Section Env-Sw 1605.03 - Content and Format of Application(a) The applicant shall provide the following information on the form specified in Env-Sw 1604.01(b): (1) The applicant's name, residential mailing address, personal email address, and daytime telephone number;(2) Whether the applicant has held any previous certification under this chapter, and if so, each certificate number; and(3) Whether the applicant currently is working at a facility, whether on a paid or unpaid basis, and if so:a. The name, mailing address, and telephone number and, if available, the email address, of each such facility;b. The name and title of the applicant's supervisor or facility manager; andc. The applicant's current title or position, including a brief description of the duties required by the position.(b) The applicant shall sign and date the application form.(c) The applicant's signature shall constitute certification that the information provided in the application is true, complete, and not misleading to the applicant's knowledge and belief.(d) Subject to (e), below, the applicant's signature also shall constitute certification that the applicant:(1) Has not owned or been in charge of any hazardous or solid waste facility that has been the subject of an administrative or judicial enforcement action for a violation of environmental statutes or rules in any part of the 5-year period prior to the date of application; and(2) Has not been the subject of any administrative or judicial enforcement action for a violation of environmental statutes or rules, whether individually or as a business entity of any kind, in any part of the 5-year period prior to the date of application.(e) If the applicant cannot certify to one or both of the statements in (d), above, the applicant shall provide a brief explanation of each enforcement action, including but not limited to the following for each action: (1) Whether the enforcement action was directed to a facility at which the applicant worked or to the applicant directly, whether individually or as a business entity of any kind;(2) A description of each alleged violation; and(3) An explanation as to why these circumstances will not impede the applicant's ability and willingness to comply with applicable requirements at a facility.N.H. Admin. Code § Env-Sw 1605.03
Adopted byVolume XXXIV Number 24, Filed June 12, 2014, Proposed by #10600, Effective 7/1/2014, Expires7/1/2024.Amended by Number 19, Filed May 11, 2023, Proposed by #13623, Effective 5/1/2023, Expires 5/1/2033.