Section Env-Wq 1003.12 - Information Required for ISDS Applications Each applicant seeking approval under RSA 485-A:29, I, for a proposed ISDS shall submit the following on or with the application form obtained from the department:
(a) Information about the applicant, applicant's agent, ISDS owner, and property owner, as follows: (1) The name and mailing address of the applicant and, if the applicant is submitting the application directly and not through an agent, the applicant's daytime telephone number and e-mail address;(2) The name, mailing address, daytime telephone number, and email address of the applicant's agent;(3) If the applicant is not the ISDS owner, the name and mailing address of the ISDS owner and an explanation of the applicant's legal interest in the ISDS, such as having signed a purchase and sale agreement to acquire the structures served by the new or replacement ISDS; and(4) If the applicant is not the property owner, the name and mailing address of the property owner and an explanation of the applicant's legal right to install the ISDS;(b) Information about the type of system for which the application is being submitted, specifically whether the system is:(2) A replacement system or a replacement for a failed system, and if so: a. Whether the system being replaced was state approved or not; andb. If the system being replaced was state approved, the date of the approval to operate and the construction approval number for that system;(3) A collection system for a recreational campground, and if so the construction approval number and date of the approval to operate for the previously-approved EDA; or(4) Revised plans under Env-Wq 1004.08, and if so the construction approval number;(c) Whether prior municipal approval is required and, if so, the date of the approval and a copy of the approval letter;(d) Information about the subdivision status of the lot, as follows: (1) If the lot is part of a pending subdivision application, the department work number for that application;(2) If the lot was created as part of an approved subdivision, the name of the subdivision and the subdivision approval number; or(3) If the lot does not need subdivision approval, the reason subdivision approval is not needed, as follows: a. The lot was created prior to 1967;b. The lot meets the applicable requirements of Env-Wq 1003.11; orc. The lot was created as part of a subdivision in which all of the lots are larger than 5 acres and no portion of any lot is within the protected shoreland; (e) Information about the location of the lot upon which the system will be constructed, as follows: (1) The county and book and page number of the deed to the current property owner, or if the property was not transferred by deed, the probate docket number if applicable; and(2) The street address, including municipality, and the tax map and lot number;(f) The use to which the structure to be served will be used, for example residential, commercial, or industrial, and: (1) If residential, whether single-family, duplex, condominium(s), manufactured housing park, or some combination thereof;(2) If limited to senior housing, proof that the structure(s) to be served qualify and will be used as senior housing; and(3) If commercial, whether any lots are for camping and whether a public food establishment is planned;(g) Design flow information, as follows: (1) For residential use, the number of bedrooms in the existing or proposed structure multiplied by 150 GPD;(2) For commercial, industrial, or other use, the estimated sewage load in gallons per day, determined in accordance with Env-Wq 1008.03, provided that if the estimated flow is based on metered flow, the applicant shall also provide: a. The specific use and location where the flow was metered, to show that the use is as similar as possible to the proposed use, taking into consideration factors such as occupancy and frequency of use; andb. Whether the calculations were done in accordance with Env-Wq 1008.03(d)(1) or (d)(2);(h) The type of proposed ISDS, as follows: (1) Whether the system is a gravity system, a pump system, or a holding tank;(2) Whether the EDA is above-ground, in-ground, or at grade;(3) The type of EDA proposed, such as pipe and stone or other approved technology;(4) Whether the septic tank is a treatment tank; and(5) Whether the design is for a sloped site using Env-Wq 1014.09;(i) The water supply for the lot, whether one or more private wells or a public water system, and: (1) If an existing public water system, the name of the system;(2) If a proposed public water system, the proposed name of the system and the date the application required by RSA 485 was filed; or(3) If one or more private wells, then for each well:a. Whether the well is on or off the lot served by the well, provided that if the well is not on the lot served then a copy of the recorded easement or deeded water rights shall be submitted with the application; andb. If the well is on the lot served by the well but the well radius extends off the lot, then:1. Whether the well radius is on property that is precluded from development and the reason for the preclusion; or2. Whether the well radius is on a recorded easement, in which case a copy of the recorded easement shall be submitted with the application;(j) Whether other department permits or registrations, hereinafter called "approvals", are required for the proposed subdivision, including but not limited to approvals for ISDS, alteration of terrain under RSA 485-A:17, groundwater discharge under Env-Wq 402, wetlands dredge and fill or construction under RSA 482-A, or shoreland activities under RSA 483-B, and if so: (1) Whether the application is pending or the approval has been obtained; and(2) If the approval has been obtained:a. The approval number, if any; orb. If there is no approval number, the date the approval was issued;(k) Whether any portion of the subject property is within 250 feet of the reference line of a waterbody protected under RSA 483, the Shoreland Water Quality Protection Act and, if so, whether the protected waterbody is a lake or pond, tidal area, or river or stream and the name of the waterbody;(l) Whether any portion of the proposed ISDS is within 150 feet of the reference line of a waterbody protected under RSA 483, and if so, photos of the impact area;(m) A list of all waivers requested from Env-Wq 1000 or Env-Wq 1400; and(n) One or more plan sheets containing the information specified in Env-Wq 1003.13.N.H. Admin. Code § Env-Wq 1003.12
(See Revision Note at chapter heading for Env-Wq 1000) #9086, eff 2-9-08; ss by #9904-A, eff 4-16-11
Amended by Volume XXXVI Number 41, Filed October 13, 2016, Proposed by #11184, Effective 10/1/2016, Expires 10/1/2026.