N.H. Admin. Code § Env-Wq 1608.02

Current through Register No. 49, December 5, 2024

Section Env-Wq 1608.02 - Application Form

The applicant shall provide the following information on a form obtained from the department:

(a) The name, mailing address, and daytime telephone number of the applicant, if an individual;

(b) The name, mailing address, and daytime telephone number of the applicant's business;

(c) The name and telephone number of the individual who can be reached in case of an emergency;

(d) The location of the proposed site, including street address, tax map and lot number, and current deed reference;

(e) The site owner's name, mailing address, and daytime telephone number;

(f) The name, mailing address, and daytime telephone numbers of each current or proposed operator of the site, including each individual's responsibility as it pertains to the regulated activities;

(g) The types of land application activity being proposed for the site, including but not limited to agricultural land application, forest application, or stockpiling; and

(h) A description of the use of the site, including agricultural operations and crops grown on each field, if applicable, covering 5 years immediately prior to submission of the application.

N.H. Admin. Code § Env-Wq 1608.02

#6991, eff 5-5-99; ss by #8458, eff 10-27-05 (see Revision Note at chapter heading); ss by #10466, eff 11-26-13