Current through Register No. 40, October 3, 2024
(a)
Each applicant for a license shall comply with the requirements of
RSA
151:4, I-III-a, and submit the following to
the department, except that subparagraphs (a) (1) -(3) and (5) -(7) shall not
apply to mobile collection station vans:
(1)
A completed application form entitled "Application for Residential or Health
Care License (Laboratories and Collecting Stations) " (10/25/2011), signed by
the applicant or 2 of the corporate officers, affirming the following:
"I affirm that I am familiar with the requirements of RSA
151 and the rules adopted thereunder and that the premises are in full
compliance. I understand that providing false information shall be grounds for
denial, suspension, or revocation of a license, or imposition of a
fine."
(2) A floor plan of
the prospective collection station;
(3) If applicable, proof of authorization
from the New Hampshire secretary of state to do business in New Hampshire in
the form of one of the following:
a.
"Certificate of Authority," if a corporation;
b. "Certificate of Formation," if a limited
liability company; or
c.
"Certificate of Trade Name," where applicable;
(4) The applicable fee, in accordance with
RSA
151:5, IX, payable in cash or, if paid by
check or money order, in the exact amount of the fee, made payable to the
"Treasurer of the State of New Hampshire";
(5) A resume identifying the qualifications
and copies of applicable licenses for the collection station
administrator;
(6) Written local
approvals as follows:
a. For an existing
building, the following written local approvals shall be obtained no more than
90 days prior to submission of the application from the following local
officials, or if there is no such official(s), from the board of selectmen or
mayor:
1. The health officer verifying that
the applicant complies with all applicable local health requirements and
drinking water and wastewater requirements;
2. The building official verifying that the
applicant complies with all applicable state building codes and local building
ordinances;
3. The zoning officer
verifying that the applicant complies with all applicable local zoning
ordinances; and
4. The fire chief
verifying that the applicant complies with the state fire code, including the
business chapter of NFPA 101 as adopted by the department of safety, and local
fire ordinances applicable for a collection station; and
b. For a building under construction, the
written approvals required by a. above shall be submitted at the time of the
application based on the local official's review of the building plans and
again upon completion of the construction project;
(7) If the collection station uses a private
water supply, documentation that the water supply has been tested in accordance
with RSA 485 and Env-Dw 313.01 and 314.01, or if a public water supply, a copy
of a water bill; and
(8) The
results of a criminal records check from the NH department of safety for the
applicant, including the licensee and administrator, as applicable.
(b) The applicant shall mail or
hand deliver the documents in (a) above to:
Department of Health and Human Services
Health Facilities Administration
129 Pleasant Street
Concord, NH 03301
