Debit Card
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Services
*
Single Lot Subdivision 1Hr $325.00
Subdivision Fee (also select subdivision hourly below) $250.00
Subdivision Hourly (2hr min) ($125.00/hr of field time) Please select # of hrs under quantity
Quantity (Please select quantity for each service selected)
Total
Please mail checks to Rockingham County Conservation District 110 North Road Brentwood, NH 03833
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Subdivision Fee (Also select item 'Subdivision Hourly')
$
250.00
Subdivision Hourly ($125/hr of Field Time + Subdivision Fee)
Enter the number of hours you will need on-site(2 or more). You will not be refunded for unused hours. Our reviewer will not stay late if not enough hours are selected. Also select subdivision fee
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Single Lot 1hr Subdivision
Test pit witnessing is generally scheduled on wednesdays
$
325.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Pre-payments expire 2 years from payment date. If the services for which the pre-payments are made are not requested within two years of the payment, the money will become nonrefundable and the services are no longer eligible to be rendered.
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