Thong Tu de An BVMT So 01-TT-BTNMT Ngay 16-3-2012

B TI NGUYN V MI TRNG
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CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc

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S: 01 /2012/TT-BTNMT
H Ni, ngy 16 thng 3 nm 2012
THNG T Quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin
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B TRNG B TI NGUYN V MI TRNG Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Ngh nh s 25/2008/N-CP ngy 04 thng 3 nm 2008 ca Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Ti nguyn v Mi trng c sa i, b sung ti Ngh nh s 19/2010/NCP ngy 05 thng 3 nm 2010 v Ngh nh s 89/2010/N-CP ngy 16 thng 8 nm 2010; Theo ngh ca Tng Cc trng Tng cc Mi trng, V trng V Php ch, QUY NH: Chng I NHNG QUY NH CHUNG iu 1. Phm vi iu chnh Thng t ny quy nh chi tit v lp, thm nh v ph duyt n bo v mi trng chi tit; kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin theo khon 6 iu 39 Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng (sau y gi tt l Ngh nh s 29/2011/N-CP). iu 2. i tng p dng Thng t ny p dng i vi cc c quan nh nc, cc t chc, c nhn trong nc v nc ngoi (sau y vit tt l t chc, c nhn) c lin quan n vic lp, thm nh v ph duyt n bo v mi trng chi tit; kim tra, xc
nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin. Chng II LP, THM NH V PH DUYT N BO V MI TRNG CHI TIT iu 3. C s phi lp n bo v mi trng chi tit 1. C s phi lp n bo v mi trng chi tit (sau y gi l C s) c quy m, tnh cht tng ng vi i tng phi lp bo co nh gi tc ng mi trng quy nh ti khon 1 iu 12 Ngh nh s 29/2011/N-CP, gm: a) C s khng c mt trong cc vn bn sau: Quyt nh ph duyt bo co nh gi tc ng mi trng, quyt nh ph duyt bo co nh gi tc ng mi trng b sung, quyt nh ph duyt n bo v mi trng; b) C s c quyt nh ph duyt bo co nh gi tc ng mi trng, khi ci to, m rng, nng cng sut thuc i tng phi lp bo co nh gi tc ng mi trng b sung (trc ngy Ngh nh s 29/2011/N-CP c hiu lc thi hnh) hoc thuc i tng phi lp li bo co nh gi tc ng mi trng (theo quy nh ti Ngh nh s 29/2011/N-CP) nhng khng c quyt nh ph duyt bo co nh gi tc ng mi trng b sung hoc quyt nh ph duyt bo co nh gi tc ng mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; c) C s c quyt nh ph duyt n bo v mi trng, giy xc nhn ng k n bo v mi trng, khi ci to, m rng, nng cng sut thuc i tng phi lp bo co nh gi tc ng mi trng nhng khng c quyt nh ph duyt bo co nh gi tc ng mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; d) C s c mt trong cc vn bn: Giy chng nhn ng k t tiu chun mi trng, giy xc nhn ng k bn cam kt bo v mi trng, giy xc nhn ng k bn cam kt bo v mi trng b sung, vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng, khi ci to, m rng, nng cng sut thuc i tng phi lp bo co nh gi tc ng mi trng nhng khng c quyt nh ph duyt bo co nh gi tc ng mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; ) C s c quyt nh ph duyt n bo v mi trng chi tit, khi ci to, m rng, nng cng sut thuc i tng phi lp bo co nh gi tc ng mi trng nhng khng c quyt nh ph duyt bo co nh gi tc ng mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; e) C s khi cng v ang trong giai on chun b (chun b mt bng), hon thnh giai on chun b v ang trong giai on thi cng xy dng nhng cha c quyt nh ph duyt bo co nh gi tc ng mi trng hoc quyt nh ph duyt n bo v mi trng chi tit.
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2. Ch c s quy nh ti khon 1 iu ny c trch nhim lp n bo v mi trng chi tit quy nh ti Thng t ny v gi c quan c thm quyn thm nh, ph duyt. iu 4. Quy trnh lp, thm nh v ph duyt n bo v mi trng chi tit Lp, thm nh v ph duyt n bo v mi trng chi tit c thc hin theo quy trnh ti Ph lc 1 km theo Thng t ny, gm cc bc sau y: 1. Ch c s quy nh ti iu 3 Thng t ny lp, gi h s ngh thm nh, ph duyt n bo v mi trng chi tit n c quan c thm quyn thm nh, ph duyt quy nh ti khon 1 iu 7 Thng t ny. 2. C quan c thm quyn thm nh, ph duyt giao c quan thng trc thm nh quy nh ti khon 2 iu 7 Thng t ny tin hnh xem xt h s. Trng hp ni dung h s cha y theo quy nh ti Ph lc 2 km theo Thng t ny th c vn bn thng bo ch c s hon thin. 3. Trng hp h s y , p ng yu cu thm nh, c quan thng trc thm nh tin hnh kim tra thc t ti hin trng ca c s. Trng hp cn thit, t chc ly kin c quan, chuyn gia. 4. C quan thng trc thm nh tng hp, x l kt qu kim tra thc t, kin ca c quan, chuyn gia v thng bo bng vn bn cho ch c s v kt qu thm nh n bo v mi trng chi tit. 5. Ch c s thc hin ng cc yu cu ca thng bo kt qu thm nh. 6. Th trng c quan c thm quyn thm nh, ph duyt xem xt v ph duyt n bo v mi trng chi tit. 7. C quan thng trc thm nh chng thc v gi n bo v mi trng chi tit ph duyt. iu 5. Lp, gi h s ngh thm nh, ph duyt n bo v mi trng chi tit Ch c s thuc i tng phi lp n bo v mi trng chi tit c trch nhim: 1. Lp hoc thu t vn lp n bo v mi trng chi tit theo cu trc v ni dung quy nh ti Ph lc 2 km theo Thng t ny. 2. Gi qua bu in hoc np trc tip h s ngh thm nh n bo v mi trng chi tit n c quan c thm quyn thm nh, ph duyt quy nh ti khon 1 iu 7 Thng t ny. H s bao gm: a) Mt (01) vn bn ngh thm nh, ph duyt n bo v mi trng chi tit theo mu quy nh ti Ph lc 3 km theo Thng t ny; b) Nm (05) bn n bo v mi trng chi tit c ng thnh quyn, c ba v trang ph ba theo mu quy nh ti Ph lc 4 km theo Thng t ny v mt (01) bn c ghi trn a CD;
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c) Mt trong cc vn bn sau: d n u t, bo co nghin cu kh thi ca c s hoc vn bn tng ng theo quy nh ca php lut v u t (ch yu cu i vi c s quy nh ti im e khon 1 iu 3 Thng t ny). iu 6. Tham vn kin v n bo v mi trng chi tit 1. Ch c s c trch nhim gi vn bn km theo tm tt nhng ni dung chnh ca n bo v mi trng chi tit theo mu quy nh ti Ph lc 5 km theo Thng t ny n y ban nhn dn cp x ni thc hin sn xut, kinh doanh, dch v ca c s xin kin tham vn. 2. Trong thi hn mi lm (15) ngy lm vic, k t ngy nhn c vn bn ca ch c s, y ban nhn dn cp x c vn bn tr li theo mu quy nh ti Ph lc 6 km theo Thng t ny. Qu thi hn ny, y ban nhn dn cp x c tham vn khng c kin bng vn bn gi ch c s th c xem nht tr vi ch c s. 3. Trng hp cn thit, trc khi c vn bn tr li, y ban nhn dn cp x yu cu ch c s phi hp t chc cuc hp vi i din cng ng dn c trong x trnh by, tho lun, i thoi v n bo v mi trng chi tit; ch c s c trch nhim p ng theo yu cu. 4. Cc trng hp sau y khng phi xin kin ca y ban nhn dn cp x: a) C s nm trong khu sn xut, kinh doanh, dch v tp trung c c quan c thm quyn ph duyt bo co nh gi tc ng mi trng hoc n bo v mi trng giai on xy dng kt cu h tng v c hot ng sn xut, kinh doanh, dch v ph hp quy hoch ngnh ngh ra trong bo co nh gi tc ng mi trng hoc n bo v mi trng ca khu sn xut, kinh doanh, dch v tp trung ; b) C s nm trn vng bin cha xc nh c th c trch nhim qun l hnh chnh ca y ban nhn dn cp x; c) C s c yu t b mt an ninh, quc phng. iu 7. Thm quyn thm nh, ph duyt n bo v mi trng chi tit; c quan thng trc thm nh n bo v mi trng chi tit 1. C quan c thm quyn thm nh, ph duyt n bo v mi trng chi tit c quy nh nh sau: a) B Ti nguyn v Mi trng thm nh, ph duyt n bo v mi trng chi tit ca c s c quy m, tnh cht tng ng vi i tng lp bo co nh gi tc ng mi trng quy nh ti Ph lc III ban hnh km theo Ngh nh s 29/2011/N-CP, tr cc c s c yu t b mt an ninh, quc phng; thm nh v ph duyt n bo v mi trng chi tit ca c s thuc quyn quyt nh, ph duyt ca mnh;
b) B Quc phng, B Cng an thm nh, ph duyt n bo v mi trng chi tit ca c s thuc quyn quyt nh, ph duyt ca mnh v c s khc c giao c yu t b mt an ninh, quc phng; c) Cc B, c quan ngang B, c quan thuc Chnh ph thm nh, ph duyt n bo v mi trng chi tit ca c s thuc quyn quyt nh, ph duyt ca mnh, tr cc i tng quy nh ti im a, b khon 1 iu ny; d) y ban nhn dn cp tnh thm nh, ph duyt n bo v mi trng chi tit ca c s trn a bn ca mnh, tr cc i tng quy nh ti im a, b v im c khon 1 iu ny. 2. C quan c thm quyn thm nh, ph duyt giao c quan chuyn mn v bo v mi trng trc thuc lm c quan thng trc thm nh trong vic t chc thm nh v trnh ph duyt n bo v mi trng chi tit (sau y gi tt l C quan thng trc thm nh). C quan thng trc thm nh c trch nhim, quyn hn sau: a) R sot tnh hp l v y ca h s ngh thm nh, ph duyt n bo v mi trng chi tit; b) Bo co c quan c thm quyn thm nh, ph duyt v cch thc t chc thm nh km theo d tho quyt nh thnh lp on kim tra cng tc bo v mi trng ti c s theo mu quy nh ti Ph lc 7 km theo Thng t ny v danh sch cc c quan, chuyn gia ly kin (nu c); c) T chc on kim tra ti c s theo quyt nh thnh lp ca c quan c thm quyn thm nh, ph duyt; quyt nh hoc quyt nh theo ngh ca on kim tra v vic o c, ly mu phn tch kim chng s liu; d) Thu thp cc thng tin lin quan n c s v n bo v mi trng chi tit ca c s phc v cho vic thm nh, ph duyt; tng hp, x l kin ca cc c quan, chuyn gia ly kin; ) Thng bo bng vn bn cho ch c s v kt qu thm nh v nhng yu cu lin quan n vic hon chnh h s thm nh n bo v mi trng chi tit; e) T chc r sot ni dung n bo v mi trng chi tit c ch c s hon chnh v gi li sau khi t chc thm nh; g) D tho quyt nh ph duyt n bo v mi trng chi tit trnh c quan c thm quyn thm nh, ph duyt xem xt, quyt nh; h) T chc kim tra v bo co c quan c thm quyn thm nh, ph duyt xem xt xc nhn vic thc hin n bo v mi trng chi tit ca c s; i) Thc hin cc nhim v khc lin quan n vic thm nh, ph duyt n bo v mi trng chi tit theo yu cu ca c quan c thm quyn thm nh, ph duyt. iu 8. Thi hn thm nh n bo v mi trng chi tit
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1. Ti a bn mi lm (45) ngy lm vic, k t ngy nhn c h s hp l i vi n bo v mi trng chi tit ca c s c quy m, tnh cht tng ng vi i tng lp bo co nh gi tc ng mi trng quy nh ti Ph lc III ban hnh km theo Ngh nh s 29/2011/N-CP. 2. Ti a ba mi (30) ngy lm vic, k t ngy nhn c h s hp l i vi n bo v mi trng chi tit ca c s khng thuc i tng quy nh ti khon 1 iu ny. 3. Thi hn thm nh quy nh ti khon 1, khon 2 iu ny khng bao gm thi gian m ch c s hon chnh h s theo yu cu ca c quan thng trc thm nh trong qu trnh thm nh n bo v mi trng chi tit. iu 9. Thm nh, hon chnh n; lp v thm nh li n bo v mi trng chi tit 1. Kim tra h s: Trng hp h s khng ng quy nh, trong thi hn khng qu by (07) ngy lm vic, k t ngy nhn c h s, c quan thng trc thm nh c vn bn thng bo cho ch c s hon thin. Trng hp h s ng quy nh, c quan thng trc thm nh t chc thm nh theo theo quy nh ti khon 2, 3 v khon 4 iu ny. 2. Kim tra thc t cng tc bo v mi trng ca c s: a) Kim tra cng tc bo v mi trng ca c s theo quyt nh thnh lp on kim tra ca c quan c thm quyn thm nh, ph duyt; b) Trng hp cn thit, t chc vic o c, ly mu phn tch kim chng s liu; c) Lp bin bn kim tra theo mu quy nh ti Ph lc 8 km theo Thng t ny. 3. Tng hp, x l kt qu ly kin chuyn gia, c quan c lin quan n n bo v mi trng chi tit ngh thm nh, ph duyt. 4. Thng bo kt qu thm nh (ch mt ln duy nht): C quan thng trc thm nh gi vn bn thng bo kt qu thm nh theo mt (01) trong ba (03) trng hp sau: a) n bo v mi trng chi tit c thng qua khng cn chnh sa, b sung; b) n bo v mi trng chi tit c thng qua vi iu kin phi chnh sa, b sung km theo yu cu c th v vic chnh sa, b sung; c) n bo v mi trng chi tit khng c thng qua (nu r l do). 5. Sau khi nhn c thng bo kt qu thm nh, ch c s c trch nhim: a) i vi n bo v mi trng chi tit c thng qua khng cn chnh sa, b sung: K vo gc tri pha di tng trang ca n, nhn bn v ng quyn, c ba v trang ph ba theo mu quy nh ti Ph lc 4 km theo
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Thng t ny vi s lng p ng yu cu ti khon 2 iu 11 ca Thng t ny v gi n c quan thng trc thm nh xem xt, trnh ph duyt; b) i vi n bo v mi trng chi tit c thng qua vi yu cu chnh sa, b sung: Chnh sa, b sung n theo yu cu v k, nhn bn, ng quyn theo quy nh ti im a khon 5 iu ny; gi (ch mt ln duy nht) tt c s lng cc bn n ny v mt (01) bn c ghi trn a CD km theo vn bn gii trnh v vic chnh sa, b sung n n c quan thng trc thm nh xem xt, trnh ph duyt; c) i vi n bo v mi trng chi tit khng c thng qua: Lp li n v gi c quan c thm quyn thm nh, ph duyt thm nh li. 6. Lp v thm nh li n bo v mi trng chi tit: a) Ch c s phi lp li n bo v mi trng chi tit v gi h s ngh thm nh li n theo quy nh ti iu 5 Thng t ny; b) Thi hn, quy trnh thm nh li c thc hin theo quy nh ti iu 4, iu 8 Thng t ny. iu 10. Ph duyt n bo v mi trng chi tit 1. Thi hn ph duyt n bo v mi trng chi tit: a) Ti a mi lm (15) ngy lm vic, k t ngy nhn c n bo v mi trng chi tit hon chnh theo yu cu i vi c s c quy m, tnh cht tng ng vi i tng lp bo co nh gi tc ng mi trng quy nh ti Ph lc III ban hnh km theo Ngh nh s 29/2011/N-CP; b) Ti a l mi (10) ngy lm vic, k t ngy nhn c n bo v mi trng chi tit hon chnh ca ch c s i vi c s khng thuc i tng quy nh ti im a khon 1 iu ny; c) Thi hn ph duyt quy nh ti im a v im b khon 1 iu ny khng bao gm thi gian m ch c s hon chnh h s theo yu cu ca c quan c thm quyn thm nh, ph duyt hoc c quan thng trc thm nh trong qu trnh xem xt, ph duyt n bo v mi trng chi tit. 2. Quyt nh ph duyt n bo v mi trng chi tit theo mu quy nh ti Ph lc 9 km theo Thng t ny. iu 11. Chng thc v gi n bo v mi trng chi tit 1. Sau khi c quyt nh ph duyt n bo v mi trng chi tit, c quan thng trc thm nh phi chng thc vo mt sau ca trang ph ba ca n theo mu quy nh ti Ph lc 10a km theo Thng t ny. 2. Sau khi chng thc, c quan thng trc thm nh gi v lu n bo v mi trng chi tit theo yu cu nh sau: a) i vi n bo v mi trng chi tit do B Ti nguyn v Mi trng ph duyt: Gi quyt nh ph duyt km theo n bo v mi trng chi tit ph duyt v chng thc cho ch c s mt (01) bn, S Ti nguyn
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v Mi trng ni thc hin sn xut, kinh doanh, dch v ca c s mt (01) bn, B qun l ngnh mt (01) bn, lu mt (01) bn; b) i vi n bo v mi trng chi tit do B Quc phng, B Cng an ph duyt: Vic gi quyt nh ph duyt v n bo v mi trng chi tit c thc hin theo quy nh ring; c) i vi n bo v mi trng chi tit do B, c quan ngang B, c quan thuc Chnh ph ph duyt: Gi quyt nh ph duyt km theo n bo v mi trng chi tit ph duyt v chng thc cho ch c s mt (01) bn, S Ti nguyn v Mi trng ni thc hin sn xut, kinh doanh, dch v ca c s mt (01) bn, B Ti nguyn v Mi trng mt (01) bn, lu mt (01) bn; d) i vi n bo v mi trng chi tit do y ban nhn dn cp tnh ph duyt: Gi quyt nh ph duyt km theo n bo v mi trng chi tit ph duyt v chng thc cho ch c s mt (01) bn, S Ti nguyn v Mi trng mt (01) bn, y ban nhn dn cp huyn ni thc hin sn xut, kinh doanh, dch v ca c s mt (01) bn, lu mt (01) bn; gi quyt nh ph duyt n bo v mi trng chi tit cho B Ti nguyn v Mi trng, B qun l ngnh v y ban nhn dn cp x ni thc hin sn xut, kinh doanh, dch v ca c s mi ni mt (01) bn. 3. S Ti nguyn v Mi trng cc tnh sao lc quyt nh ph duyt n bo v mi trng chi tit do cc B, c quan ngang B, c quan thuc Chnh ph gi n v gi cho y ban nhn dn cp huyn, y ban nhn dn cp x ni thc hin sn xut, kinh doanh, dch v ca c s. Chng III KIM TRA, XC NHN VIC THC HIN N BO V MI TRNG CHI TIT iu 12. Trch nhim ca ch c s trong vic thc hin n bo v mi trng chi tit 1. Thc hin nghim chnh cc ni dung n bo v mi trng chi tit c ph duyt. 2. Sau khi hon thnh cng trnh, bin php bo v mi trng, ch c s lp h s ngh kim tra, xc nhn vic thc hin n bo v mi trng chi tit v gi n c quan c thm quyn thm nh, ph duyt ph duyt n bo v mi trng chi tit kim tra, xc nhn vic thc hin. H s gm: a) Mt (01) vn bn ngh kim tra, xc nhn vic thc hin n bo v mi trng chi tit ca c s theo mu quy nh ti Ph lc 11 km theo Thng t ny; b) Nm (05) bo co kt qu thc hin n bo v mi trng chi tit ca c s theo mu quy nh ti Ph lc 12 km theo Thng t ny. i vi c s hot ng khai thc khong sn thc hin theo mu quy nh ti Ph lc 13 km
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theo Thng t ny. i vi c s hot ng v thy li, thy in c cng trnh h cha thc hin theo mu quy nh ti Ph lc 14 km theo Thng t ny. 3. i vi c s x l cht thi nguy hi, vic kim tra, xc nhn vic thc hin n bo v mi trng chi tit c thc hin theo quy nh ca php lut v qun l cht thi nguy hi. iu 13. Trch nhim v thi hn xc nhn vic thc hin n bo v mi trng chi tit 1. C quan c thm quyn thm nh, ph duyt quy nh ti khon 1 iu 7 Thng t ny c trch nhim: a) Giao c quan thng trc thm nh t chc xem xt h s, kim tra vic thc hin n bo v mi trng chi tit ca c s; b) Xem xt, cp giy xc nhn hon thnh vic thc hin n bo v mi trng chi tit cho cc c s quy nh ti khon 1 iu 3 Thng t ny (sau y gi l Giy xc nhn hon thnh). 2. Thi hn cp giy xc nhn hon thnh c quy nh nh sau: a) Ti a hai mi lm (25) ngy lm vic, k t ngy nhn c h s hp l i vi n bo v mi trng chi tit ca c s c quy m, tnh cht tng ng vi i tng lp bo co nh gi tc ng mi trng quy nh ti Ph lc III ban hnh km theo Ngh nh s 29/2011/N-CP; b) Ti a hai mi (20) ngy lm vic, k t ngy nhn c h s hp l i vi n bo v mi trng chi tit ca c s khng thuc i tng quy nh ti im a khon ny; c) Thi hn xc nhn quy nh ti im a, b khon ny khng bao gm thi gian m ch c s hon chnh h s theo yu cu ca c quan thng trc thm nh. iu 14. Kim tra, xc nhn vic thc hin n bo v mi trng chi tit 1. Trng hp h s cha ng quy nh, trong thi hn khng qu nm (05) ngy lm vic, k t ngy nhn c h s, c quan thng trc thm nh c vn bn thng bo cho ch c s bit hon chnh. 2. Trng hp h s ng quy nh, c quan c thm quyn thm nh, ph duyt c trch nhim ra quyt nh thnh lp on kim tra theo mu quy nh ti Ph lc 15 km theo Thng t ny theo ngh ca c quan thng trc thm nh. 3. C quan thng trc thm nh chu trch nhim t chc on kim tra cc bin php, cng trnh bo v mi trng ca c s. Sau khi hon thnh vic kim tra ti c s, on kim tra c trch nhim lp bin bn kim tra theo mu quy nh ti Ph lc 16 km theo Thng t ny. 4. Cn c vo bin bn kim tra vic thc hin n bo v mi trng chi tit ca c s v ngh ca c quan thng trc thm nh, c quan c thm
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quyn thm nh, ph duyt xem xt, quyt nh vic cp giy xc nhn hon thnh theo mu quy nh ti Ph lc 17 km theo Thng t ny. Chng IV LP V NG K N BO V MI TRNG N GIN iu 15. C s phi lp n bo v mi trng n gin 1. C s phi lp n bo v mi trng n gin c quy m, tnh cht tng ng vi i tng phi lp bn cam kt bo v mi trng quy nh ti iu 29 Ngh nh s 29/2011/N-CP, gm: a) C s khng c mt trong cc vn bn sau: Giy xc nhn ng k t tiu chun mi trng, giy xc nhn ng k bn cam kt bo v mi trng, vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng, giy xc nhn ng k n bo v mi trng; b) C s c mt trong cc vn bn sau: Giy xc nhn ng k t tiu chun mi trng, giy xc nhn ng k bn cam kt bo v mi trng, vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng, khi ci to, m rng, nng cng sut thuc i tng phi lp bn ng k t tiu chun mi trng, bn cam kt bo v mi trng b sung (trc ngy Ngh nh s 29/2011/N-CP c hiu lc thi hnh) hoc thuc i tng phi lp li bn cam kt bo v mi trng (theo quy nh ti Ngh nh s 29/2011/N-CP) nhng khng c giy xc nhn bn ng k t tiu chun mi trng hoc giy xc nhn bn cam kt bo v mi trng b sung hoc vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; c) C s c giy xc nhn ng k n bo v mi trng, khi ci to, m rng, nng cng sut thuc i tng phi lp bn cam kt bo v mi trng b sung (trc ngy Ngh nh s 29/2011/N-CP c hiu lc thi hnh) hoc thuc i tng phi lp li bn cam kt bo v mi trng (theo quy nh ti Ngh nh s 29/2011/N-CP) nhng khng c giy xc nhn bn cam kt bo v mi trng b sung hoc vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; d) C s c giy xc nhn ng k n bo v mi trng n gin, khi ci to, m rng, nng cng sut thuc i tng phi lp bn cam kt bo v mi trng nhng khng c vn bn thng bo v vic chp nhn ng k cam kt bo v mi trng m hin ti hon thnh vic ci to, m rng, nng cng sut; ) C s khi cng v ang trong giai on chun b (chun b mt bng), hon thnh giai on chun b v ang trong giai on thi cng xy dng nhng
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cha c vn bn thng bo v vic chp nhn ng k bn cam kt bo v mi trng hoc giy xc nhn ng k n bo v mi trng n gin. 2. Ch c s quy nh ti khon 1 iu ny c trch nhim lp n bo v mi trng n gin quy nh ti Thng t ny v gi y ban nhn dn cp huyn xem xt, xc nhn. iu 16. Quy trnh lp, ng k v xc nhn ng k n bo v mi trng n gin Lp, ng k v xc nhn ng k n bo v mi trng n gin c thc hin theo quy trnh ti Ph lc 18 km theo Thng t ny, gm cc bc sau y: 1. Ch c s quy nh ti khon 1 iu 15 Thng t ny lp v gi h s ngh ng k n bo v mi trng n gin quy nh ti iu 17 Thng t ny n y ban nhn dn cp huyn. 2. y ban nhn dn cp huyn giao cho c quan thng trc ng k tin hnh xem xt h s. Trng hp ni dung h s cha y theo quy nh ti Ph lc 19a, Ph lc 19b km theo Thng t ny th c vn bn thng bo ch c s hon thin. 3. Trng hp h s y theo quy nh, c quan thng trc ng k tin hnh x l h s. Trng hp cn thit, tin hnh kim tra thc t ti c s v ly kin ca c quan, chuyn gia. 4. C quan thng trc ng k tng hp, x l v thng bo kt qu x l cho ch c s (nu c). 5. Ch c s thc hin ng cc yu cu c thng bo (nu c). 6. Ch tch y ban nhn dn cp huyn cp giy xc nhn ng k n bo v mi trng n gin. 7. C quan thng trc ng k chng thc v gi n bo v mi trng n gin xc nhn. iu 17. Lp, gi h s ngh ng k n bo v mi trng n gin Ch c s thuc i tng phi lp n bo v mi trng n gin c trch nhim: 1. Lp hoc thu t vn lp n bo v mi trng n gin. Cu trc v ni dung ca n bo v mi trng n gin c quy nh nh sau: a) i vi c s thuc i tng phi lp d n u t m c tnh cht quy m, cng sut khng thuc danh mc hoc di mc quy nh ca danh mc ti Ph lc II ban hnh km theo Ngh nh s 29/2011/N-CP thc hin theo quy nh ti Ph lc 19a km theo Thng t ny;
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b) i vi c s khng thuc i tng phi lp d n u t nhng c pht sinh cht thi t qu trnh hot ng sn xut, kinh doanh, dch v thc hin theo quy nh ti Ph lc 19b km theo Thng t ny. 2. Gi qua bu in hoc np trc tip h s ng k n bo v mi trng n gin ti y ban nhn dn cp huyn ni thc hin sn xut, kinh doanh, dch v ca c s; trng hp c s nm trn a bn ca t hai (02) n v hnh chnh cp huyn tr ln, ch c s t la chn mt (01) trong s n v hnh chnh cp huyn gi h s ng k; h s ng k bao gm: a) Mt (01) vn bn ca ch c s theo mu quy nh ti Ph lc 20 km theo Thng t ny; b) Nm (05) bn n bo v mi trng n gin c ng quyn, c ba v trang ph ba theo mu quy nh ti Ph lc 21 km theo Thng t ny; trng hp cn thit theo yu cu ca y ban nhn dn cp huyn, ch c s c trch nhim gi b sung s lng bn n bo v mi trng n gin theo yu cu. iu 18. Thm quyn, thi hn xc nhn ng k n bo v mi trng n gin; c quan thng trc ng k 1. y ban nhn dn cp huyn c trch nhim t chc vic ng k n bo v mi trng n gin v xem xt, cp giy xc nhn ng k n bo v mi trng n gin cho ch c s (sau y gi l giy xc nhn). 2. Thi hn cp giy xc nhn: a) Ti a ba mi (30) ngy lm vic, k t ngy nhn h s hp l i vi n bo v mi trng n gin ca c s nm trn a bn ca t hai (02) n v hnh chnh cp huyn tr ln; b) Ti a hai mi (20) ngy lm vic, k t ngy nhn h s hp l i vi n bo v mi trng n gin ca c s nm trn a bn ca mt (01) n v hnh chnh cp huyn; c) Thi hn quy nh ti im a, b khon 2 iu ny khng bao gm thi gian m ch c s hon chnh h s theo yu cu ca c quan thng trc ng k trong qu trnh xem xt h s. 3. y ban nhn dn cp huyn xc nh c quan chuyn mn v bo v mi trng ca mnh gip v lm thng trc trong vic t chc ng k, xc nhn ng k n bo v mi trng n gin (sau y gi l c quan thng trc ng k). iu 19. Xem xt, hon chnh h s, cp giy xc nhn ng k n bo v mi trng n gin; lp v ng k li n bo v mi trng n gin 1. Kim tra h s: Trng hp h s cha ng quy nh, trong thi hn khng qu nm (05) ngy lm vic, k t ngy nhn c h s, c quan thng trc ng k c vn bn thng bo cho ch c s bit hon chnh. Trng
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hp h s ng quy nh, c quan thng trc ng k t chc xem xt, nh gi, trnh y ban nhn dn cp huyn xc nhn ng k n bo v mi trng n gin theo quy nh ti khon 2, khon 3 iu ny. 2. Xem xt, nh gi n bo v mi trng n gin: C quan thng trc ng k t chc xem xt, nh gi n; trng hp cn thit, t chc on kim tra n kho st, kim tra thc t ti c s, mi chuyn gia vit nhn xt v n, xin kin ca y ban nhn dn cp huyn c lin quan (trng hp a im ca c s c nm trn a bn ca n v hnh chnh cp huyn khc) nh gi n; c vn bn thng bo cho ch c s bit mt trong hai (02) trng hp sau y (ch mt ln duy nht): a) n bo v mi trng n gin phi chnh sa, b sung c cp giy xc nhn ng k, km theo yu cu c th v vic chnh sa, b sung; b) n bo v mi trng n gin khng iu kin cp giy xc nhn ng k (nu r l do). 3. i vi n bo v mi trng n gin khng phi chnh sa, b sung hoc c ch c s chnh sa b sung theo ng yu cu, y ban nhn dn cp huyn cp giy xc nhn ng k n bo v mi trng n gin theo mu quy nh ti Ph lc 22 km theo Thng t ny. 4. i vi n bo v mi trng n gin khng iu kin cp giy xc nhn ng k, ch c s c trch nhim lp li n bo v mi trng n gin v gi y ban nhn dn cp huyn ng k li theo quy nh ti iu 17 v iu 18 Thng t ny. iu 20. Chng thc v gi n bo v mi trng n gin 1. Sau khi n bo v mi trng n gin c ng k, c quan thng trc ng k chng thc vo mt sau ca trang ph ba ca n bo v mi trng n gin theo mu quy nh ti Ph lc 10b km theo Thng t ny. 2. C quan thng trc ng k c trch nhim gi v lu n bo v mi trng n gin chng thc theo yu cu nh sau: a) Trng hp a im ca c s nm trn a bn ca mt (01) n v hnh chnh cp huyn: Gi giy xc nhn ng k km theo n bo v mi trng n gin chng thc cho ch c s mt (01) bn, S Ti nguyn v Mi trng mt (01) bn, y ban nhn dn cp x ni c a im ca c s mt (01) bn, lu mt (01) bn; b) Trng hp a im ca c s nm trn a bn ca t hai (02) n v hnh chnh cp huyn tr ln: Ngoi vic gi v lu nh quy nh ti im a khon ny, cn phi gi giy xc nhn ng k km theo n bo v mi trng n gin chng thc cho y ban nhn dn cp huyn khc ni c a im ca c s mi ni mt (01) bn. iu 21. Trch nhim ca ch c s sau khi n bo v mi trng n gin c ng k
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Sau khi n bo v mi trng n gin c xc nhn, ch c s c trch nhim nh sau: 1. Thc hin ng, y cc ni dung ca n bo v mi trng n gin c ng k. 2. Trong giai on chun b, giai on thi cng xy dng, giai on vn hnh, c s quy nh ti khon 1 iu 15 Thng t ny c thay i quy m, cng sut, cng ngh v cc thay i khc c lin quan n vn mi trng m phn ni dung c v phn ni dung thay i c quy m, tnh cht tng ng vi i tng phi lp bo co nh gi tc ng mi trng theo quy nh ca Ngh nh s 29/2011/N-CP th ch c s phi thc hin lp bo co nh gi tc ng mi trng theo quy nh php lut v nh gi tc ng mi trng. 3. Trong giai on chun b, giai on thi cng xy dng, giai on vn hnh, c s quy nh ti khon 1 iu 15 Thng t ny c thay i quy m, cng sut, cng ngh v phi lp d n u t tng ng vi i tng quy nh ti mc a khon 1 iu 17 ca Thng t ny th phi lp n bo v mi trng n gin theo quy nh ti Thng t ny. 4. Trong giai on chun b, giai on thi cng xy dng, giai on vn hnh, c s quy nh ti khon 1 iu 15 Thng t ny c thay i quy m, cng sut, cng ngh v cc thay i khc c lin quan n vn mi trng nhng cha n mc phi lp bo co nh gi tc ng mi trng theo quy nh ca Ngh nh s 29/2011/N-CP phi c vn bn bo co y ban nhn dn cp huyn cp giy xc nhn ng k n v ch c thc hin cc thay i sau khi c quan ny c vn bn chp thun. Chng V T CHC THC HIN V IU KHON THI HNH iu 22. iu khon chuyn tip i vi h s ngh ph duyt hoc xc nhn n bo v mi trng c thc hin theo quy nh ca Thng t s 04/2008/TT-BTNMT ngy 18 thng 9 nm 2008 ca B Ti nguyn v Mi trng hng dn lp, ph duyt hoc xc nhn n bo v mi trng v kim tra, thanh tra vic thc hin n bo v mi trng nhng cha c ph duyt hoc xc nhn, S Ti nguyn v Mi trng hoc Phng Ti nguyn v Mi trng c trch nhim tr li h s, hng dn ch c s lp n bo v mi trng chi tit hoc n bo v mi trng n gin gi c quan c thm quyn thm nh, ph duyt hoc t chc ng k theo quy nh ti Thng t ny. iu 23. T chc thc hin 1. Tng cc Mi trng l c quan thng trc thm nh n bo v mi trng chi tit ca B Ti nguyn v Mi trng.
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2. Cc B, c quan ngang B, c quan thuc Chnh ph ch nh c quan chuyn mn trc thuc lm c quan thng trc thm nh n bo v mi trng chi tit ca mnh v c hnh thc thng bo rng ri trn phm vi c nc. 3. y ban nhn dn cp tnh giao S Ti nguyn v Mi trng lm c quan thng trc thm nh n bo v mi trng chi tit ca mnh v c hnh thc thng bo ph hp. 4. y ban nhn dn cp huyn giao c quan chuyn mn trc thuc lm c quan thng trc ng k ca mnh v c hnh thc thng bo ph hp. 5. B, c quan ngang B, c quan thuc Chnh ph, y ban nhn dn cp tnh, y ban nhn dn cp huyn c trch nhim thc hin ch bo co v hot ng thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; hot ng ng k, xc nhn ng k n bo v mi trng n gin theo quy nh ti iu 38 Ngh nh s 29/2011/N-CP v theo mu quy nh ti cc Ph lc 23, 24, 25 km theo Thng t ny. iu 24. iu khon thi hnh 1. B trng, th trng c quan ngang B, c quan thuc Chnh ph, Ch tch y ban nhn dn cc cp t chc thc hin Thng t ny. 2. Thng t ny c hiu lc thi hnh k t ngy 02 thng 5 nm 2012 v thay th Thng t s 04/2008/TT-BTNMT ngy 18 thng 9 nm 2008 ca B Ti nguyn v Mi trng hng dn lp, ph duyt hoc xc nhn n bo v mi trng v kim tra, thanh tra vic thc hin n bo v mi trng. 3. Trong qu trnh thc hin Thng t ny c pht sinh nhng kh khn, vng mc, cc B, ngnh, a phng, t chc, c nhn kp thi phn nh v B Ti nguyn v Mi trng hng dn hoc sa i, b sung cho ph hp./.
Ni nhn:
- Vn phng Trung ng v cc Ban ca ng; - Vn phng Quc hi; - Vn phng Ch tch nc; - Vn phng Chnh ph; - Ta n nhn dn ti cao; - Vin Kim st nhn dn ti cao; - Cc B, c quan ngang B, c quan thuc Chnh ph; - C quan Trung ng ca cc on th; - HND, UBND cc tnh, thnh ph trc thuc TW; - S TN&MT cc tnh, thnh ph trc thuc TW; - Cc Kim tra vn bn (B T php); - Cng bo; - Cng Thng tin in t ca Chnh ph; - Cc n v thuc B TN&MT; - Lu: VT, PC, TCMT (40). HDuc 360.
KT. B TRNG TH TRNG
( k) Bi Cch Tuyn
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Ph lc 1 S quy trnh lp, thm nh v ph duyt n bo v mi trng chi tit

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin)
Ch c s
Lp
H s n bo v mi trng chi tit

Np
H s cha y
Vn phng tip nhn H s ca C quan c thm quyn thm nh, ph duyt

H s y
Np li ph duyt sau khi chnh sa, b sung
C quan c thm quyn thm nh, ph duyt (C quan thng trc thm nh)
Ni dung n khng ng quy nh
T chc thm nh ni dung n

Ni dung n ng quy nh
Kim tra thc t (bt buc); ly kin chuyn gia (nu cn thit)
Thng qua khng cn chnh sa n
Khng thng qua n Yu cu chnh sa, b sung n
Thng bo kt qu thm nh
Thng qua cn chnh sa n
Ph duyt n (C quan c thm quyn thm nh, ph duyt)
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Ph lc 2 Cu trc v ni dung ca n bo v mi trng chi tit

MC LC DANH MC T NG VIT TT Lit k y cc t ng c vit tt, cc k hiu c s dng trong n bo v mi trng chi tit km theo tn y ca tng t ng, tng k hiu. DANH MC BNG/BIU Lit k chnh xc m s, tn gi ca tt c cc bng/biu c to lp v th hin trong n bo v mi trng chi tit km theo ch dn s trang ca tng bng/biu. DANH MC HNH Lit k chnh xc m s, tn gi ca tt c cc hnh (bn , s , biu , nh v cc hnh v khc) c to lp v th hin trong n bo v mi trng chi tit km theo ch dn s trang hoc m s ph lc. M U 1. Vic thnh lp v tnh trng hin ti ca c s - Tm tt qu trnh thnh lp c s: C s c thnh lp theo quyt nh ca ai/cp no, s v ngy ca vn bn hay quyt nh thnh lp; c hay khng c ng k u t, nu c th nu r s v ngy ca vn bn ng k; c hay khng c cp giy chng nhn u t, nu c th nu r s v ngy ca giy chng nhn u t, cc thng tin lin quan khc (sao v nh km cc vn bn phn ph lc ca n). - Nu r vic thnh lp c s c ph hp vi cc quy hoch lin quan c ph duyt hay khng (quy hoch s dng t, quy hoch pht trin kinh t - x hi, quy hoch pht trin ngnh, cc quy hoch lin quan khc), c ph hp vi ch trng pht trin kinh t - x hi ti a bn hay khng. - Trng hp a im ca c s t ti khu sn xut, kinh doanh, dch v tp trung (khu kinh t, khu/cm cng nghip, khu ch xut, khu cng ngh cao, khu/cm sn xut/kinh doanh/dch v tp trung khc) th phi nu r tn ca khu/cm, s v ngy ca vn bn chp thun ca Ban qun l khu/cm (sao v nh km vn bn phn ph lc ca n). - Nu r tnh trng hin ti ca c s (thuc loi no theo quy nh ti khon 1 iu 3 Thng t ny). 2. Cn c lp n bo v mi trng chi tit 2.1. Cn c v php l
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Lit k y cc vn bn sau y (s, ngy ban hnh, c quan ban hnh, ni dung trch yu ca vn bn): - Vn bn l cn c lp n bo v mi trng chi tit, k c cc tiu chun v mi trng cn hiu lc thi hnh, quy chun k thut v mi trng c lin quan. - Vn bn ca ban qun l khu sn xut, kinh doanh, dch v tp trung chp thun cho c s u t vo khu ny (trng hp a im ca c s nm trong khu sn xut, kinh doanh, dch v tp trung). 2.2. Cn c v thng tin Lit k cc ti liu (tn, tc gi, xut x thi gian, ni xut bn hoc ni lu gi) c nhng thng tin, s liu c s dng cho vic lp n bo v mi trng chi tit. 3. T chc lp n bo v mi trng chi tit - Nu tm tt v vic t chc lp n bo v mi trng chi tit ca ch c s; trng hp c thu t vn th nu r: Tn n v t vn km theo a ch lin h, h v tn ngi ng u n v t vn v phng tin lin lc (in thoi, fax, hp th in t). - Danh sch nhng ngi trc tip tham gia lp n bo v mi trng chi tit, bao gm ngi ca c s v ca n v t vn km theo ch dn v hc hm, hc v, chuyn ngnh o to ca tng ngi. Chng 1. M T TM TT C S V TNH HNH THC HIN CNG TC BO V MI TRNG QUA CA C S 1.1. Tn ca c s Nu y , chnh xc tn gi hin hnh ca c s (thng nht vi tn ghi trang ba v trang ph ba ca n bo v mi trng chi tit ny). 1.2. Ch c s Nu y h, tn v chc danh ca ch c s km theo ch dn v a ch lin h, phng tin lin lc (in thoi, fax, hp th in t). 1.3. V tr a l ca c s - M t v tr a l ca c s: Nu c th v tr thuc a bn ca n v hnh chnh t cp thn v/hoc x tr ln; trng hp c s nm trong khu sn xut, kinh doanh, dch v tp trung th phi ch r tn khu/cm ny trc khi nu a danh hnh chnh; ta cc im khng ch v tr ca c s (nu c). - M t cc i tng t nhin, kinh t - x hi xung quanh cch ranh gii ca c s t nht hai (02) km (sng, sui, ao, h v cc vc nc khc; vn quc gia, khu d tr thin nhin, khu d tr sinh quyn v cc khu bo tn thin nhin khc; h thng giao thng thy, b i n c s; cc c s sn xut, kinh doanh, dch v; cc im dn c, bnh vin, trng hc, nh th, n, cha; cc
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khu ngh dng, vui chi, gii tr; cc khu di tch lch s, vn ha, di sn vn ha xp hng v cc i tng kinh t - x hi khc). - Ch dn a im ang v s x nc thi ca c s v ch dn mc ch s dng nc ca ngun tip nhn theo quy nh hin hnh (trng hp c nc thi). Yu cu: Phi c t nht mt (01) bn hoc s nh km minh ha v tr a l ca c s v cc i tng xung quanh nh m t. 1.4. Cc hng mc xy dng ca c s Yu cu: a) Cc hng mc xy dng ca c s cn c chia thnh 3 nhm sau y: - Nhm cc hng mc v kt cu h tng, nh: ng giao thng, bn cng, thng tin lin lc, cp in, cp nc, thot nc thi, thot nc ma, cc kt cu h tng khc; - Nhm cc hng mc phc v sn xut, kinh doanh, dch v, nh: Vn phng lm vic, nh , nh xng, nh kho, bi tp kt nguyn liu; cc hng mc lin quan khc; - Nhm cc hng mc v bo v mi trng, nh: Qun l cht thi rn thng thng v cht thi nguy hi (ni lu gi, ni trung chuyn, ni x l, ni chn lp); x l nc thi; x l kh thi; chng n, rung; chng xi l, xi mn, st, ln, trt, l t; chng ng, ngp nc; cc hng mc v bo v mi trng khc. b) Cn lit k tt c cc hng mc xy dng km theo s tng mt bng minh ha r rng cho tng hng mc trong lit k cc hng mc xy dng xong; cc hng mc ang v s xy dng km theo m t cch thc/cng ngh thi cng, khi lng thi cng, tin thi cng i vi tng hng mc. 1.5. Quy m/cng sut, thi gian hot ng ca c s - Quy m/cng sut thit k tng th, thit k cho tng giai on (nu c) ca c s. - Thi im a c s vo vn hnh/hot ng; d kin a c s vo vn hnh/hot ng (i vi c s quy nh ti im e khon 1 iu 3 Thng t ny); thi im d kin ng ca hot ng ca c s. 1.6. Cng ngh sn xut/vn hnh ca c s M t tm tt cng ngh sn xut/vn hnh ca c s km theo s minh ha, trong c ch dn c th v tr ca cc dng cht thi v/hoc v tr c th gy ra cc vn mi trng khng do cht thi (nu c). 1.7. My mc, thit b, nguyn liu, nhin liu, vt liu s dng cho hot ng sn xut/kinh doanh/dch v ca c s 1.7.1. My mc, thit b
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Lit k y cc loi my mc, thit b lp t v ang vn hnh; ang v s lp t (i vi c s quy nh ti im e khon 1 iu 3 Thng t ny) vi ch dn c th v: Tn gi, ni sn xut, nm sn xut, tnh trng khi a vo s dng (mi hay c, nu c th t l cn li l bao nhiu). 1.7.2. Nguyn liu, nhin liu Lit k tng loi nguyn liu, nhin liu, ha cht cn s dng vi ch dn c th v: Tn thng mi, cng thc ha hc (nu c), khi lng s dng tnh theo n v thi gian (ngy, thng, qu, nm). 1.7.3. Nhu cu v in, nc v cc vt liu khc Nu c th khi lng in, nc v cc vt liu khc cn s dng tnh theo n v thi gian (ngy, thng, qu, nm). 1.8. My mc, thit b, nguyn liu, nhin liu, vt liu s dng cho vic x l mi trng ca c s 1.8.1. My mc, thit b Lit k y cc loi my mc, thit b lp t v ang vn hnh; ang v s lp t (i vi c s cha c cng trnh, bin php bo v mi trng t quy chun mi trng (nu c) v c s quy nh ti im e khon 1 iu 3 Thng t ny) vi ch dn c th v: Tn gi, ni sn xut, nm sn xut, tnh trng khi a vo s dng (mi hay c, nu c th t l cn li l bao nhiu). 1.8.2. Nguyn liu, nhin liu, vt liu Lit k tng loi nguyn liu, nhin liu, k c cc ha cht (nu c) , ang v s s dng vi ch dn c th v: Tn thng mi, cng thc ha hc (nu c), khi lng s dng tnh theo n v thi gian (ngy, thng, qu, nm). 1.8.3. Nhu cu v in, nc v cc vt liu khc Nu c th khi lng in, nc v cc vt liu khc , ang v s s dng tnh theo n v thi gian (ngy, thng, qu, nm). Yu cu: i vi Mc 1.7 v 1.8, cn c cam kt rng tt c cc loi my mc, thit b, nguyn liu, nhin liu, vt liu nu trn u khng thuc danh mc cm s dng Vit Nam theo quy nh hin hnh. 1.9. Tnh hnh thc hin cng tc bo v mi trng ca c s trong thi gian qua - Nu tm tt tnh hnh thc hin cng tc bo v mi trng ca c s t giai on chun b (gii phng mt bng) n thi im lp n bo v mi trng chi tit. - L do khng lp bo co bo co nh gi tc ng mi trng hoc n bo v mi trng trc y. - Hnh thc, mc b x pht vi phm hnh chnh v x pht khc v mi trng (nu c).
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- Nhng tn ti, kh khn (nu c). Yu cu: Trng hp b x pht, phi sao v nh km cc vn bn x pht vo phn ph lc ca bn n. Chng 2. M T CC NGUN CHT THI, CC VN MI TRNG KHNG LIN QUAN N CHT THI CA C S V BIN PHP QUN L/X L 2.1. Ngun cht thi rn thng thng 2.2. Ngun cht thi lng 2.3. Ngun cht thi kh 2.4. Ngun cht thi nguy hi Yu cu: i vi cc loi cht thi rn, lng v kh phi: - M t r tng ngun pht sinh cht thi km theo tnh ton c th v: Hm lng thi (nng ) ca tng thng s theo Tiu chun Vit Nam hoc Quy chun k thut v mi trng tng ng; tng lng/lu lng thi (kg,tn,m3) ca tng thng s v ca ton b ngun trong mt ngy m (24 gi), mt thng, mt qu v mt nm. - Tnh ton tng lng/lu lng thi (kg,tn,m3) ca ton b c s trong mt ngy m (24 gi), mt thng, mt qu v mt nm; trng hp c s c t 02 im thi khc nhau tr ln ra mi trng th phi tnh tng lng/lu lng thi cho tng im thi. - M t quy trnh qun l, x l cht thi. - M t hnh thc x l (t x l, thu x l), cng ngh v bin php x l:
Trng hp t x l, phi m t cng ngh v bin php x l, c trng
ca cht thi trc v sau x l, hiu qu x l, kt qu t c v so snh kt qu vi cc tiu chun, quy chun k thut v mi trng hin hnh.
Trng hp thu x l (i vi cht thi rn, cht thi lng), phi nu r
tn, a ch ca n v nhn x l thu, c hp ng chnh thc, hp ng nguyn tc (i vi cng trnh d kin s xy dng) v vic thu x l, sao v nh bn sao hp ng ny phn ph lc ca bn n. 2.5. Ngun ting n, rung - M t r tng ngun pht sinh ting n, rung. - M t bin php x l v nh gi hiu qu x l ca bin php trn c s so snh vi cc tiu chun, quy chun k thut v mi trng hin hnh. 2.6. Cc vn mi trng, vn kinh t - x hi do c s to ra khng lin quan n cht thi - M t cc vn mi trng do c s to ra (nu c), nh: Xi mn, trt, st, l, ln t; xi l b sng, b sui, b h, b bin; thay i mc nc
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mt, nc ngm; xm nhp mn; xm nhp phn; suy thoi cc thnh phn mi trng vt l v sinh hc; bin i a dng sinh hc, v cc vn mi trng khc khng lin quan n cht thi; gii php/bin php x l tng vn xy ra, nh gi hiu qu v mc t c ca gii php/bin php ny so vi cc quy nh hin hnh (nu c). - M t cc vn kinh t - x hi do c s to ra (nu c) lin quan n hot ng gii phng mt bng (n b/bi thng, ti nh canh, ti nh c v cc hot ng khc lin quan n vic gii phng mt bng); gii php/bin php x l tng vn xy ra, nh gi hiu qu v mc ph hp ca gii php/bin php ny so vi cc quy nh hin hnh (nu c). Yu cu: Vic trnh by, m t ca cc mc t 2.1 n 2.6 phi th hin r theo tng giai on, c th nh sau: - Giai on vn hnh/hot ng hin ti. - Giai on vn hnh/hot ng trong tng lai theo k hoch t ra (nu c). - Giai on chun b, thi cng xy dng, vn hnh/hot ng ton b (ch p dng i vi c s quy nh ti im e khon 1 iu 3 Thng t ny). - Giai on thi cng xy dng hng mc v qun l/x l mi trng v vn hnh/hot ng ton b (ch p dng i vi c s cha hon thin cng trnh, bin php bo v mi trng t quy chun k thut v mi trng); v - Giai on ng ca hot ng (nu c). Chng 3. K HOCH XY DNG, VN HNH TH NGHIM CC CNG TRNH X L CHT THI (Chng 3 ny ch p dng i vi c s cha hon thin cng trnh, bin php bo v mi trng t quy chun k thut v mi trng v c s quy nh ti im e khon 1 iu 3 Thng t ny) 3.1. K hoch xy dng 3.1.1. Cc cng trnh x l ton phn (t khu tip nhn cht thi u vo n khu thi cht thi ra mi trng) 3.1.1.1. Cng trnh xy dng tng th 3.1.1.2. Cng trnh xy dng theo tng giai on/m-un (nu c) 3.1.2. Cc cng trnh x l trung gian (ch x l mang tnh trung gian, sau cht thi tip tc c a n x l tip theo ti c s x l khc) nu c 3.1.2.1. Cng trnh xy dng tng th 3.1.2.2. Cng trnh xy dng theo tng giai on/m-un (nu c) Yu cu: i vi tng cng trnh cn ch r: - Tin thc hin (bt u, hon thnh). - Kinh ph d kin. - Trch nhim thc hin.
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3.2. K hoch vn hnh th nghim 3.2.1. Cc cng trnh x l ton phn 3.2.1.1. Cng trnh xy dng tng th 3.2.1.2. Cng trnh xy dng theo tng giai on/m-un (nu c) 3.2.2. Cc cng trnh x l trung gian (nu c) 3.2.2.1. Cng trnh xy dng tng th 3.2.2.2. Cng trnh xy dng theo tng giai on/m-un (nu c) Yu cu: i vi mi cng trnh cn nu r cc ni dung sau y: - S ln th nghim (s ln phi m bo nh gi v tnh i din v n nh ca kt qu th nghim, nhng khng c t hn 03 ln), thi gian d kin ca tng ln th nghim. - Thng s o c, phn tch trong mi ln th nghim (phi m bo cc thng s c trng cho cht thi ca c s v c quy nh ti cc tiu chun, quy chun k thut v mi trng tng ng). - Tin thi gian thc hin. Chng 4. K HOCH QUN L MI TRNG HNG NM 4.1. K hoch qun l cht thi
Giai on ca c s Ngun pht sinh cht thi 2 Loi cht thi v tng lng/lu lng 3 Bin php qun l/x l 4 Kinh ph Thi gian d kin thc hin hng nm (triu ng) 5 6 Trch nhim thc hin 7
1 Chun b
Thi cng xy dng
Vn hnh
ng ca hot ng
4.2. K hoch qun l cc vn mi trng khng lin quan n cht thi

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Giai on ca c s
Vn mi trng
Bin php qun l/x l
Kinh ph d kin hng nm (triu ng) 4
Trch nhim thc hin
1 Chun b Thi cng xy dng Vn hnh ng ca hot ng
4.3. K hoch ng ph s c
Giai on ca c s 1 Chun b Thi cng xy dng Vn hnh ng ca hot ng Loi s c c th xy ra Bin php ng ph Trch nhim thc hin
4.4. K hoch quan trc mi trng

Giai on ca c s Ni dung quan trc im quan trc (m s, a danh, ta ) 3 Thng s quan trc Tn sut Kinh ph Trch nhim quan d kin thc hin trc 5 6 7
1 Chun b Thi cng xy dng Vn hnh ng ca hot ng
Yu cu:
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a) Mc 4.1, Mc 4.2, Mc 4.3 v Mc 4.4 i vi giai on chun b v giai on thi cng xy dng ch p dng i vi c s c k hoch, d kin xy dng cng trnh v c s quy nh ti im e khon 1 iu 3 Thng t ny. b) Mc 4.4: - i vi cht thi: Ch quan trc cc thng s c trng cho cht thi ca c s v c quy nh ti cc tiu chun, quy chun k thut v mi trng tng ng vi tn sut theo quy nh hin hnh v quan trc mi trng, trng hp cha c quy nh th phi quan trc t nht ba (03) thng/ln. - i vi mi trng xung quanh: Ch quan trc nhng ni cha c im quan trc ca c quan nh nc vi tn sut theo quy nh hin hnh v quan trc mi trng, trng hp cha c quy nh th phi quan trc t nht su (06) thng/ln. - Tng im quan trc phi c th hin trn bn hoc s minh ha. Chng 5. THAM VN KIN 5.1. Vn bn ca ch c s gi U ban nhn dn cp x - Nu r s v ngy ca vn bn ca ch c s gi U ban nhn dn cp x. - Nu r tng s x thuc a bn ca c s. 5.2. kin ca U ban nhn dn cp x - Nu r s v ngy ca vn bn tr li ca tng U ban nhn dn cp x. - Nu tm tt nhng kin chnh ca U ban nhn dn cp x, c bit lu n nhng kin khng tn thnh, nhng xut, nhng kin ngh ca U ban nhn dn cp x. - Trng hp U ban nhn dn cp x khng c vn bn tr li th phi nu r bng chng v vic ch c s gi vn bn cho U ban nhn dn cp x (giy bin nhn trc tip ca cp x hoc giy bin nhn ca bu in ni gi hoc bng chng khc). 5.3. kin phn hi ca ch c s - Nhn xt v tnh st thc, khch quan ca cc kin ca U ban nhn dn cp x i vi c s. - By t s phn hi, tip thu ca ch c s i vi cc kin khng tn thnh, cc xut, cc kin ngh ca U ban nhn dn cp x; trng hp khng tip thu th phi nu r l do v xut hng x l tip theo. Yu cu: Cc vn bn tham vn kin, giy t l bng chng ca ch c s; vn bn tr li ca U ban nhn dn cp x, cc vn bn lin quan khc (nu c) phi c sao v nh km phn ph lc ca n, ch dn r cc bn sao ny c nh km ph lc c th no ca n. KT LUN, KIN NGH V CAM KT
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1. Kt lun Phi kt lun r: - nhn dng c ht cc dng cht thi v tnh ton c ht cc loi cht thi, nhn dng v m t c ht cc vn v mi trng v x hi khng lin quan n cht thi hay cha; nu cha th nu r l do v xut hng gii quyt tip theo. - Cc loi cht thi, cc vn v mi trng do c s to ra c th c x l t yu cu quy nh hay khng; trng hp khng th nu r l do v xut hng gii quyt tip theo. - C kh nng ng ph hiu qu vi tnh trng nhim mi trng khi cc s c xy ra hay khng; nu khng th nu r l do v xut hng gii quyt tip theo. 2. Kin ngh Kin ngh vi cc cp, cc ngnh lin quan trung ng v a phng gii quyt cc vn vt qu kh nng gii quyt ca ch c s. 3. Cam kt - Cam kt thc hin nhng ni dung v bo v mi trng nu trong n bo v mi trng chi tit, c bit l cc ni dung v x l cht thi, x l cc vn mi trng, k hoch qun l mi trng. - Cam kt tun th cc quy nh ca php lut v bo v mi trng c lin quan n c s, k c cc tiu chun, quy chun k thut v mi trng. - Cam kt n b v khc phc nhim mi trng trong trng hp xy ra cc s c trong qu trnh trin khai xy dng v hot ng ca c s. PH LC Ph lc 1: Cc vn bn lin quan Ph lc 1.1. Bn sao cc vn bn php l lin quan n s hnh thnh c s Ph lc 1.2. Bn sao cc vn bn v x l vi phm v mi trng (nu c) Ph lc 1.3. Bn sao cc vn bn v tham vn kin Ph lc 1.4. Bn sao cc phiu kt qu phn tch th nghim v mi trng, hp ng x l v mi trng (nu c) Ph lc 1.5. Bn sao cc vn bn khc c lin quan (nu c) Ph lc 2: Cc hnh, nh minh ha (tr cc hnh, nh th hin trong bn n) Yu cu: Tng vn bn, hnh, nh trong ph lc phi c xp theo th t r rng vi m s c th v u phi c dn chiu phn ni dung tng ng ca bn n.
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Ph lc 3 Mu vn bn ngh thm nh, ph duyt n bo v mi trng chi tit

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: ...../.. V/v thm nh v ph duyt n bo v mi trng chi tit ca(2) CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Knh gi: (3) (1) c a ch ti (4), xin gi n (3) nm (05) bn n bo v mi trng chi tit ca (2) Chng ti cam kt rng mi thng tin, s liu a ra ti bn n ni trn l hon ton trung thc v hon ton chu trch nhim trc php lut nu c g sai phm. Knh ngh (3) sm xem xt, thm nh v ph duyt n bo v mi trng chi tit ny. Xin trn trng cm n./..
Ni nhn: - Nh trn; - (6) - Lu
(5) (K, ghi h tn, chc danh, ng du)
Ghi ch: (1) Tn c quan/doanh nghip ch c s. (2) Tn y ca c s. (3) Tn c quan thm quyn thm nh. (4) a ch lin h theo bu in. (5) i din c thm quyn ca c quan/doanh nghip ch c s. (6) Ni nhn khc (nu c).
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Ph lc 4 Mu ba v trang ph ba ca n bo v mi trng chi tit

(TN C QUAN CH QUN/ PH DUYT C S - nu c) (TN C QUAN/DOANH NGHIP CH C S)
N BO V MI TRNG CHI TIT ca (1)
C QUAN/DOANH NGHIP CH C S (*) (Ngi i din c thm quyn k, ghi h tn, ng du)
C QUAN T VN (nu c) (*) (Ngi i din c thm quyn k, ghi h tn, ng du)
Thng nm
Ghi ch: (1) Tn y , chnh xc ca c s (theo vn bn v u t ca c s). (*) Ch th hin trang ph ba.
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Ph lc 5 Mu vn bn xin kin ca ch c s gi y ban nhn dn cp x xin kin v n bo v mi trng chi tit

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: ......../ V/v xin kin v n bo v mi trng chi tit i vi (2) CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Knh gi: U ban nhn dn (3) Thc hin quy nh php lut hin hnh, (1) xin gi n qu y ban ni dung tm tt ca n bo v mi trng chi tit ca (2) nghin cu v cho kin. Knh mong qu y ban sm c vn bn tr li v gi ti (1) theo a ch sau y: (a ch theo ng bu in) Phng tin lin lc ca chng ti: - S in thoi: - Hp th in t: .. - S fax (nu c): . Xin trn trng cm n./.
Ni nhn: - Nh trn; - (5) ... - Lu.
Ghi ch: (1) Tn c quan/doanh nghip ch c s. (2) Tn y ca c s. (3) Tn x hoc n v hnh chnh tng ng. (4) i din c thm quyn ca c quan/doanh nghip ch c s. (5) Ni nhn khc (nu c).
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TM TT NI DUNG CA N BO V MI TRNG CHI TIT

( km theo cng vn s ......../ ngy thng nm ca (1))
1. M T TM TT HOT NG CA C S 1.1. Ch r: V tr ti thn, x, huyn, tnh/thnh ph trc thuc trung ng c th. 1.2. Loi hnh sn xut; cng sut thit k tng th, cng sut thit k cho tng giai on (nu c) ca c s. 1.3. Thi im a c s vo vn hnh/hot ng (i vi c s quy nh ti im a, b, c, d v im khon 1 iu 3 Thng t ny). 1.4. M t mc thi cng xy dng v d kin thi im a c s vo vn hnh chnh thc (i vi c s quy nh ti im e khon 1 iu 3 Thng t ny). 2. TM TT CNG TC BO V MI TRNG CA C S 2.1. Tm tt v cc loi cht thi pht sinh v bin php x l ca c s 2.1.1. Cht thi lng 2.1.2. Cht thi kh Lu : Ch nu tng lng pht sinh ca tng loi trong mt ngy m (24 gi), bin php x l v hiu qu x l hin ti v nhng ni dung c thay i (nu c) trong thi gian ti. 2.1.3. Cht thi rn thng thng 2.1.4. Cht thi nguy hi Lu : Ch nu tng lng pht sinh ca tng loi trong mt thng (30 ngy), bin php qun l hin ti v nhng ni dung c thay i (nu c) trong thi gian ti. 2.1.5. Ting n, rung Lu : Ch dn ngun pht sinh ting n, rung km theo mc ; bin php x l v hiu qu x l hin ti v nhng ni dung c thay i (nu c) trong thi gian ti. 2.2. Cc vn nh hng n kinh t - x hi do c s to ra Lit k cc vn , ang v s to ra; lu c bit n khu gii phng mt bng (n b, ti nh canh, ti nh c); bin php i vi tng vn . 2.3. Nhng tn ti, kh khn (nu c). 3. KIN NGH V CAM KT 3.1. Kin ngh Kin ngh v nhng vn cn s h tr, gip ca U ban nhn dn cp x.
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3.2. Cam kt - Cam kt thc hin nhng ni dung v x l cht thi, x l cc vn mi trng khng lin quan n cht thi, k hoch qun l mi trng. - Cam kt tun th cc quy nh ca php lut v bo v mi trng c lin quan n c s. - Cam kt n b v khc phc nhim mi trng trong trng hp xy ra cc s c trong qu trnh trin khai xy dng, hot ng ca c s./.
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Ph lc 6 Mu vn bn ca y ban nhn dn cp x tr li ch c s
(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) UBND (1) S: ......../ V/v kin v n bo v mi trng chi tit i vi (2) CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Knh gi: (3) Phc p Vn bn s . ngy . thng .nm .ca (3) , U ban nhn dn (1) xin c kin nh sau: 1. V vic thc hin cng tc bo v mi trng v khc phc nh hng kinh t - x hi trn a bn (1) ca (3) - C g cha ng, cha , cha tha mn so vi nhng ni dung m ch c s nu trong vn bn xin kin, nht l cc ni dung v gii phng mt bng, n b, ti nh canh, ti nh c (nu c); c chnh sa, b sung g? - C ph hp vi c im v t nhin v mi trng, vi thun phong m tc ca a phng hay khng, nu khng th biu hin c th ch no? c ph hp, tha mn v p ng c c yu cu t ra ca php lut hin hnh i vi a phng hay khng, nu khng th biu hin khu no, ch no? 2. Cc kin khc v kin ngh xut - Nhng kin khc v bo v mi trng c lin quan n c s. - Cc xut, kin ngh v bo v mi trng ti a phng c lin quan n hot ng ca c s.
Ni nhn: - Nh trn; - (5) ... - Lu.
Ghi ch: (1) Tn x hoc n v hnh chnh tng ng. (2) Tn y ca c s. (3) Tn c quan/doanh nghip ch c s. (4) Ch tch hoc Ph ch tch y ban nhn dn cp x. (5) Ni nhn khc (nu c).
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Ph lc 7 Mu quyt nh thnh lp on kim tra cng tc bo v mi trng

(1) -----S:
CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc ---------------(a danh), ngy thng nm
QUYT NH
V vic thnh lp on kim tra cng tc bo v mi trng i vi (2)
(3) Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Quyt nh s /Q ngy thng nm ca . quy nh chc nng, nhim v, quyn hn v c cu t chc ca (1) ; Cn c Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin; Xt ngh ca (4) ti Vn bn s ngy thng nm v vic ngh ph duyt n bo v mi trng chi tit ca (2) ; Theo ngh ca ng (B) (5) , QUYT NH iu 1. Thnh lp on kim tra cng tc bo v mi trng i vi (2) gm cc ng, b c tn sau y: 1. ng/b , Trng on; 2. ng/b , thnh vin; 3
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(Trng on kim tra l Lnh o c quan thng trc thm nh, thnh phn on c s tham gia ca i din S Ti nguyn v Mi trng; Ban Qun l khu cng nghip, khu ch xut v khu kinh t (i vi cc c s sn xut, kinh doanh v dch v trong khu cng nghip, khu ch xut v khu kinh t); Phng Ti nguyn v Mi trng thuc y ban nhn dn cp huyn ni c c s v khu sn xut, kinh doanh, dch v ang hot ng v mt s chuyn gia v mi trng; chuyn gia am hiu su v cng ngh x l cht thi. Trng hp cn thit, c quan thng trc thm nh c th mi c quan, ban, ngnh lin quan ca b ngnh, tnh tham gia on, mi chuyn gia vit bi nhn xt.) iu 2. on kim tra c trch nhim kim tra thc t cng tc bo v mi trng ca (2) lm cn c ph duyt n bo v mi trng chi tit theo quy nh ti khon 3 iu 39 Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng. iu 3. Vic kim tra phi c hon thnh trc ngy thng nm iu 4. Chi ph cho hot ng ca on kim tra c thc hin theo quy nh php lut hin hnh. iu 5. Quyt nh ny c hiu lc k t ngy k. Th trng cc n v trc thuc (1) , cc ng, b c tn trong iu 1, ch c s/khu sn xut, kinh doanh v dch v ca (2) chu trch nhim thi hnh Quyt nh ny./.
Ni nhn: - Nh iu 5; - (6) - Lu
Ghi ch: (1) C quan c thm quyn ra quyt nh thnh lp on kim tra. (2) Tn c s/khu sn xut, kinh doanh v dch v. (3) Th trng hoc ngi ng u c quan ra quyt nh. (4) Tn ca c quan l ch c s/khu sn xut, kinh doanh v dch v. (5) Th trng c quan c giao trch nhim kim tra. (6) Ni nhn khc (nu c).
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Ph lc 8 Mu bin bn kim tra cng tc bo v mi trng

CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc -------------BIN BN KIM TRA CNG TC BO V MI TRNG Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; on kim tra theo Quyt nh s /Q- ngy thng nm 20.. ca (tn c s) v vic kim tra cng tc bo v mi trng i vi , tin hnh kim tra ti: Tn c s: a ch: in thoi: Fax: I. Thnh phn on kim tra gm: (ghi y h tn ca Trng on v tt c cc on vin c mt) II. i din pha c s/khu sn xut, kinh doanh v dch v: (ghi y h, tn, chc v nhng ngi c mt) III. Ni dung kim tra - Kim tra thc t cng tc bo v mi trng ca (tn c s) theo quy nh ca php lut, lm cn c ph duyt n bo v mi trng chi tit theo quy nh ti khon 3 iu 39 ca Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng. - Ly mu kim chng s liu v cc ngun cht thi ca c s (nu c). IV. Nhn xt: Nhn xt chi tit v tnh hnh hot ng v thc hin bo v mi trng ca c s/khu sn xut, kinh doanh, dch v, c th: 1. S lc v hot ng ca c s/khu sn xut, kinh doanh, dch v - i vi cc c s: Cc thng tin lin quan gm: Giy chng nhn u t/ng k kinh doanh/Giy php u t s , ngy thng ... nm ..., do (c quan ) cp; loi hnh sn xut; nm hot ng; din tch mt bng sn xut; s lng cng nhn sn xut; tm tt quy trnh cng ngh sn xut; sn phm v cng sut hot ng/cng sut thit k; tnh trng thit b hin nay (cng ngh
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mi, c, lc hu,); ha cht s dng (chng loi, khi lng); nguyn, vt liu sn xut (chng loi, khi lng); nhin liu sn xut (chng loi, khi lng); lng nc s dng trung bnh (m3/ngy); ngun cung cp (nc ngm, nc mt, hay nc my). Cc thng tin khc. - i vi ch u t h tng khu cng nghip v cm cng nghip ngh b sung thm: Thng tin v s lng d n c cp giy php u t; s lng d n ang trin khai xy dng; s c s ang hot ng trong khu cng nghip, cm cng nghip; bng tng hp tnh hnh thc hin cng tc bo v mi trng ca cc c s trong khu cng nghip, cm cng nghip. 2. Thng tin v cng tc bo v mi trng - /cha tng lp, thm nh v ph duyt bo co nh gi tc ng mi trng hoc bn ng k t tiu chun mi trng; cam kt bo v mi trng; n bo v mi trng?. - Thc hin gim st mi trng nh k?. - K khai v np ph bo v mi trng i vi nc thi? (/cha thc hin; s ph np, np n ngy?). - V nc thi: Khi lng nc thi trung bnh (m3/ngy, pht sinh t: sinh hot, cng nghip); h thng x l nc thi (c/khng, nu c tm tt cng ngh x l); ngun tip nhn nc thi (sng, sui, ao, h, mng); quy chun/tiu chun p dng hoc theo quy nh ca ch u t c s h tng khu cng nghip phi x l n tiu chun no?); kt qu phn tch nc thi (t/khng t). - V kh thi: Kh thi pht sinh t u? H thng x l kh thi (nu c m t cng ngh x l, loi thit b x l); c gy nhim khng kh (nu c, loi cht nhim l cht g?). - V qun l cht thi rn v cht thi nguy hi: Cc loi cht thi rn thng thng (chng loi, s lng theo thng); cng tc thu gom, phn loi, vn chuyn v x l rc thi sinh hot v cng nghip khng nguy hi? C quan thc hin dch v thu gom, vn chuyn v x l?. Cht thi nguy hi (chng loi, khi lng); c cp S ng k ch ngun thi cht thi nguy hi cha?; cng tc thu gom, phn loi v lu gi; t chc (c nhn) thc hin dch v thu gom, vn chuyn v x l? Cc bin php x l cht thi rn khc (nu c). - Ting n: Ngun pht sinh ting n v cc bin php gim thiu ting n? 3. Cc bin php bo v mi trng - Cc bin php bo v mi trng thc hin. - Cc bin php bo v mi trng cn tn ti, cha thc hin. V. kin ca cc thnh vin trong on kim tra VI. Kt lun: Ghi chi tit u im v cc tn ti; cc bin php bo v mi trng cn phi c thc hin; cc vi phm trong lnh vc bo v mi trng (nu c).
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VII. kin ca ch c s/khu sn xut, kinh doanh v dch v Bin bn c lp vo hi gi ngy thng nm ti v c k cho nhng ngi tham d cng nghe.
Ch c s (K, ghi h tn, chc v)
Trng on kim tra (K, ghi h tn)
i din cc c quan tham gia (k, ghi r h tn)
Ghi ch: Trng on kim tra v ch c s k nhy vo gc di pha tri ca tng trang bin bn (tr trang cui).
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Ph lc 9 Mu quyt nh ph duyt n bo v mi trng chi tit

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S:.../ CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
QUYT NH Ph duyt n bo v mi trng chi tit ca (2) (3) Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin; Cn c (4); Cn c Quyt nh/Vn bn s ngy thng nm ca (3) v vic y quyn/nhim cho (5) k quyt nh ph duyt n bo v mi trng chi tit (nu c y quyn); Cn c Bin bn kim tra cng tc bo v mi trng ca (2); Xt ni dung n bo v mi trng chi tit ca (2) c hon chnh gi km Vn bn s ngy thng nm ca (6); Xt ngh ca (7), QUYT NH: iu 1. Ph duyt n bo v mi trng chi tit (sau y gi l n) ca (2) (sau y gi l C s) c lp bi (6) (sau y gi l Ch c s) vi cc ni dung ch yu sau y: 1. V tr, quy m/cng sut hot ng: 1.1. C s c v tr ti (nh ghi trong n v p ng yu cu nu ti mc v v tr ca c s ti Ph lc 2 km theo Thng t ny) 1.2. C s c quy m/cng sut hot ng (nh ghi trong n v p ng yu cu nu ti mc v quy m/cng sut ca c s ti Ph lc 2 km theo Thng t ny)
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2. Yu cu v bo v mi trng i vi c s: 2.1. Thc hin ng v y cc gii php, bin php, cam kt v bo v mi trng nu trong n. 2.2. Phi m bo cc cht thi c x l t cc tiu chun hin ang cn bt buc p dng, cc quy chun k thut v mi trng hin hnh c lin quan trc khi thi ra mi trng. 2.3. Tuyt i khng s dng cc loi my mc, thit b, nguyn liu, nhin liu, ha cht v cc vt liu khc b cm s dng ti Vit Nam theo quy nh ca php lut hin hnh. 2.4. (ring i vi c s cha hon thnh cng trnh, bin php bo v mi trng t
quy chun k thut v mi trng v c s quy nh ti im e khon 1 iu 3 Thng t ny)
Trong thi hn ti a l .. thng k t ngy k Quyt nh ny phi hon thnh vic xy dng, th nghim v nghim thu cc bin php cng trnh bo v mi trng (trng hp c t 02 cng trnh v/hoc c t 02 giai on/m-un xy dng tr ln th phi ghi r theo tng cng trnh, tng giai on); ch c php a cng trnh bo v mi trng vo hot ng chnh thc sau khi c c quan ph duyt n bo v mi trng chi tit ny kim tra v cp giy xc nhn. 2.5. (nu c) 3. Cc iu kin km theo (nu c): 3.1. 3.2. iu 2. Trong qu trnh thc hin nu ni dung hot ng ca c s, ni dung ca n c thay i, ch c s phi c vn bn bo co vi (1) v ch c thc hin nhng thay i sau khi c vn bn chp thun. iu 3. Quyt nh ny c hiu lc thi hnh k t ngy k. (8) Ni nhn: (K, ghi h tn, chc danh, ng du)
- Ch c s; - (9) - Lu
Ghi ch: (1) Tn c quan thm quyn thm nh. (2) Tn y ca c s. (3) Th trng hoc ngi ng u c quan thm quyn thm nh. (4) Tn y ca vn bn quy nh chc nng, nhim v, quyn hn v c cu t chc ca c quan thm quyn thm nh. (5) H, tn v chc danh ca ngi c y quyn (trng hp th trng hoc ngi ng u c quan thm quyn thm nh c vn bn y quyn). (6) Tn c quan/doanh nghip ch c s. (7) Th trng c quan thng trc thm nh. (8) Chc danh ca th trng hoc ngi ng u c quan thm quyn thm nh. (9) Ni nhn theo quy nh tng ng ti khon 2 iu 11 ca Thng t ny. 39
Ph lc 10 Mu chng thc ph duyt n bo v mi trng chi tit, cp giy xc nhn ng k n bo v mi trng n gin
1. Ph lc 10a
(1) chng thc: n bo v mi trng chi tit ny c ph duyt bi Quyt nh s ngy thng nm ca (2)... (a danh), ngy thng nm Th trng (1) (k, ghi h tn, chc danh, ng du)
Ghi ch: (1) Tn c quan thng trc thm nh tng ng. (2) Th trng hoc ngi ng u c quan thm quyn thm nh tng ng.
2. Ph lc 10b
(1) chng thc: n bo v mi trng n gin ny c cp giy xc nhn ng k s ngy thng nm ca (2)... (a danh), ngy thng nm Th trng (1).. (k, ghi h tn, chc danh, ng du)
Ghi ch: (1) Tn c quan thng trc ng k tng ng. (2) y ban nhn dn cp huyn tng ng.
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Ph lc 11 Mu vn bn ngh xc nhn vic thc hin n bo v mi trng chi tit

Knh gi: (2)

(1) S:
V/v ngh kim tra, xc nhn vic thc hin n bo v mi trng chi tit
CNG HO X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Chng ti l: (1), Ch c s ca c s (3) (sau y gi tt l C s), c (4) ph duyt n bo v mi trng chi tit ti Quyt nh s ngy thng nm - a im thc hin c s: - a ch lin h: - in thoi: ; Fax: ; E-mail: thc hin n bo v mi trng chi tit, gm c: 1 2 Theo quy nh ca Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin, xin gi n qu (2) h s gm: - Mt (01) bn sao quyt nh ph duyt km theo bn sao n bo v mi trng chi tit c (4) ph duyt; - Nm (05) bn bo co kt qu thc hin n bo v mi trng chi tit ca c s; - Ph lc (vi s lng bng vi s lng bn bo co kt qu thc hin n bo v mi trng chi tit) km theo bo co kt qu thc hin n bo v mi trng chi tit, bao gm cc bn sao ti liu sau (ty loi hnh c s m c th c mt s hoc tt c cc ti liu ny): + H s bn v hon cng cc cng trnh x l v bo v mi trng (trng hp cha c bn v hon cng, c th cung cp h s thit k k thut. Trng hp ch c h s thit k k thut, cn nu r thc hin ng nh h s thit k k thut hay khng. Nu c sai khc cn ch r);
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+ Cc chng ch, chng nhn, cng nhn ca cc thit b x l mi trng ng b nhp khu hoc c thng mi ha (nu c); + Cc phiu ly mu v kt qu o c, phn tch mu vn hnh th nghim cc cng trnh x l cht thi; + Bin bn nghim thu cc cng trnh bo v mi trng hoc cc vn bn khc c lin quan n cc cng trnh, bin php bo v mi trng; + Hp ng thu gom, vn chuyn, x l cht thi rn thng thng vi n v c chc nng (i vi trng hp c s c pht sinh cht thi rn thng thng trong giai on vn hnh v khng c cng trnh x l cht thi rn thng thng); + S ng k ch ngun thi cht thi nguy hi; hp ng thu gom, vn chuyn, x l cht thi nguy hi vi n v c chc nng, km theo vn bn chng minh chc nng ca n v (i vi trng hp c s c pht sinh cht thi nguy hi trong giai on vn hnh v khng c cng trnh x l cht thi nguy hi); + Hp ng hoc bin bn tha thun v vic u ni vo h thng thu gom v x l nc thi (i vi trng hp c s nm trong khu sn xut, kinh doanh, dch v tp trung v c pht sinh nc thi trong giai on vn hnh); + Quyt nh ph duyt k hoch phng nga v ng ph s c trn du; vn bn chng nhn iu kin v phng chy cha chy cp cho c s (i vi trng hp c s thuc i tng phi c cc loi vn bn ny theo quy nh ca php lut). Chng ti xin bo m v trung thc ca cc thng tin, s liu c a ra trong cc ti liu nu trn. Nu c g sai tri, chng ti xin hon ton chu trch nhim trc php lut ca nc Cng ho x hi ch ngha Vit Nam. ngh qu (2) kim tra, xc nhn vic thc hin n bo v mi trng chi tit./.
Ni nhn:
- Nh trn; - (6) - Lu:...
Ghi ch: (1) Tn ch c s. (2) Tn c quan c trch nhim kim tra, xc nhn. (3) Tn y ca c s. (4) C quan ph duyt n bo v mi trng chi tit. (5) i din c thm quyn ca ch c s. (6) Ni nhn khc (nu c).
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Ph lc 12 Mu bo co kt qu vic thc hin n bo v mi trng chi tit

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: /.. V/v bo co v ngh xc nhn hon thnh vic thc hin n bo v mi trng chi tit CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc (a danh), ngy thng nm
Knh gi: (2) (1) xin bo co kt qu thc hin n bo v mi trng chi tit ca (3) (hoc giai on ca (3)) theo k hoch xy dng v vn hnh th nghim c ra trong n bo v mi trng chi tit, c th nh sau: 1. V tr ca (3) : ... 2. a ch v phng tin lin h ca (1) : - a ch lin h theo bu in: - in thoi: ; Fax: ; E-mail: 3. Kt qu vn hnh th nghim 3.1. Cc cng trnh x l ton phn 3.1.1. Cng trnh xy dng tng th 3.1.2. Cng trnh xy dng theo tng giai on/m-un (nu c) 3.2. Cc cng trnh x l trung gian (nu c) 3.2.1. Cng trnh xy dng tng th 3.2.2. Cng trnh xy dng theo tng giai on/m-un (nu c)
Yu cu: 1. i vi vic th nghim x l kh thi, nc thi: - Ch dn r: Tn v a ch ca n v thc hin vic o c, ly mu, phn tch mu; phng php o c, ly mu, phn tch mu; thit b o c, ly mu, phn tch mu trong cc ln th nghim. - Kt qu th nghim ca tng cng trnh (ton phn hoc trung gian) c trnh by theo bng sau: Thng s 1 A B . 43 n v tnh 2 Trc khi x l 3 Sau khi x l 4 Theo QCVN 5
Th nghim ln 1: Ngy thng nm ; Tng lng/Lu lng .
Th nghim ln 2: Ngy thng nm ; Tng lng/Lu lng . A B . Th nghim ln 3: Ngy thng nm ; Tng lng/Lu lng . A B . 2. i vi vic th nghim x l cht thi rn thng thng, cht thi nguy hi: - Trng hp t x l: M t quy trnh qun l (thu gom, vn chuyn, lu gi, x l); bin php, phng tin, tin nghi s dng trong tng cng on ca quy trnh qun l. - Trng hp thu x l: M t cc bin php, phng tin, tin nghi thu gom v lu gi tm thi; tn v a ch ca n v x l thu; bin php, phng tin thu gom v vn chuyn ca n v x l thu; tn sut thu gom ca n v x l thu.
4. Nhng thay i so vi k hoch ra trong n bo v mi trng chi tit (nu c) 5. nh gi kt qu th nghim - nh gi v tin cy, mc t c v tnh n nh ca kt qu th nghim x l kh thi, x l nc thi. - nh gi v mc tun th quy nh ca cc bin php qun l cht thi rn thng thng v cht thi nguy hi. 6. H s km theo bo co Chng ti xin gi nhng h s, ti liu c lin quan c ng thnh tp km theo bo co ny. 7. Cam kt v ngh Chng ti cam kt rng nhng thng tin, s liu nu trn l ng s thc; nu c g sai tri, s phi hon ton chu trch nhim trc php lut. ngh (2) kim tra v xc nhn chng ti a cng trnh vo vn hnh chnh thc./.
Ni nhn: - Nh trn; - (5) - Lu:
Ghi ch: (1) Tn c quan/doanh nghip ch c s. (2) Tn c quan c trch nhim cp giy xc nhn hon thnh. (3) Tn y ca c s. (4) i din c thm quyn ca c quan/doanh nghip ch c s. (5) Ni nhn khc (nu c).
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Ph lc 13 Mu bo co kt qu vic thc hin n bo v mi trng chi tit (i vi c s quy nh ti im e khon 1 iu 3 Thng t ny v khai thc khong sn)
(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: /.. V/v bo co kt qu hon thnh hng mc cng trnh qun l, x l cht thi v cng trnh lin quan n bo v mi trng (a danh), ngy thng nm CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc
Knh gi: (2) (1) xin bo co kt qu hon thnh xy dng cc cng trnh qun l, x l cht thi v cng trnh c lin quan n bo v mi trng phc v cho giai on khai thc khong sn ca (3) theo k hoch v ni dung c ra trong n bo v mi trng chi tit, c th nh sau: 1. V tr ca (3) : ... 2. a ch v phng tin lin h ca (1) : - a ch lin h theo bu in: - in thoi: ; Fax: ; E-mail: 3. Hng mc cng trnh xy dng xong
TT 1 1 2 3 4 5 6 Hng mc 2 Cng trnh qun l, x l cht thi Cng trnh x l nc thi Cng trnh x l kh thi Ni lu gi, trung chuyn cht thi rn thng thng Ni lu gi, trung chuyn cht thi nguy hi Cng trnh chng n, rung Cng trnh khc .. .. Cng trnh c lin quan n bo v mi trng ng giao thng ni b m ng giao thng ngoi m do c s t xy dng H thng thot nc m H thng bi thi trong, bi thi ngoi M t 3
1 2 3 4
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5 6 7 8 9 10
Kho thuc n Kho ha cht H thng dung dch khoan (trong khai thc du kh, nc ngm) H thng chng phun, chng pht (trong khai thc du kh) H thng ng ph s c trn du (trong khai thc du kh) Hng mc khc ..
Yu cu: Phi c s tng mt bng ch dn v tr tng hng mc cng trnh vi ch gii r rng.
4. H s km theo bo co Chng ti xin gi nhng h s, ti liu c lin quan c ng thnh tp km theo bo co ny. 5. Cam kt v ngh Chng ti cam kt rng nhng thng tin, s liu nu trn l ng s thc; nu c g sai tri, s phi hon ton chu trch nhim trc php lut. ngh (2) kim tra v xc nhn chng ti a cng trnh vo hot ng./. (4)
(K, ghi h tn, chc danh, ng du)
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Ph lc 14 Mu bo co kt qu vic thc hin n bo v mi trng chi tit (i vi c s quy nh ti im e khon 1 iu 3 Thng t ny c h cha nc)
(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: /.. V/v bo co v vic thu dn lng h v xy dng cc bin php bo v mi trng (a danh), ngy thng nm CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc
Knh gi: (2) (1) xin bo co kt qu hon thnh vic thu dn lng h v xy dng bin php bo v mi trng (nu c) ca (3) theo k hoch v ni dung c ra trong n bo v mi trng chi tit, c th nh sau: 1. V tr ca (3) : ... 2. a ch v phng tin lin h ca (1) : - a ch lin h theo bu in: - in thoi: ; Fax: ; E-mail: 3. Kt qu thu dn lng h
TT Hng mc thu dn 1 1 2 3 4 5 6 7 2 Thm thc vt (din tch, sinh khi, cy c g) Nh M m Cng trnh vn ha, tn gio, tn ngng (tn c th tng cng trnh) Khong sn khai thc tn thu (tn c th tng loi) Cng trnh sn xut, kinh doanh, dch v (tn c th tng cng trnh) Hng mc khc n v tnh 3 Khi lng, s lng 4 Hnh thc, cch thc tin hnh 5 Mc hon thnh so vi k hoch hoc yu cu t ra 6 Ghi ch 7
4. Nhng hng mc khng th thu dn c (nu c) - Tn hng mc khng th thu dn c

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- L do khng th thu dn c - Bin php x l hoc kin ngh bin php x l 5. Cc bin php bo v mi trng (nu c) 6. H s km theo bo co Chng ti xin gi nhng h s, ti liu c lin quan c ng thnh tp km theo bo co ny. 7. Cam kt v ngh Chng ti cam kt rng nhng thng tin, s liu nu trn l ng s thc; nu c g sai tri, s phi hon ton chu trch nhim trc php lut. ngh (2) kim tra v xc nhn chng ti a cng trnh h cha vo tch nc./. (4)
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Ph lc 15 Mu quyt nh thnh lp on kim tra vic thc hin n bo v mi trng chi tit
... (1) S:
CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc (a danh), ngy thng nm
QUYT NH V vic thnh lp on kim tra vic thc hin n bo v mi trng chi tit ca (2) (3) Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin; Cn c (4) ; Cn c Quyt nh s ngy thng nm ca (5) v vic ph duyt n bo v mi trng chi tit ca (2) ; Xt ngh ca (6) ti Vn bn s ngy thng nm v vic ngh kim tra, xc nhn vic thc hin n bo v mi trng chi tit ca (2) ; Theo ngh ca (7) , QUYT NH: iu 1. Thnh lp on kim tra vic thc hin n bo v mi trng chi tit ca (2) gm cc ng/b c tn sau y:
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S TT 1 2 3 4
H v tn
Hc hm, hc v
Ni cng tc
Chc danh trong on kim tra Trng on Ph trng on (nu cn) Th k Thnh vin
iu 2. on kim tra c trch nhim kim tra v lp bin bn kim tra vic thc hin n bo v mi trng chi tit ca (2) theo quy nh. on kim tra t gii th sau khi hon thnh nhim v. iu 3. Chi ph cho hot ng ca on kim tra c thc hin theo quy nh ca php lut hin hnh. iu 4. Quyt nh ny c hiu lc k t ngy k; (6), (7) v cc ng/b c tn ti iu 1 chu trch nhim thi hnh quyt nh ny./.
Ni nhn:
- Nh iu 4 ; - (8) - Lu...
Ghi ch: (1) C quan c thm quyn ra quyt nh thnh lp on kim tra. (2) Tn y ca c s. (3) Th trng hoc ngi ng u c quan ra quyt nh thnh lp on kim tra. (4) Tn y ca vn bn quy nh chc nng, nhim v, quyn hn v c cu t chc ca (1) (5) Tn c quan ph duyt n bo v mi trng chi tit ca c s. (6) Ch c s. (7) Th trng c quan thng trc thm nh. (8) Ni nhn khc (nu c).
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Ph lc 16 Mu bin bn ca on kim tra vic thc hin n bo v mi trng chi tit

CNG HO X HI CH NGHA VIT NAM c lp - T do - Hnh phc BIN BN KIM TRA VIC THC HIN N BO V MI TRNG CHI TIT ca (1) on kim tra c thnh lp theo Quyt nh s ngy thng nm ca (2) tin hnh kim tra vic thc hin n bo v mi trng chi tit ca (1) trong thi gian t gi ngy thng nm n gi ngy thng nm ti (3). Tham gia v lm vic vi on kim tra gm c cc ng, b sau y: 1. V pha on kim tra: - ng/B ..(h, tn)..- Trng on kim tra (hoc Ph trng on - trong trng hp Trng on vng mt v trong on kim tra c chc danh ny); - ng/B ..(h, tn).. - Ph trng on (nu c); - ng/B ..(h, tn).. - Th k on kim tra; - ng/B ..(h, tn)...- Thnh vin on kim tra; - .. 2. V pha ..(1)..: - ng/B ..(h, tn) - ...(Chc danh ca i din c thm quyn) ; - ng/B ..(h, tn) - (Chc danh) .. 3. Cc i biu khc: - ng/B ..(h, tn).. - ..(Chc danh, c quan cng tc).. - . - . 1. Ni dung v kt qu kim tra: 1.1. Cng trnh x l cht thi
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1.2. Qun l cht thi 1.3. Cc vn mi trng khng lin quan n cht thi 1.4. ng ph s c 1.5. Quan trc mi trng 2. nh gi ca on kim tra 2.1. Nhng mt c 2.2. Nhng mt cha c 3. Kt lun v kin ngh 3.1. Kt lun - Hin trng thc hin n bo v mi trng chi tit c ph duyt ca c s - C s cn phi thc hin tip tc cc ni dung 3.2. Kin ngh on kim tra kin ngh mt trong cc trng hp: - (2) cha xem xt cp Giy xc nhn hon thnh vic thc hin n bo v mi trng chi tit cho (1). - (2) xem xt cp Giy xc nhn hon thnh vic thc hin n bo v mi trng chi tit cho (1) sau khi c kt qu phn tch mu cht thi sau x l ca cng trnh x l cht thi t quy chun k thut v mi trng hin hnh km theo bin bn ny. 4. kin khc vi nh gi v kt lun ca on kim tra (nu c) 4.1. kin ca i din ch c s 4.2. kin ca i biu tham d Bin bn c hon thnh vo hi gi ngy ... thng ... nm ... ti (3) v c k cho nhng ngi tham d cng nghe./. i din ch c s (*) Th k on KT(*) (K, ghi h tn, chc v) (K, ghi h tn) Trng on kim tra (*) (hoc Ph trng on) (K, ghi h tn)
Ghi ch: (1) Tn y ca c s. (2) C quan c thm quyn ra quyt nh thnh lp on kim tra. (3) a im ca (1) (*) Ngoi trang cui cng, nhng ngi ny phi k vo pha di tng trang khc ca bin bn ny.
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Ph lc 17 Mu giy xc nhn hon thnh vic thc hin n bo v mi trng chi tit
(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) ...(1). S:...../.. CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm ..
GIY XC NHN HON THNH vic thc hin n bo v mi trng chi tit ca (2) Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin; Cn c (3) ; Xt Vn bn s ..ngy thng nm .ca (5) bo co v vic hon thnh thc hin n bo v mi trng chi tit; Xt bin bn kim tra ngy . thng . nm ca on kim tra c thnh lp theo Quyt nh s ngy.thng..nm.. ca (1); Xt ngh ca (5); (1) XC NHN: iu 1. ... (6). iu 2. (4) c trch nhim: 2.1. Vic vn hnh cng trnh trong thc t phi tun th ng v y cc quy nh hin hnh. 2.2. Trong qu trnh vn hnh nu c s c v cc tnh hung bt li xy ra lm nhim mi trng, c s phi ch ng x l, khc phc ngay v c bo
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co ngay cho c qun l nh nc v bo v mi trng v cc c quan nh nc c lin quan khc c hng dn, h tr. 2.3. (trch nhim khc). iu 3. Giy xc nhn ny c gi tr k t ngy k./. (7)
Ghi ch: (1) Tn c quan c thm quyn xc nhn . (2) Tn y ca c s. (3) Tn y ca vn bn quy nh chc nng, nhim v, quyn hn v c cu t chc ca (1) (4) Tn c quan/doanh nghip ch c s. (5) Tn c quan chuyn mn trc thuc(1) (6) - i vi c s c cng trnh x l cht thi th ghi: Cc cng trnh x l cht thi ca (2) hon thnh giai on vn hnh th nghim v iu kin i vo vn hnh chnh thc. - i vi c s quy nh ti im e khon 1 iu 3 Thng t ny v khai thc khong sn th ghi: Cc cng trnh x l cht thi v cc cng trnh lin quan n bo v mi trng ca (2) c xy dng m bo yu cu quy nh v iu kin i vo vn hnh. - i vi c s quy nh ti im e khon 1 iu 3 Thng t ny c h cha th ghi: Vic thu dn lng h ca (2) c hon thnh v iu kin cho vic tch nc. (7) Th trng ca (1). (8) Ni nhn khc (nu c).
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Ph lc 18 S quy trnh lp, ng k v xc nhn ng k n bo v mi trng n gin

Lp
Ch c s
H s n bo v mi trng n gin
Np
H s cha y
Vn phng tip nhn H s ca y ban nhn dn cp huyn

H s y
Np li xc nhn sau khi chnh sa
U ban nhn dn cp huyn (C quan thng trc ng k)
Ni dung n khng ng quy nh
T chc xem xt ni dung n

Ni dung n ng quy nh
Kim tra thc t (nu cn); ly kin chuyn gia (nu cn)
Thng qua khng cn chnh sa n
Khng thng qua n

Chnh sa n
Thng bo kt qu xem xt
Thng qua cn chnh sa n
Cp Giy xc nhn (y ban nhn dn cp huyn)
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Ph lc 19a Cu trc v ni dung ca n bo v mi trng n gin i vi c s c d n u t

MC LC DANH MC T NG VIT TT M U - C s c thnh lp theo quyt nh ca ai/cp no, s v ngy ca vn bn hay quyt nh thnh lp; s v ngy ca vn bn ng k u t (nu c); s v ngy ca giy chng nhn u t (nu c); cc thng tin lin quan khc (sao v nh km cc vn bn phn ph lc ca n). - Vic thnh lp c s c ph hp vi cc quy hoch lin quan c ph duyt hay khng (quy hoch s dng t, quy hoch pht trin kinh t - x hi, quy hoch pht trin ngnh, cc quy hoch lin quan khc), c ph hp vi ch trng pht trin kinh t - x hi ti a bn hay khng. - Trng hp a im ca c s t ti khu sn xut, kinh doanh, dch v tp trung th phi nu r tn ca khu/cm, s v ngy ca vn bn chp thun ca Ban qun l khu/cm (sao v nh km vn bn phn ph lc ca n). - Nu r tnh trng hin ti ca c s (thuc loi no theo quy nh ti khon 1 iu 15 ca Thng t ny). Chng 1. M T TM TT C S V TNH HNH THC HIN CNG TC BO V MI TRNG QUA CA C S 1.1. Tn ca c s Nu y , chnh xc tn gi hin hnh ca c s (thng nht vi tn ghi trang ba v trang ph ba ca n bo v mi trng ny). 1.2. Ch c s Nu y h, tn v chc danh ca ch c s km theo ch dn v a ch lin h, phng tin lin lc (in thoi, fax, hm th in t). 1.3. V tr a l ca c s - M t v tr a l ca c s: Nu c th v tr thuc a bn ca n v hnh chnh t cp thn v/hoc x tr ln; trng hp c s nm trong khu sn xut, kinh doanh, dch v tp trung th phi ch r tn khu/cm ny trc khi nu a danh hnh chnh; ta cc im khng ch v tr ca c s (nu c). - M t cc i tng t nhin, kinh t - x hi xung quanh cch ranh gii ca c s t nht mt (01) km (sng, sui, ao, h v cc vc nc khc; vn quc gia, khu d tr thin nhin, khu d tr sinh quyn v cc khu bo tn thin
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nhin khc; h thng giao thng thy, b i n c s; cc c s sn xut, kinh doanh, dch v; cc im dn c, bnh vin, trng hc, nh th, n, cha; cc khu ngh dng, vui chi, gii tr; cc khu di tch lch s, vn ha, di sn vn ha xp hng v cc i tng kinh t - x hi khc). Yu cu: Phi c t nht mt (01) bn hoc s nh km minh ha v tr a l ca c s v cc i tng xung quanh nh m t. 1.4. Quy m/cng sut, thi gian hot ng ca c s - Quy m/cng sut. - Thi im a c s vo vn hnh/hot ng; d kin a c s vo vn hnh/hot ng (i vi c s quy nh ti im khon 1 iu 15 Thng t ny). 1.5. Cng ngh sn xut/vn hnh ca c s M t tm tt cng ngh sn xut/vn hnh ca c s km theo s minh ha, trong c ch dn c th v tr ca cc dng cht thi v/hoc v tr c th gy ra cc vn mi trng khng do cht thi (nu c). 1.6. My mc, thit b Lit k y cc loi my mc, thit b lp t v ang vn hnh; ang v s lp t (i vi c s quy nh ti im khon 1 iu 15 Thng t ny) vi ch dn c th v: Tn gi, ni sn xut, nm sn xut, tnh trng khi a vo s dng (mi hay c, nu c th t l cn li l bao nhiu). 1.7. Nguyn liu, nhin liu, vt liu Lit k tng loi nguyn liu, nhin liu, ha cht cn s dng vi ch dn c th v: Tn thng mi, cng thc ha hc (nu c), khi lng s dng tnh theo n v thi gian (ngy, thng, qu, nm). Nu c th khi lng in, nc v cc vt liu khc cn s dng tnh theo n v thi gian (ngy, thng, qu, nm). 1.8. Tnh hnh thc hin cng tc bo v mi trng ca c s trong thi gian qua - Nu tm tt tnh hnh thc hin cng tc bo v mi trng ca c s t giai on chun b (gii phng mt bng) n thi im lp n bo v mi trng n gin. - L do khng lp bn ng k t tiu chun mi trng, bn cam kt bo v mi trng hoc n bo v mi trng trc y. - Hnh thc, mc b x pht vi phm hnh chnh v x pht khc v mi trng (nu c). - Nhng tn ti, kh khn (nu c). Yu cu: Trng hp b x pht, phi sao v nh km cc vn bn x pht vo phn ph lc ca bn n.
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Chng 2. M T CC NGUN CHT THI, CC VN MI TRNG KHNG LIN QUAN N CHT THI CA C S V BIN PHP QUN L/X L 2.1. Ngun cht thi rn thng thng 2.2. Ngun cht thi lng 2.3. Ngun cht thi kh 2.4. Ngun cht thi nguy hi Yu cu: i vi cc loi cht thi rn, lng v kh phi: - M t r tng ngun pht sinh cht thi km theo tnh ton c th v: Hm lng thi (nng ) ca tng thng s theo Tiu chun mi trng hoc quy chun k thut v mi trng tng ng; tng lng/lu lng thi (kg,tn,m3) ca tng thng s v ca ton b ngun trong mt ngy m (24 gi), mt thng, mt qu v mt nm. - Tnh ton tng lng/lu lng thi (kg,tn, m3) ca ton b c s trong mt ngy m (24 gi), mt thng, mt qu v mt nm; trng hp c s c t 02 im thi khc nhau tr ln ra mi trng th phi tnh tng lng/lu lng thi cho tng im thi. - M t quy trnh qun l, x l cht thi. - M t hnh thc x l (t x l, thu x l), cng ngh v bin php x l:
Trng hp t x l, phi m t cng ngh v bin php x l, c trng
ca cht thi trc v sau x l, hiu qu x l, kt qu t c v so snh kt qu vi cc tiu chun, quy chun k thut v mi trng hin hnh.
Trng hp thu x l (i vi cht thi rn, cht thi lng), phi nu r
tn, a ch ca n v nhn x l thu, c hp ng chnh thc, hp ng nguyn tc (i vi cng trnh d kin s xy dng) v vic thu x l, sao v nh bn sao hp ng ny phn ph lc ca bn n. 2.5. Ngun ting n, rung - M t r tng ngun pht sinh ting n, rung. - M t bin php x l v nh gi hiu qu x l ca bin php trn c s so snh vi cc tiu chun, quy chun k thut v mi trng hin hnh. 2.6. Cc vn mi trng, vn kinh t - x hi do c s to ta khng lin quan n cht thi M t cc vn mi trng do c s to ra (nu c), nh: Xi mn, trt, st, l, ln t; xi l b sng, b sui, b h, b bin; thay i mc nc mt, nc ngm; xm nhp mn; xm nhp phn; suy thoi cc thnh phn mi trng vt l v sinh hc; bin i a dng sinh hc v cc vn mi trng khc khng lin quan n cht thi; gii php/bin php x l tng vn xy
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ra, nh gi hiu qu v mc t c ca gii php/bin php ny so vi cc quy nh hin hnh (nu c). Yu cu: Vic trnh by, m t ca cc mc t 2.1 n 2.6 phi th hin r theo tng giai on, c th nh sau: - Giai on vn hnh/hot ng hin ti; - Giai on vn hnh/hot ng trong tng lai theo k hoch t ra (nu c); - Giai on chun b, thi cng xy dng, vn hnh/hot ng ton b (ch p dng i vi c s quy nh ti im khon 1 iu 15 Thng t ny); - Giai on thi cng xy dng cc bin php bo v mi trng,vn hnh/hot ng ton b (ch p dng i vi c s cha hon thnh cng trnh, bin php bo v mi trng t quy chun k thut v mi trng). Chng 3. K HOCH QUN L MI TRNG HNG NM 3.1. K hoch qun l cht thi
Giai on ca c s Ngun pht sinh cht thi 2 Loi cht thi v tng lng/lu lng 3 Bin php qun l/x l 4 Kinh ph Thi gian d kin thc hin hng nm (triu ng) 5 6 Trch nhim thc hin 7
1 Chun b
Thi cng xy dng
Vn hnh
3.2. K hoch qun l cc vn mi trng khng lin quan n cht thi

Giai on ca c s Vn mi trng Bin php qun l/x l Kinh ph d kin hng nm (triu ng) 4 Trch nhim thc hin
1 Chun b Thi cng xy dng Vn hnh
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3.3. K hoch ng ph s c
Giai on ca c s Loi s c c th xy ra Bin php ng ph Trch nhim thc hin
3.4. K hoch quan trc mi trng

Giai on ca c s Ni dung quan trc im quan trc (m s, a danh, ta ) 3 Thng s quan trc Tn sut Kinh ph Trch nhim quan d kin thc hin trc 5 6 7
Yu cu: a) Mc 3.1, Mc 3.2, Mc 3.3 v Mc 3.4 Giai on chun b, thi cng xy dng ch p dng i vi c s c k hoch, d kin xy dng cng trnh v c s quy nh ti im khon 1 iu 15 Thng t ny. b) Mc 3.4: - i vi cht thi: Ch quan trc cc thng s c trng cho cht thi ca c s v c quy nh ti cc tiu chun, quy chun k thut tng ng vi tn sut theo quy nh hin hnh v quan trc mi trng, trng hp cha c quy nh th phi quan trc t nht ba (03) thng/ln. - i vi mi trng xung quanh: Ch quan trc nhng ni cha c im quan trc ca c quan nh nc vi tn sut theo quy nh hin hnh v quan trc mi trng, trng hp cha c quy nh th phi quan trc t nht su (06) thng/ln. - Tng im quan trc phi c th hin trn bn hoc s minh ha. KT LUN, KIN NGH V CAM KT
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1. Kt lun Phi kt lun r: - nhn dng c ht cc dng cht thi v tnh ton c ht cc loi cht thi, nhn dng v m t c ht cc vn v mi trng v x hi khng lin quan n cht thi hay cha; nu cha th nu r l do v xut hng gii quyt tip theo. - Cc loi cht thi, cc vn v mi trng v x hi do c s to ra c th c x l t yu cu quy nh hay khng; trng hp khng th nu r l do v xut hng gii quyt tip theo. - C kh nng ng ph hiu qu vi tnh trng nhim mi trng khi cc s c xy ra hay khng; nu khng th nu r l do v xut hng gii quyt tip theo. 2. Kin ngh Kin ngh vi cc cp, cc ngnh lin quan trung ng v a phng gii quyt cc vn vt qu kh nng gii quyt ca ch c s. 3. Cam kt - Cam kt thc hin nhng ni dung v bo v mi trng nu trong n, c bit l cc ni dung v x l cht thi, x l cc vn mi trng, k hoch qun l mi trng. - Cam kt tun th cc quy nh ca php lut v bo v mi trng c lin quan n c s, k c cc tiu chun, quy chun k thut v mi trng. - Cam kt n b v khc phc nhim mi trng trong trng hp xy ra cc s c trong qu trnh trin khai xy dng v hot ng ca c s. PH LC Ph lc 1: Cc vn bn lin quan Ph lc 1.1. Bn sao cc vn bn php l lin quan n s hnh thnh c s Ph lc 1.2. Bn sao cc vn bn v x l vi phm v mi trng (nu c) Ph lc 1.3. Bn sao cc phiu kt qu phn tch th nghim v mi trng, hp ng x l v mi trng (nu c) Ph lc 1.4. Bn sao cc vn bn khc c lin quan (nu c) Ph lc 2. Cc hnh, nh minh ha (tr cc hnh, nh th hin trong bn n) Yu cu: Tng vn bn, hnh, nh trong ph lc phi c xp theo th t r rng vi m s c th v u phi c dn chiu phn ni dung tng ng ca bn n.
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Ph lc 19b Cu trc v ni dung ca n bo v mi trng n gin i vi c s khng c d n u t v c pht sinh cht thi sn xut
MC LC M U - C s c thnh lp trn c s giy php kinh doanh/ng k kinh doanh no, s v ngy ca vn bn (sao v nh km vn bn phn ph lc). - Nu r tnh trng hin ti ca c s (thuc loi no theo quy nh ti khon 1 iu 15 Thng t ny). Chng 1. M T TM TT C S 1.1. Tn ca c s Nu y , chnh xc tn gi hin hnh ca c s 1.2. Ch c s Nu y h, tn v chc danh ca ch c s km theo ch dn v a ch lin h, phng tin lin lc (in thoi, fax, hm th in t). 1.3. V tr a l ca c s Nu c th v tr thuc a bn ca n v hnh chnh t cp thn v/hoc x tr ln. 1.4. Quy m/cng sut, thi gian hot ng ca c s - Quy m/cng sut. - Thi im a c s vo vn hnh/hot ng; d kin a c s vo vn hnh/hot ng (i vi c s quy nh ti im khon 1 iu 15 Thng t ny). Chng 2. NGUN CHT THI V BIN PHP QUN L/X L 2.1. Ngun cht thi rn thng thng 2.2. Ngun cht thi lng 2.3. Ngun cht thi kh 2.4. Ngun cht thi nguy hi (nu c) Yu cu: i vi cc loi cht thi rn, lng v kh: Lit k ngun pht sinh cht thi, tng lng/lu lng thi (kg,tn,m3) ca tng ngun v ca c c s trong mt ngy m (24 gi); bin php qun l, x l. 2.5. Ngun ting n, rung
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Lit k cc ngun pht sinh ting n, rung, mc ; bin php x l. KT LUN, KIN NGH V CAM KT 1. Kt lun - Cc vn c lin quan n cht thi, cc vn khng lin quan n cht thi c nghim trng khng, c th ch ng x l c khng? trng hp khng th nu r l do v xut hng gii quyt. - C kh nng gii quyt cc vn v cht thi v cc vn mi trng khc khng; nu khng th nu r l do v xut hng gii quyt. 2. Kin ngh Kin ngh vi cc cp, cc ngnh lin quan a phng gii quyt cc vn vt qu kh nng gii quyt ca ch c s. 3. Cam kt - Cam kt thc hin nhng ni dung v bo v mi trng nu trong n bo v mi trng n gin, c bit l cc ni dung v x l cht thi. - Cam kt tun th cc quy nh ca php lut v bo v mi trng c lin quan n c s. - Cam kt n b v khc phc nhim mi trng trong trng hp xy ra cc s c trong qu trnh trin khai xy dng v hot ng ca c s. PH LC - Cc vn bn lin quan. - Cc hnh v, hnh nh (nu c).
63
Ph lc 20 Mu vn bn ngh xc nhn ng k n bo v mi trng n gin

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) (1) S: ...../.. V/v xc nhn ng k n bo v mi trng n gin ca (2) CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Knh gi: y ban nhn dn (3) (1) c a ch ti (4), xin gi n y ban nhn dn (3) nm (05) bn n bo v mi trng n gin ca (2) Chng ti cam kt rng mi thng tin, s liu a ra ti bn n ni trn l hon ton trung thc v hon ton chu trch nhim trc php lut nu c g sai phm. Knh ngh qu y ban sm xem xt v cp giy xc nhn ng k n bo v mi trng n gin ny. Xin trn trng cm n./.
Ghi ch: (1) Tn c quan/doanh nghip ch c s. (2) Tn y ca c s. (3) Tn n v hnh chnh cp huyn. (4) a ch lin h theo bu in (5) i din c thm quyn ca c quan/doanh nghip ch c s. (6) Ni nhn khc (nu c).
64
Ph lc 21 Mu ba v trang ph ba ca n bo v mi trng n gin

(TN C QUAN CH QUN/ PH DUYT C S - nu c) (TN C QUAN/DOANH NGHIP CH C S)
N BO V MI TRNG N GIN ca (1)
C QUAN/DOANH NGHIP CH C S (*) (Ngi i din c thm quyn k, ghi h tn, ng du)
C QUAN T VN (nu c) (*) (Ngi i din c thm quyn k, ghi h tn, ng du)
Thng nm
Ghi ch: (1) Tn y , chnh xc ca c s (theo vn bn v u t ca c s). (*) Ch th hin trang ph ba.
65
Ph lc 22 Mu giy xc nhn ng k n bo v mi trng n gin

(Ban hnh km theo Thng t s 01 /2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin) UBND...(1). S:...../.. CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm ..
GIY XC NHN NG K N BO V MI TRNG N GIN ca (2) Cn c Lut Bo v mi trng ngy 29 thng 11 nm 2005; Cn c Ngh nh s 29/2011/N-CP ngy 18 thng 4 nm 2011 ca Chnh ph quy nh v nh gi mi trng chin lc, nh gi tc ng mi trng, cam kt bo v mi trng; Cn c Thng t s 01/2012/TT-BTNMT ngy 16 thng 3 nm 2012 ca B trng B Ti nguyn v Mi trng quy nh v lp, thm nh, ph duyt v kim tra, xc nhn vic thc hin n bo v mi trng chi tit; lp v ng k n bo v mi trng n gin; Cn c (3) quy nh chc nng, nhim v, quyn hn v c cu t chc ca (1) ; Xt ni dung n bo v mi trng n gin ca (2) km theo Vn bn s ngy thng nm ca (4), (1) XC NHN: iu 1. Bn n bo v mi trng n gin (sau y gi l n) ca (2) (sau y gi l C s) do (4) lp (sau y gi l Ch c s) c ng k ti (1)... iu 2. Ch c s c trch nhim: 2.1. Thc hin ng v y cc ni dung v bo v mi trng ra trong n; m bo cc cht thi v cc vn mi trng khc c qun l, x l t yu cu theo quy nh ca php lut hin hnh. 2.2. Tuyt i khng s dng cc loi my mc, thit b, nguyn liu, nhin liu, ha cht v cc vt liu khc b cm s dng ti Vit Nam theo quy nh ca php lut hin hnh.
66
2.3. (nu c yu cu khc) iu 3. Giy xc nhn ny c gi tr k t ngy k./. (5)

Ghi ch: (1) Tn n v hnh chnh cp huyn. (2) Tn y ca c s. (3) Tn y ca vn bn quy nh chc nng, nhim v, quyn hn v c cu t chc ca (1) (4) Tn c quan/doanh nghip ch c s. (5) Ch tch/Ph ch tch cp huyn (hoc ngi c y quyn). (6) Ni nhn khc (nu c).
67
Ph lc 23 Mu bo co v cng tc lp, ng k v xc nhn ng k n bo v mi trng n gin ca U ban nhn dn cp huyn

(1) S:...../
CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm
Knh gi: (2) BO CO TNH HNH LP, NG K V XC NHN NG K N BO V MI TRNG CA (3) 1. Tng hp s liu t thng .. n thng .. nm ..
STT 1 2 3 S lng n tip nhn S lng n xc nhn S lng n cha xc nhn B tr li ang xem xt Ghi ch
2. Nhn xt, nh gi tnh hnh 2.1. Thun li 2.2. Kh khn, vng mc 3. xut, kin ngh
Ni nhn: - Nh trn; - (5) - Lu Ghi ch: (1) Tn c quan c giao l c quan thng trc ng k. (2) C quan c giao l c quan thng trc thm nh cp tnh. (3) Tn ca n v hnh chnh cp huyn. (4) Th trng c quan c giao l c quan thng trc ng k. (5) Ni nhn khc (nu c).
(4) (K, ghi r h tn, ng du c quan)
68
Ph lc 24 Mu bo co v cng tc lp, xc nhn v ph duyt n bo v mi trng ca tnh/thnh ph

(1) S:...../
Knh gi: Tng cc Mi trng BO CO TNH HNH LP V XC NHN, THM NH V PH DUYT N BO V MI TRNG CA TNH/THNH PH 1. Tng hp s liu t thng .. n thng .. nm ..
S lng n tip nhn TT n gin 1 2 3 Chi tit n gin Chi tit S lng n xc nhn S lng n cha xc nhn B tr li ang xem xt n Chi n Chi gin tit gin tit Ghi ch
Ghi ch: (1) Tn c quan c giao l c quan thng trc thm nh cp tnh. (2) Th trng c quan c giao l c quan thng trc thm nh cp tnh. (3) Ni nhn khc (nu c).
69
Ph lc 25 Mu bo co v cng tc lp, thm nh v ph duyt n bo v mi trng chi tit ca cp b

(1) S:...../
Knh gi: Tng cc Mi trng BO CO TNH HNH LP, THM NH V PH DUYT N BO V MI TRNG CHI TIT CA (2) 1. Tng hp s liu t thng .. n thng .. nm ..
STT 1 2 3 S lng n tip nhn S lng n ph duyt S lng n cha ph duyt B tr ang xem li xt Ghi ch
Ghi ch: (1) (2) (3) (4) Tn c quan c giao l c quan thng trc thm nh cp b. Tn ca B, c quan ngang B, c quan thuc Chnh ph. Th trng c quan c giao l c quan thng trc thm nh cp b. Ni nhn khc (nu c).
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Thong Tu de An BVMT So 01-TT-BTNMT Ngay 16-3-2012

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Thong Tu de An BVMT So 01-TT-BTNMT Ngay 16-3-2012

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B TI NGUYN V MI TRNG

CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc

H Ni, ngy 16 thng 3 nm 2012

KT. B TRNG TH TRNG

Ph lc 1 S quy trnh lp, thm nh v ph duyt n bo v mi trng chi tit

H s n bo v mi trng chi tit

Vn phng tip nhn H s ca C quan c thm quyn thm nh, ph duyt

Np li ph duyt sau khi chnh sa, b sung

Ni dung n khng ng quy nh

T chc thm nh ni dung n

Khng thng qua n Yu cu chnh sa, b sung n

Thng qua cn chnh sa n

Ph duyt n (C quan c thm quyn thm nh, ph duyt)

Ph lc 2 Cu trc v ni dung ca n bo v mi trng chi tit

Thi cng xy dng

4.2. K hoch qun l cc vn mi trng khng lin quan n cht thi

Bin php qun l/x l

Kinh ph d kin hng nm (triu ng) 4

Trch nhim thc hin

1 Chun b Thi cng xy dng Vn hnh ng ca hot ng

4.4. K hoch quan trc mi trng

1 Chun b Thi cng xy dng Vn hnh ng ca hot ng

Ph lc 3 Mu vn bn ngh thm nh, ph duyt n bo v mi trng chi tit

(5) (K, ghi h tn, chc danh, ng du)

Ph lc 4 Mu ba v trang ph ba ca n bo v mi trng chi tit

(TN C QUAN CH QUN/ PH DUYT C S - nu c) (TN C QUAN/DOANH NGHIP CH C S)

N BO V MI TRNG CHI TIT ca (1)

Ph lc 5 Mu vn bn xin kin ca ch c s gi y ban nhn dn cp x xin kin v n bo v mi trng chi tit

(4) (K, ghi h tn, chc danh, ng du)

TM TT NI DUNG CA N BO V MI TRNG CHI TIT

(4) (K, ghi h tn, chc danh, ng du)

Ph lc 7 Mu quyt nh thnh lp on kim tra cng tc bo v mi trng

(3) (K, ghi h tn, chc danh, ng du)

Ph lc 8 Mu bin bn kim tra cng tc bo v mi trng

Ch c s (K, ghi h tn, chc v)

Trng on kim tra (K, ghi h tn)

i din cc c quan tham gia (k, ghi r h tn)

Ph lc 9 Mu quyt nh ph duyt n bo v mi trng chi tit

Ph lc 11 Mu vn bn ngh xc nhn vic thc hin n bo v mi trng chi tit

Knh gi: (2)

CNG HO X HI CH NGHA VIT NAM c lp - T do - Hnh phc (a danh), ngy thng nm

(5) (K, ghi h tn, chc danh, ng du)

Ph lc 12 Mu bo co kt qu vic thc hin n bo v mi trng chi tit

Th nghim ln 1: Ngy thng nm ; Tng lng/Lu lng .

(4) (K, ghi h tn, chc danh, ng du)

(K, ghi h tn, chc danh, ng du)

4. Nhng hng mc khng th thu dn c (nu c) - Tn hng mc khng th thu dn c

(K, ghi h tn, chc danh, ng du)

CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc (a danh), ngy thng nm

(3) (K, ghi h tn, chc danh, ng du)

Ph lc 16 Mu bin bn ca on kim tra vic thc hin n bo v mi trng chi tit

(K, ghi h tn, chc danh, ng du)

Ph lc 18 S quy trnh lp, ng k v xc nhn ng k n bo v mi trng n gin

Vn phng tip nhn H s ca y ban nhn dn cp huyn

Np li xc nhn sau khi chnh sa

U ban nhn dn cp huyn (C quan thng trc ng k)

Ni dung n khng ng quy nh

T chc xem xt ni dung n

Khng thng qua n

Thng qua cn chnh sa n

Cp Giy xc nhn (y ban nhn dn cp huyn)

Ph lc 19a Cu trc v ni dung ca n bo v mi trng n gin i vi c s c d n u t

Thi cng xy dng