1. (a) On or before October 1 of each year, the department shall email, if available, or mail a self-certification form and explanatory information to each VSQG whose declaration is due.
2. (b) Subject to (d) below, any VSQG whose declaration is due that does not receive a self-certification form by October 10 of the year in which the declaration is due shall notify the department no later than October 20 of that same year.
3. (c) Upon receiving notification pursuant to (b), above, the department shall email, if available, or mail a self-certification form and explanatory information to the VSQG.
4. (d) A VSQG whose declaration is due may download the self-certification form and explanatory information from the department’s website in lieu of requesting a paper copy from the department.

5. (e) A VSQG whose declaration is due shall complete and submit Form HWM-4, “Very Small Quantity Generator Self-Certification and Declaration of Compliance Form”, as amended February 2026, no later than January 1 of the year immediately following the year in which the declaration is due, together with:

   1. (1) The certification that the signer is familiar with the New Hampshire hazardous waste rules applicable to VSQGs and with this facility’s operations and procedures with respect to hazardous waste;
   2. (2) The fees that are due, if any, as specified in RSA 147-A:5, IV(b) through (e);
   3. (3) Form HWM-2 “RCRA C Site Identification Form” as amended August 2025, if a subsequent notification as specified in Env-Hw 505.01 is necessary; and
   4. (4) The corrective action plan required by Env-Hw 514.04, if applicable.

6. (f) Payment shall be submitted by one of the following methods:

   1. (1) Electronically by credit card or eCheck using the self-certification form;

   2. (2) Checks or money orders made payable to “Treasurer, State of New Hampshire” and sent or delivered to:

      NHDES Waste Management Division – VSQG Self-Certification Program

      PO Box 95, 29 Hazen Dr

      Concord, NH 03302-0095; or

   3. (3) Cash payments only accepted in person at:

      NHDES Waste Management Division – VSQG Self-Certification Program

      29 Hazen Dr

      Concord, NH 03301

Source. #7966, INTERIM, eff 9-26-03, EXPIRED: 3-24-04 New. #8415, eff 8-19-05; ss by #9367, eff 1-28-09; amd by #10205, eff 10-19-12; ss by #12347, eff 8-14-17; ss by #14280, eff 8-1-25; ss by #14375, INTERIM, eff 9-20-25; ss by #14525, eff 2-28-26, EXPIRES: 2-28-36