Each applicant for a YRC license shall provide the following information on a “Youth Recreation Camp License Application” form obtained from the department, #NHDES-W-03-175, dated August 2017:

1. (a) The name of the YRC;
2. (b) The location where the YRC operates in New Hampshire, by street address and municipality;
3. (c) The name, primary mailing address, daytime telephone number, and emergency telephone number of the YRC owner and, if available, an e-mail address;
4. (d) The name, primary mailing address, daytime telephone number, and emergency telephone number of the YRC operator, and, if available, an e-mail address, if the operator is not the owner;
5. (e) If the owner or operator, or both, is other than an individual, the name, daytime telephone number, and, if available, e-mail address for an individual representing the owner or operator, or both, as applicable;
6. (f) The name of each lake or river, if any, on which the YRC is located;

7. (g) Whether the YRC has operated previously in New Hampshire, and if so the following:

   1. (1) A list showing the year(s) the YRC operated;
   2. (2) For each year, the name under which the YRC operated, if different from the name in which the current application is being made; and
   3. (3) Whether the YRC’s license has ever been suspended or revoked;

8. (h) The capacity of the YRC, as follows:

   1. (1) Maximum number of campers per camp session; and
   2. (2) Number of YRC staff;
9. (i) Whether the YRC is a seasonal camp or a year-round camp;
10. (j) For a seasonal camp, the opening date and closing date for campers;
11. (k) For a seasonal camp, the seasonal mailing address(es) and daytime telephone number(s) of the YRC owner, if different than the primary mailing address;

12. (l) Whether the YRC is a public water system (PWS) or is connected to a PWS, and:

    1. (1) If so, the name and PWS ID number of the public water system; and
    2. (2) If not, the source of drinking water used by the YRC;
13. (m) Whether the YRC is a residence camp or a day camp;
14. (n) Whether the YRC prepares or serves food for campers or YRC staff;
15. (o) Whether the YRC is connected to a municipal sewer or other community, off-site sewage disposal system or is served by on-site sewage disposal system(s);

16. (p) If the YRC is an entity that is required by RSA 292, RSA 293, RSA 293-A, or other applicable provision of New Hampshire law to register with the New Hampshire secretary of state:

    1. (1) The business ID number assigned by the New Hampshire secretary of state; and
    2. (2) An affirmation by the YRC owner that the YRC is registered and in good standing to do business in New Hampshire; and
17. (q) The address of each YRC web site and social media network site, if any.

Source. (See Revision Note #1 and Revision Note #2 at chapter heading for Env-Wq 900) #12364, eff 9-1-17