Scribd Logo
Upload

Welcome to Scribd!

  • 51 views

    Message - 4 - FORM 5 - APPLICATION FORM FOR REGISTRATION AS RECYLER OF HW

    Uploaded by

    Umesh Sunaria
    This document is an application form for the grant or renewal of registration for industrial units that reprocess or recycle materials. It requests information about the unit, its production levels, raw materials used, pollution control systems, hazardous waste generation and management, air and water emissions, and occupational health and safety practices. If approved, the registration would allow the unit to possess environmentally sound management facilities for reprocessing or recycling. The application must be submitted in triplicate to the Central Pollution Control Board.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Message - 4 - FORM 5 - APPLICATION FORM FOR REGISTRATION AS RECYLER OF HW

    Uploaded by

    Umesh Sunaria
    51 views3 pages
    This document is an application form for the grant or renewal of registration for industrial units that reprocess or recycle materials. It requests information about the unit, its production levels, raw materials used, pollution control systems, hazardous waste generation and management, air and water emissions, and occupational health and safety practices. If approved, the registration would allow the unit to possess environmentally sound management facilities for reprocessing or recycling. The application must be submitted in triplicate to the Central Pollution Control Board.

    Original Description:

    Original Title

    Message_4_FORM 5- APPLICATION FORM FOR REGISTRATION AS RECYLER OF HW

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for the grant or renewal of registration for industrial units that reprocess or recycle materials. It requests information about the unit, its production levels, raw materials used, pollution control systems, hazardous waste generation and management, air and water emissions, and occupational health and safety practices. If approved, the registration would allow the unit to possess environmentally sound management facilities for reprocessing or recycling. The application must be submitted in triplicate to the Central Pollution Control Board.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    51 views3 pages

    Message - 4 - FORM 5 - APPLICATION FORM FOR REGISTRATION AS RECYLER OF HW

    Uploaded by

    Umesh Sunaria
    This document is an application form for the grant or renewal of registration for industrial units that reprocess or recycle materials. It requests information about the unit, its production levels, raw materials used, pollution control systems, hazardous waste generation and management, air and water emissions, and occupational health and safety practices. If approved, the registration would allow the unit to possess environmentally sound management facilities for reprocessing or recycling. The application must be submitted in triplicate to the Central Pollution Control Board.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    FORM 5

    [See rule 8(1) ]

    FORM OF APPLICATION FOR


    GRANT/RENEWAL OF REGISTRATION OF INDUSTRIAL UNITS
    POSSESSING ENVIRONMENTALLY SOUND MANAGEMENT FACILITIES
    FOR REPROCESSING/RECYCLING
    {To be submitted to the Central Pollution Control Board in triplicate by the
    Reprocessor/Recycler}
    1 Name and Address of the unit :
    2 Name of the occupier or owner of
    the unit with designation, Tel / Fax:
    3 Date of commissioning of the unit :
    4. No. of workers ( including contract
    labourers ) :
    5 Consent Validity a) Water (Prevention & Control of Pollution) Act, 1974
    valid up to………………………

    b) Air (Prevention & Control of Pollution) Act, 1981 valid


    up to………………………
    6. Product Manufactured during the Year Name of the Quantity
    last three years (Tonnes / Year ) Product in Metric Tonnes or KL
    a)
    b)
    c)
    7. Raw material consumption during Year Name of the Quantity
    last three years (Tonnes/ year) Raw Material in Metric Tonnes or KL
    consumed
    a)
    b)
    c)
    8. Manufacturing Process Please attach manufacturing process flow diagram for each
    product (s)
    9. Water Consumption Industrial …………………………m3/ day
    Domestic…………………………..m3/day
    10 Water Cess paid up to (date) ………………..
    11 Waste water generation as per Industrial/Domestic
    consent………...m3/day Actual………m3/day (avg. of last 3 months)

    12 Waste water treatment (provide Industrial


    flow diagram of the treatment Domestic
    scheme )

    13 Waste water discharge Quantity……………………………. m3/day


    Location…………………………………………
    Analysis of treated waste water for parameters such as pH,
    BOD, COD, SS, O&G and any other as stipulated by the
    SPCB/PCC ( attach details)
    14. Air Pollution Control
    a. Flow diagram for emission
    control system (s) installed
    for each process unit, utilities
    etc.
    b. Details of facilities provided
    control of fugitive emission
    due to material handling,
    process, utilities etc.
    c. Fuel consumption Name of fuel Quantity
    per Day/Month :
    a)
    b)
    d. Stack emission monitoring Stack Emissions (for SPM, SO2, NOx and
    results attached Metals (like Pb etc.) in particulates in
    to: mg/Nm3

    e. Ambient air quality Ambient Parameters (SPM, SO2, NOx,


    air quality Pb, any other ) in µg/ m3
    location:

    15. Hazardous waste management :


    a. Waste generation : S. Name Category Quantity
    No. ( last 3 years)

    b. Details on collection , treatment


    and transport :
    c. Disposal

    (i) Please attach Details of the


    disposal facilities
    (ii) Please attach analysis report of
    characterisation of hazardous waste
    generated (including leachate test if
    applicable)
    16. Details of hazardous wastes 1. Name
    proposed to be acquired through 2. Quantity required per year
    sale/negotiation/ contract or import 3. Waste listing & No. in Annex VIII (List A)/ Annex
    as the case may be for use as raw IX (List B) of Basel Convention (BC)
    material. 4. Hazard Characteristic as per Annex III of BC
    17 Occupational safety and Health Please provide details of facilities provided
    aspects

    18 Remarks

    (i) whether industry has provided Yes / No


    adequate pollution control system/
    equipment to meet the standards of
    emission/effluent.
    (ii) whether HW collection and Yes / No
    Treatment , Storage and Disposal
    Facility (TSDF) are operating
    satisfactorily.
    (iii)Whether conditions exists or Yes / No
    likely to exists of the hazardous
    waste being handled /processed of
    posing immediate or delayed
    adverse impacts on the
    Environment.
    (iv) Whether conditions exists or is Yes / No
    likely to exists of the wastes being
    handled / processed by any means
    capable of yielding another
    material eg , leachate which may
    possess eco-toxicity.
    19 Any other Information
    i)
    ii)
    iii)
    20 List of enclosures as per rule

    Signature :
    Designation :
    Date:.............
    Place:............

    You might also like