1. (a) The qualified professional engaged pursuant to Env-Dw 303.18(a) shall prepare a source classification statement that designates the source as spring water, artesian water, or well water.

2. (b) The classification statement shall include the following:

   1. (1) A statement that the qualified professional understands the definitions of spring water, artesian water, and well water contained in Env-Dw 303.03;
   2. (2) A statement that a hydrogeologic investigation has occurred and documentation has been prepared to demonstrate that the source meets the requirements for the designated classification;
   3. (3) A statement that the documentation supporting the classification has been provided to the applicant; and
   4. (4) The name, title, and qualifications of the qualified professional.

3. (c) The qualified professional shall sign and date the classification statement, thereby certifying that:

   1. (1) The information provided is true, complete, and not misleading to the knowledge and belief of the signer; and

   2. (2) The signer understands that:

      1. a. The submission of false, incomplete, or misleading information is grounds for:

         1. 1. Refusing to accept the classification statement;
         2. 2. Revoking any approval that is granted based on the information;
         3. 3. Referring the matter to the joint board for potential action against the professional license held by the signer; and
         4. 4. If the signer is acting as or on behalf of a listed engineer as defined in Env-C 502.10, debarring the listed engineer from the roster; and
      2. b. The signer is subject to the penalties for making unsworn false statements specified RSA 641:3 or any successor New Hampshire statute.
4. (d) The applicant shall keep all information regarding source classification provided by the qualified professional and produce this information on request to department representatives.

Source. (See Revision Notes #1 and #2 at part heading for Env-Dw 303) #11059, eff 4-1-16