The person requesting an amendment under Env-Wq 1503.22, Env-Wq 1503.23, or Env-Wq 1503.25 shall provide the following information on the "Alteration of Terrain, Amendment Request Form", NHDES-W-01-001, dated August 2023, available at: https://onlineforms.nh.gov?formtag=nhdes-w-01-001:
(a) The type of amendment being requested;(b) Information to identify the project, including the project name and location by street or road address, town or city, and county, and the tax map and lot, block, or unit number;(c) Information to identify the current permit, including the permit number, current expiration date, and name of the department employee who signed the permit;(d) Information to identify the current permit holder and the current permit holder's agent, if any, including the information specified in Env-Wq 1503.07(a) and (b);(e) Information to identify the current property owner, if other than the permit holder, and the property owner's agent, if any, including the information specified in Env-Wq 1503.07(c) and (d);(f) If the form is being submitted to request a permit transfer under Env-Wq 1503.23, the following additional information:(1) The full legal name, mailing address, and daytime telephone number of each new owner to whom the permit should be transferred, and, if available, an e-mail address for that owner; and(2) If any new owner is a corporation, partnership, trust, or other entity, the name, mailing address, and daytime telephone number of the individual representing that owner for the project with whom the department can communicate regarding the project and, if available, an e-mail address for the representative;(g) If the form is being submitted to request a permit extension under Env-Wq 1503.25, the following additional information: (1) An explanation of why the extension is being sought;(2) An explanation of whether changes to the original permit and approved plans have been, are being, or will be made; and(3) If any work on the property has been done, a report based on an inspection that occurred no more than 30 days prior to the date the permit extension request is submitted by a certified professional erosion and sediment control specialist (CPESC specialist), or a qualified engineer, based on an inspection of the site without snow cover, that contains:a. A description of the progress of the project, including whether the project as originally proposed and permitted meets all current requirements for such projects and, if not, which requirements are not being met;b. If any requirements are not being met, an explanation of the corrective actions that will be or are being taken to bring the project into compliance with applicable requirements and the deadline by which such actions will be completed; andc. Photographs of the site that are representative of the project; and(h) If the form is being submitted to request modifications to an approved project under Env-Wq 1503.22, the following additional information:(1) A description of the changes the permit holder wishes to make, including the area of disturbance associated with the changes in square feet;(2) An explanation of why the changes are needed;(3) Which plan sheets show the proposed changes, together with the revised plan sheets;(4) Revised calculations, if necessary;(5) If the area proposed to be disturbed under the amended permit is outside the area allowed to be disturbed under the original permit, a letter from NHB as specified in Env-Wq 1503.08(b) for the area proposed to be disturbed under the amended permit; and(6) The date and proof of delivery, pursuant to Env-Wq 1503.05(c)(6), that a copy of the application was provided to: a. The municipality in which the project is located; andb. The local river advisory committee, if required by Env-Wq 1503.05(f). N.H. Admin. Code § Env-Wq 1503.27
(See Revision Note #1 at chapter heading for Env-Wq 1500) #9343, eff 1-1-09; (See Revision Note #2 at chapter heading for Env-Wq 1500) ss by #9817-B, eff 12-1-10 (formerly in Env-Wq 1503.21(f), Env-Wq 1503.22(b), and Env-Wq 1503.23(b))
Amended by Volume XXXVII Number 32, Filed August 10, 2017, Proposed by #12342, Effective 8/15/2017, Expires 8/15/2027.Amended by Number 41, Filed October 12, 2023, Proposed by #13758, Effective 9/28/2023, Expires 9/28/2033 (see Revision Note #4 at chapter heading for Env-Wq 1500).