Professional Documents
Culture Documents
47 OF 1980
Date ………………………………
Sector ( )
Category ( )
Name of Industry:
Name of Applicant:
Postal Address:
Telephone No:
Address:
: Local:
Foreign:
1.6 Date of Commencement of operation:
1.9 A List of permits obtained from Local or State Authorities Permitting the Establishment and
Operation of the Industry.
(Please attach photocopies):
2 MANUFACTURING PROCESS
2.3.1 A brief description of the processes used (attach process flow diagram):
2.3.4 Precautionary measures adopted in the transport and handling of any hazardous/
toxic/flammable/explosive material:
3. WATER
Processing: m3/day
Cooling: m3/day
Washing: m3/day
Domestic: m3/day
1. Public Supp ly
3.6 What other specific toxic substances are discharged? ( Specify nature and concentration -
e.g.: Inor ganics and Organics includ ing Pesticides, Organic Chlorine Compounds,
Heavy Metals, etc.)
3.7 Methods of treatment of Waste Water (Diagrams of Treatment Process to be inc luded):
3.8 Method adopted for recording characteristics of waste water before and after treatment:
2 SOLID WASTE
4.1 Type and Nature of Solid waste:
5. ATMOSPHERIC EMISSIONS
a. Oxides of N itrogen -
b. Oxides of Sulphur -
d. Any ot her -
himneys Height:
Source:
Method of abatement:
7. NOISE POLLUTION
7.1 Does your ind ustry cause noise pollut ion: Yes/No:
1. ENERG Y REQUIREMENTS
a. Purpose:
b. Daily consumption:
2. RECYCLING/REUSE
Describe your plans for future expa nsion of the industry. State whether propos ed expa nsion will
alter the manufacturing process, raw material usage and finished products.
I hereby certify that the particulars furnished by me in this app lication are true and correct. I am
aware that if any particulars herein are found to be false or incorrect my application will be refused
and the licence, if issued, will be cancelled.
……………………………………
Signature of App licant
Date……………………………
ADDITIONAL INFORMATION REQUIRED FROM
UTILIZING CHEMICALS IN INDUSTRYS
1. A site map extending ¼ mile beyond the bo undaries of the property depicting the facility, the
discharge points for effluents, wells, springs and other surface water bodies and drinking water
wells.
2. A description of the procedures, structures and equipment used at the facility to:
3. A description of
(i) precautions to prevent accide ntal fires resulting from storage of chemicals
4. A description of storage system for bulk chemicals prior to use in the industrial process.
Sector ( )
Category ( )
………………………………………………………………………………………………………...
4. If the obs ervation of any other Agency was requested, details of such requests …………………….
………………………………………………………………………………………………………...
6. If a Licence is granted :
b. Date of Licence:………………………………………………….
……………………………………………………………………
………………………………………
Of Authorised Officer
Date ……………………….