Section Env-Sw 2103.04 - Signatures and Certifications(a) Each waiver request shall be dated and signed by the requestor(s) identified pursuant to Env-Sw 2103.02(a), as follows: (1) If the requestor is an individual or sole proprietorship, the requestor shall sign and date the request; and(2) If the requestor is other than an individual or sole proprietorship, the individual who has been authorized by the requestor to sign the request on behalf of the requestor shall sign and date the request.(b) For a waiver request relating to license-exempt or certificate-exempt work to be performed on residential property by the property owner(s), the waiver request shall be signed by each owner of record of the property, provided that if one owner has legal authority to bind one or more other owners, the owner having the authority may sign for such owners and submit a certified copy of the document conferring the authority, such as a power of attorney or guardianship order, with the waiver request.(c) A signature provided pursuant to (a) or (b), above, shall constitute certification that copies of the request have been provided as required by Env-Sw 2103.03(b).(d) If the waiver request applies to doing certificate-required work and the qualified ADS contractor is known at the time of the request, the request for waiver also shall be signed and dated by the qualified ADS contractor, as follows:(1) If the qualified ADS contractor is an individual or sole proprietorship, the individual shall sign and date the request and provide his or her ADS contractor identification information or, if the waiver request applies to doing license-exempt work that is certificate-required work, the individual's ADS worker identification information; or(2) If the qualified ADS contractor is other than an individual or sole proprietorship, the individual who has been authorized by the qualified ADS contractor to sign the application on behalf of the entity shall sign and date the request and, if applicable, provide the entity's ADS contractor identification information.(e) A signature provided pursuant to (a), (b), or (d), above, shall constitute certification that: (1) The information being submitted is true, complete, and not misleading to the best of the signer's knowledge and belief;(2) The signer understands that:a. The submission of false, incomplete, or misleading information is grounds for: 1. Denying the request; or2. Suspending or revoking any waiver that is granted based on the information; andb. The signer is subject to the penalties specified in New Hampshire law, currently RSA 641, for falsification in official matters; and(3) The requestor will comply with any conditions included in the waiver pursuant to Env-Sw 2103.06(a).N.H. Admin. Code § Env-Sw 2103.04
Derived From Volume XXXVIII Number 37, Filed September 13, 2018, Proposed by #12605, Effective 9/1/2018, Expires 9/1/2028.