1. (a) To register a PBF, the owner or the owner’s duly-authorized agent shall submit to the department a completed “PBF Registration Form”, NHDES-W-07-088, February 2021, available via the department’s website at www.des.nh.gov, that:

   1. (1) Contains the information specified in Env-Wq 1104.03;
   2. (2) Is complete, correct, and not misleading; and
   3. (3) Is signed as specified in (c) and (d), below.

2. (b) The registrant shall submit the registration to the department via an electronic portal, which when available will be accessible via www.des.nh.gov, or at the following address:

   DES Water Division

   29 Hazen Drive

   P.O. Box 95

   Concord, NH 03302-0095

   Attn: PBF Program Manager

3. (c) The registrant and the owner, if other than the registrant, shall sign and date the registration.

4. (d) Each signature shall constitute certification 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 denying the registration or suspending any registration that is issued based on the information; and
      2. b. The signer is subject to the penalties established in New Hampshire law for falsification in official matters, currently in RSA 641.

Source. #13198, eff 5-1-21 (see Revision Note #3 at chapter heading for Env-Wq 1100)