Declaration Template: Indicator 2.

6
Data required for Q3:

Section – A:

Whether mobile C&D waste collection units are available Yes  No 

for citizens? If YES, How many units are available? ________

Whether the designated collection points duly geo-tagged

for convenience of the citizen? Yes  No 
Whether on-call facility to book C&D waste collection
service available for the citizens? Yes  No 
Whether the charges (including in-built charges at the
time of permission for construction) for Collection &
Transportation and Processing & Disposal of C&D Waste Yes  No 
notified and enforced?

Whether the C&D collected in the ULB is segregated into

at least the following 5 categories: Concrete, soil, steel, Yes  No 
wood & plastics, bricks & mortar?

Whether the Weekly Processing Logbook, Sale Register &

Vendor details (if outsourced) is maintained digitally by Yes  No 
ULB and is linked/updated on SBM portal?

Documents to be submitted by the ULB for evaluation of Section - A:

Declaration stating the availability of mobile C&D waste

collection units and the number of units available along Attached  Not Available 
with the details of the on-call facility

Provide the page’s link where the citizen check’s the

location (geo-tagged) of the C&D waste collection units. Attached  Not Available 
If charges have been notified, then the notification
mentioning the different charges for the services being Attached  Not Available 
provided by the ULB is to be provided.

If the notified charges are being enforced, then provide

the monthly revenue generated from the service in the Attached  Not Available 
months of Nov, Dec and Jan (Phase 3 Months).

Proof of segregation of C&D waste: Logbooks of the

collection centers or processing facility showing the
amount of C&D waste being collected and received at the
facility and segregated amounts for each of concrete, soil, Attached  Not Available 
steel, wood & plastics, bricks & mortar and any other
material/refuse that is generated.

Prepared by
I hereby declare that the data/information provided above table, on Swachhatam portal and in the attached
documents is true to the best of my knowledge and reflects the status of the progress on ground in the ULB.

Signature & Stamp of the Nodal Officer/Head of the ULB

Name: ULB Code:
Designation: ULB Name:
Date:

Prepared by