NH Online Forms System - NHDES - Contaminated Sites

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New Hampshire Department of Environmental Services Contaminated Sites Forms

Contaminated Sites fall under several programs and may have program-specific forms. Below are links to the forms common to most contaminated sites. Review the Waste Management Division Submittal Guidelines before submission of contaminated site-related documents to NHDES.

Program-specific pages:

Contact Information

Address: New Hampshire Department of Environmental Services
29 Hazen Drive, PO Box 95
Concord, NH 03302-0095

Contacts: State Sites Contact: Amy.T.Renzi@des.nh.gov Petroleum Sites Contact: Margaret.Bastien@des.nh.gov

Forms

Application for Activity and Use Restriction

Application for Groundwater Management Permit

Application for Groundwater Release Detection Permit

Application for Renewal of Groundwater Management Permit

Application for Renewal of Groundwater Release Detection Permit

Cover Sheet - GMP Submittal/Groundwater Monitoring Report

Additional cover sheet required for submittals relating to an existing Groundwater Management Permit or Release Detection Permit

Groundwater Permit Transfer Application

Report Cover Sheet - Waste Management Division

Cover sheet required for all reports to be received by NHDES Waste Management Division.

Self-Certification of Activity and Use Restriction

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Organizations

Forms

New Hampshire Department of Environmental Services Contaminated Sites Forms

Contact Information

Forms