NHDES-W-06-030

WETLANDS RECREATIONAL MINERAL

DREDGING NOTIFICATION

Land Resources Management

Wetlands Bureau

Check the status of your notification:

RSA/ Rule: RSA 482-A/ Env-Wt 100-900

Gold in New Hampshire FACT SHEET:

Administrative
Use
Only / Administrative
Use
Only / Administrative
Use
Only / File Number:
Check No.
Amount:
Initials:
1. APPLICANT
LAST NAME, FIRST NAME, M.I.:
ADDRESS: / TOWN/CITY: / STATE: / ZIPCODE:
PHONE: / FAX: / EMAIL:
2. CALENDAR YEAR
Permits are issued on a calendar year basis and expire on December 31regardless of the date issued. You may apply for next year’s permit any time after November 1 of the current year.Which calendar year are you applying for?
3. RESIDENCY and FEE
Are you a New Hampshire resident?
YES - FEE $25.00
NO - FEE $50.00 / If claiming NH residency, you must provide a NH driver’s license or non-driver ID numberand a legible photocopy of your NH driver’s license or non-driver ID.
ID NUMBER: .
Photocopy of NH driver’s license or non-driver ID included.
I have enclosed a check or money order made out to: “Treasurer – State of NH”
4. SIGNATURE
By signing the application, I am certifying that:
  1. I am at least 18 years of age. (Env-504.01)(b)
  2. Any power equipment I use for gold mining and dredging will be limited to 5 horsepower and will not have any fuel, oil or hydraulic leaks. (Env-Wt-304.14(a))
  3. Any suction dredges that I use will be limited to a 4-inch diameter intake nozzle. (Env-Wt-304.14(b))
  4. Any sluice and rocker boxes I use shall be limited to 10 square feet. (Env-Wt-304.14(c))
  5. I will not use mercury or chemicals for extraction. (Env-Wt-304.14(d))
  6. I will not dam or alter any streams. (Env-Wt-304.14(e))
  7. I will obtain written permission from the landowner before dredging. (Env-wt-304.14(f))
  8. My work will be confined to the beds of streams with no disturbance to the banks adjacent to streams. (Env-Wt 304.14(g))
  9. My project is not located in prime wetlands, the prime wetland buffer, marshes or bogs (Env-Wt 303.04(s)(2)). Prime wetlands link:
  10. The proposed project is not in a wetland that has been identified by NH Natural Heritage Bureau as an exemplary naturalcommunity, and/or that has documented occurrences of state or federally listed endangered or threatened species. (Env-Wt 303.04(s)(3)). Link:
  11. I will post the recreational mineral dredge permit, which will be mailed by NHDES to the address indicated above, in the immediate vicinity of the dredging operations. (Env- 504.01)(a)

APPLICANT: / DATE:

*Send application to address below

(603) 271-2147

NHDES Wetlands Bureau, 29 Hazen Drive, PO Box 95, Concord, NH 03302-0095

Recreational Mineral Dredging Notification- Valid Until 01/2019Page 1 of 1