N.H. Admin. Code § Env-Or 607.03

Current through Register No. 45, November 7, 2024

Section Env-Or 607.03 - Groundwater Management Permit Application

(a) The applicant for a groundwater management permit shall provide the following information on or with a form obtained from the department:

(1) The site name, address, property deed reference by county book and page, and property tax map and lot number, and the department site number;

(2) The name, mailing address, daytime telephone number, and email address, if any, of the site owner;

(3) If different from the site owner, the name, mailing address, daytime telephone number, and email address, if any, of the applicant;

(4) The name, mailing address, daytime telephone number, and email address, if any, of a contact person for the applicant and, if available, a fax number;

(5) A brief summary of the site investigation report;

(6) A brief summary of remedial measures performed to date;

(7) A plan scaled to fit onto an 8-1/2 inches by 11 inches or 11 inches by 17 inches sheet, using a tax map as a base, that identifies and locates to the extent ascertainable, the following:

a. The proposed GMZ boundary;

b. Any deeded easements which restrict the use of the groundwater within the GMZ;

c. Any streets within 1,000 feet of the site;

d. Any properties, including tax map and lot numbers, that are within the proposed GMZ or that abut the lots that are within the proposed GMZ;

e. Any surface water bodies on and within 500 feet of the GMZ;

f. Any lots with water supply wells, including type of use, within 500 feet of the GMZ; and

g. The location, elevation, and datum of a permanent and recoverable bench mark;

(8) A site plan scaled to fit onto an 8-1/2 inches by 11 inches or 11 inches by 17 inches sheet prepared in accordance with Env-Or 606.04(m) that clearly identifies all proposed sampling locations;

(9) A table of current water level measurements obtained from piezometers and monitoring wells used to develop the groundwater contours;

(10) A table summarizing all monitoring results for the 5 years immediately preceding the application, if applicable, from existing monitoring points;

(11) An updated list, including copies if not already submitted to the department, of any previously-completed investigations and reports pertinent to the site;

(12) A summary table, if more than 3 previously-completed investigations and reports are available, that includes the following information:

a. The date of the report;

b. The consultant's name; and

c. The scope of the investigation;

(13) A detailed proposal for a water quality monitoring program, including proposed monitoring schedule, parameters to be analyzed, monitoring locations, and supporting information justifying the locations, frequency and parameters selected;

(14) Well construction details of monitoring wells and elevations of top of wells not previously referenced in the site investigation submitted under Env-Or 606.01;

(15) Certification that application has been made for all required local, state, or federal permits;

(16) Certification that notification has been provided to all owners of lots proposed for inclusion in the GMZ as required by Env-Or 607.02(b)(2);

(17) Certification that a copy of the complete permit application has been provided to the town/city clerk of the municipality as required by Env-Or 607.02(b)(2);

(18) Documentation that rights of access necessary to conduct the approved remedial action have been obtained as required by Env-Or 607.02(b)(3);

(19) Documentation that any necessary rights as required by Env-Or 607.06(c) have been obtained to control the use of water wells within the GMZ and filed in the registry of deeds as required by Env-Or 607.02(b)(5) and (6); and

(20) A list of properties located within the GMZ that includes, for each property:

a. The name and mailing address of the property owner(s) and, if available, a daytime telephone number;

b. The property address;

c. The deed reference, including county book and page; and

d. The tax map and lot number.

(b) The groundwater management permit application shall be dated, signed, and sealed by the professional of record.

(c) The applicant shall sign the application form. Such signature shall constitute certification that all information provided on or with the form or that otherwise is submitted by the applicant as part of the application is true, complete, and not misleading to the knowledge and belief of the signer.

N.H. Admin. Code § Env-Or 607.03

(See Revision Note at chapter heading for Env-Or 600) #8812, eff 2-1-07; amd by #9213, eff 7-23-08

Amended by Volume XXXV Number 23, Filed June 11, 2015 , Proposed by #10831, Effective 6/1/2015, Expires6/1/2025.